• Korean Journal of Community Nutrition
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• v.6 no.5
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• pp.715-725
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• 2001

This study was carried to estimate the prevalence of obesity and to investigate the relationship between stress and obesity in children. The subjects were 508 children, who were randomly selected from the fifth and sixth grade at nine elementary schools in Kangnung. The height, body weight, waist and hip circumferences and body fat(%) were measured and the levels of stress were assessed by a questionnaire consisting of the following 3 domains ; 4 items for personal factors, 11 for home, and 18 for school. The prevalence of obesity in male and female children greatly varied by the indices from 2.5% and 1.7% when judged by BMI, 9.5% and 4.0% by obesity index, and 29.7% and 34.4% by body fat(%). The stress scores from personal(47.1%) and school (47.9%) factors were higher than the stress score from home(38.5%). The stress score from personal factors of female children is significantly higher than that of male children, but the stress score from home of female children is significantly lower than that of male children. The personal stress score and the total stress score of obese female children were significantly higher than those of non-obese female children. In male children, the obesity index(%) or body fat(%) have a significant positive correlation with the stress scores from over-expectation of parents, a lack of conversation with family, examinations, discontent about school, teacher's partiality to students, and sexual curiosity. The female children have a significantly positive correlation of obesity index (%) or body fat(%) with stress scores from appearance, quarrels of parents, and inferiority complex to brothers or sisters. These results suggested that counselling and education about not only balanced diet but also the strategies for actively coping with stress are needed to prevent and treat childhood obesity.

• Korean Journal of Community Nutrition
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• v.7 no.5
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• pp.705-714
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• 2002

The purpose of this study was to examine the relative importance of everyday life stress, obesity stress, and social support on the BMIs of junior. high school students. Subjects in this study consisted of 229 adolescents from two junior high schools in Iksan-city and Hamyul-eup. For data analyses, the frequencies, percentages, means, 1-tests, Chi-squares, one-way ANOVAS, Pearson's correlation coefficients and regressions were conducted using SPSS WIN program. The mean BMI of the subjects was 20.18, and the ratio of students'BMIs less than 20 was 56.8%, that of students'BMIs greater than or equal to 25 was 8.3%. There were no statistical differences in BMIs by grade and sex. Statistically significant differences in the obesity of the junior high school students were detected according to demographic characteristics such as economic levels, areas of residence, TV watching time, and fathers'physiques. There were significant differences in everyday life stresses, obesity stresses, and social support by sex, but not by grade. Girls showed higher stress levels than boys, specially in family-related life stresses, social relationships, and self-related stresses. Also girls showed higher stress level related to obesity than boys. Girls got more support from their mothers, siblings and friends than boys. With respect to the type of social support, girls perceived more financial, informational, emotional, and judgemental support than boys. These results suggest that girls became more stressed, although on the other hand, they received more social support than boys. The higher the economic level, the longer the TV watching time, and the higher the stresses from everyday life and obesity, the higher the BHIs of the junior high school students were. In conclusion, everyday life stress and obesity stress were the important factors in relation to the junior high school students'obesity.

• Korean Journal of Human Ecology
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• v.21 no.6
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• pp.1223-1234
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• 2012

The purpose of this study was to investigate the effects of body weight, perception of body shape and satisfaction with body shape on obesity stress and self-esteem among middle school students. The participants in this study were 446 middle school students in K-city. The major results of this study are as follows. First, male students demonstrated higher obesity rates than female students, and female students considered themselves to be fatter and less satisfied with their body shape than male students. Female students had significantly more obesity-related stress than male students. Second, there were significant differences in physical obesity stress according to body weight status among male and female students, and there was statistically significant difference in psychological obesity stress according to body weight status among male students. Male and female students who considered themselves to be fatter and less satisfied with their body shape suffered from high obesity stress. Third, there was no significant difference in self-esteem according to body weight status, but self-esteem was affected by perception and satisfaction of body shape; male and female students who considered themselves to be fatter and less satisfied with their body shape showed low levels of self-esteem. As the result of regression analysis, psychological obesity stress was the strongest factor in explaining self-esteem among all students, and satisfaction of body shape was also found to be a significant variable among female students.

• Journal of the Korean Society of Clothing and Textiles
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• v.40 no.4
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• pp.615-630
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• 2016

This study investigates the mediate effects of obesity stress on the relationship between the narcissism and clothing behavior related appearance. The subjects for the study were 322 women aged 20's-30's in an online survey. Data analyses were conducted with SPSS 18.0 program. The study results are as follows. First, clothing behavior and obesity stress of plus size consumers are more affected by perceived obesity than BMI, and covert narcissistic tendency is stronger than overt narcissistic tendency. Second, the factor analysis results on narcissistic tendency indicated 'self-enhancement narcissism', 'self-initiative narcissism', and 'other-dependent narcissism'. Third, 'self-enhancement narcissism' more influenced 'fashion orientation' versus the greater influence of 'self-initiative narcissism' and 'other-dependent narcissism' on 'depending on clothing'. Fourth, the narcissistic tendency perceived by plus size consumers affect 'depending on clothing' and 'fashion orientation' with obesity stress as the mediator. 'Self-enhancement narcissism' and 'self-initiative narcissism' are partially mediated by obesity stress, and 'other-dependent narcissism' are completely mediated and affect appearance management behavior.

• Journal of Sasang Constitutional Medicine
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• v.30 no.1
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• pp.58-65
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• 2018

Objectives This study is to identify the relationship between stress, obesity and metabolic syndrome (MetS) by Sasang constitution (SC) and to use it as a basic data for the customized healthcare system of chronic disease management. Methods In a cross-sectional study conducted in a rural area of the Gyeongju area in 2014, we extracted data on 1,847 people using data from Korean medicine Data Center (KDC). The SC types diagnosed by Sasang constitutional medicine doctor. The stress was measured by the psychosocial well-being index questionnaire, and the obesity was defined by the body mass index. Results In all SC type, the stress and obesity was associated with MetS. There was a significant difference in the prevalence and trend of MetS according to presence of stress and obesity. The prevalence of MetS was the highest in Taeumin with all the stress and obesity, in order of Soeumin and Soyangin. Regardless SC types, the stress was associated with higher risk of MetS in the obese but not in the nonobese. Conclusion The results of this study indicate that further research is necessary to the SC types for the management of the Metabolic syndrome according to stress and obesity.

• Journal of the Korean Society of School Health
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• v.20 no.2
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• pp.1-12
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• 2007

Purpose: This study was to examine the effects of a obesity management program for obese children at a urban elementary school. Methods: The study subjects were fifty five 4^th-6^th graders (experimental = 29, control = 26) whose obesity indices were 120% or over fiunr two schools in a urban area. Obesity management program was conducted weekly 12 sessions with 60-day morning group exercises. Study instruments were Imbody 310 (BIOSPACE, 2005) and summated scales. Data were collected from April 6 to June 22, 2006 and analysed by descriptive statistics, X²-test and ANCOVA using SPSS/PC+ 14.0 program. Results: 1. Obesity management program was effective to reduce body weight (t = -2.54, p = .014), fat mass percent (t = -2.37, p = .021) and to increase muscle mass (t = 2.36, p = .022). And all these were also significant statistically in ANCOVA 2. Obesity management program were also effective to decrease level of obesity (t = -3.28, p = .002), and that of stress (t = -2.19, p = .033) and to improve food habit (t = 2.52, p = .016). And all these were also significant statistically in ANCOVA. Conclusion: School-based obesity management program for obese children was effective to reduce weight, fat mass percent, obesity, and stress; increase muscle mass; and improve food habit. School-based obesity management program, therefore, can be recommended as a health promotion measure in elementary school as curricular basis.

• The Journal of the Korea Contents Association
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• v.20 no.4
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• pp.441-453
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• 2020

The purpose of this study was to determine the mediating effect of perceived stress in the influence of obesity awareness on health behavior, and to verify the moderating effect of nationality between Koreans and Chinese in the influence of obesity awareness on health behavior through perceived stress. Data were collected from August 26 to October 11, 2019, through in-person questionnaire surveys administered to 140 adult participants from a university and general hospital in Seoul, South Korea and 140 adult participants from a university and general hospital in Shenyang, China. Study results revealed that, the obesity awareness of participants had a significant effect on their health behavior, and the mediating effect of perceived stress was significant in the influence of obesity awareness on health behavior. According to nationality, a significant difference was shown between Koreans and Chines in the way obesity awareness directly affected health behavior. However, the indirect effect of obesity awareness on health behavior through perceived stress was not controlled. These results showed that the obesity awareness of Chinese adults had a greater effect on their health behavior than Koreans. In addition, obesity awareness increased perceived stress and decreased positive health behavior in both Koreans and Chinese adults. Therefore, managing the stress caused by obesity is an important factor in increasing positive health behavior.

• The Journal of Korean Society for School & Community Health Education
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• v.22 no.3
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• pp.1-15
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• 2021

Objectives: The purpose of this study was to examine whether demographic and socio-economic characteristics, health behaviors are related overweight and obesity in Korean adolescents. Methods: Data from the 15^th Korea Youth Risk Behaviors web-based Survey(KYRBWS) administered in 2019 were analyzed: 60,100 students in middle and high school participated in the survey. But except 1,555 missing value, 55,748 students were analyzed. It was conducted frequency analysis, Rao-Scott chi-square test and multiple logistic regression analysis. Results: The significant influencing factors on overweight and obesity of adolescents were gender, economic status, father's educational background, alcohol experience, fastfood consumption, muscle strengthening exercise, stress perception(p<.001). The odds ratio for overweight and obesity of male adolescents compared to female adolescents were 1.19(p<.001). and The odds ratio for overweight and obesity of perceived stress adolescents compared to those who without stress were 1.13(p<.001). Conclusions: I found that adolescents' some undesirable health behaviors affect their overweight and obesity, I recommend that school health promotion programmes should be implemented in schools to form good health behaviors such as healthy eating habits, physical exercise and managing stress.

• Korean Journal of Occupational Health Nursing
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• v.25 no.3
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• pp.199-207
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• 2016

Purpose: The purpose of this study was to identify the obesity stress, weight bias and health care on Body Mass Index (BMI) in soldiers of non-combat area and to provide data for improving the quality of their life. Methods: This research involved 165 soldiers working in non-combat area. Data collection was conducted from November 1 to 20, 2015. Statistical analysis of the collected data were t-test and ANOVA, $Scheff{\acute{e}}$ method post hoc analysis, Pearson's correlation coefficients, and multiple liner regression using IBM SPSS 22.0. Results: The mean score of obesity stress was moderate ($19.05{\pm}5.28$). The mean score of weight bias was 69.03 and health care was 2.41 points. There are a positive correlation between obesity stress and BMI (r=.19, p<.05). Weight bias (r=-.19, p<.01) and health care (r=-.26, p<.01) among the subjects had negative correlations with BMI. In a multiple liner regression, obesity stress (${\beta}=.18$, p<.05), health care (${\beta}=-.18$, p<.05) were associated with BMI. Conclusion: Based on the findings that obesity stress and health care influence BMI, there is a need to control stress and to properly set proper guidelines on health care for soldiers.

• Biomolecules & Therapeutics
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• v.17 no.2
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• pp.162-167
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• 2009

Adipocytes undergo adipocyte stress in the excessive presence of lipid. Adipocyte stress accompanies the typical signs of endoplasmic reticulum (ER) stress: unfolded protein response and overexpression of molecular chaperones. Apoptotic induction in adipocytes is known as a good strategy for treating obesity. The drug "tunicamycin" was tested for its therapeutic potential in inducing apoptosis on differentiating adipocytes of 3T3-L1. When the 3T3-L1 cells, stimulated for adipogenesis, were treated with tunicamycin, they showed typical ER stress symptoms. Despite progression in ER stress, however, the differentiated 3T3-L1 hardly proceeded to apoptosis based on the CHOP protein expression and FACS analysis. This is very different from C2C12, the myogenic counterpart of 3T3-L1, which showed significant apoptosis along with ER stress. This study also characterizes a potential mechanism whereby adipocyte may avoid apoptosis to sustain the pathological state of obesity. The level of GRP94 expression significantly upholds in 3T3-L1 under tunicamycin treatment compared to preadipocytes and C2C-12. When GRP94 expression was inhibited by siRNA, 3T3-L1 showed a higher level of CHOP expression compared to C2C12 cells. In conclusion, adipocytes exert an anti-apoptotic mechanism under ER stress caused by tunicamycin; thus, apoptotic induction in adipocyte is not a viable anti-obesity option. The unusual level of GRP94 may serve as a key role whereby adipocytes reach to the obesity level circumventing the apoptosis.