• Journal of Nutrition and Health
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• 제45권2호
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• pp.127-139
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• 2012

본 연구는 비만연구소 복부비만관리 프로그램에 참여한 복부비만율 0.80 이상인 복부비만 여성 195명을 대상으로 12주간 실시하였으며, 프로그램 종료 후 복부비만 감소 여부에 따라 복부비만율 감소군과 복부비만율 증가군으로 나누어 신체계측치의 변화, 식이섭취의 변화, 혈관나이, 스트레스 지수 및 건강지수의 변화를 비교 하였다. 영양소의 섭취량을 살펴본 결과, 체중, 허리둘레, 엉덩이둘레가 유의적으로 감소한 복부비만율 감소군에서 식물성 단백질, 칼륨, 비타민 A, 엽산, 식이섬유, 칼슘, 인, 비타민 $B_2$, 비타민 $B_6$, 비타민 C, 식물성지방, 철분, 나트륨, 나이아신, 비타민 E 및 다가불포화지방산의 영양밀도가 유의적으로 증가하였고, 단백질, 칼슘, 인, 비타민 A, 비타민 $B_1$, 비타민 $B_2$ 그리고 비타민 C의 INQ가 유의적으로 증가하였다. 특히 식이섬유, 칼슘, 인, 아연, 비타민 $B_6$, 비타민 C 그리고 비타민 E의 변화율은 복부비만율 감소군에서 더 컸으며, 두 그룹간의 유의적인 차이를 보였다. 식품섭취 다양성의 변화를 살펴보기 위해 식품군별 섭취 가짓수를 비교해 본 결과, 복부비만율 감소군에서 어패류, 두류, 견과류, 채소류 그리고 버섯류 가짓수가 유의적으로 증가한 것으로 나타났다. 복부비만율 감소군에서는 스트레스 지수와 건강지수가 유의적으로 개선된 반면 복부비만율 증가군에서는 건강지수가 감소하였다. 본 연구에서는 복부비만율 변화와 영양밀도, 혈관나이, 스트레스 지수 및 건강지수 변화간의 상관성을 알아보았다. 그 결과, 복부비만율 감소의 변화율이 높을수록 식물성 단백질, 식물성 지질, 섬유질, 칼슘, 철분, 칼륨, 아연, 비타민 A, 비타민 $B_2$, 비타민 $B_6$, 비타민 C 그리고 엽산의 섭취량이 유의적으로 감소하였고, 복부비만율 증가의 변화율이 높을수록 동물성 단백질과 총 지질의 섭취량이 유의적으로 증가하였다. 스트레스 지수와 건강지수와의 관련성에서는 복부비만율 감소율이 높을수록 스트레스 지수가 유의적으로 감소하는 양의 상관관계를 보인 반면, 건강지수는 증가하는 음의 상관관계를 보였다. 이상을 통해 볼 때, 영양교육과 식습관 및 생활습관 개선 교육으로 구성된 복부비만관리 프로그램은 식이섭취에 긍정적인 영향을 미칠 뿐만 아니라 스트레스도 완화시켜 복부비만율 개선에 도움이 되므로, 후속 연구에서는 이러한 교육을 장기프로그램에 적용시킨 뒤 이러한 복부비만율 개선이 지속적으로 유지되는 지를 살펴보는 것이 필요하다.

• Journal of Nutrition and Health
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• 제40권2호
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• pp.162-171
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• 2007

Obesity is an independent risk factor fur coronary artery disease in the postmenopausal women, which may be mediated by alteration of blood lipid metabolism. We are aimed to evaluate the effects of low energy diet, restriction of high fat foods and exercise education on weight, fat mass and blood lipid profile. Fifteen postmenopausal obese women were studied. Subjects received detailed advice about how to achieve a reduction of weight by a low-energy diet (1,200kcal), restriction of high fat food and increased exercise in every 4 wks during 8 wk. To evaluate the effectiveness for education programs, dietary fat habit and daily nutrient intakes, exercise were tested before and after intervention. Anthropometry, computerized tomography, and blood lipid profile were assessed before and after intervention. According to the nutrition education, energy intake (from 1776.1 ${\pm}$ 28.2 kcal to 1268.7 ${\pm}$ 115.2 kcal, p < 0.001) and percent of energy from fat (21.9%, p < 0.01) were significantly decreased. However, the index of nutritional quality was over 1.0. On the contrary, exercise (from 341.3 ${\pm}$ 222.1 kcal to 569.4 ${\pm}$ 309.8 kcal, p < 0.05) was increased and dietary fat habit scores (from 30.8 ${\pm}$ 5.2 to 36.1 ${\pm}$ 3.0, p < 0.01) were improved. Also, body weight (4.2%, p < 0.001), BMI (4.5%, p < 0.001), body fat mass (3.4%, p < 0.05) and waist to hip ratio (1.1%, p < 0.05) were decreased. Among abdominal fat, visceral fat (26.1%, p < 0.05) and subcutaneous fat (14.8%, p < 0.01) were decreased. But there was no difference in visceral fat to subcutaneous fat ratio. We observed HDL-cholesterol increase (11.7%, p < 0.05), triglyceride reduction(14.8%, p < 0.05) and atherogenic index improvement (from 2.7 ${\pm}$ 0.7 to 2.3 ${\pm}$ 0.7, p < 0.05) However, there was no change in LDL-cholesterol and total cholesterol. Theses results showed that low energy diet, restriction of high fat foods and exercise education could result in reduction of body weight, fat mass, visceral and subcutaneous fat, and in improvement of blood lipid profile in the postmenopausal obese women.

• 한국지역사회생활과학회지
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• 제19권2호
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• pp.191-199
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• 2008

The purpose of this study was to obtain an understanding of the effect of regular exercise on obesity indices, the psychosocial wellbeing index, dietary factors and exercise regularity among 146 healthy mothers and 146 their daughters. "Mother" subjects were divided into two groups classified as regular exercise group(REG) and none exercise group(NEG). The exercise regularity of REG's daughters(30.8%) and of NEG's daughters (2.0%) was significantly different(p<0.001). The Obesity Indices(Body Mass Index (BMI), Waist Hip Ratio(WHR) and Percentage of Ideal Body Weight(PIBW)) of NEG's daughters were significantly higher than those of REG's daughters(p<0.001). But the psychosocial wellbeing index was not significantly different between REG's daughters and NEG's daughters. Intake of total energy, protein, fat, Ca, niacin and Fe were significantly different(p<0.001) between REG's daughters and NEG's daughters. Especially, vitamin C intake of REG's daughters was significantly higher than that of NEG's daughters(p<0.001). The exercise regularity of mothers was mainly related with Obesity Indices and nutrient intake in their daughters. Therefore, it might be necessary to maintain exercise regularity to prevent obesity and diet related problems in mothers and their daughters.

• 대한간호학회지
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• 제37권4호
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• pp.568-575
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• 2007

Purpoes: The study was done to investigate the effects of an exercise program on body composition, cardiopulmonary function and physical fitness in obese children. Methods: Thirty nine children in grades 4, 5, and 6 in elementary school were employed: experimental group(20) and control group(19). The subjects in the experimental group participated in an exercise program for 8weeks, thirty five minutes per session, four times per week. This data was analyzed by ANCOVA and paired t-test. Result: The Height(F=2.615, p=0.027) of the experimental group was significantly different from the control group. Also, in the experimental group, there were significant differences of height(t=4 79, p=0.000), cardiac rate(t=-6.461, p=0.000), body mass index(t=-2.13 p=0.046), muscle strength(t=3.48, p=0.003), and muscle endurance(t=3.20, p=0.005). Otherwise, in the control group, there were significant differences of weight(t=2.27, p=0.036), waist-hip ratio(t=3.16, p=0.005), and muscle endurance(t=-2.38, p=0.030). Conclusion: Jumping rope improved the body composition, cardiopulmonary function, and physical fitness for obese children.

• 한국식품영양학회지
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• 제22권4호
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• pp.554-559
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• 2009

The purpose of this study was to determine changes in body composition and blood lipids and to analyze the effects of Danhak exercise for 3 months in older women. For this study, 35 female subjects 60 to 70 years of age were recruited and administered 90 min of Danhak exercise, five times per week for three months by a professional coach. The results of this study were as follows: At baseline, the mean BMI(body mass index) and body fat(%) were 23.9 kg/$(m)^2$ and 32.4$\pm$4.9(%), respectively. The mean WHR(waist-hip ratio) was 0.91$\pm$0.04 and all subjects were determined to be abdominally obese. A significantly lower body fat was observed after 3 months of Danhak exercise(p<0.05). However, there were no significant differences in BMI, WHR or body weight before and after exercise. Danhak exercise also resulted in a decrease in total cholesterol and an increase in HDL(high density lipoprotein, and these differences were significant. Taken together, the results of this study indicate that the effects of Danhak exercise were similar to those of aerobic exercise with respect to improve body fat(%) and blood lipid profiles, which suggests that Danhak is a profitable exercise for individuals aged 60 and over.

• 대한지역사회영양학회지
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• 제2권3호
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• pp.327-337
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• 1997

The purpose of this study was to investigate the differences in anthropometric, hematologic, and lipidologic data between normocholesterolemia and hypercholesterolemia and influencing factors in hypercholesterolemia in middle-aged men in Kwang-ju. 179 middle-aged men were involved. Anthropometric data(body weight, height, body circumferences and skinfold thickness) and hematologic data(blood pressure, fasting blood glucose, albumin and hemoglobin) were measured. Bleed lipid profile(total cholesterol, tr- iglyceride, phospholipid, HDI-cholesterol, LDL-cholesterol and VLDL-cholesterol) were analyzed. To determined using questionnaire. The subjects were classified as hypercholesterolemic based on The Guideline for Korean Hyperlipidemia. body mass index, systolic blood pressure, waist and hip circumference, and triceps, subcostal, abdomen, subscapular and suprailliac skinfold thicknesses of the hypercholesterolemic group were significantly higher than in the normocholesterolemic group. The concentrat- ion of cholesterol, triglyceride, phospholipod. HDL-cholesterol, LDL-cholesterol and VLDL -cholesterol of the hypercholesterolemic group were significantly higher than normocholesterolemic group. The concentration of cholesterol has a significantly positive correlation with body mass index, diastolic blood pressure, waist circumference, waist/thigh ratio and skinfold thickness(triceps, subcostal, abdomen, and supraillic skin- fold thickness). The general tendency of socioeconomec status, frequencyu of meat intake, smoking amounts and duration and duration and drinking frequencies and amount were higher in the hypercholesteolemic group but not significant. In conclusion, hypercholesterolemia in middle-aged men was closely correlated with upper body fat obesity and most of them had an accompanied high triglyceride level tendency.

• Journal of Nutrition and Health
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• 제26권1호
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• pp.34-46
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• 1993

This study was performed to investigate the interrelationship between fasting serum insulin, eating behaviour, daily energy intake and the fatness in obese and non-obese women. The possibility of fasting serum insulin as potential predictive factor for eating behaviour and daily energy intake was also investigated. The results are as follows: 1) In obese women ; Subjects with higher fasting serum insulin were associated with higher speed of eating and shorter meal duration time. No association could be found between daily energy intake or the degree of obesity and fasting serum insulin. There was a significant positive correlation between obesity, daily energy intake and speed of eating. Obesity, daily energy intake were negatively related to meal duration time. Subjects with a rapid speed of eating were apt to overeat during eating behaviour experiment. Our findings suggested that a rapid speed of eating is a contributing factor to the development of obesity in obese women. 2) In non-obese women ; While subjects with higher insulin level were apt to overeat, we could not find any relation between overeating and daily energy intake. There was no correlation between eating speed and daily energy intake, but a significant positive correlation was found between meal duration time and daily energy intake. The degree of fatness was increased with the lower daily energy expenditure per body weight, or the higher waist hip girth ratio, fasting serum insulin and daily energy intake.

• Journal of Nutrition and Health
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• 제30권2호
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• pp.201-209
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• 1997

The purpose of this study was to investigate the possible causal factors of obesity in women with child-bearing experiences in effects to provide optimal information for the prevention and/or treatment of obesity. Sventy one women with child-bearing experiences were divided into five groups based on the degree of obesity by BROCA method ; normal weight, overweight, and obesity which was further divided into three groups of light, moderate, and sever obesity. Various anthropomnetric measurements, overall eating habits, and dietery intakes were asessed for each groups. Out of eighteen anthropometric factors asociated with obesity, thirteen measurements were represented to be valid for the diagnosis of obesity. Body fat % which was analyzed by Bioelectrical Impedance fatnee Analyzer were 24.765, 28.05%, and 29.85 for normal, overweight, and obesity group respectively. WHR(waister to hip ratio) or BMI(body mass index) widely used index was also resulted to be valid as a predictor of obesity. Waist circumference which represents abdominal fat mass showed a good correlatin with body fat%. The analysis of dietary intakes suggested that the overintakes of total calorie may not be the only causal factor of obesity, rather the amount of daily protein, fat and carbohydrate intakes or the physical activity level would be more closely related with the prevalence of obesity. Further investigation considering more variety of food composition of diet and the activity level involving larger number of subjects would be needed.

• Journal of Nutrition and Health
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• 제44권3호
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• pp.222-230
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• 2011

This study was undertaken to investigate iron status and related factors in female college students residing in Gyeongnam. The subjects were divided into normal (40.8%) and iron deficiency (ID) groups (59.2%) by iron status. Mean height, weight, lean body mass, percent body fat, body mass index, and wrist to hip ratio were not significantly different between the groups, but basic metabolic rate was significantly higher in the normal group than that in the ID group. The levels of hemoglobin, hematocrit, serum ferritin, transferrin saturation, mean corpuscular volume, mean corpuscular hemoglobin, and mean corpuscular hemoglobin concentration were significantly higher in the normal group than those in the ID group. However, total iron binding capacity was significantly lower in the normal group than that in the ID group. Daily intake of protein, heme-Fe, niacin, and vitamin C were significantly higher in the normal group than those in the ID group. The mean intake of protein, Fe, niacin, vitamin $B_{12}$, and vitamin C based on the Korean recommended intake (RI) were significantly higher in the normal group than those in the ID group. The mean intakes of Ca, vitamin $B_{12}$, and folate in both groups were < 75% of the Korean RI. In conclusion, increasing dietary heme-Fe and vitamin C may be helpful for preventing ID anemia in female college students.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.195-198
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• 2014

Aim: To evaluate precancerous lesions such as hyperplasia and endometrial polyps in obese postmenopausal women. Materials and Methods: Women who were referred with abnormal uterine bleeding in postmenopausal period or the presence of endometrial cells on cervical cytology in our department were investigated. Anthropometric measurements such as height, weight, body mass index, waist/hip ratio and endometrial thickness were compared between a precancerous lesion (hyperplasia and endometrial polyp) group and a pathologically normal group. Results: We detected statistically significant thickening of endometrium in patients with precancerous lesions. Moreover patients with precancerous lesions had higher body mass index than the pathologically normal group. Conclusions: We found elevated precancerous lesion rates in overweight and obese women in the postmenopausal period, of interest given that the prevalence of obesity is increasing in most parts of the world. Although screening for endometrial cancer is not recommended for the general population, in high-risk populations like obese postmenopausal women, it may be very important.