• Journal of Korean Medicine for Obesity Research
• /
• v.18 no.2
• /
• pp.115-127
• /
• 2018

Objectives: People often fail to reduce or maintain their weight despite trying to lose weight. The purpose of this study was to review previously published study results of the predictive factors associated with weight loss in obesity treatment. Methods: Authors searched for the articles related to weight loss, published from 2007 to 2017 found on PubMed, Scopus, Research Information Sharing Service (RISS), and Koreanstudies Information Service System (KISS). A total of 43 articles were finally selected. From the study results, unchangeable and changeable predictors were extracted, and these predictors were examined according to detailed categories. Results: Predictors of weight loss in obesity treatment included genetic and physiological factors, demographic factors, history of treatment on obesity related factors, behavioral factors, psychological factors and treatment process related factors. The main factors of weight loss were unchangeable predictors such as high initial degree of obesity and younger age, and changeable predictors such as dietary restraint, regular exercise, self-efficacy, initial weight loss and attendance. Especially dietary restraint, regular exercise, successful initial weight loss and high attendance were considered to be dominant factors for weight loss treatments. Conclusions: Our review results suggest that unchangeable and changeable predictors of weight loss should be carefully examined during treatments of obesity.

• Journal of Korean Public Health Nursing
• /
• v.31 no.1
• /
• pp.162-177
• /
• 2017

Purpose: The purpose of this study was to investigate the degree of obesity and dietary self-efficacy scale and to identify factors that affect obesity in upper-grade elementary school students. Methods: A total of 458 fifth to sixth grade elementary school students in Seoul and Chuncheon city, and rural areas of Gangwon Province, were included in this study. The data was analyzed by descriptive statistics, ${\chi}^2$-test, t-test, ANOVA, and logistic regression. Results: The results revealed significant differences in the obesity region, perceived body image, experience of weight loss, family member of mother's age, mother's job and father's job between 'not obesity group' and 'obesity group'. The logistic regression analysis revealed that obesity was related with gender, region, and perceived body image. Conclusion: Gender, region, and perceived body image showed a relationship with obesity in upper-grade elementary school students. Thus, to develop obesity management program for upper grade elementary school students, we should be considered the gender, region, and perceived body image should be considered.

• Korean Journal of Community Nutrition
• /
• v.14 no.4
• /
• pp.383-391
• /
• 2009

This study was performed in order to compare the differences in dietary self-efficacy and eating behaviors as well as the relationship of weight control attitudes according to eating disorder perception and obesity index for high school girls majoring in dance. Almost half (45.5%) of the subjects perceived eating disorders, and the rate of underweight group was 45.7%. Forty-four percent of the group that perceived eating disorders were in modern dance, while 55.0% of the group that did not perceived eating disorders were in Korean dance (p < 0.05). For the obesity index, a similar rate was shown between the different types of dance for the underweight group, but in the normal group, 54.5% were in Korean dance (p < 0.05). Most (82.0%) of the group that perceived eating disorders had fears on obesity, while only 53.3% of the non-perceiving group had fears on obesity (p < 0.01). Over half (58.3%) of the underweight group had fears on obesity, while 77.2% of the normal group showed fear in that (p < 0.05). For necessity of weight loss to do dance performances, 25.0% of the underweight group and 57.9% of the normal group need that (p < 0.05). Most of the group that perceived eating disorders (92.0%) answered that they had experience in very low calorie diets, while only 40.0% of the non-perceiving group had experience (p < 0.001). For necessity of calorie education, 42.0% of the group that perceived eating disorders and only 20.0% of the non-perceiving group answered is needed (p < 0.05). For eating behavior, the group that perceived eating disorders had lower total scores compared to the non-perceiving group (p < 0.001), The group that perceived eating disorders showed lower scores for restraint eating (p < 0.01) and emotional factors (p < 0.001) except by external eating. This study showed that high school girls majoring in dance have high interest in weight control and problems with wrongful body images and eating behaviors, as well as need for calorie education were suggested. Thus, it is necessary to develop and execute a proper weight control education program for the subjects. (Korean J Community Nutrition 14(4) : 383${\sim}$391, 2009)

• Journal of Korea Entertainment Industry Association
• /
• v.14 no.7
• /
• pp.641-650
• /
• 2020

Purpose The purpose of this study was to confirm the relationship between dietary self-efficacy, physical self-efficacy, and parental rearing attitudes considering obese children from the vulnerable class that utilized Community Child Care (CCC) centers. Methods In this study, sampling was conducted and 126 children from the vulnerable class who visited 11 regional children's centers located in A city, K province were chosen. The collected data was analyzed using t-test and ANOVA using the SPSS Window 22.0. The Pearson's Correlation coefficient was determined through multiple regression analysis. Results Obesity factors of vulnerable children included dietary efficacy, parents' parenting attitude, family type, single-parent family, parental obesity. Parental obesity held the greatest explanatory power of these variables, as 32% of the vulnerable children had at least one obese parent. Conclusion It is suggested that it is necessary to develop a nursing intervention strategy in which children and parents can participate in consideration of the environmental factors, such as parental attitude and family type of vulnerable children visiting Community Child Care (CCC) centers in the future.

• Journal of Nutrition and Health
• /
• v.46 no.1
• /
• pp.86-97
• /
• 2013

This study investigated the eating habits of elementary school children and their perceptions related to traditional Korean foods, based on the health belief model. The subjects were fifth grade elementary school children (274 boys and 274 girls) in eight Korean cities. The results were as follows: The children ate almost three meals per day and were grateful for their meals. However, they irregularly consumed meals and snacks. They tended to eat heartily and did not eat foods that they had not yet eaten. Their meals were based on rice and they have eaten kimchi and vegetables at almost every meal. However, they had undesirable habits in eating other foods, such as fruits, fish, soybeans, and sweet foods. They did not sensitively or seriously perceive their eating habits in relation to their health. They perceived that it was very good for their nutrition, health, and tastes to eat traditional Korean foods, and they had pride in traditional Korean foods and eating style. Although they expressed some difficulty regarding availability and preparation of traditional Korean foods, they hardly felt difficulty in eating them. They had high dietary self-efficacy with regard to eating these foods, except for two items of self-regulation. Their eating habits showed positive correlation with dietary self-efficacy, perceived susceptibility, and perceived benefit. In conclusion, eating habits of elementary school children in relation to traditional Korean foods are not desirable, but not serious. They did not sensitively or seriously perceive their eating habits in relation to their health. However, they perceived that it was very good for their nutrition and health to eat traditional Korean foods, did not have a high level of difficulty in eating them, and had high dietary self-efficacy with regard to eating them. Therefore, we suggest that children should be exposed to various traditional Korean foods, along with education about them, in order to enhance their concern and motivation to eat them.

• Women's Health Nursing
• /
• v.27 no.1
• /
• pp.14-26
• /
• 2021

Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

• Korean Journal of Community Nutrition
• /
• v.19 no.4
• /
• pp.342-360
• /
• 2014

Objectives: This study aimed to develop nutrition education program for consumers to reduce sodium intake based on social cognitive theory (SCT). Methods: The main factors of SCT related to low sodium diet were investigated by using focus group interview (FGI) with 30 women who participated in consumer organizations. Results: The main target groups for the education program were housewives (H), parents (P), and the office workers (OW), for which we considered their influences on other people and the surroundings. According to the results of FGI, in carrying out low sodium diet, 'positive outcome expectation' were prevention of chronic disease and healthy dietary habit, and 'negative outcome expectation' were low palatability of foods, difficulty in cooking meals, and limited choice of foods. The contents of the program and education materials were individualized by each group to raise self-efficacy and behavioral capability, which reflected the results of the FGI. The program included 'salt intake and health' to raise positive outcome expectation. For improving the ability to practice low-sodium diet, the program contained the contents that focused on 'cooking' and 'food purchasing' for H, on 'purchasing and selection of low-sodium food with the children' for P, and on 'way of selecting restaurant menu' for OW. Also the program included 'way of choosing the low-sodium foods when eating out' with suggestions on sodium content of the dishes and snacks. Further, 'dietary guidelines to reduce sodium intake' was also suggested to help self-regulation. Conclusions: This nutrition education program and education materials could be utilized for the community education and provide the basis for further consumer targeted education program for reducing sodium intake.

• Journal of Nutrition and Health
• /
• v.55 no.3
• /
• pp.376-389
• /
• 2022

Purpose: Obesity can lead to several chronic diseases. With a continuous increase in the obesity rates, sustainable healthy weight management among growing adolescents has become essential. This study was conducted to examine the relationship between obesity-related factors and creative convergence ability. This could form the basis for convergence education for the sustainable healthy weight management of adolescents. Methods: Data were collected from 430 adolescents in Daegu, Gyeongbuk, and Gyeonggi regions using a self-administered 5-Likert questionnaire from November to December 2020. Results: The average score of the male students was higher than that of the female students in terms of healthy weight management convergence awareness, creativity, convergence thinking ability, self-efficacy, exercise, and dietary diversity. On the other hand, the dietary restraint score and the number of weight loss attempts were higher in the female students. Dietary restraint, disinhibition scores and weight loss attempts were higher in obese adolescents compared to underweight adolescents. It was found that dietary restraint, convergence thinking ability, problem-solving ability, exercise, and dietary diversity factors had a positive effect on healthy weight management convergence awareness. Healthy weight management convergence awareness, exercise, meal amount management, junk food management, weight loss belief, and weight loss trial experience had a positive effect on dietary restraint. Convergence thinking ability, weight loss experience, and obesity factors had a positive effect on dietary disinhibition. Conclusion: The sustainable healthy weight management education of adolescents is based on weight management knowledge and awareness of convergence, and must include gender differences. Thus, the problem-solving ability for healthy weight management can be creatively cultivated to enhance self-efficacy.

• Perspectives in Nursing Science
• /
• v.9 no.1
• /
• pp.1-8
• /
• 2012

Purpose: The purpose of this study was to compare variables related to weight control between normal weight and overweight/obese female adolescents. Methods: This study is a supplementary analysis using a total of 293 female adolescents in Seoul. Data were collected through self-report questionnaires on the topics of stages of change, processes of change, and the decisional balance pertaining to weight control. Body weight and height were also measured. Results: There was a significant difference in the stages of change between the normal weight and overweight/obese groups. Of 12 processes of change, 9 processes were significantly higher in the overweight/obese group than in the normal weight groups. Also, female adolescents who were overweight or obese had significantly higher pros and eating efficacy scores comparing to those in the normal weight group. Conclusion: The findings of this study suggest that overweight/obese female adolescents, especially those in the action stage need supports to continue their weight control behaviors. In addition, a weight control program for female adolescents should emphasize their participation in physical activities in addition to their dietary control efforts.

• Journal of the Korean Dietetic Association
• /
• v.18 no.1
• /
• pp.43-58
• /
• 2012

This study was designed to investigate the impact of a 12-week nutrition education program on 32 male industrial workers (average age: $44.5{\pm}3.8$ yrs, work duration period: $20.1{\pm}5.6$ yrs) diagnosed as having dyslipidemia in a medical checkup at their workplace. This program was implemented with a conceptual framework on strengthening self-efficacy for the improvement of the health conditions of the workers. Most of all, the study exhibited benefits in the industrial workers by ameliorating the risk factors associated with dyslipidemia via changes in dietary behaviors, nutritional knowledge, and attitudes, as well as anthropometric and biochemical parameters. After the nutrition education, overall lifestyle, including the ratios of smoking (P<0.05) and drinking (P<0.01), significantly improved. Exactly 65.6% of the subjects reported that their dietary habits changed. Body weight, BMI, percentage of body fat, and waist circumference all significantly decreased (P<0.001). The systolic (P<0.01) as well as diastolic blood pressures (P<0.001) decreased. Moreover, the degree of increase in serum HDL-cholesterol was appreciable (P<0.001), and the atherogenic index also decreased (P<0.01). Further, risk factors related to metabolic syndrome in subjects significantly decreased (P<0.001). The average scores for nutrition knowledge increased from 9.3 to 17.7 points (P<0.001). All of the participants agreed on the need for a nutrition education program at their workplace. Further, it should be pointed out that the participants strongly indicated the need for continuing nutrition intervention.