• Journal of the Korean Society of Food Culture
• /
• v.10 no.5
• /
• pp.367-375
• /
• 1995

The difference between self-evaluated obesity and obesity index of RBW and BMI as well as attitude toward weight control were studied among college students in Chungnam area. The subjects of 307 students were randomly selected and asked to categorize their body shape into 5 groups and to record their body weight and height. We found that average RBW and BMI of the students were 95.7% and 20.6, respectively. By RBW, 30.6% of students belonged to underweight and severe-underweight groups whereas 14.0% overweight and obesity ones. The female students showed lower obesity indice than the male. Self-evaluated obesity seemed likely to overestimate their body shapes above RBW and BMI, which lead to high unsatisfactioin toward their body shape. The overestimation was profound in normal weighted female students up to 20%. Misunderstanding about their obesity, especially among female college students, should be corrected necessarily by proper nutrition counseling and nutrition education, unless malnutrition could be serious in college students.

• Korean Journal of Community Nutrition
• /
• v.5 no.2
• /
• pp.141-151
• /
• 2000

The purpose of this study was to compare food habits and nutrient intakes among high school students with different obesity indexes who are residing in Seoul and Kyunggi-do. a total of 533 subjects were assigned to one of the following groups based on BMI : underweight, normal-weight and overweight. Food habits and nutrient intakes were evaluated based on questionnaires and 24hr-dietary record. The results were as follows. There was no significant differences in the general environmental characteristics of subjects with different BMI. However, the father\`s BMI was significantly higher in overweight female students compared to underweight or normal weight subjects. The menarch age was significantly decreased as the obesity increased. The self-satisfaction score for physical type was decreased as the BMI increased. The overweight group skipped dinner more frequently the other groups among male students. There was no significant difference in the scores of nutrition knowledge, nutritional attitude, and self -satisfaction of subjects with different BMI. The nutrient intakes of overweight group were the lowest among the three groups. In conclusion, obesity among female students may be related to family member\`s obesity. Also overweight students tend to have lower self satisfaction for their body image and undesirable food habits. Therefore, proper nutrition education is required to maintain desirable food habits for overweight students.

• Nutrition Research and Practice
• /
• v.15 no.1
• /
• pp.38-53
• /
• 2021

BACKGROUND/OBJECTIVES: Abdominal obesity is associated with metabolic disorders, and, in recent years, its prevalence in Korea has continuously increased. The change of lifestyle, particularly diet, is critical for the reduction of abdominal obesity. This study evaluated the effectiveness of an intervention focused on dietary self-efficacy and behaviors on the improvement of abdominal obesity. SUBJECTS/METHODS: Abdominally obese adults with additional cardiovascular risk factors were recruited through 16 medical facilities in South Korea from the year 2013 to 2014. The participants were randomly divided into 2 groups: an intensive intervention group (IG) that received a multi-component intervention to reduce abdominal obesity, by mainly focusing on dietary attitude and dietary behavior change, and a minimal information intervention group (MG) that received a brief explanation of health status and a simple recommendation for a lifestyle change. The interventions were provided for 6 mon, and health examinations were conducted at baseline, 3-, 6-, and 12-mon follow-ups. A path analysis was conducted to identify the process governing the changes in abdominal obesity. RESULTS: The IG showed an improvement in self-efficacy for eating control and diet quality at 6-mon follow-up. Abdominal obesity improved in both groups. Waist circumference was observed to be decreased through the path of "improved self-efficacy for eating control in food availability-eating restriction-improved dietary quality" in IG. Most changes in follow-ups were not significantly different between two groups. CONCLUSIONS: The intensive program targeting the modification of dietary behavior influenced management of abdominal obesity, and the effect occurred through a step-by-step process of change in attitude and behavior. Generally, improvements were also seen in the MG, which supports the necessity of regular health check-ups and brief consultation. The results can be used for further development and implementation of more successful interventions.

• Korean Journal of Health Education and Promotion
• /
• v.24 no.4
• /
• pp.131-147
• /
• 2007

As overweight and obese people have increased, obesity management programs have generated much concern in Korea. Many types of obesity management programs were operated, aimed at reducing weight, BMI, body fat percentage and so on. This study was conducted to review the features of studies in obesity management programs and systematically assess the effects which were published from 1995 to 2006 in Korea. Databases were systematically searched for published data in Korea. It were KISS (Korean studies information services system) and KERIS (Korean Education research information system), which were major literature search systems for all academic fields in Korea. Total 114 studies were initially identified, of which 21 satisfied our inclusion data. The effects of obesity management programs were assessed on the results in weight, BMI (body mass index), HDL (high density lipids), body fat percentage, self-efficacy. Effect size estimated on the equation of M1 - M2 / Sp, where M1 was mean of the experimental group, M2 was the mean of control group, and Sp was the pooled standard deviation. Magnitude of effect size was interpreted by using Cohen's definition. Cohen described small, medium, and large effect sizes as 0.2, 0.5, and 0.8 respectively. The studies about obesity management programs were the most published in 2005(26.1%). Obesity management programs were popularly operated as the type of 12 weeks intervention, exercise intervention(52.4%), quasi-experimental study(85.7%). Ten studies reported significant effects on weight, and nine studies reported significant effects on BMI and HDL. Only five and three studies reported significant effects on body fat percentage and self-efficacy respectively. The effects of each outcome were generally significant when the studies included these elements, intervention over 10 weeks, evaluation over 3 times, a comprehensive program (exercise, nutrition education, behavior modification) and reinforcing factors (self-monitoring, group discussion, one's goal setting, and etc.). Effective obesity management programs should contain these essential elements and objectives of obesity management programs must be set out evident at the beginning. The participants should be registered, educated and evaluated by continuous obesity management programs.

• Journal of Oriental Neuropsychiatry
• /
• v.17 no.2
• /
• pp.1-13
• /
• 2006

Objective : This study examined whether Yangsung program (oriental psychological weight regulation model based on Confucian ideas) is effective on weight loss, self esteem, three factor on eating questionnaires(restraint eating, disinhibition and hunger), distortion of body-image and biochemistry of blood. Method : 23 women were assigned randomly into 2 groups; experimental group(n=10) and control group(n=13). Experimental group had 7 personal sessions consisting of personal Yangsung therapy, meditation, general diet and exercise education. Control group had personal sessions with general diet and exercise education once a week for 6 weeks. All subjects were weighed and evaluated with Rosenberg self esteem scale, distortion of body-image, biochemistry of blood and three factor eating questionnaires at the beginning and end of the program. Result : There is significant difference between two groups in changes of self esteem, disinhibition and hunger(p<0.05). There is no significant difference in weight reduction and BMI between two groups. Conclusion : This study showed a new possibility of unique psychological program for obesity characterized by its philosophical context.

• Fashion & Textile Research Journal
• /
• v.8 no.1
• /
• pp.113-122
• /
• 2006

The purpose of the study was to identify the motives of women's appearance-management behavior, and examine how women perceived the appearance -management behavior and pursuit of ideal body image. The depth interview method was managed to five female subjects who had experiences in plastic surgery and obesity treatment. The instance analysis used in this study. The results were as follows : There were four types of women's appearance-management behavior. First, women perceived themselves by using other people's evaluation, and it was the first motive of appearance-management behavior. It shows that appearance is not based on the real self-image but is the evaluated self-image by others. Second, women were willing to suffer the pain in the plastic surgery and obesity treatment by the expectation of appearance improvement. It means the result of reducing the difference between the actual self-figure and the ideal self-image. Third, the sexual discrimination culture had an influence on appearance-management behavior. It seems the sense of male superiority spreaded over the Korean society. Lastly, women improved self-satisfaction and self-esteem through their physical appearance as an alternative method for better life.

• Journal of Korean Medicine for Obesity Research
• /
• v.4 no.1
• /
• pp.161-183
• /
• 2004

Context : Oriental medicine deals with mind cardinally and effectiveness of CBT on weight control is well-known. but there is no well-structured psychotherapy for weight control like CBT in Oriental medicine so far. Therefore It is necessary to develop new cognitive program based on the theory of Oriental medical. Objective: This study examined whether Yangsung program based on new cognitive weight regulation model is effective on weight loss, self esteem and self control. Design and setting: 44 women were assigned randomly to 2 groups; experimental group(n=24) and control group(n=10). experimental group had 11 sessions consisted of cognitive therapy, meditation, general diet and exercise education. Control group had personal interview with general diet and exercise education and ear acupuncture once a week for two months. All subjects were weighed and evaluated with Rosenberg self esteem scale, and three factor eating questionnaires at the beginning of the program and at the end of the program. Result: Experimental group reported significant changes of weight, self esteem, restraint eating, disinhibition and hunger(p<0.01). Compared with control group, more significant(p<0.05) Weight reduction and self-esteem enhancement were reported in experimental group than control group. There is no significant difference between two groups in changes of restraint eating, disinhibition and hunger.

• Korean Journal of Adult Nursing
• /
• v.14 no.2
• /
• pp.256-264
• /
• 2002

Purpose: The purpose of the study was to investigate the relationships between objective obesity, subjective obesity, body attitudes and dieting among college women. Method: The convenience sample consisted of 531 women. BMI was calculated based on self-reported weight and height. Body Attitudes Questionnaire (BAQ) was used to evaluate attitude toward women's body. Result: BMI mean score was 19.75. Based on BMI, 84.2 percent of the subjects were in a normal weight range and 0.9 percent of the subjects were obese. However, 26.9 percent of the subjects evaluated themselves as obese. Forty-one percent of the subjects were on a diet to reduce thier body weight. Body attitudes were associated with BMI and subjective obesity. BMI of the dieters was higher than that of the subjects who were not on a diet. Subjective obesity was associated with dieting. BAQ subscales except 'attractiveness' were associated with dieting. Conclusion: Many subjects were on a diet since they wanted to be thinner. Body attitudes were associated with dieting. Therefore, proper education is needed in weight management for young adult women.

• Journal of the Korean Society of Food Culture
• /
• v.15 no.5
• /
• pp.361-367
• /
• 2000

To compare actual obesity rate and self-evaluated body shape, 651 women living in Inchon were participated in the measurement of anthropometric indices and in the survey by questionnaire. Mean RBW and BMI were in normal range except the girl in 13-15 years. RBW and BMI of the women in 40s and 50s were significantly higher than those in women in younger ages(p<0.001). Triceps skinfold thickness of the subjects were not significantly different. Significantly low DRBW in teenagers and women in 20s showed that their desire to reduce body weight were very strong. Over the half of the subjects thought they were too heavy and unsatisfied at their body shapes. The parts of the body desired to remove extra fat were the waist & abdomen in women over 30s and the thigh & legs in teenagers. It is thought that women, especially in 10s and 20s need the education about the appropriate evaluation of body shape and also need the nutrition education about the deteriorated influence of underweight on health.

• Journal of Korean Academy of Nursing
• /
• v.39 no.5
• /
• pp.693-699
• /
• 2009

Purpose: The purpose of this study was to identify congruence between self-perception and objective status of obesity according to %Fat, and to investigate health promotion lifestyle in college women. Methods: The participants were a convenience sample of 392 college women who were eligible and agreed to participate in this study. Respondents were asked questions using a health promotion lifestyle profile and were evaluated for their body composition using InBody 3.0. The data were analyzed with SPSS 14.0 program, which was used for Chi square, ANOVA, and post-hoc comparison with Scheffe. Results: The major findings were as follows; 1) Overall, 41.8% of participants misclassified their perceived status of weight by %Fat standards and kappa was 0.329. 2) Two percent were underweight by BMI but overweight by %Fat and 39.0% normal weight by BMI but overweight by %Fat. 3) There were significant differences in health promotion lifestyle according to self-perception of body weight but there was no difference in health promotion lifestyle according to %Fat standards. Conclusion: These findings suggest the necessity for development and application of tailored health promotion program based on self-perception of body weight and %Fat in order to reform incorrect body image and health behavior in college women.