• The Journal of Internal Korean Medicine
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• v.43 no.3
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• pp.413-422
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• 2022

Objectives: To investigate the weight loss effect of Gambi-tang in obese and overweight adults. Methods: From September 1, 2016 to December 31, 2021, a retrospective chart analysis was conducted on adult men and women who were prescribed Gambi-tang to address obesity and overweight in the National Medical Center (NMC). Partial analysis by age, obesity (Body Mass Index, BMI), duration of dose, and cumulative dose was also conducted. Results: The weight and BMI of the study subjects showed a significant decrease of more than 5% on average before and after treatment. In an analysis of age, significant differences by age could not be confirmed. In the analysis by obesity level, the effect of reducing weight, body fat, and abdominal fat rates in the obese and highly obese groups was greater than in the normal and overweight groups. There was no significant difference by group in the analysis by dosage period. In the analysis by cumulative dose, the greater the cumulative dose up to 1,800 g, the greater the decrease in weight and body fat. The side effect that patients appealed to the most was misjudgment, but not to a serious extent. Conclusions: Gambi-tang has been shown to be effective in weight and body fat loss for both obese and overweight adult men and women.

• Korean Journal of Adult Nursing
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• v.28 no.4
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• pp.424-435
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• 2016

Purpose: This study examined knowledge about cardio-cerebrovascular disease (CVD) and its relationship to health behaviors among middle-aged postmenopausal women with CVD risk factors. Methods: The study was a cross-sectional descriptive study. One hundred and thirty-six postmenopausal women were recruited from outpatient departments of four hospitals. The women were $60.69{\pm}6.5$ years old. Self-reported questionnaires were administered, and waist-hip ratios (WHR) were measured. Results: Among the women, 72.8% reported hypertension, 19.1% reported diabetes, 33.8% reported hypercholesterolemia, and 24.2% reported angina pectoris. Moreover, 73.9% of the women reported not knowing of CVD prevention, and only 26.1% reported exercising regularly. A majority of the women (80.9%) had a WHR > 0.85. Multiple linear regression analysis after adjusting for age and marital status indicated that the risk of myocardial infarction and stroke increased (p<.001). Waist-hip ratio${\leq}0.85$ (p=.022) and living with family members (p=.006) were significant predictors of healthier behaviors ($R^2$=0.21, p<.001). Knowledge of CVD and health behaviors were not correlated. Conclusion: Obese women and women who live alone are no more likely to practice health behaviors aimed at CVD prevention than their counterparts in the sample. Education and exercise interventions are needed, especially for obese women, to promote healthy behaviors among middle-aged postmenopausal women with CVD risk factors.

• Korean Journal of Adult Nursing
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• v.23 no.4
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• pp.412-419
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• 2011

Purpose: The purpose of this study was to investigate the effects of a walking and resistance exercise on body composition and lipid profile in obese women. Methods: Fourty three women were assigned to experimental group (n=21) or control group (n=22). The walking and resistance exercise using elastic band was provided three times a week for 12 weeks. Weight, height, body mass index, body fat percentage, abdominal fatness, skeletal muscle mass, body fatness, total cholesterol, triglyceride, HDL cholesterol, and LDL cholesterol were measured before and after the program. Paired and independent t-tests were performed using SAS program. Results: Weight (t=-5.35, p<.001), body mass index (t=-4.12, p<.001), body fat percentage (t=-2.33, p =.026), and body fatness (t=-4.32, p<.001) were significantly decreased and skeletal muscle mass (t=2.09, p =.044) was significantly increased after the walking and resistance exercise. Also, total cholesterol (t=-3.03, p =.006) and LDL cholesterol (t=-2.70, p =.011) were significantly decreased and HDL cholesterol (t=2.05, p =.046) was significantly increased after the exercise program. Conclusion: According to the study result, exercise led a positive outcome on obese women in their 30~40s. The walking and resistance exercise will contribute to the improving body composition and lipid profile in this population.

• Women's Health Nursing
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• v.6 no.4
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• pp.594-605
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• 2000

The purpose of this study is to collect fundamental data for adult female health improvement based on urban adult female obesity and cardiopulmonary function. Surveyed were 859 adult females who visited a health improvement center in D district in Seoul between April, 1999, and December, 1999, and the resulting data are as follows: 1. The adult female mean BMI was $23.97{\pm}3.11kgm^2$, which comes within the range of overweight. Among them, BMI of the females aged 41-60, and over 60, were significantly higher. Mean percentage of body fat was $32.07{\pm}4.63$, and it significantly increased in accordance with age, recording the highest among those aged over 60. 2. The systolic blood pressure significantly increased in accordance with age, recording highest among those aged over 60. Those aged 41-60 and over 60 showed significantly higher diastolic blood pressure than those in their 20s and 30s; however, they had a significantly lower heart rate. Vital capacity and maximum oxygen intake significantly decreased in accordance with age, and those aged over 60 were lowest. 3. As to health perception, 20.6% of the subjects perceived themselves as healthy, and those who perceived themselves as unhealthy showed significantly higher BMI than those who perceived themselves to be of moderate health. 4. There were no significant differences in blood pressure, heart rate and maximum oxygen intake in accordance with health perception, but those who perceived themselves as healthy showed significantly higher vital capacity than those who didn't. 5. As to cardiopulmonary function in accordance with obesity, the obese group showed significantly higher systolic blood pressure than those whose weight was normal to overweight. The diastolic blood pressure of the normal weight group was the lowest, while the obese group showed significantly lower vital capacity and maximum oxygen intake. These findings indicate that the womens' health promotion program must include an effective strategy for preventing obesity, and strengthening cardiopulmonary function.

• Korean Journal of Health Education and Promotion
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• v.24 no.5
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• pp.119-135
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• 2007

Objectives: The efficacy, feasibility, and safety of bench-step aerobics (BSA) program in overweight or obese Korean adult women have been implied. However, there has been almost no evidence for its psychological benefits. As such, the purpose of this study was to investigate the psychological benefits of BSA program in overweight or obese (body mass index ${\geq}\;23\;kg/m^2$) Korean adult women. Method: Anger, exercise self-efficacy, exercise-related affect, and body image of overweight or obese women who participated in a 12-week BSA program (n=15) were compared with those of their counterparts in the control group (n=13). Subjects were selected among public health center visitors and those recruited by putting an advertisement in local newspapers and the public health center homepage. Data from the exercise and control groups were collected before and after the 12-week BSA program (from August to November in 2006) at the public health centers. The exercise program consisted of 45 to 60 min moderate-intensity (40/50 to 50/60% of their hear rate reserve) BSA performed for 3 days a week. Results: After the BSA program, body image of the subjects in the exercise group was significantly improved and there was a significant difference between the exercise and control groups. Anger, exercise self-efficacy, and exercise-related affect were improved after the BSA program but the changes did not reach the level of statistical significance and there were no significant differences between the exercise and control groups. Conclusions: In conclusion, BSA appears to significantly enhance body image in overweight or obese Korean adult women but its effects on anger, exercise self-efficacy, and exercise-related affect do not appear to be statistically significant. Further studies involving different subjects, particularly whose levels of anger are high or whose levels of exercise-related affect are low to exclude the influence of the ceiling or floor effect, are warranted in a randomized controlled design.

• Journal of the Korean Society of Clothing and Textiles
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• v.29 no.7 s.144
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• pp.1018-1026
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• 2005

Recent development of 3D scanner and software is regarded as a promising method of acquiring replicas from human body indirectly. It would be very helpful if we could predict the characteristics of 2D pattern from the simple parameters related to 3D shape for ordinary user. Therefore, in this study, investigation of 2D pattern of waist/abdominal area from the 3D geometrical model was conducted for the pattern development of waist nipper. To create body models and develop the surface of them, one ortho commonly used CAD/CAM program, IDEAS(UGS-plm solutions, USA) was used. As for the size of the models, the width, thickness, and circumference ranges of adult women's torso reported in National Anthropometric Survey of Korea (1997) were used as a standard model. Seven size variations were made by changing the width of the waist only, from 19 cm to 40 cm. Therefore, simulated body models include not only the normal body but also obese body who has wider waist and abdomen width than hip width. As results, it was found that the curvature of the unfolded 2D pattern around the abdominal area decreases as the waist width increases. As the width of the waist increases more and more, so that the comparative ratios around the torso becomes in abnormal ranges, there appears inflection points and the direction of curvature was changed. 2D Patterns obtained in this research were quantified by curvature, length of the curve and angle of deflection in the reference frame box for the convenience of the actual pattern making process. It was also possible to find that the shape of patterns of abnormal body resulted in a quite interesting change in the curves of 2D pattern, which could be applied to the custom made waist nipper for obese women.

• Korean Journal of Community Nutrition
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• v.12 no.4
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• pp.477-488
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• 2007

Prevalence of an obese population has been increasing in Korea. Obesity is considered a major risk factor for chronic degenerative diseases. Specifically, prevalence of obesity is prominent for adult woman in Korea. In many weight control programs, weight change did not often show any beneficial effects for health. These facts discourage people in the program. Thus in this study, the anthropometry, blood pressure, serum biochemical indices and dietary habits were compared by percent body fat change for adult women to show the beneficial effects of the weight control program. Study subjects were 134. Measurements were done before and after the weight control program. Percent Body Fat (PBF) was measured by bioelectrical impedance analysis. Using PBF changes, subjects were grouped as I (more than 1% increase), M (${\pm}1%$ change), and D (more than 1% decrease). Data were analyzed using SPSS 12.0 program. Among the 134 participants, 13 increased their weight and 100 decreased. For PBF, 19 increased and 59 decreased. Statistical significant differences were shown for anthropometric assessments before and after for all weight, fat mass, percent body fat, waist-hip ratio and body mass index. I had increases, and D shows decreases. But the difference of D is large than M. Systolic and diastolic blood pressures decreased in all groups (p < 0.05). Fasting blood glucose decreased in all groups but were statistically significant only in D. Also triglyceride decreased in D (p < 0.05). Thus health conditions showed desirable changes in I < M < D in order. Dietary habit changes were desirable with only D. Weight, BMI and other indicators for obesity is not the real indicator for PBF. Recently it is easy to measure PBF. Thus, for weight control programs and to show benefits of the program, PBF is a good indicator for adult women in Korea.

• Journal of Korean Medicine for Obesity Research
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• v.8 no.1
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• pp.89-99
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• 2008

Objectives Obesity is not only a matter of accumulation of adipose tissue but also a projection of self-cognition. This study examined the association between low self-esteem and visceral obesity; visceral adipose tissue (VAT) and visceral adipose tissue /subcutaneous adipose tissue ratio (VSR). Methods This cross-sectional study was performed in pre-menopausal obese(BMI $\geq\;25\;kg/m^2$) women in Seoul, from 2007 to 2008 (n=54). Simple anthropometry including BMI and waist circumference and Computed Tomography (CT) including VAT and VSR were done. To measure self-esteem, Rosenberg self-esteem scale (SES) questionnaire was administered. Subjects were given written consent and this study was performed under the permission of institutional review board of Kyung-Hee East-west Neo Medical Center. Results There was a significant relationship self esteem (SES score) with visceral obesity (VAT and VSR). 1. SES was correlated with VAT (r=-0.377, p<0.01) and VSR (r= -0.400, p<0.01) significantly by Pearson Correlation. 2. VAT and VSR could be predicted from SES by Simple linear regression. VAT = -1.701 ${\times}$ (SES score) +161.191 ($R^2$=0.142) VSR = -1.09${\times}$$10^{-2}$ ${\times}$ (SES score) +0.858 ($R^2$=0.160) Conclusions This study proves that low self-esteem might contribute to visceral obesity in Korean pre-menopausal obese women. Self-esteem and psychological factor should be considered in treatment of visceral obesity in adult-women.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.1
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• pp.16-22
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• 2012

Purpose: The purpose of this study was to identify Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 Second ($FEV_1$), $FEV_1$/FVC according to obesity in young adult women. Method: Height, weight, body mass index (BMI), and percent body fat (PBF) were obtained by using bioelectrical impedance analysis. Neck circumference (NC), waist circumference (WC) and spirometric values (FVC, $FEV_1$, $FEV_1$/FVC) were obtained for 135 women college students who were healthy and non smokers. Results: Mean BMI and PBF were $21.8kg/m^2$ and 30.5%. Obesity prevalence according to BMI and PBF were respectively 13.3%, and 50.9%. Lean body mass (LBM) was positively correlated with FVC, $FEV_1$, and PBF was negatively correlated with FVC, $FEV_1$ and $FEV_1$/FVC. FVC and $FEV_1$ of the underweight or obese group were lower than those of normal weight group. Conclusion: PBF, but not BMI, is negatively associated with pulmonary function in women college students.

• Journal of the Ergonomics Society of Korea
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• v.30 no.6
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• pp.727-737
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• 2011

Objective: This study aimed to analyze somatotype characteristics of the women of 20's, 30's 40's and 50's and thus to provide the basis for developing pants patterns by the age groups. Background: Despite many previous researches for the somatotype characteristics of adult women, few studies have considered age groups. Method: The data of the $5^{th}$ anthropometry by Size Korea were analyzed for the purpose. The 32 direct body measurements and the 32 indexes of 2,213 women aged 20~59 were analyzed. In order to compare somatotype characteristics among the age groups, an ANOVA and a Tukey test were used. Results: The women in 20's were the tallest among the age groups, and had the smallest waist circumference and hip circumference. Their waist breadths were also the narrowest. They had a slim and long body type but their calves were relatively thick. The 30's women were smaller, shorter with the height and length items than the 20's were. They were bigger, wider and deeper with the circumference, breadth and depth items than the 20's were and they were heavier. On the other hand, their hip circumference and crotch length were in the same group as the women in 20's. The crotch length(omphalion) of the 40's women was the longest among all the age groups and the crotch length(natural indentation) of the 40's women was in the same as the women in 50's. The women in 50's were the smallest and heaviest among all the age groups. The difference between their hip circumferences and waist circumferences was the smallest. They had an obese abdomen and sagged hips. Conclusions: The somatotype characteristics of the age groups were significantly different, and thus it is suggested to develop skirt and pants patterns for each age group. Application: The skirt and pants patterns for the somatotype characteristics of the women by age groups will be developed through the body feature data of this study.