• 한국방사선학회논문지
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• 제9권7호
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• pp.473-478
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• 2015

사회 인구학적 특성을 보정 하였을 때 대사 증후군의 예측에 가장 높은 연관이 남녀 모두에서 비만-복부 비만군이라고 보고되고 있으며, 의료기기의 발전과 더불어 방사선에 대한 피폭선량이 증가하고 있는 추세이다. 이에 흉부 X선 검사에서 복부의 비만정도를 가정하여 흉부팬텀에서 앞쪽방향(forward)으로 각도를 부여한 후 기준영상과 비교하여 입사표면선량과 영상의 왜곡 정도를 평가하였다. 흉부팬텀의 각도가 앞쪽방향으로 $5^{\circ}$ 증가할 때 마다 폐의 가로직경은 1.22%, 세로직경은 0.44% 증가하였다. 심장직경은 앞쪽방향으로 $5^{\circ}$ 증가할 때 마다 1.01% 증가, CTR은 0.27% 감소가 관찰되었다. 그 중 폐의 가로직경이 가장 큰 증가, 폐의 세로직경이 가장 작은 증가를 보였고 CTR은 작은 감소를 보였다. 그러나 팬텀에 입사하는 표면선량 측정의 경우, 흉부팬텀의 각도가 앞쪽방향으로 $5^{\circ}$ 증가할 때 마다 6.12%의 비교적 큰 증가를 보였다. 임상에서 흉부 X-선 후전방향촬영을 시행하는 경우, 복부비만 등으로 인해 흉부의 각도가 기울어짐에 따라 영상의 왜곡뿐만 아니라 환자에게 노출되는 선량이 증가되고 재촬영으로 추가적인 방사선 피폭이 발생될 수 있으므로 올바른 위치잡이에 주의를 기울여 환자의 방사선피폭 감소에 노력을 해야 할 것이다.

• 한국노년학
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• 제30권4호
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• pp.1095-1106
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• 2010

본 연구의 목적은 복부비만이 있는 노인의 자가 건강 평가를 위한 건강수준 측정 도구를 개발하는 것이다. 연구대상은 노인 총 255명 (예비조사 56명, 본 조사 199명)이며, 건강수준 측정 도구 설문지의 타당도와 신뢰도를 검증하였다. 조사기간은 2009년 6월에서 8월까지 실시되었고, 수집된 자료는 SPSS 12.0 프로그램을 이용하여 평균, 표준편차, 내적일관성 신뢰도 분석, 요인분석으로 분석하였다. 연구결과로는 첫째, 경험적 인터뷰 자료와 이론적 자료에 의한 개념으로 구성된 문항을 간호학과 교수 4인, 예방의학과 교수 1인에게 내용타당도를 검증받았다. 둘째, 요인분석 결과 사회적 수준(사회참여 6문항, 신체활동 2문항), 신체적 수준(질병인식 4문항, 신체지표 2문항), 심리적 수준(정서적 지지 2문항)으로 3개 영역 5개 하위요인으로 추출되었다. 셋째, 신뢰도 검사 결과 전체 문항에 대한 Cronbach's α는 .868로 높은 신뢰도를 나타냈고, 요인별 문항의 내적일관성 신뢰도 범위는 .806에서 .577이었다. 따라서 본 연구에서의 건강수준 도구는 한국 복부비만 노인의 특성을 반영하기 위해 개념구성에서 이론적, 실증적 자료를 기반으로 구성하여 예비조사, 본조사를 통해 타당도와 신뢰도를 검증하였기에 복부비만이 있는 노인의 건강수준을 측정할 수 있는 적절한 도구로 평가할 수 있다.

• 한방비만학회지
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• 제3권1호
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• pp.49-59
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• 2003

Objectives : The purpose of this study is to evaluate the effect the of treatment in obesity clinic in east-west collaboration center, furthermore to search for how to join and improve east medicine and west medicine more closely. Methods : 37 patients were classified into four groups by Body Mass Index(BMI); normal, overweight, 1st obesity and 2nd obesity groups. Weight, BMI, body fat rate and abdominal fat rate were compared in each group by paired t-test. Results & Conclusions : In distribution of sex, male were 10(27%), female were 27(73%). Mean age was $34{\pm}13$ and the patients in twenties un the most. Among four groups, the number of End obesity groups was the most. Most patients had a preference for western medication and ear acupuncture therapy. In general we could find the correlation between the effect of obesity treatment and the degree of obesity. The more the obesity degree was, the more weight loss was.

• 지역사회간호학회지
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• 제29권1호
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• pp.76-86
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• 2018

Purpose: The purpose of study was to examine the relationship between obesity and its associated factors (psychiatric symptom, duration of illness, type of medication, physical activity, dietary habits, depressive symptom, and stress) in patients with chronic mental illness registered to community mental health welfare centers. Methods: This was a cross-sectional correlation study using a convenience sampling. A total of 392 participants were recruited from community mental health welfare centers. The obtained data were analyzed using binary and multinomial logistic regression. Results: Atypical antipsychotic medication, duration of illness, dietary habits (overeating, and drinking instant coffee) were significantly contributed variables into body mass index (BMI) obesity. Atypical antipsychotic medication and instant coffee were significantly related to abdominal obesity. Conclusion: These results emphasized the needs of tailored obesity-preventive management for the community-dwelling patients with chronic mental illness, topically focusing on the administration of atypical antipsychotic medication, duration of illness, and dietary habits.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제16권3호
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• pp.143-152
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• 2013

Obesity is a state in which there is an over-accumulation of subcutaneous and/or abdominal adipose tissue. This adipose tissue is no longer considered inert and mainly devoted to storing energy; it is emerging as an active tissue in the regulation of physiological and pathological processes, including immunity and inflammation. Adipose tissue produces and releases a variety of adipokines (leptin, adiponectin, resistin, and visfatin), as well as pro- and anti-inflammatory cytokines (tumor necrosis factor-${\alpha}$, interleukin [IL]-4, IL-6, and others). Adipose tissue is also implicated in the development of chronic metabolic diseases such as type 2 diabetes mellitus or cardiovascular disease. Obesity is thus an underlying condition for inflammatory and metabolic diseases. Diet or dietary patterns play critical roles in obesity and other pathophysiological conditions. A healthy diet and some nutrients are generally considered beneficial; however, some dietary nutrients are still considered controversial. In this article, dietary factors that influence inflammation associated with obesity are discussed.

• 한국치위생학회지
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• 제20권4호
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• pp.421-433
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• 2020

Objectives: The aim of this study was to examine the relationship between periodontitis, obesity, and health behavior according to sex and age in Korean adults. Methods: Data on 11,032 adults aged 19-79 years were obtained from the 7th Korea National Health and Nutrition Examination Survey (KNHNES). We used multivariate logistic regression analysis to test for associations. Results: The final model that was adjusted for demographic characteristics and health status, showed a higher risk of periodontitis with increasing body mass index (BMI), smoking, failure to use oral care products, and no dental check up. In the sub-group analysis, only smoking was significant in the 19 to 39-year-old age groups. In the 40 to 64-year-old age group, a BMI of 30 or higher, and smoking, use of oral care products, and dental check-up were significantly associated with periodontitis. In the female group, BMI, smoking, use of oral care products, and dental check-up were significantly related to periodontitis. However, in males, only smoking was significant. Conclusions: Obesity management can be helpful for periodontal health as periodontitis prevalence in adults increased as BMI increased. For periodontal health, an oral health program should include smoking cessation and the use of oral care products and dental check up as part of obesity management.

• Clinical and Experimental Pediatrics
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• 제54권7호
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• pp.292-297
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• 2011

Purpose: Our study aimed to evaluated sex differences in clinical features of obese high school students. Methods: One hundred three obese high school students (body mass index [BMI]${\geq}$85th percentile) and 51 control students (BMI<85th percentile) were enrolled in this study. Anthropometric measurements were performed. Fasting serum glucose, insulin, aspartate aminotransferase, alanine aminotransferase, total cholesterol, triglyceride, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and high-sensitive C-reactive protein were measured. Abdominal fat thickness, degree of fatty liver, and carotid intima-media thickness were measured by ultrasound. Results: In control and obese groups, waist circumference was significantly longer in boys but body fat mass was Significantly higher in girls. In the control group, total cholesterol and LDL-C were higher in girls. In the obese group, however, aspartate aminotransferase, alanine aminotransferase and triglyceride were higher and HDL-C was lower in boys. Preperitoneal fat thickness was significantly higher in obese girls. In obese group, the degree of fatty liver was significantly higher in boys. Carotid intima-media thickness was not significantly different between boys and girls. Conclusion: Obese adolescents had distinguishable sex differences in body measurements, metabolic abnormalities, abdominal fat thickness and fatty liver. We can infer that these characteristics may extend into adult obesity.

• 대한임상전기생리학회지
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• 제2권3호
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• pp.13-24
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• 2004

The purpose of this study is to reveal the effect of electrical stimulation of body composition in obese person. Subjects were 30s to 40s aged healthy workers(2004. 3. 8~4. 17) in the S general Hospital in Suwon and they were brought to manage obesity. Subjects were divided into control group(Female<0.85, Male<0.90) and study group(Female>0.85, Male>0.90) by WHR(waist-hip ratio) that is measured by Automatic body composition analyzer(InBody 3.0). And we divided the study group with randomized methods into group A(n=8) and group B(n=8). Then we compared and analyzed the change of muscle mass, body fat, abdominal girth, WHR, BMI(body mass index) after application of electrical stimulation, three times a week, for 30 minutes in each session with 50 Hz of pulse frequency, $20\;{\mu}s$ or $250\;{\mu}s$ of pulse duration. There was statistically meaningful decrement of body fat(p<0.05) and abdominal girth(p<0.05) but not of body weight, muscle mass, WHR and BMI in the control group after application of electrical stimulation with 50 Hz, $20\;{\mu}s$. There were meaningful change of abdominal girth(p<0.05), WHR(p<0.05) and BMI(p<0.05), but not of body weight, muscle mass and body fat after application of electrical stimulation with 50 Hz, $20\;{\mu}s$ in group A. We applied electrical stimulation with 50 Hz, $250\;{\mu}s$ in group B, then there were meaningful change of body weight(p<0.05), body fat(p<0.01), abdominal girth(p<0.01), WHR(p<0.05) and BMI(p<0.01) but not of muscle mass only. Consequently, the pulse duration is the main parameter of electrical stimulation that affect the body composition of obese person in this study and if we combined the diet control to reduce blood components we could have better result. So it would be more effective to manage localized obesity(in abdomen, thigh, upper arm, etc.) if you apply electrical stimulation considering the pulse duration.

• 대한의용생체공학회:의공학회지
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• 제39권6호
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• pp.284-296
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• 2018

Obesity is considered as a primary health problem over the past century in line with life environmental changes. It is mainly associated with increased risk of numerous chronic diseases which may significantly reduce health-related quality of life. Therefore, efforts to reduce weight should be performed. This study suggested a novel approach to reduce body fat by applying external stimulation which is micro-current stimulation (MCS). In this clinical study, we evaluated the potential effects of MCS for reduction of abdominal fat and weight loss. Prior to the clinical test, computational simulation was conducted to find the proper MCS conditions that allow externally applied stimulation to reach the internal fat section from the external skin. Particularly, the clinical study evaluated the unilateral effects of MCS for body fat loss and lipolysis without any additional limitations such as physical exercise and dietary therapy. The results showed that whole body fat, waist circumferences, and abdominal fat are gradually decreased after intervention in proportion to the time. From the results, we can estimate that MCS can be effective on the body fat loss by activation of lipolysis in human adipose.

• 한국정보통신학회논문지
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• 제20권6호
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• pp.1074-1080
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• 2016

빅데이터 분석은 기존 데이터베이스 관리 도구로부터 데이터를 수집, 저장, 관리, 분석할 수 있는 역량을 말한다. 따라서 메타분석은 여러 실증연구의 정량적인 결과를 통합과 분석을 통해 전체 결과를 조망할 수 있는 기회를 제공하는 통계적 통합 방법이다. 일반적으로 대사증후군 위험요인을 허리둘레, 수축기혈압, 이완기혈압, 공복혈당, 중성지방 그리고 고밀도지단백콜레스테롤 요인으로 정의한다. 메타분석 결과 공복혈당 사전 사후 경로에서 가장 큰 효과크기(r = -.324)인 것으로 나타났다. 따라서 콩 식품의 중재효과는 10%의 설명력을 확인할 수 있었다. 두 번째 큰 효과크기는 허리둘레 사전 사후 경로(r = .256)인 것으로 나타났다. 그런데 콩 식품의 습취는 허리둘레 (복부비만) 개선효과가 없는 것을 확인할 수 있었다. 이러한 결과를 바탕으로 학문적 실무적 의의를 논의하였다.