• Title/Summary/Keyword: Assessment of Obesity

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Validation of Somatotype Drawing for Assessment of Childhood Obesity (소아비만의 평가를 위한 신체외형도의 타당성 연구)

  • Lee, Jong-Woo;Eom, Hye-Jeong;Yin, Chang-Shik
    • Journal of Korean Medicine for Obesity Research
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    • v.10 no.1
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    • pp.17-28
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    • 2010
  • Objectives It is significant to determine the validation of a self-administered somatotype drawing for the simple assessment of childhood obesity in elementary school and clinical practice. Methods The subjects were 202 children(112 boys and 90 girls) who answered a questionnaire for somatotype drawing and weremeasured for body components with bioelectrical impedance. The somatotype drawing of children was analysed according to the three criteria of childhood obesity - BMI percentile, obesity index and percent body fat, respectively. Results BMI, waist-hip ratio, skeletal musclemass and proteinmass had significant differences(p<.05) between boys and girls. Somatotype drawing had the highest correlation with BMI in both boys and girls, and also showed a high correlation with BMI percentile, obesity index and percent body fat.According to these criteria of childhood obesity, the somatotype drawing was the best consistent with the obesity index, next turn was the percent body fat and then the BMI percentile. Conclusions The validation of somatotype drawing for the assessment of childhood obesity was analysed according to BMI percentile, obesity index and percent body fat, and the somatotype drawing was the best consistent with obesity index in both boys and girls.

Body Satisfaction and Weight Loss in Women College Students (여대생의 신체만족도와 체중조절)

  • Chaung, Seung-Kyo;Min, So-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.3
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    • pp.485-492
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    • 2006
  • Purpose: The purpose of this study was to identify body satisfaction and weight loss experience according to individual's discrepancy between obesity by BMI (body mass index) and self-assessment. Method: The data were obtained by measuring height, weight and using a questionnaire to obtain data on self-assessment of obesity, body satisfaction and weight loss experience. The participants were 286 women college students in J city, Chungbuk. Results: The mean BMI of the women college student was $21.4{\pm}2.93kg/m^2$ which is within the normal range. The concordance rates between obesity by BMI and self-assessment were 54.1%, 39.9%, 61.5%, 78.6% (Kappa=.29) in underweight, normal, overweight, obese students respectively. Forty seven percent of students who were not obese (BMI $<23kg/m^2$) assessed themselves as obese. The mean body satisfaction of college students was very low and 64.3% of the students had a weight loss experience. The students who perceived themselves to be 'obese' even when their BMI was under $23kg/m^2$ reported lower body satisfaction and higher weight loss experience than other students. Conclusion: There were significant discrepancies between obesity by BMI and self-assessment in women college students. The self-assessment of obesity had a greater effect on body satisfaction and weight loss experience than actual BMI in women college students.

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A Study on Classification of Obesity for Koreans based on the Articles in the Korean Journal of Community Nutrition - Articles Enlisted from 1996 to 2011 - (대한지역사회영양학회지 게재 논문에서의 한국인 비만 판정에 관한 연구 - 1996~2011년 게재 논문 분석 -)

  • Kim, Youngnam
    • Korean Journal of Community Nutrition
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    • v.18 no.5
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    • pp.525-538
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    • 2013
  • The purpose of this study was to provide information on obesity assessment for Koreans. Among total of 1012 research papers enlisted in the Korean J Community Nutrition form 1996 to 2011, 248 articles were examined in which subjects were divided into more than 2 groups by obesity rate. About the method of anthropometric data collection, more than half of the research papers examined 52.5% and 28.7% of studies utilized the directly measured data and self-described data, respectively. About the utilization of obesity assessment methods, indirect methods of weight-height index (BMI, BMI percentile, and R$\ddot{o}$hrer index) and PIBW (WLR, Broca index, and KDA) were 62.4% and 23.2%, respectably, and the direct method of percent body fat assessment was only 9.3%. The most frequently utilized methods were WLR in under primary and primary school children, and BMI in the middle and high school students and in adults. For primary school students, WLR was the most frequently utilized method up to 2007, but it changed to BMI percentile afterward. Broca Index was no longer utilized since 2008. There were no articles utilizing BMI percentile and R$\ddot{o}$hrer index for obesity assessment in adults. Criteria for obesity assessment were not consistent among research papers: for example, % body fat, 19~40%; BMI, 20~30; BMI percentile, 85th or 95th. In the case of PIBW, 120% of ideal weight was the most frequently utilized criterion for obesity. Based on these findings, we suggest that proper methods and criteria of obesity assessment for each age group should be determined and proclaimed.

Development of Manual for Standard Counseling of Obesity Patients in Korean Medicine (한의 비만 표준 상담 매뉴얼의 개발)

  • Chung, Won Seok;Kim, Koh Woon;Jo, Jun Young;Kim, Hojun
    • Journal of Korean Medicine for Obesity Research
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    • v.19 no.2
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    • pp.113-118
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    • 2019
  • A counseling manual for the standardized management of obesity in Korean Medicine was developed. Four specialist for obesity and ten advisors participated in the development. The development process was conducted in order to investigate the needs of clinical doctors for obesity, search for related books and references, determine the contents of the manual, produce the manual, and review of the advisors. The contents of the manual were written in order of goal of obesity counseling, assessment of obesity and health risk factors, assessment of obesity-related lifestyles, counseling for weight management, and counseling for Korean Medical treatment. This manual is the first standardized counseling manual developed, and it is meaningful to provide a counseling method for comprehensive Korean Medicine obesity care. Although there were various limitations in the review of the advisory committee, it is expected that this study will be used as a basic data for the establishment of obesity-related health care policy. We hope that obesity counseling of Korean Medicine will be settled as one of the certified korean medical treatment.

Comparisons of obesity assessments in over-weight elementary students using anthropometry, BIA, CT and DEXA

  • Yu, Ok-Kyeong;Rhee, Yang-Keun;Park, Tae-Sun;Cha, Youn-Soo
    • Nutrition Research and Practice
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    • v.4 no.2
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    • pp.128-135
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    • 2010
  • Obesity was characterized in Korean elementary students using different obesity assessment tests on 103 overweight elementary students from three schools of Jeonbuk Province. The body mass index (BMI) and obesity index (OI) were compared, and the data using DEXA and CT were compared with the data using BIA and a tape measure. The results of this study are as follows: first, 27 students who were classified as obese by OI were classified as overweight by BMI, and 3 students who were classified as standard weight by BMI were classified as overweight by OI. Secondly, by DEXA and BIA measurements, there was 1.51% difference in body fat percentage (boys 1.66%, girls 1.17%) and the difference in body fat mass between boys and girls was 0.77 kg (boys 0.85 kg, girls 0.59 kg), but those differences in body fat percentage and mass were not statistically significant. Thirdly, the average total abdominal fat (TAF) measured by CT scans of obese children was more significantly related with subcutaneous fat (r = 0.983, P < 0.01) than visceral fat (r = 0.640, P < 0.01). Also, TAF were highest significant with waist circumference by a tape measure (r = 0.744, P < 0.01). In summary, as there are some differences of assessment results between two obesity test methods (BMI, OI), we need more definite standards to determine the degree of obesity. The BIA seems to be the most simple and effective way to measure body fat mass, whereas waist/hip ratio (WHR) using a tape measurer is considered to be the most effective method for assessing abdominal fat in elementary students.

Obesity-Related Quality of Life in Overweight and Obese Female College Students (과체중 여대생의 비만 관련 삶의 질)

  • Chaung, Seung-Kyo;Kim, Chun-Gill
    • 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.

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The Ecological Factors Related to Completion of Weight Reduction Program in the Obese Premenopausal Women (성인 비만여성들의 체중감량프로그램의 완수도와 관련된 생태학적 요인 분석)

  • Kim Saneyeon
    • Korean Journal of Community Nutrition
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    • v.9 no.6
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    • pp.683-694
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    • 2004
  • The objective of this study is to improve the health related quality of life through the efficient weight reduction by analyzing the ecological factors related to completion of weight reduction program in the obese premenopausal women aged 20-29 years. The factors influencing completion of obesity management programs in the obese women were the preferences of sweet and salt taste, health related quality of life (general health, role emotional), eating attitude scores, and regularity of mealtime scores. The finding that the completion of obese management programme were improved if the health-related quality of life was high and the physiological status related symptoms of stress, depress, and eating disorder were good has implications for the treatment of obesity. The questionnaire used this study can be available to develop the obesity assessment sheets which is required the exploration of the characteristics of obese women and the tailored multi-disciplinary obesity management program. Moreover, the obesity assessment sheets will make a contribution to determine types of the programs that is suitable for obesity women before starting an obesity management program.

Effect of exercise interventions on sarcopenic obesity in middle-aged and older adults: a comprehensive review

  • Hye-Ryoung Kim
    • Journal of Korean Biological Nursing Science
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    • v.25 no.4
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    • pp.256-265
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    • 2023
  • Purpose: This study examined the definitions, diagnostic criteria, and measurements of sarcopenic obesity and identified effective exercise interventions that improve cardiometabolic outcomes in middle-aged and older adults, in whom the prevalence of sarcopenic obesity is increasing. Methods: This comprehensive review followed the principles of literature search, data extraction, and review, as described in the PRISMA 2009 guidelines. Results: The 11 articles included in this study presented different concepts of sarcopenic obesity. Exercise interventions for sarcopenic obesity varied in their effects. Resistance exercise improved muscle mass and physical function, while aerobic exercise primarily impacted obesity and cardiometabolic indicators. Combined exercise had mixed results across indicators. Conclusion: This study addressed a pressing public health concern in the context of an aging population, acknowledged the unique challenges of sarcopenic obesity, and attempted to clarify definitions and assessment methods, while identifying effective exercise interventions to reduce cardiometabolic risk. Sarcopenic obesity is a multifaceted condition with varying definitions and diagnostic criteria. Its association with cardiometabolic risk underscores the need for comprehensive assessments considering both muscle and obesity indicators. While exercise interventions hold promise for managing sarcopenic obesity, further research is required to establish effective strategies.

The Clinical Study on Correlation between Knee Osteoarthritis and Obesity (퇴행성 슬관절염과 비만과의 상관성에 관한 임상 연구)

  • Kang, Jung-Won;Ryu, Seong-Ryong;Seo, Byung-Kwan;Cho, Mi-Ran;Cho, Ryo-Won;Woo, Hyun-Su;Lee, Sang-Hoon;Choi, Do-Young;Kim, Keon-Sik;Lee, Doo-Ik;Lee, Yun-Ho;Lee, Jae-Dong
    • Journal of Acupuncture Research
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    • v.22 no.6
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    • pp.17-26
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    • 2005
  • Objectives : The purpose of this study is to investigate the correlation between assessment measurements of knee osteoarthritis and obesity. Methods : Data on assessment measurements of knee osteoarthritis and obesity were obtained from 63 patients suffering from knee osteoarthritis from February to April, 2005. The assessment measurements consisted of BMI (body mass index), WHR (waist-hip ratio), two disease-specific questionnaires (Western Ontario and McMaster Universities (WOMAC) index and Lequesne's Functional Severity Index (LFI)), one generic instrument (Korean Health Assessment Questionnaire (KHAQ)), and VAS (Visual Analogue Scale). Statistical correlations among assessment measurements were evaluated by examining the Pearson's correlation coefficients. Results : 1. The sexual ratio in this study was 1: 5.3 (male: female= 10: 53). The average age of all patients was $59.1{\pm}6.6$ (male: $58.3{\pm}7.1$, female: $59.2{\pm}6.5$), and the group of 60-69 (34 patients, 54%) was biggest in the age distribution. 2. The average BMI of all patients was $25.4{\pm}3.1\;kg/m^2$ (male: female= $23.6{\pm}2.6\;kg/m^2:\;25.8{\pm}3.0\;kg/m^2$), and the group of $20-25\;kg/m^2$ was biggest in the BMI distribution. According to clinical definition of obesity by WHO (1997), 52.4% of all patients was within normal weight, 42.9% was overweight, and 4.8% was obese. 3. The average WHR of all patients was $0.91{\pm}0.06$ (male: female= $0.90{\pm}0.05:\;0.92{\pm}0.06$). According to definition of abdominal obesity, 73.0% of all patients (46 patients were all female) was in the state of abdominal obesity. 4. There were no significant correlations in statistics among assessment measurements except between BMI and WHR. Conclusion : Though there is significant correlation between knee osteoarthritis and obesity according to many clinical and experimental researches, there is no assessment measurement reflecting knee osteoarthritis and obesity simultaneously. For this, further studies on correlation between knee osteoarthritis and obesity and development of assessment measurement or questionnaire on this are needed.

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A Literature Review on Sarcopenic obesity (Sarcopenic Obesity에 대한 연구 동향 고찰)

  • Park, Kyung-Moo;Song, Yun-Kyung;Lim, Hyung-Ho
    • Journal of Korean Medicine for Obesity Research
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    • v.7 no.2
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    • pp.1-14
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    • 2007
  • Objective The purpose of this study is to work on the direction of the study with regard to the sarcopenic obesity. Methods We searched articles relative to sarcopenic obesity in the KyungHee University Meta-analysis database. We classified articles according to type of study and subject clinical characteristics, assessment, medical complications and treatment. Results and Conclusion Data from this pilot study showed that sarcopenic obesity is associated with metabolic abnormality, cancer, increased frailty, physical disability and inflammatory markers. Therefore, clinical studies are needed to demonstrate the effectiveness and safety of management for sarcopenic obesity.

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