• Korean Journal of Community Nutrition
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• v.14 no.6
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• pp.756-766
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• 2009

This study was conducted to investigate the effects of weight control program on nutrient intakes and physical fitness of Korean obese adult women. The subjects of this study were 33 obese adult women aged 30-65 years residing in Seoul. The weight control program for obese women included nutrition education, cognitive behavioral therapy and exercise for 12 weeks. There were significant decrease (p < 0.001) of blood pressure and atherogenic index of obese women after the weight control program. Energy intake was significantly decreased (p < 0.001) from 1556.9kcal to 1044.9kcal after 12 weeks of the weight control program. Also protein, fat and carbohydrate intakes were significantly decreased. The ratio of energy intakes per day for the subjects was carbohydrate 64% : protein 16% : fat 20%. The frequency of vegetables intakes was significantly increased (p < 0.05) and there were no significant differences in other food groups. After the weight control program, muscle endurance, flexibility, balance and explosive muscular strength of subject's physical fitness were significantly improved. These results suggest that the weight control program for obese women may contribute to nutrient intakes reduction and improvement of physical fitness.

• Korean journal of food and cookery science
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• v.12 no.4
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• pp.562-570
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• 1996

A weight control program has been prescribed to investigate its effects on weight reduction of obese adults. The prescribed weight control program has been followed by 4 overweight adults and fad diets has been followed by 6 ovenveight adults for 3 to 7 months. The prescribed weight control program was basically the low calorie diet (1,500-1,800 kcal per day) and nutrition education was applied to enhance its effects. Fad diets were chosen among the fashionable diets and they were "apple diet" , "yogurt diet" and "Lee Hijae diet" Anthropometric measurements, biochemical parameters, and percent of body fat were measured after the respective period of weight control program. Body weight was significantly (p<0.01) reduced and the rate of obesity was also significantly lowered with the prescribed weight control program while the body weight and rate of obesity were not changed with the fad diets. Weight loss from the prescribed weight control program also led to the change of total cholesterol levels while LDL-cholesterol, HDL-cholesterol, triglyceride were not significantly changed. Nutrition education and counseling of the weight control subjects induced more weight loss and better food behavior. It is suggested that a weight loss program should be based on the low calorie diet with the well-planned nutrition education The fashionable diets were attractive for a short time period in weight reduction but the rapid weight gain was noticed right after the diets ceased.

• Preventive Nutrition and Food Science
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• v.13 no.4
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• pp.286-291
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• 2008

The objective of this study was to investigate the effects of a nutritional education and physical exercise program on obese children (47 boys and 36 girls). The nutritional education and physical exercise program was provided for 6 weeks and dietary habits, nutrient intake and hematological profiles were measured before and after the program. The BMI (body mass index, $kg/m^2$) in male children was significantly reduced to $24.58{\pm}2.81$ from $25.89{\pm}3.27$ (p<0.01) and it was significantly reduced to $24.29{\pm}3.51$ from $25.21{\pm}3.59$ in female children after the completion of nutritional education and exercise program. Body fat in male children was remarkably reduced to $32.69{\pm}7.74%$ after education from $37.38{\pm}9.21%$ (p<0.001). After the program total cholesterol concentration in male children was reduced to $176.48{\pm}29.10\;mg/dL$ from $196.03{\pm}29.10\;mg/dL$, whereas there was no significant difference in females before and after the nutritional education and exercise program. The grasping power of male children (p<0.05) and backmuscle strength of male (p<0.05) and female children (p<0.001) were significantly increased after the exercise program. The nutrient intakes that were different before and after the nutrition education were calories (p<0.05) and carbohydrate (p<0.05) in male children, and a significant increase in intake of vitamin A (p<0.05) was found in female children. There was a significant difference in meal time regularity before and after program. The findings of this study showed that there was a significant decrease in both body fat and weight, in addition to normalization of hematological profiles after the completion of nutrition education and physical exercise programs.

• Korean Journal of Community Nutrition
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• v.4 no.1
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• pp.11-19
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• 1999

The purpose of this study was to evaluate the effect of a nutrition education program on 42 obese young adolescent girls. Nutrition education was performed for six months including both group and individual programs, and was focused on improving their eating habits and food composition. The topics discussed once a week included : eating habits, lifestyle management, 5 basic food groups, snack and fast-food, how to eliminate empty calories, fat and hyperlipidemia, food diary, benefits and methods of exercise, vitamin and minerals, evaluation of fad diets, yo-yo effects and so on. The effects of the nutrition education program were evaluated for nutrition education and exercise regimen group (NE＋E), nutrition education only group(NE), and control group(C). NE＋E group had additional exercise programs 3times each week, while NE group was educated about exercise only by a nutrition education program. In both NE＋E and NE groups, there was a significant decrease in bodyfat compared to C group, but NE＋E group had a greater change than NE group(5.5% vs 3.1%). In addition, serum triglycerides decreased about 40mg/dl and total cholesterol 20mg/dl in both NE＋E and NE groups. But HDL-C level was increased only in NE＋E group. The greater changes in body fat and blood lipid levels occurred between the pre- and mid terms fo the education regimen. They kept their changed measurement throughout the 6 months follow-up studies. The results of this study show that this nutrition education program is helpful for obese adolescent girls in decreasing body fat and serum lipid levels. Also, the combination of an exercise regimen with the nutrition education proved to be more effective.

• Journal of Nutrition and Health
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• v.43 no.3
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• pp.273-284
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• 2010

The purpose of this study was to investigate the effects of weight control program on dietary habits and blood composition in obese middle-aged women. The program consisted of nutrition education, physical exercise and nutrition counseling was conducted for 12 weeks. Participants of the preliminary study were 255 obese women, among which 82 women participated in the nutrition education program. We evaluated the anthropometry, blood lipid profiles, dietary habits of obese women before and after the nutrition education. Dietary habits of the subjects were significantly improved in regularity of having breakfast (p < .05), the frequency of eating snack after dinner (p < .001), eating out (p < .01) and the speed of meal (p < .05) after the program. There was significant decrease in total cholesterol, triglyceride, LDL-cholesterol and systolic pressure of the subjects after nutrition education. Changes of atherogenic index and diastolic pressure were not significant, but had a tendency to decrease. All of the anthropometric outcomes except lean body mass such as BMI, percent body fat, fat mass, and WHR were significantly decreased after weight control program. These findings show that weight control program including nutrition education and counseling can improve dietary habits and weight control pattern, and lead the authors to recommend that public health organizations and dietetic professionals should educate obese women on practical strategies for an effective weight management.

• Korean Journal of Community Nutrition
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• v.22 no.4
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• pp.307-322
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• 2017

Objectives: This study examined the effects of nutrition education focused on personalized daily energy requirement and food units using Food Exchange System on anthropometric, biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes for overweight and obese in a public health center. Methods: The subjects were 60 overweight/obese women based on BMI (educated 30 vs. non-educated 30, 50~64 years). Educated group was provided individual and/or group lessons (40 min/lesson/week, 5 week), 'Introduction: obese & health', '6 nutrients and 6 food groups', 'My obesity & daily needed energy', 'Meal planning for personalized daily energy and food units using Food Exchange Systems', and 'Smart food choices'. After education, we examined the differences in anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes between educated group and non-educated group. Results: After nutrition education, in the educated group, there were improvements on anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes in the educated group compared to the non-educated group. We observed a decrease in the mean weight, total cholesterol (TC) and the incidence of overweight/obesity and hypercholesterolemia and an increase in the mean lean body mass. The scores of nutrition knowledge, 'Function of carbohydrate, protein, vitamin, mineral' and 'Food Sources of fat, vitamin, mineral' were increased. The scores of dietary attitudes, 'Taking a joyful meal, a leisurely meal, a balanced meal, a meal with sufficient vegetables, a meal with diversity, a meal with spicy foods, a meal with overeating' were increased. The intakes of energy, carbohydrate, fat, protein, vitamin A, thiamin, Zn and cholesterol were decreased. The scores of INQ, protein, vitamin A, vitamin C, thiamin, riboflavin, vitamin B6, folate, Ca, P, Fe, Zn were increased. Conclusions: The nutrition education focused on personalized daily energy requirement and food exchange unit using Food Exchange System for overweight and obese may improve food behavior, dietary intakes and symptoms of overweight and obese, even in a community health center.

• Journal of the Korean Applied Science and Technology
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• v.35 no.3
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• pp.956-962
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• 2018

Childhood obesity causes a higher risk of obesity, premature death and disability in adulthood. In addition, obese children experience an increased risk of respiratory problems, hypertension, cardiovascular disease, insulin resistance and psychological effects. This study aimed to investigate how an exercise intervention affects health-related physical fitness and inflammatory-related blood factors in obese children after. We hypothesized that there would be positive effects on serum levels of insulin-like growth factor-1 (IGF-1), connecting peptide(C-peptide) and resistin, as well as in muscle and cardiovascular-related physical capacities, after an exercise intervention in obese children. Thirty-seven obese children haveperformed health-related fitness tests and provided blood samples for the analysis of changes in circulating biomarkers, both before and after an 8-week exercise intervention, which includes stretching, aerobic exercise, resistance exercise and sports games. The results indicate that exercise training beneficially affects body compositions, especially percentage body fat and muscle mass, without influencing to body weight and height. The results of the physical fitness tests show that muscle and cardiovascular capacity were increased in obese children in response to exercise training. Simultaneously, the exercise training decreased circulating levels of C-peptide, which equated to a "large" effect size. Although there were no significant effects on the levels of IGF-1 and resistin, they show a "small" effect size. Therefore, our findings suggest that the exercise intervention have beneficial effects on body composition and physical fitness levels in obese children, whichmight be associated with the decline in circulating C-peptide.

• Journal of the Korean Society of School Health
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• v.16 no.1
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• pp.149-160
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• 2003

The purpose of this study was to analyze the effects after having the obesity education with obese elementary school children. The subjects were made up of 31 obese children out of U elementary school in B town as experimental group, and also were selected 34 children out of S elementary school under the same circumstance as control group. They ranged from the third to sixth grades with over 30% body fat ratio. The proceeding of obesity education consisted of three stage; stage for preparation, stage for practice, and stage for finish. The stages mentioned above were put into practice in turn for eleven weeks beginning on Oct. 8, 2001 through Dec. 22, 2001, while two stages only, stage for preparation and finish, were put into practice on the control group. The contents of the education for eleven weeks obesity regulation contained counseling and taking regular exercises once a week by professional gym teacher. In order to evaluate the effects of the education, physical characteristics, body composition, physical fitness, knowledge of obesity, dietry habit and attitude were measured. The obtained data were analyzed using SPSS program, the effects of pre and post obesity education in experimintal group were measured by paired-t test. The conclusions of this study were as follows : 1. Body fat ratio was significantly reduced after obesity education in experimintal group(p=.003). 2. The height with experimental group got taller remarkably(p=.000), but weight showed no signeficance after obesity education(p=.258). 3. Triceps and subscapular skinfold thickness showed remarkable decrese after obesity education(p=.000), percentage body fat and body fat amount got down remarkably after obesity education(p=.000). Percentage lean body mass and lean body mass amount got down remarkably after obesity education(p=.000). 4. Body flexibility, agility and muscle endurance graded up remarkably after obesity education(p=.009, p=.000, p=.000). 5. The grade in obesity knowledge got up remarkably after obesity education(p.000), but dietry habits and its life showed no significance in figures after obesity education(p=.335, p=.112). Through the results shown above, the obesity education caused body fat ratio, physique, body composition to grade up and physical fitness elevated, while dietry habits and its life showed no significance.

• Journal of Nutrition and Health
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• v.30 no.9
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• pp.1084-1087
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• 1997

A sample of 450 women who attended a physical fitness program in the Ulsan area was selected to study some environmental factors associated with obesity. The women were grouped into two categories, obese and nonobese, based on body mass index(kg/$m^2$). Average BMI of the total subjects was 24.3$\pm$4.8, but 34.7% of the subjects rated equal to or ore than 25 type, which can be considered as obese. The results showed that age, employment status, family type, and food frequency score have a statistically significant association with obesity. However, education level, nutrition knowledge, availability of housemaids, family history of obesity, and house type are not related to obesity . There were no differences in sources of nutrition information between the obese and the nonobese. The above results suggest that health education programs should consider environmental factors as well as health factors in preventing obesity obesity in the community.

• Korean Journal of Health Education and Promotion
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• v.18 no.3
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• pp.117-131
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• 2001

This study was attempted to develope a highly reliable and valid tool which is useful to assess the Korean obese adolescents' stress and coping method. The data were collected from the total of 600 obese students from middle and high schools in Pusan. The author used a convenience sampling method. The data collection was done from March 2 to July 11, 1999. The analysis of the data was done with SPSS Win(10.0) for descriptive statistics and factor analysis. The preliminary tool was composed of 72 items(stress items: 34, coping method items: 38) with the five point Likert scale. Item analysis and inter consistency were calculated for reliability and validity through pre-test. The preliminary tool was analyzed for reliability and validity. Finally, the tool was of 65 items(stress items: 33, coping method items: 32). The results were as follows: 1. Cronbach Coefficient Alpha for the 33 items of stress was .9485 and the 32 items of coping method was .8534. 2. The factor analysis was done in order to confirm construction and the items were extracted Oblimin rotation and Maximum likelihood extraction method. 3. The factor analysis showed 6 factors in stress and 10 factors in coping method. These 6 factors of stress explained 62.4％ and 10 factors of coping method explained 57.4％. 4. Six factor of stress lable were 〈outward appearance〉, 〈boyfriend/ girlfriend〉, 〈occur an outbreak of disease〉, 〈mutual relation of family〉, 〈an obese figure〉, 〈be a burden on exercise〉. 5. Ten factor of coping method lable were 〈be concerned about another affairs〉, 〈recreation activities〉, 〈self-violence〉, 〈relaxation〉, 〈hobby activities〉, 〈avoid a situation〉, 〈communication〉, 〈music〉, 〈negative behavior〉, 〈positive thinking〉. The results of using this scale in a study will contribute to design an appropriate school health management of obese students, and also it will contribute to the development of nursing research.