• Women's Health Nursing
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• v.10 no.4
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• pp.291-300
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• 2004

Purpose: This study attempted to show the implications of obese female college students' weight control experiences and to use this as primary data for developing a nursing intervention. Method: The participants were 7 obese students who had tried losing weight at C College on Jeju Island. Their average age was 22 and BMI was $25.6kg/m^2$ on average. The data were collected from May 17th to July 6th 2004, and in-depth interviews were conducted with open-ended questions. Result: The analysis was conducted by Colaizzi's phenomenological method, and the analyzed results were categorized into 9 criteria, 22 theme clusters and 50 themes. The 9 criteria include withdrawal, desperation, self-restraint, relief, satisfaction, distraction, depression, regaining self-control and negligence of health. They tended to go through a weight gain loss cycle in a repetitive manner, and were faced with great physical and mental difficulties. In addition, they often went on a severely-strict diet without taking their health condition into consideration, which, in effect, causes various health problems. Conclusion: This study gives insights into the weight control experiences of obese female college students, and it shows developing more practical and effective nursing interventions are urgently needed.

• Korean Journal of Community Nutrition
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• v.15 no.5
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• pp.694-703
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• 2010

Recent studies have reported that a subset of obese individuals who were metabolically healthy but obese had more favorable clinical outcomes than obese subjects with metabolic disturbances. The purpose of this study was to evaluate the distribution and agreement of obesity subtypes according to body mass index (BMI) and metabolic syndrome (MS). Furthermore, we examined the differences of nutrient intake among the groups. Data was analyzed for 1,095 female subjects older than 40 years using Korean National Health and Nutrition Survey in 2008. The degree of obesity was classified by two methods, using BMI (obese ${\geq}\;25\;kg/m^2$, not obese < $25\;kg/m^2$) and MS (meet ${\geq}\;3$ criteria among 5 index: waist circumference, triglyceride, glucose, HDL-cholesterol and blood pressure). Subjects were divided into 4 groups according to $2{\times}2$ cross table: non-obese without MS, non-obese with MS, obese without MS and obese with MS. Nutrient intakes were compared among 4 groups. The results showed that the proportions of non-obese without MS, non-obese with MS, obese without MS and obese with MS were 47.6%, 13.6%, 16.6%, and 22.2% of total subjects, respectively. The agreement (kappa value) of two methods was 0.354 (fair) in total subjects, 0.365 (fair) in 40-60 year old subjects and 0.304 (fair) in ${\geq}\;61$ year old subjects. In ${\geq}\;61$ years old subjects, intakes of percentage energy from carbohydrate, percentage of energy from fat, calcium, phosphorous, sodium, vitamin A, carotene, thiamine, riboflavin and niacin were significantly different among the groups. In contrast, the subjects of 40-60 years old, no differences in nutrient intakes were observed. In conclusion, there were differences in nutrient intakes among the groups subdivided by obesity and MS, especially in elderly female subjects. Individualized dietary guideline for subtype of obesity will be needed to treat metabolic disturbance of obesity.

• Korean Journal of Community Nutrition
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• v.19 no.2
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• pp.111-121
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• 2014

Objectives: In this study, perception of body image, eating attitudes and weight control were examined by the degree of obesity using Body Mass Index (BMI). Methods: Out of 420 questionnaires distributed to the female middle school students (aged 12-16 years), 407 were returned (97% response rate) and 395 were analyzed (94% analysis rate). Female students were divided into two groups based on the BMI percentile using the 2007 Korean National Growth Charts. (1) normal weight ($5^{th}$ percentile ${\leq}$ BMI < $85^{th}$ percentile) (2) obese ($85^{th}$ percentile ${\leq}$ BMI) by 2007 Korean National Growth Charts. Satisfaction of self-body shape, risk of disturbed eating attitudes (Eating Attitude Test : EAT-26), and weight control behaviors were examined. Results: Distribution of the subjects by BMI was 74.5% of normal and 25.5% of obese. There were significant differences between self-perceived current body image and self-perceived ideal body image. The dissatisfaction of body image was higher in obese than in normal groups (p<0.001). 51.4% of female students were unsatisfied with their body image, while 2.6% were very satisfied. Among the students unsatisfied with their body image, 150 (52.1%) were of normal weight and 48 (49.4%) were obese. EAT-26 total scores were significantly higher in the obese group ($16.42{\pm}8.23$) compared with normal group ($13.72{\pm}8.10$) (p<0.01). Attempted to weight control were significantly different by the BMI (p<0.001). Conclusions: This study concludes that there was desire to become thinner than current status in female students, even those with normal BMI. Many female students were dissatisfied with their body image and attempted to lose weight. It is harmful to their health and nutritional status if they choose undesirable methods. These findings suggested that there are needs to encourage female students for maintaining healthy weight. A higher score of EAT-26 was associated with dissatisfaction of selfbody image and this may lead to unhealthy behaviors in obese female students.

• Journal of Preventive Medicine and Public Health
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• v.27 no.4 s.48
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• pp.665-676
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• 1994

The purpose of this study is to observe the longitudinal changes in BMI (Body Mass Index) of obese and non-obese 3rd. grade high school students in Seoul for 12 years and to see the trends of overt weight gain in obese adolescents. The results are as follows; 1. The average annual increasing rates of body mass Indices in male students were $1.14kg/m^2$ in obese group and $0.59kg/m^2$ in non-obese group. In female students, the average annual increasing rates of body mass indices were $0.93kg/m^2$ in obese group and $0.53kg/m^2$ in non-obese group. 2. The change rate of BMI for 12 years was significantly higher in obese group than non-obese group. 3. Puberty had less influence on the change rate of BMI in obese group compared to non-obese group. 4. In obese group, 71.8% of the variance in BMI at 17 can be predicted by BMI at 16 years in male students. In female students 44.4% can be predicted by BMI at age 16. 5. Among the 17-year-old obese students, 58.8% of the males and 56.2% of females were found not to have been obese at 7 years of age. 6. Among the 17-year-old obese students, those who were obese at 7 years of age were found to have higher BMI at later ages than those who were in the non-obese group. Obese adolescents were more likely to be obese in their childhood than non-obese group. There was no optimal age for the significant weight gain and the increasing rate of BMI was constantly higher in obese group than in non-obese group. Due to the fact that child obesity in early age contributes to obesity in adolescence, close observation is advised. On the other hand, a large proportion of obese adolescents can be preventable by early interventions, because about 50% of obese adolescents were not obese in early elementary school age.

• Anxiety and mood
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• v.3 no.2
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• pp.128-133
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• 2007

Objective : Obesity has been considered to be associated with numerous physical, mental and psychological diseases. Depression, which is a major psychological factor affecting occurrence and treatment of obesity, can be a cause of obesity as well as can be triggered by obesity. This study aimed to find out the need of positive consideration to the existence of depressive mood in the management of obesity. Methods : A total of 101 subjects were enrolled among those who were 60 years old and over at one local clinic. Obese group (n=49) was defined as BMI${\geqq}$25 and normal weight group (n=52) as 20$5.2{\pm}2.5$) was significantly higher than that of the normal weight group ($3.8{\pm}1.7$)(p<0.05). In male subjects, there was no significant difference in the mean GDSSF-K score between both groups, but in female subjects, the mean GDSSF-K score of the obese group, $6.4{\pm}2.6$ was significantly higher than that of the normal weight group ($4.0{\pm}1.8$)(p<0.05). Conclusion : The elderly obese group showed higher depressive scale score than elderly normal weight group, especially in female elderly. Since the elderly obese female group had a depressive predisposition, comprehensive management including mental and psychological approach is required in obesity control programs.

• Korean Journal of Community Nutrition
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• v.11 no.3
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• pp.317-326
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• 2006

To explore the relationship between weight status and food intake pattern, the Nutrition Survey results of the 2001 National Health and Nutrition Survey were analyzed. Dietary intake data of Korean adults aged 20 to 64. years who participated in the 2001 National Health and Nutrition Survey, was used along with their demographic data. Subjects were classified into 4 groups based on the BMI value of subjects: underweight, normal, overweight and obese. For male adults, obese subjects had significantly higher mean intake of energy, protein, carbohydrates, and fat than normal subjects. In addition, obese male adults consumed more animal foods, especially more meats, than normal subjects. However, females obese subjects did not show higher intake of energy or fat. Although obese male adults showed higher energy intake, calcium and iron intake per 1000 kcal was lower than normal adults. Average calcium intake in females was low; about 70% of RDA regardless of obesity level. In addition, riboflavin and Vitamin A intake was lower in overweight and obese female than in normal females. Percentage of subjects with low fruit and vegetable intake (< 400 g per day) was also high in female subjects. These results showed that food and nutrient intake patterns of obese population were different between male and female adults. These dietary intake patterns need to be considered in developing and implementing nutrition policy and intervention programs to prevent and control obesity. Moreover, the National Survey and monitoring system should be developed for continuous and effective investigation on the relationship between obesity and dietary intake.

• Korean Journal of Community Nutrition
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• v.2 no.4
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• pp.486-495
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• 1997

The purpose of this study was to determine the prevalence of obesity and to examine the eating habits of elementary school students in Kwangju. The study was carried out on 931 students(male : 454, female : 477) in September and October of 1996. The results are summarized as follows ; Obesity was defined as body mass index(BMI) that exceeds 20. The rate of obesity was 10.0%(male 4.7$\%$, female 5.3$\%$) in subjects. Subjects were divided into 3 groups : normal group(BMI〈20), mildly obese group(20〈BMI〈25), and moderatly obese group(25〈BMI〈30), respectively. With regard to frequency of skipping breakfast, 9.1$\%$ of normal children and 17.5$\%$ of mildly obese children and 33.3$\%$ of moderately obese children had skipping every morning(p$\ll$0.001). With regard to the regularity of meal time, 62.1$\%$ of normal children had ‘regular meals’but 58.0$\%$ of mild obese children and 50.0$\%$ of moderate obese children had‘irregular meals’(p$\ll$0.05). With regard to meal volume, obese children consumed much more meal volume than normal children(breakfast p$\ll$0.001, lunch p〈0.005, dinner p$\ll$0.001). With regard to try to lose weight, 22.9$\%$ of normal children and 55.6$\%$ of mild obese children and 83.3$\%$ of moderated obese children indicated they had attempted(p$\ll$0.001). The results of this study showed that the prevalence of obesity in elementary school students in Kwangju has a tendency to be increased. Obese children need to correct their eating habits. This reasserts the importance of nutrition education in children through teachers, parents and dietitians. The findings of this study should be applied to nutrition education to ensure better physical fitness of children. (Korean J Community Nutrition 2(4) : 486-495, 1997)

• Fashion & Textile Research Journal
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• v.15 no.5
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• pp.713-721
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• 2013

This study compares the perceived body image of female college students in Korea and Japan as well as explains the difference in the level of self-esteem, body cathexis, body image and fashion leadership based on nationality and body. The sense of fashion leadership affected by these factors was also analyzed. A high ratio of Korean and Japanese female students perceived themselves as obese compared to actual body physique. It was shown that body was highly distorted. They showed a comparatively low level of satisfaction with appearance in contrast to their high interest in their appearance and weight. Thin bodied individuals showed a high level of self-esteem and body cathexis; however, persons with an obese body showed a low level of body cathexis. They showed high interest in appearance regardless of body physique; however, they remain unsatisfied with their appearance. Individuals with an obese body and a standard somatotype showed a high concern with weight. A high fashion opinion leadership was reciprocal to a high interest in appearance and satisfaction with appearance. Korean female students showed an indirect positive effect on fashion opinion leadership through body cathexis, self-esteem, interest in appearance, and satisfaction with appearance. A thin body showed a positive effect on fashion opinion leadership and an obese body had a negative effect. Fashion innovativeness was directly influenced persons with a high degree of self-esteem and interest in appearance. Japanese female students were directly affected by fashion innovativeness; however, Korean female students were indirectly affected by fashion innovativeness through self-esteem and interest in appearance.

• Korean Journal of Community Nutrition
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• v.2 no.4
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• pp.530-538
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• 1997

148 male and 153 female college students attitude toward weight control, diet behaviors and food habits were investigated by self questionnaire. Among the students, underweight students were 11.0$\%$, normal weight students were 63.5$\%$ and obese students were 25.6$\%$ by RBW standard, and underweight students were 16.0$\%$, nromal weight students were 70.4$\%$ and obese students were 13.6% by BMI standard. However, more than 10% of male and 38$\%$ of female students thought they were obese even thought their body weight were normal. Female students tended to overeat when they were stressed or in a bad mood and generally all participants had poor scores on the dietary attitudes test, however, male students had significantly higher scores than female students. Female students tended to choose food more for its taste. Collegestudents are in early stage of adult life and their dietary attitudes, food behaviors and life style will continue to their later life. Therefore college students need more good nutrition knowledge, positive dietary attitudes, modified life styles to prevent and treat collegestudents obesity. (Korean J Community Nutrition 2(4) : 530-538, 1997)

• Research in Community and Public Health Nursing
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• v.18 no.4
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• pp.543-551
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• 2007

Purpose: The purpose of this study was to compare obesity-related quality of life according to obesity classification by BMI (body mass index) and self-assessment. Methods: The participants were 286 female college students in J City. Data were obtained by measuring height. weight and BMI, and using a questionnaire for self-assessment of obesity, weight control, and quality of life. The quality of life was measured using 14 items of the Korean version of obesity-related quality of life (KOQOL). Results: Thirty five percent of the students assessed themselves as overweight and obese despite their BMI <$23m^2/kg$(false overweight). True overweight students with BMI $\geq23m^2/kg$ who perceived themselves as overweight and obese were 23%. The total KOQOL score between true and false overweight students showed no significant difference. True overweight students had a lower total KOQOL score including psychosocial, physical, daily living, sex related. and food-related domains than true normal weight students. Conclusions: The quality of life was not different between true and false overweight students. These results indicate that self-assessment about obesity affects the quality of life like as actual BMI in female college students. Therefore, it is necessary to care students who distort themselves as obese.