• 한국자원식물학회지
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• 제28권2호
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• pp.168-177
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• 2015

본 연구는 대두 부산물인 순물과 침지수가 고지방 식이에 의해 비만이 유도된 마우스의 지방 제거에 미치는 영향을 조사하였다. 침지수가 포함된 일반 사료를 섭이한 실험군의 체중 및 간과 부고환 지방 조직 내 지방 축적은 현저히 적은 것으로 나타났으며, 복부 내 내장 지방과 피하지방도 크게 발달하지 않은 것으로 나타나 침지수는 체내 축적된 지방량을 효과적으로 감소시키는 것으로 조사되었다. 침지수 식이군의 혈중 AST와 ALT의 활성은 대조군 수준으로 유지되었으며, 콜레스테롤 함량과 중성 지질 농도가 감소되는 것으로 나타나 침지수가 고지방 식이로 인한 혈중 효소 활성과 지질농도를 개선하는 것으로 조사되었다. 특히 침지수는 metabolic sensor 단백질인 AMPK와 ACC의 인산화를 촉진시켜 체내 지방산 산화에 영향을 주는 것으로 확인되었다. 또한 침지수는 복부 내 피하지방과 내장지방의 축적을 억제하는 것으로 확인되었다. 따라서 대두 부산물 중 침지수는 비만이 유도된 마우스의 혈중 지질 함량을 개선할 뿐만 아니라 체내 조직의 지방 축적을 완화시키거나 제거하는 데 효과적일 것으로 사료된다.

• Journal of Nutrition and Health
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• 제40권7호
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• pp.630-638
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• 2007

This study was performed to examine the combined effects of L-carnitine and isoflavone supplementation on weight reduction and body fat distribution in overweight women. Overweight/obese women (body mass index > $23kg/m^2$) who were not diagnosed any type of diseases were included in this study and sixty subjects ($41.1{\pm}1.5$ years, $25.9{\pm}0.3kg/m^2)$ were randomly assigned to a placebo (n=30) or a supplement group (n=30, L-carnitine 300 mg+isoflavone 40 mg/day). We measured anthropometric parameters, abdominal fat distribution by computerizd tomography and blood components before and after the 12 week intervention period. After the 12 weeks of supplementation, subjects in L-carnitine and isoflavone supplement group showed a significant reduction of body weight (p < 0.001), body fat % (p < 0.05), and waist to hip ratio (p < 0.01) whereas placebo group did not show any changes. In a CT-scanned results, total fat area at L4 level was significantly reduced by 8.1% (p < 0.01) with the reduction of visceral fat area (-11.1%, p < 0.001) and subcutaneous fat area (-7.0%, p < 0.05) in the supplement group. The supplementation of L-carnitine and isoflavone showed the significant improvement of HDL-C (p < 0.01) and apoB (p < 0.05) concentrations, however, change values in those markers were not significant compared with those of the placebo group. In addition, a significant increase of adiponectin level (p<0.001) was observed in the supplement group after the intervention. The result of present study demonstrated that supplementation of 300 mg L-carnitine and 40 mg isoflavone per day fur 12 weeks can give beneficial effects on weight reduction and visceral fat accumulation. These potential antiobesity supplement can produce more favorable effects when combined with lifestyle modification.

• Journal of Nutrition and Health
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• 제26권3호
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• pp.299-312
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• 1993

Anthropometry, computed tomography(CT) at the umbilical level, nutrient intake, blood pressure, serum levels of lipids and lipoproteins and response of glucose, c-peptide, insulin, and free fatty acid(FFA) during oral glucose tolerance test(OGTT) were estimated on 11 normal-weight controls and 35 overweight and obese middle-agd men. The areas of total abdominal, subcutaneous and visceral were determined by CT scanning technique. Total abdominal fat area correlated the most significantly with the levels of serum lipids, lipoproteins and insulin among several obese indices. Compared with normal-weight controls, overweight and obese men with abdominal fat lower than 29000$\textrm{mm}^2$ showed an increase in waist-hip ratio, areas of total abdominal(35%), visceral and subcutaneous fat and C-peptide response area during OGTT, though age, percent ideal body weight, body mass index, % body fat, and all biochemical indices except C-peptide response area were not different between two groups. Overweight and obese men with abdominal fat greater than 29000$\textrm{mm}^2$ showed a higher values in total abdominal fat(85%), serum levels of triglyceride, total-and LDL-cholesterol, the ratio of LDL-to HDL-cholesterol, and response areas of FFA, insulin and C-peptide during OGTT than normal-weight controls. Overweight and obese men with great abdominal fat showed an increase in alcohol ingestion and percent calorie intake per total energy expenditure, compared with normal-weight controls. Our results indicate that obesity and a certain level of total abdominal fat accumulation is required to observe abnormal levels of serum lipids, lipoproteins and insulin in Korean middle-aged men. In addition, increased alcohol and calorie intake and decreased physical activity could partly explain total abdominal fat accumulation in men.

• The Korean Journal of Physiology and Pharmacology
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• 제10권1호
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• pp.1-6
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• 2006

To evaluate whether metformin restores leptin sensitivity in aged rats with leptin resistance, we measured leptin sensitivity in aged (2 year old) and adult (5 month old) rats after 4 weeks of treatment with metformin (300 mg/kg/D, mixing in drinking water), by measuring food intake, body weight and visceral fat losing effects. Leptin ($15{\mu}g/D$) was administered by intracerobroventricular (i.c.v.) infusion through osmotic minipump for 1 week. Metformin treatment decreased body weight and daily food intake in both adult and aged rats compared with their control rats, however, these effects were more prominent in aged rats than in adult rats. Anorexic and fat losing responses following i.c.v. leptin were attenuated in aged rats compared to adult rats. However, these responses of aged rats to leptin were restored by metformin treatment. Moreover, serum concentration of leptin in aged rats was significantly decreased by combined treatment with metformin and leptin. These results suggest that metformin enhances leptin sensitivity in aged rat model, and that combination therapy with metformin and leptin would be helpful for treatment of aging-associated obesity.

• 한방재활의학과학회지
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• 제20권2호
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• pp.113-127
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• 2010

Objectives : This study was performed to evaluate the effect of the electroacupuncture therapy on abdominal fat deposit without diet, exercise and herbal medication. It was also designed to check the changes of free fatty acid in blood and catecholamine in urine to observe the mechanism of the electroacupuncture efficacy. Methods : 10 volunteers over 85 cm(male, 90 cm) in waist circumferences were recruited, and 10 electroacupuncture treatments were applied on their abdominal subcutaneous fat area for 4-5 weeks. We measured anthropometric factors, abdominal fat area with CT scanning, and the changes of free fatty acid in blood and catecholamine in urine before treatment and after the last treatment. Results : In this study, significant changes were shown in weight, waist circumference, waist/hip ratio, body mass index and body fat percent after the electroacupuncture therapy. There were also significant decreases of visceral fat area, visceral/subcutaneous fat area ratio in CT scanning. The blood level of free fatty acid and the urine level of catecholamine were increased after treatments, but the changes were not statistically significant. Conclusions : This study showed the efficacy of the electroacupuncture therapy on the abdominal fat deposit. But significant changes couldn't be found out in free fatty acid and catecholamine. Further studies that compensate for the limitations of this study are required to confirm the mechanism of the electroacupuncture efficacy.

• Journal of Nutrition and Health
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• 제40권2호
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• pp.162-171
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• 2007

Obesity is an independent risk factor fur coronary artery disease in the postmenopausal women, which may be mediated by alteration of blood lipid metabolism. We are aimed to evaluate the effects of low energy diet, restriction of high fat foods and exercise education on weight, fat mass and blood lipid profile. Fifteen postmenopausal obese women were studied. Subjects received detailed advice about how to achieve a reduction of weight by a low-energy diet (1,200kcal), restriction of high fat food and increased exercise in every 4 wks during 8 wk. To evaluate the effectiveness for education programs, dietary fat habit and daily nutrient intakes, exercise were tested before and after intervention. Anthropometry, computerized tomography, and blood lipid profile were assessed before and after intervention. According to the nutrition education, energy intake (from 1776.1 ${\pm}$ 28.2 kcal to 1268.7 ${\pm}$ 115.2 kcal, p < 0.001) and percent of energy from fat (21.9%, p < 0.01) were significantly decreased. However, the index of nutritional quality was over 1.0. On the contrary, exercise (from 341.3 ${\pm}$ 222.1 kcal to 569.4 ${\pm}$ 309.8 kcal, p < 0.05) was increased and dietary fat habit scores (from 30.8 ${\pm}$ 5.2 to 36.1 ${\pm}$ 3.0, p < 0.01) were improved. Also, body weight (4.2%, p < 0.001), BMI (4.5%, p < 0.001), body fat mass (3.4%, p < 0.05) and waist to hip ratio (1.1%, p < 0.05) were decreased. Among abdominal fat, visceral fat (26.1%, p < 0.05) and subcutaneous fat (14.8%, p < 0.01) were decreased. But there was no difference in visceral fat to subcutaneous fat ratio. We observed HDL-cholesterol increase (11.7%, p < 0.05), triglyceride reduction(14.8%, p < 0.05) and atherogenic index improvement (from 2.7 ${\pm}$ 0.7 to 2.3 ${\pm}$ 0.7, p < 0.05) However, there was no change in LDL-cholesterol and total cholesterol. Theses results showed that low energy diet, restriction of high fat foods and exercise education could result in reduction of body weight, fat mass, visceral and subcutaneous fat, and in improvement of blood lipid profile in the postmenopausal obese women.

• 한국응용과학기술학회지
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• 제37권1호
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• pp.91-101
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• 2020

이 연구는 비만이 심장 조직에서 자가포식 관련 단백질 발현에 미치는 영향을 확인하기 위해 고지방 식이(20주)를 통해 비만을 유도한 후 8주간의 트레드밀 운동을 실시하고, 자가포식의 유도, 형성 그리고 자가포식포와 라이소좀 융합단계를 조절하는 단백질의 발현을 확인하였다. 실험동물(SD rat)은 20주간의 고지방식이(탄수화물: 20%, 지방: 60%, 단백질: 20%)를 통해 비만을 유도하였으며, 8주간의 트레드밀 운동(주 5일, 하루 30분, 5분; 8m/min, 5분; 11m/min, 20분; 14m/min)을 실시하였다. 집단 구분은 정상식이 비교군(n=10), 고지방식이 비교군(n=10), 고지방식이 운동군(n=10)으로 구분하였다. 8주간의 트레드밀 운동 실시 전과 후에 경구당부하검사를 실시하여 곡선 하 면적(area under the curve; AUC)을 산출하였으며, 공복시 인슐린 농도와 포도당 농도를 통해 인슐린 저항성 지표인 HOMA-IR과 체중 당 복부지방량(abdominal visceral fat/Body weight; AVF/BW)를 산출하여 비교하였다. 또한 심장 조직에서 자가포식 관련 단백질을 분석하여 운동 트레이닝의 효과를 검증하였다. 장기간의 고지방식이를 통해 HFD-CON 그룹에서는 비만이 유도되었으며, ND-CON 그룹에 비해 체중, AUC, HOMA-IR, AVF/BW가 증가되는 것으로 나타났다. 하지만 8주간의 트레드밀 운동을 실시한 HFD-TE 그룹에서는 AUC, HOMA-IR, AVF/BW가 개선되는 것으로 나타났다. 체중의 경우, 감소되는 경향은 있었지만, 통계적으로 유의한 차이는 없었다. 자가포식 유도에 관여하는 mTOR와 AMPK는 비만상황에서 모두 감소되었지만, 운동을 통해 증가되는 것으로 나타났다. 자가포식 형성에 관련된 Beclin-1, BNIP3, ATG-7, p62, LC3는 비만상황에서 모두 증가하는 것으로 나타났으며, 운동을 통해 감소되는 것으로 나타났다. 자기포식포와 라이소좀 융합단계 조절하는 Cathepsin L과 LAMP2는 비만상황에서 모두 감소되었으며, 운동을 통해 증가하는 것으로 나타났다. 트레드밀 운동과 같은 신체활동은 대사성 질환에서 나타나는 병리학적 현상을 개선하고 자가포식 과정을 정상적으로 유도하는 것으로 나타났다. 따라서 트레드밀 운동이 심장 관련 질환의 예방 및 치료에 있어 일차적으로 고려해야할 필요성이 있다고 제안한다.

• Journal of Preventive Medicine and Public Health
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• 제45권5호
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• pp.316-322
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• 2012

Objectives: Abdominal obesity increases mortality and morbidity from cardiovascular disease and there is a possibility that smoking effects obesity. However, previous studies concerning the effects of smoking on obesity are inconsistent. The objective of this study was to examine whether smoking is positively related to abdominal obesity in men with type 2 diabetes. Methods: Subjects consisted of 2197 type 2 diabetic patients who visited Huh's Diabetes Center from 2003 to 2009. Indices of abdominal obesity were defined as visceral fat thickness (VFT) measured by ultrasonography and waist circumference (WC). Overall obesity was defined as body mass index (BMI). Results: Statistically significant differences in WC and VFT by smoking status were identified. However, there was no statistical difference in BMI according to smoking status. Means of WC and VFT were not significantly higher in heavy smokers and lower in mild smokers. Compared to nonsmokers, the BMI confounder adjusted odds ratio and 95% confidence interval for VFT in ex-smokers and current-smokers were 1.70 (1.21 to 2.39) and 1.86 (1.27 to 2.73), respectively. Conclusions: Smoking status was positively associated with abdominal obesity in type 2 diabetic patients.

• The Korean Journal of Physiology and Pharmacology
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• 제21권6호
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• pp.633-641
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• 2017

The aim of this study is to investigate the effects of intermittent ladder-climbing exercise training on mitochondrial biogenesis and ER stress of the cardiac muscle in high fat diet-induced obese middle-aged rats. We induced obesity over 6 weeks of period in 40 male Sprague-Dawley rats around 50 weeks old, and were randomly divided into four experimental groups: chow, HFD, exercise+HFD, and exercise+chow. The exercising groups underwent high-intensity intermittent training using a ladder-climbing and weight exercise 3 days/week for a total of 8 weeks. High-fat diet and concurrent exercise resulted in no significant reduction in body weight but caused a significant reduction in visceral fat weight (p<0.05). Expression of $PPAR{\delta}$ increased in the exercise groups and was significantly increased in the high-fat diet+exercise group (p<0.05). Among the ER stress-related proteins, the expression levels of p-PERK and CHOP, related to cardiac muscle damage, were significantly higher in the cardiac muscle of the high-fat diet group (p<0.05), and were significantly reduced by intermittent ladder-climbing exercise training (p<0.05). Specifically, this reduction was greater when the rats underwent exercise after switching back to the chow diet with a reduced caloric intake. Collectively, these results suggest that the combination of intermittent ladder-climbing exercise training and a reduced caloric intake can decrease the levels of ER stress-related proteins that contribute to cardiac muscle damage in obesity and aging. However, additional validation is required to understand the effects of these changes on mitochondrial biogenesis during exercise.

• 한방비만학회지
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• 제18권2호
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• pp.152-158
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• 2018

한약을 결합한 감로수 절식요법이 여성의 체성분 변화에 미치는 영향을 알아보기 위해 2018년 8월 17일부터 2018년 10월 24일까지 대전대학교 둔산한방병원 여성의학비만센터 외래로 내원하여 절식요법을 시행한 여성 환자 11명을 대상으로 감식기 시작일, 회복식기 종료일에 시행한 체성분검사 결과를 분석하였다. 분석 결과 절식 후 체중은 $2.52{\pm}0.86kg$, 체지방량은 $1.02{\pm}0.65kg$, 골격근량은 $0.83{\pm}0.62kg$, 세포외수분비는 $0.002{\pm}0.003$, 기초대사량은 $32.91{\pm}23.06kcal$, 복부 둘레는 $1.76{\pm}1.47cm$만큼 유의하게 감소하였다. BMI, 내장지방단면적, 복부지방두께도 절식요법 후 유의한 감소를 나타냈다. 이와 같은 결과로 미루어 한약을 결합한 감로수 절식요법은 외래로 내원하는 여성 비만 환자에게 적용하는 단기 절식 프로그램으로 활용될 수 있을 것이라 생각된다.