• Korean Journal of Radiology
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• 제21권1호
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• pp.88-100
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• 2020

Objective: We aimed to develop and validate a deep learning system for fully automated segmentation of abdominal muscle and fat areas on computed tomography (CT) images. Materials and Methods: A fully convolutional network-based segmentation system was developed using a training dataset of 883 CT scans from 467 subjects. Axial CT images obtained at the inferior endplate level of the 3rd lumbar vertebra were used for the analysis. Manually drawn segmentation maps of the skeletal muscle, visceral fat, and subcutaneous fat were created to serve as ground truth data. The performance of the fully convolutional network-based segmentation system was evaluated using the Dice similarity coefficient and cross-sectional area error, for both a separate internal validation dataset (426 CT scans from 308 subjects) and an external validation dataset (171 CT scans from 171 subjects from two outside hospitals). Results: The mean Dice similarity coefficients for muscle, subcutaneous fat, and visceral fat were high for both the internal (0.96, 0.97, and 0.97, respectively) and external (0.97, 0.97, and 0.97, respectively) validation datasets, while the mean cross-sectional area errors for muscle, subcutaneous fat, and visceral fat were low for both internal (2.1%, 3.8%, and 1.8%, respectively) and external (2.7%, 4.6%, and 2.3%, respectively) validation datasets. Conclusion: The fully convolutional network-based segmentation system exhibited high performance and accuracy in the automatic segmentation of abdominal muscle and fat on CT images.

• Clinical and Experimental Pediatrics
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• 제48권3호
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• pp.276-283
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• 2005

목 적 : 내장 지방은 비만 합병증의 위험 인자이며 성인에서 지방간은 내장 지방과 관련이 있음이 알려져 있다. 소아 비만의 진단기준인 BMI가 내장 지방 정도를 반영하는지를 살펴보고 소아 지방간 환아에서 BMI, 체지방 분포, 간 효소치와 복부 CT상 지방간 정도 사이의 상관관계를 알아보고자 하였다. 방 법 : 2000년 1월부터 2004년 2월까지 BMI를 기준으로 비만위험 또는 비만에 동반된 간 효소치 이상을 주소로 서울대학교 어린이병원 소아과에 내원하여 비조영증강 복부 CT 검사로 지방간을 진단받은 소아 23례(남아 19명, 여아 4명)를 대상으로 하여 CT로 복부 지방 면적을 측정하였다. BMI와 내장 지방과의 상관관계, 복부 CT상 지방간의 정도와 BMI, VAT, VSR, 간 효소치간의 상관관계를 분석하였다. 결 과 : BMI는 TAF(r=0.91476, P<0.0001), VAT(r=0.51719, P=0.0115), SAAT(r=0.88302, P<0.0001)와 유의한 상관관계가 있었다. CTL/CTS비와 BMI(r=-0.11938, P=0.5876), TAF(r=-0.14936, P=0.4964), VAT(r=-0.31234, P=0.1468), SAAT(r=-0.08154, P=0.7115), VSR(r=-0.19202, P=0.3801), AST(r=0.12729, P=0.5628), ALT(r=-0.00179, P=0.9935) 및 AST/ALT비(r=0.20762, P=0.3418) 사이에 유의한 상관관계가 없었다. 결 론 : 소아 비만에서 BMI는 내장 지방 정도를 반영하나 복부 CT상 지방간의 정도와 간 효소치, BMI, 내장 지방량 사이에 유의한 상관관계가 없었다.

• 대한한의학방제학회지
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• 제16권2호
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• pp.205-217
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• 2008

Objectives : We investigated the effects of Herba Ephedrae and Rhizoma Amorphophalli on high fat diet induced obese male mice. Methods : 8 weeks old, high fat diet induced obese male mice were divided into 5 groups: C57BL/6 normal control, obese vehicle control, GGEx55 (Herba Ephedrae), GGEx61 (Rhizoma Amorphophalli), GGEx62 (Herba Ephedrae + Rhizoma Amorphophalli). After mice were treated with GGEx for 8 weeks, we measured body weight gain, food intake, feeding efficiency ratio, rectal temperature, fat weight, plasma leptin and lipid levels. We also took micro-computerized axial tomography (micro-CT) on the mice. Results : 1. GGEx55 and GGEx62 groups significantly decreased body weight gain and feeding efficiency ratio compared with vehicle control. But they significantly increased rectal temperature. 2. Plasma total cholesterol and LDL-cholesterol concentrations were significantly increased by GGEx55 groups, whereas were significantly decreased by GGEx62 groups compared with vehicle control. 3. GGEx55 and GGEx62 groups significantly decreased total, subcutaneous and visceral fat as well as fat areas in micro-CT analysis of abdomen compared with vehicle control. 4. Plasma GOT and GPT concentrations were significantly increased by GGEx55 groups compared with vehicle control. Conclusions : These results demonstrate that GGEx55 and GGEx62 effectively reduces body weight gain, feeding efficiency ratio in high fat diet induced obese mice, leading to the modulation of obesity. In addition, GGEx55 and GGEx62 decreases visceral adipose tissue mass and improves plasma lipids, suggesting that GGEx55 and GGEx62 may act as a therapeutic agent for obesity.

• Nutritional Sciences
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• 제6권2호
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• pp.73-77
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• 2003

PAI-1 (plasminogen activator inhibitor-1), leptin, and resistin are synthesized and secreted by Int cells of rodents and have recently been postulated to be an important link to obesity. This study was conducted to identify the nutritional regulation of PAI-1, leptin, and resistin gene expression in 0b/ob mice. The mice were divided into four groups according to nutritional status: control, 48 hour fasting, 48 hour-fasting/12 hour-refeeding, and 48 hour-fasting/24 hour-refeeding. The mRNA levels of each peptide were measured by semi-quantitative RT-PCR. In visceral fat tissue, the level of PAI-1 mRNA increased markedly when 48h-fasted animals were refed with a high carbohydrate-low fat diet. However, lasting/refeeding did not appreciably change PAI-1 mRNA levels in subcutaneous fat tissue. Similar results were obtained for resistin mRNA levels in both types of fat tissues. These findings suggest that visceral adipose tissue might be more sensitively involved in the nutritional regulation of PAI-1 and resistin gene expression compared to subcutaneous fat tissue. The level of leptin mRNA decreased markedly in the 48h-fasted animals, and increased markedly when 48h-fasted animals were refed with a high carbohydrate-low fat diet. The nutritional regulation of leptin mRNA showed similar patterns in both types of fat tissues. In conclusion, the nutritional regulation of gene expression encoding PAI-1, resistin, and leptin from adipocytes may vary according to the type of adipose tissue.

• 대한한의학회지
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• 제38권4호
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• pp.104-109
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• 2017

Objectives: Epicardial fat is true visceral fat that is known to be associated with metabolic syndrome, high abdominal fat, insulin resistance, coronary artery diseases, low coronary flow reserve and subclinical atherosclerosis. Dampness-Phlegm pattern is one of the pattern diagnosis of traditional Korean medicine. Previous studies showed that Dampness-Phlegm pattern is associated with hypertension, dyslipidemia, metabolic syndrome. This study is intended to find association between Dampness-Phlegm pattern and epicardial fat thickness. Methods: This study was a community-based single center trial. Ischemic stroke patients within 30 days after their ictus were enrolled. Epicardial fat thickness was measured using transthoracic echocardiography. Other measured and obtained variables are medical history, weight, height, body mass index, fasting blood glucose, cholesterol, triglycerol, high density lipoprotein, lipid and low density lipoprotein. Results: Three hundred sixty six were enlisted, and one hundred forty were diagnosed with the Dampness-Phlegm pattern. Dampness-Phlegm pattern group had significantly thicker epicardial fat. Binary logistic regression also showed statistically significant result. Conclusions: This study showed close association between epicardial fat and Dampness-Phlegm pattern. This result suggests a clue to standardization of pattern identification.

• Biomolecules & Therapeutics
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• 제11권4호
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• pp.257-264
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• 2003

Carnitine, hydroxycitric acid, and soy peptide have been known to be anti-obesity agents. The purpose of this study was to evaluate the combined effects of carnitine, hydroxycitric acid, and soy peptide mixture as a potential anti-obesity supplement in overweight women. Overweight premenopausal women (n=33; PIBW>110; 20 to 39 years) were randomized into two groups: the placebo group and the functional beverage group (the test group). Functional beverage was composed of 2000 mg soy peptide, 20 mg L-carnitine and 300 mg garcinia(40% hydroxycitric acid). Body weight and 3 day food dimes, biochemical measurements and computerized tomography were measured at baseline and 8-week. After 8-week consumption of functional beverage with usual diet and exercise, body weight fell an average of 1.4 kg (2.1%). Visceral fat area reduced an average of 7.8% at L1($69.6{\pm}8.7\;vs\;64.2{\pm}7.5\;\textrm{cm}^2$) and 5.1% ($60.7{\pm}4.9\;vs\;57.6{\pm}4.8\;\textrm{cm}^2$, p<0.05) at L4level after weight loss in the test group. Calf fat area in the test group showed about 10% reduction ($31.0{\pm}2.7\;vs=\;27.7{\pm}1.7\;\textrm{cm}^2$, p<0.05) after weight loss. These reductions in fat areas were not shown in the placebo group. There were tendencies of increase in serum levels of $\beta-hydroxybutyrate$, acetoacetate, and total ketones in the test group. There were 7% and 17% insignificant increase in fasting free fatty acid (FFA) and response area of FFA during oral glucose tolerance test(OGTT), respectively, in this group. ill addition, little weight loss in the test group showed 8% but not significant reduction in insulin response area during OGTT. In conclusion, this study shows that taking a mixture of carnitine, hydroxycitric acid, and soy peptide as a potential anti-obesity supplement for 8-week produced advantageous changes in the weight and visceral fat accumulation of overweight women.

• 한방비만학회지
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• 제11권1호
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• pp.15-24
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• 2011

Objectives Our purpose of this study was to evaluate the association between depression, stress, and obesity indexes. Methods This study was performed in 110 healthy overweight and obese(BMI${\geq}23\;kg/m^2$) women in Korea. Subjects underwent abdominal CT(computed tomography) scanning and were asked to complete Beck depression inventory(BDI), social readjustment rating scale(SRRS), and stress response inventory(SRI) questionnaires. Weight, body-mass index(BMI), waist circumference(WC), and waist-hip ratio(WHR) were evaluated. Subjects were given written consent and this study was performed under permission of institutional review board of KyunHee University Hospital at Gangdong. Results 1. BDI and SRI were significantly correlated with VFA(visceral fat area)(p<0.05). However, other obesity indexes were not significantly correlated with BDI and SRI(p>0.05). 2. SRRS was not significantly correlated with all obesity indexes(p>0.05). Conclusions This study suggests that depression and stress might be correlated with visceral fat, and this result would be helpful for planning a treatment schedule of obese patients with depression or stress in the clinic.

• Nutrition Research and Practice
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• 제9권5호
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• pp.489-495
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• 2015

BACKGROUND/OBJECTIVES: The present study was conducted to investigate the effects of dried Momordica charantia aqueous extracts (MCA) and ethanol extracts (MCE) on obesity and lipid profiles in mice fed a high-fat diet. MATERIALS/METHODS: Forty two ICR mice were randomly divided into six groups. The normal group was fed a basal diet, and other groups were fed a 45% high-fat diet (HFD) for 7 weeks. The normal and HFD groups were also orally administered distilled water each day for 7 weeks. The remaining groups received Momordica charantia extract (0.5 or 1.0 g/kg/day MCA, and 0.5 or 1.0 g/kg/day MCE). In order to measure the anti-obesity and lipid profile improvement effects, body and visceral tissue weight, lipid profiles, plasma insulin levels, hepatic malondialdehyde (MDA) levels and superoxide dismutase (SOD) activity were measured. RESULTS: Both MCA and MCE significantly decreased body and visceral tissue weight relative to those of the HFD group (P < 0.05). Additionally high doses of MCE and MCA significantly reduced the plasmatic insulin levels compared to the HFD groups (P < 0.05) to concentrations comparable to those found in the normal group. MCA and MCE supplementation also significantly modulated the lipid profiles in plasma, liver, and feces compared to mice fed the HFD (P < 0.05). Furthermore MCA and MCE significantly increased hepatic SOD activity, and reduced MDA generation in the liver of the HFD mice (P < 0.05). CONCLUSIONS: Results from the present study suggest that Momordica charantia extracts have anti-obesity effects and the ability to modulate lipid prolife of mice fed a HFD by suppressing body weight gain, visceral tissue weight, plasma and hepatic lipid concentrations, and lipid peroxidation along with increasing lipid metabolism.

• The Korean Journal of Physiology and Pharmacology
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• 제10권1호
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• pp.1-6
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• 2006

To evaluate whether metformin restores leptin sensitivity in aged rats with leptin resistance, we measured leptin sensitivity in aged (2 year old) and adult (5 month old) rats after 4 weeks of treatment with metformin (300 mg/kg/D, mixing in drinking water), by measuring food intake, body weight and visceral fat losing effects. Leptin ($15{\mu}g/D$) was administered by intracerobroventricular (i.c.v.) infusion through osmotic minipump for 1 week. Metformin treatment decreased body weight and daily food intake in both adult and aged rats compared with their control rats, however, these effects were more prominent in aged rats than in adult rats. Anorexic and fat losing responses following i.c.v. leptin were attenuated in aged rats compared to adult rats. However, these responses of aged rats to leptin were restored by metformin treatment. Moreover, serum concentration of leptin in aged rats was significantly decreased by combined treatment with metformin and leptin. These results suggest that metformin enhances leptin sensitivity in aged rat model, and that combination therapy with metformin and leptin would be helpful for treatment of aging-associated obesity.

• Journal of Nutrition and Health
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• 제43권4호
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• pp.374-381
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• 2010

본 연구는 체질량지수가 $23\;kg/m^2$ 이상 또는 체지방률이 27% 이상인 과체중 혹은 비만인 여성을 대상으로 무작위 배정, 이중 맹검, 위약-대조 연구 디자인을 통해 8주간의 생커피두 엑기스 섭취가 체지방 개선에 미치는 영향을 평가하기 위하여 실시되었다. 시험군 또는 대조군으로 배정된 대상자는 시험제제 또는 placebo제제를 하루 2번 2캡슐씩 식전에 물과 함께 섭취하게 하였으며, 연구에 참여하는 동안 평상시 식습관 및 커피 섭취량을 그대로 유지하도록 하였다. 본 연구에서 사용된 시험제제에는 1캡슐 당 생커피두 엑기스 50 mg와 덱스트린 150 mg을 함유하였고, placebo제제에는 200 mg의 덱스트린을 함유하였다. 생커피두 엑기스에는 28.4%의 클로로겐산과, 49.3%의 클로로겐산 류 (ferulic acid, coumalic acid, neochlorogenic acid 등), 그리고 12.6%의 카페인을 함유하도록 하였다. 총 48명이 시험을 완료하였으며, 이 중 섭취율 미달로 유효성 평가가 불가능한 5명을 제외한 43명을 대상으로 결과분석을 실시하였으며, 시험군 23명 대조군 20명이었다. 컴퓨터 단층촬영을 통한 복부지방면적 측정결과, 상복부에서는 생커피두 엑기스 섭취군에서 총 지방 면적은 섭취 전 $231.2\;{\pm}\;12.2\;cm^2$에서 8주 후 $220.1\;{\pm}\;11.2\;cm^2$으로 4.8%가 유의적으로 감소하였고 (p < 0.05), 내장지방 면적은 섭취 전 $86.4\;{\pm}\;6.08\;cm^2$에서 8주 후 $82.4\;{\pm}\;5.84\;cm^2$으로 4.6%가 감소하는 경향을 나타냈다 (p = 0.062). 하복부에서는 생커피두 엑기스 섭취군에서 내장지방 면적은 섭취 전 $71.8\;{\pm}\;4.81\;cm^2$에서 8주 후 $68.4\;{\pm}\;4.72\;cm^2$으로 4.7%가 유의적으로 감소하였다 (p<0.05). 또한 상복부의 총 지방 면적 (p < 0.05)과 내장지방 면적 (p < 0.05)의 변화량은 군간 비교에서도 유의하였다. 본 연구 결과 생커피두 엑기스를 섭취하는 기간 동안 식사 섭취량 조절 없이 평상시 식습관을 유지하였음에도 불구하고 복부 내장지방의 유의적인 감소로 체지방 분포의 개선 효과를 보여주었다. 따라서 생커피두 엑기스의 섭취와 병행하여 식사조절과 운동이 실시 될 경우 체지방 감소에 더욱 효과적일 것으로 사료되며, 추후 대상자 수의 확대 및 복용기간의 연장 등을 통한 생커피두 엑기스의 체지방 분포 개선 효과 및 대사 관련 지표 개선을 평가하는 후속 연구도 필요할 것이다.