• 재활간호학회지
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• 제7권1호
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• pp.33-47
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• 2004

The purpose of this study was to investigate weight control practices and cardiovascular risk in middle-aged women. 304 middle-aged women were selected as subjects from thirties to fifthies living at J city in Chung-Buk Do. Data were collected using a questionnaire, anthropometric measurements, BP & total cholesterol level in serum from April 1, to June 30, 2003. The results of this study were as follows: The middle-aged woman's age is average $43.95{\pm}7.09yr$ and mean BMI(body mass index) was $23.54{\pm}3.09\;kg/m^2$. Underweight, normal weight, overweight, obese women were 3.0%, 39.5%, 27.9% and 29.6%respectively. Subjects perceived own as 'Slim' 5.9%, 'ordinary' 45.7%, 'Fat' 48.4%. Their weight perception coincide their own actual body weight but as many as 41.8% of overweight and 9.0% of obese perceived themselves as being 'ordinary'. Middle age women with past weight control experience were 55.6%, and only 35.5% was doing weight control at present. Of these subjects, 71.4% reported wanting to lose weight and the primary reason of weight control was to improve their appearance(39.53%). The most frequently reported weight control behavior was 'exercise' followed 'dieting', but 39.6% reported using 'diet food', 12.4% 'behavior modification', 12.4% 'fasting', and 'diet-drug'(3.6%) or 'smoking'(3.6%). Effective weight control methods were thought regular exercise(97.1%) & dieting (79.3%). And behavior modification(71.4%) or diet camp(60%) were effective, too. An average waist circumference was $79.80{\pm}9.47cm$, waist/hip ratio was $86.63{\pm}6.78$, waist/height ratio was $50.43{\pm}6.10$. In the index of abdominal obesity, 79.7 % of middle-aged women was waist/height ratio over 0.46, 65.3% was waist/hip ratio over 0.85, 28.4% was waist circumference over 85cm. There were significant differences in the degree of abdominal obesity according to age and BMI. In the index of cardiovascualr risk, 10.9% of middle aged women was systolic hypertension over 140mmHg, 18.7% was diastolic hypertension over 90mmHg and 10.6% was hypercholesterolemia over 200mg/dl. There was significant difference in systolic hypertension ratio according to age. There was significant difference in diastolic hypertension ratio according to age and obesity. There were significant differences in hypercholesterolemia accorting to obesity. The abdominal obesity indices and the levels of T-cholesterol in the serum, systolic and diastolic BP increased significantly according to age. T-cholesterol in serum was predicted 2.6% by waist/height ratio. And systolic BP was predicted 15.2% by waist/height, add BMI to 16.8%. Subject's diastolic BP was predicted 12.1% by BMI. Therefore waist/height ratio and BMI were significant factors for the predictors of cardiovascular risk. There was significant correlation between index of obesity and cardiovascular risk. T-cholesterol in serum had correlation with waist/eight ratio(r=0.174) and waist circumference(r=0.48). Systolic BP had correlation with waist/height ratio(r=0.387), and BMI(=0.371). diastolic BP correlation had correlation with BMI(r=0.343) and waist/height ratio(r=0.327). In conclusion, The prevalence of obesity was 29.6% in 304 cases, and increased as age after menopause increased. Middle-aged women's weight perception and actual BMI coincide but some of them did not. Trial to reduce weight was attempted. But most of them did not actually. Undesirable weight control method such as using drugs, fasting, smoking was used by some women. It is important to educate about health weight control methods and raise their awareness of exact body figures. High frequency of abdominal obesity in middle-aged women had correlation with hypertension and hypercholesterolemia. Abdominal index such as waist/height ratio, waist circumference, waist/hip ratio was used. Women's hypertension, hypercholesterolemia significantly related to body mass index and abdominal obesity.

• 사상체질의학회지
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• 제16권3호
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• pp.59-69
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• 2004

1. Objectives This research is to ascertain relations between the Sasang Constitution and characteristics of the eating attitudes, mental state, body composition, various examination results of obese middle-aged women. 2. Methods The subjects were 31 female patients whose BMI(Body Mass Index) was over $25kg/m^2$ and age was 35~55. It was analysed statistically the results of EAT(The Eating Attitudes Test), DEBQ(Dutch Eating Behavior Questionnaire), BDI(Beck Depression Inventory), STAI(State-Trait Anxiety Inventory), body composition analyser, biochemistry, abdominal ultrasonography, mammography which was surveyed from them. 3. Results and Conclusions 1)There was no relation between the Sasang Constitution and the eating attitudes, eating behaviors. But Taeumin got statistically lower score than Non-Taeumin in 23rd question for emotional eating and 33rd question for environmental eating of DEBQ 2)On the mental state, Taeumin got statistically lower score than Non-Taeumin in BDI, STAI-S 3)On the body composition, Taeumin got statistically higher value than Non-Taeumin in BMI. Soyangin got statistically lower value than Non-Soyangin in BMI, left upper limb water, soft lean mass, body water, trunk water. 4)On the various examinations, Taeumin got statistically lower value than Non-Taeumin in serum albumin. Soyangin got statistically lower value in BMI and higher frequency in gallstone, breast nodule than Non-Soyangin. 5)It was thought that Taeumin's obesity is managed by controling physical factor such as excessive 'Gathering Qi(吸聚之氣)' rather than eating attitudes and psychological factor.

• 한국융합학회논문지
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• 제7권6호
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• pp.307-315
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• 2016

본 연구는 인터벌 태권도 프로그램을 통하여 중년비만여성들의 코티졸, 유리지방산 및 근 손상지표에 어떠한 변화가 나타나는지를 알아보고자 하였다. 이를 위해 중년비만 여성을 대상으로 최대심박수를 활용한 80~85%의 운동강도로 매회 40분간 실시되는 인터벌 태권도 운동을 주 3회씩 8주간 실시하였으며, 다음과 같은 결과를 얻었다. 첫째, 코티졸은 8주간 인터벌 태권도 프로그램 전 후 감소를 보였으나 유의한 변화는 나타나지 않았다. 둘째, 유리지방산은 8주간 인터벌 태권도 프로그램 전 후 감소를 보였으며 유의한 변화가 나타났다. 셋째, 근 손상지표는 8주간 인터벌 태권도 프로그램 전 후 감소를 보였으나 유의한 변화는 나타나지 않았다. 본 연구결과를 통해 인터벌 태권도 운동은 스트레스를 이겨내는 내성 및 저항력 향상과 근 손상 예방 효과는 다소 낮았으나, 지방 산화 능력 증가를 위한 운동 프로그램으로 활용될 수 있을 것이라는 결론을 얻었다.

• Nutrition Research and Practice
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• 제16권3호
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• pp.379-391
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• 2022

BACKGROUND/OBJECTIVES: We investigated the associations between eating away from home (EAFH) and overweight and obesity among Ugandan adults using the 2014 Uganda non-communicable disease risk factor survey. SUBJECTS/METHODS: In total, 3,025 participants aged 18-69 years were included in the analysis. The frequency of EAFH was assessed by asking participants the number of meals eaten per week that were not prepared at a home. EAFH frequency was categorized as; less than once/week, 1-2 times/week, or ≥ 3 times/week. Logistic regression was used to evaluate the associations between overweight, obesity, and EAFH. We also tested whether sex and age modified these associations. RESULTS: Participants that ate away from home ≥ 3 times/week were 2.13 times more likely to be obese than those that ate away from home less than once/week (odds ratio [OR], 2.13; 95% confidence interval [CI], 1.28-3.54). However, when the analysis was stratified by sex, women that ate away from home ≥ 3 times/week were 42% less likely to be overweight than those that ate away from home less than once/week (OR, 0.58; 95% CI, 0.36-0.94). Men that ate away from home ≥ 3 times a week were 3.89 times and 2.23 times more likely to be obese and overweight, respectively, than those that ate away from home less than once/week (obesity: OR, 3.89; 95% CI, 1.50-10.09; overweight: OR, 2.23; 95% CI, 1.42-3.51). Age-stratified analysis showed that among participants aged 31-50 years, those that ate away from home ≥ 3 times a week were 3.53 times more likely to be obese than those that ate away from home less than once/week (OR, 3.53; 95% CI, 1.69-7.37). CONCLUSIONS: Frequent EAFH was positively associated with overweight and obesity among men, and obesity among young/middle-aged adults, but negatively associated with overweight in women. Nutritional interventions for obesity reduction in Uganda should include strategies aimed at reducing the frequency of eating meals prepared away from home, and specifically target men and young/middle-aged adults.

• 대한간호학회지
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• 제37권4호
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• pp.453-458
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• 2007

Purpose: The purpose of this study was to compare metabolic syndrome (MS) risk factor prevalence by obesity and age in middle-aged women. Method: Two hundred and fifty-one subjects were recruited from the health promotion center of a tertiary care hospital in an urban city. MS was defined by the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adult Treatment Panel III)(ATP III), and obesity was determined by body mass $index(BMI){\geq}25kg/m^2$. Results: The mean blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group. The prevalence of MS, hypertension, and impaired fasting glucose were significantly higher in the obese group than in the non-obese group. In the forties, blood pressure was significantly higher in the obese group than in the non-obese group. In the fifties, body fat, systolic blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group. Conclusions: These results show that the nurse should focus on the obese fifty year old female patients for improvement of the MS risk factors.

• 농촌의학ㆍ지역보건
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• 제35권2호
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• pp.165-176
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• 2010

본 연구는 비만 중년 여성에서 절식과 여러 수준의 유산소 트레이닝을 실시한 후 운동 중단이 지단백 및 신체 조성에 미치는 영향을 규명하기 위하여 실시하였다. 연구대상자는 목포시에 거주하고 있는 체지방율이 30% 이상인 중년 여성 30명이었다. 이들을 무작위로 10명씩을 절식만 하는 대조군, 절식과 40% 강도 운동을 하는 군, 절식과 60% 강도 운동을 하는 군으로 배정하였다. 8주간의 운동프로그램은 운동부하 테스트를 실시하여 최대산소섭취량에 상응하는 최대심박수에 따라 실시하였다. 이 후 운동 중단 4주와 8주차의 신체적 변화 및 혈중지질의 변화를 측정하였다. 연구 결과 비만 지표의 변화는 다음과 같다. 첫째, 체중은 40% 운동군과 60% 운동군에서 운동8주후에 유의한 감소를 하였으며, 운동중단 후 다시 증가하였다. 둘째, BMI는 40% 운동군과 60% 운동군에서 운동 8주후에 유의한 감소를 하였으며, 운동중단 후 다시 증가하였다. 셋째, 체지방율는 40% 운동군과 60% 운동군에서 운동 8주후에 유의한 감소를 하였으며, 운동중단 후 다시 증가하였다. 혈중 지질의 변화는 다음과 같다. 첫째, 총콜레스테롤(TC)은 40% 운동군과 60% 운동군에서 운동시기별로 유의한 차이를 나타냈으며, 운동직후 집단간에도 차이가 나타났다. 둘째, 중성지방(TG)의 경우 40% 운동군, 60% 운동군에서 운동시기별 유의한 차이를 나타냈으며, 운동직후 집단간에도 차이가 나타났다. 셋째, 고밀도지단백 콜레스테롤(HDL-C)의 경우 60% 운동군에서 운동직후 유의한 상승을 나타냈으며, 시기별 집단간에는 차이가 없는 것으로 나타났다. 넷째, 저밀도지단백 콜레스테롤(LDL-C)의 경우 40%, 60%에서 운동시기별 유의한 차이를 나타냈으며, 운동 직후 집단간에도 차이가 있었다. 결론적으로 일일 500kcal의 절식과 최대산소섭취량의 40% 운동과 60% 운동 강도를 8주간 실시하는 것은 체중조절을 위한 충분한 운동 강도와 기간이었다. 운동 중단을 하면 운동전 상태로 회귀하는 요요 현상이 나타났다. 그러나 운동 중단 후 4주 정도는 운동 효과가 아직 남아있으므로 운동을 그만 두더라도 적어도 1달 이내에 운동을 다시 시작하면 운동의 효과가 지속 될 수 있을 것으로 생각된다.

• 생명과학회지
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• 제21권4호
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• pp.521-528
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• 2011

본 연구는 체지방률이 30% 이상인 비만중년여성 18명을 대상으로 하타요가 운동이 체조성과 혈청지질 및 건강체력에 미치는 효과와 내장지방에 영향을 미치는 요인을 규명하기 위하여 하타요가 운동을 16주간 운동군과 비운동군으로 나누어 주3회, 80-90% ROMmax, 60분간 실시한 후 운동 전과 후의 신체조성, 내장지방, 혈청지질, 에너지대사 및 건강체력을 측정하여 비교 분석하였다. 본 연구의 결과 운동 후에 하타요가집단은 체중, 체지방률(%BF), 체질량지수(BMI), 허리엉덩이둘레비(WHR) 및 내장지방면적(VFA)이 유의하게 감소하였다. 총콜레스테롤(TC), 중성지방(TG), 저밀도지단백 콜레스테롤(LDL-C), 유리지방산(FFA)은 유의하게 감소하였으나, 고밀도지단백 콜레스테롤(HDL-C)은 유의하게 증가하였으며, 인슐린 저항성지수(HOMA-IR)는 유의하게 감소하였다. 하타요가 집단은 악력, 배근력, 팔굽혀펴기, 윗몸일으키기, 하버드스텝테스트 및 앉아 윗몸앞으로 굽히기는 유의하게 증가하였다. 따라서 장기간의 규칙적이고 지속적인 요가운동이 비만중년 여성의 심혈관질환의 예방에 도움이 되고 비만해소와 대사합병증예방에 긍정적인 효과가 있을 것으로 사료된다.

• Journal of Korean Biological Nursing Science
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• 제10권1호
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• pp.62-68
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• 2008

Purpose: This study was conducted to test the effect of the 12 weeks brisk walking exercise program on body composition, blood pressure, blood glucose and blood lipid for middle-aged woman with obesity. Method: The subject were 25 obese women in 40-64 yr old who were composed of over 30% body fat. For the analysis, descriptive statistics, paired t-test were used for statical analysis with SPSS 15.0. Result: The results were summarized as follows: first, the body weight, body mass index (BMI), % body fat of the obese woman were significantly decreased after implementing the 12 weeks brisk walking exercise program (p<.5). Second, the systolic blood pressure, diastolic blood pressure and blood glucose were significantly decreased after the 12 weeks brisk walking exercise program (p<.5). Third, the serum cholesterol was significantly decreased (p<.05) but serum triglyceride was not significantly decreased the after 12 weeks brisk walking exercise program. Conclusion: These results suggest that the brisk walking exercise program has an effect on decreasing body weight, BMI, percent body fat, blood pressure and serum cholesterol in middle-aged woman with obesity to reduce obesity and prevent chronic disease.

• 한국의류학회지
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• 제36권4호
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• pp.391-399
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• 2012

This study helps out-size consumers purchase swimsuits and improves fitness by classifying the torso of middle-aged obese women; in addition, it creates a size system based on each size interval for obese types. The criteria for subjects in this study were over 25kg/$m^2$ of the BMI, over 85cm of waist, and over 95cm of bust; 199 females were surveyed. Three torso types were categorized by a cluster analysis into X type (the vertical size of hip girth was the biggest of the three and the waist was slender), H-O type (larger than other groups in bust girth with more fat above the circumstance of the abdomen), and Y type (the upper half of body development type and lower body fatness were between those of type X and those of type H-O). As a consequence of size system establishment according to obesity types, the basic body sizes and reference body sizes were different according to types even in commonly-appeared size names at sections of respective types. The research findings show the necessity to understand obesity types according to bust girth and hip girth sizes that represent basic sizes as well as to design patterns in consideration of the characteristics of obese body shapes when swimsuits are designed for obese groups. The findings can be used as basic data to decide the desirable output of production according to respective body types.

• 대한지역사회영양학회지
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• 제3권5호
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• pp.695-706
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• 1998

This study was designed to investigate the associations of the percent body fat dietary intake, plasma lipoprotein profile, lipoprotein(a), and plasminogen activator inhibitor-1(PAI-1) concentrations of 1982 Korean subjects(men : 1000 and women : 982) between the ages of 40 and 59 years. The dietary assessment consisted of twenty-four hour dietary records and food frequency questionnaires. The subjects were identified into one of the five rating groups of % body fat : lean, underweight, normal, overweight and obese groups. The biochemical assessment included measurements of plasma total cholesterol(TC), HDL-cholesterol(HDL-C), LDL-cholesterol(LDL-C), triglyceride(TG), lipoprotein(a)(Lp(a)), and PAI-1. With respect to the ratio of percent energy intake of carbohydrate : protein : fat of the normal group of the women was 62% : 17% : 20%, respectively. Women apparently had a higher intake of carbohydrates than men(52% : 17 : 20%) did. There was a linear relationship between energy intake and % body fat in both mean and women(with the exception of the underweight group of women). The relationship of % body fat of men to the protein and fat intake was higher than that of the carbohydrate intake. Of the men in the study, intakes of energy, protein and alcohol were positively correlated to % body fat. In women, energy, carbohydrate and protein intake were positively correlated to % body fat, however, the fat, cholesterol and alcohol intake did not show any correlation to the % body fat in women. This study showed that % body fat was positively correlated with plasma TC, LDL-C, PAI-1 levels, and TG, but the % body fat was negatively correlated with plasma HDL-C level in both men and women. These results indicated that the high energy intake of obese or overweight subjects might contribute to several of the biochemical indices fo coronary heart disease(CHD) risk. In conclusion, increased energy intake is associated with overweight or obesity in middle aged Korean people. There was no relationship between % energy intake of fat and % body fat in the study, in middle-aged Korean men and women. The plasma lipid profile and PAI-1 level thought to be the risk factors of CHD were positively associated with percent body fat in middle aged Korean people.