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Evaluation of Women with Myofascial Abdominal Syndrome Based on Traditional Chinese Medicine

  • Mitidieri, Andreia;Gurian, Maria Beatriz;Silva, Ana Paula;Tawasha, Kalil;Poli-Neto, Omero;Nogueira, Antonio;Reis, Francisco;Rosa-e-Silva, Julio
    • Journal of Pharmacopuncture
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    • v.18 no.4
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    • pp.26-31
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    • 2015
  • Objectives: This study used semiology based on traditional Chinese medicine (TCM) to investigate vital energy (Qi) behavior in women with abdominal myofascial pain syndrome (AMPS). Methods: Fifty women diagnosed with chronic pelvic pain (CPP) secondary to AMPS were evaluated by using a questionnaire based on the theories of "yin-yang," "zang-fu", and "five elements". We assessed the following aspects of the illness: symptomatology; specific location of myofascial trigger points (MTrPs); onset, cause, duration and frequency of symptoms; and patient and family history. The patients tongues, lips, skin colors, and tones of speech were examined. Patients were questioned on various aspects related to breathing, sweating, sleep quality, emotions, and preferences related to color, food, flavors, and weather or seasons. Thirst, gastrointestinal dysfunction, excreta (feces and urine), menstrual cycle, the five senses, and characteristic pain symptoms related to headache, musculoskeletal pain, abdomen, and chest were also investigated. Results: Patients were between 22 and 56 years old, and most were married (78%), possessed a elementary school (66%), and had one or two children (76%). The mean body mass index and body fat were 26.86 kg/cm2 (range: 17.7 - 39.0) and 32.4% (range: 10.7 - 45.7), respectively. A large majority of women (96%) exhibited alterations in the kidney meridian, and 98% had an altered gallbladder meridian. We observed major changes in the kidney and the gallbladder Qi meridians in 76% and 62% of patients, respectively. Five of the twelve meridians analyzed exhibited Qi patterns similar to pelvic innervation Qi and meridians, indicating that the paths of some of these meridians were directly related to innervation of the pelvic floor and abdominal region. Conclusion: The women in this study showed changes in the behavior of the energy meridians, and the paths of some of the meridians were directly related to innervation of the pelvic floor and abdominal region.

A Study on the Serum Lipid, Apolipoprotein Levels and Their Correlations in Healthy Adults of Gyeongnam Area (경남지역 중${\cdot}$장년층의 혈청지질, 아포지단백질의 농도 및 상호관련성에 관한 연구)

  • Lee, Hoe-Seon;Park, Mi-Young;Kim, Gyeong-Eup;Cheong, Hyo-Sook;Kim, Sung-Hee
    • Journal of Nutrition and Health
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    • v.40 no.6
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    • pp.526-530
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    • 2007
  • The purpose of this study was investigating serum lipid, apolipoprotein levels and their correlations in healthy adults of Gyeongnam area. The BMI (body mass index) was significantly higher (p < 0.001) in male (25.2 ${\pm}$ 2.7 $kg/m^2$) than female (23.8 ${\pm}$ 1.5 $kg/m^2$), however PBF (percent body fat) was significantly higher (p < 0.001) in female (29.6 ${\pm}$ 4.3%) than male (22.7 ${\pm}$ 5.0%). The WHR (waist to hip ratio) and blood pressure in the groups showed there was no significant differences. The levels of serum total cholesterol, LDL-cholesterol and apolipoprotein B were significantly higher (p < 0.01) in male (208.7 ${\pm}$ 27.7 mg/dl, 129.0 ${\pm}$ 26.9 mg/dl, 1.0 ${\pm}$ 0.2 g/L) than female (193.6 ${\pm}$ 29.1 mg/dl, 112.5 ${\pm}$ 29.5 mg/dl, 0.9 ${\pm}$ 0.2 g/L, but HDL-cholesterol level was significantly higher (p < 0.01) in female (54.9 ${\pm}$ 6.6 mg/dl) than male (49.9 ${\pm}$ 7.3 mg/dl). The LDL-C/HDL-C, Apo B/Apo A-I and AI (atherogenic index) were significantly higher (p < 0.001) in male (2.6 ${\pm}$ 0.6, 0.8 ${\pm}$ 0.2, 3.3 ${\pm}$ 0.7) than female (2.1 ${\pm}$ 0.5, 0.6 ${\pm}$ 0.2, 2.6 ${\pm}$ 0.5). The triglyceride level was positively correlated with apolipoprotein B concentration (p < 0.05) and negatively correlated with HDL-cholesterol concentration (p < 0.05), however no significant correlation was found with apolipoprotein A-I. According to these results, we conclude that male adults are expecting higher incidence of cardiovascular disease than female adults and we suggest the serum triglyceride should be kept normal level for the prevention of these diseases.

Effects of a Pueraria lobata-root based combination supplement containing Rehmannia glutinosa and aerobic exercise on improvement of metabolic dysfunctions in ovariectomized rats (갱년기 모델 유도 흰 쥐에서 갈근과 지황 복합물 및 유산소 운동이 대사이상 개선에 미치는 영향)

  • Oh, Sang A;Ok, Hyang Mok;Kim, Hye Jin;Lee, Won Jun;Kwon, Oran
    • Journal of Nutrition and Health
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    • v.48 no.2
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    • pp.133-139
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    • 2015
  • Purpose: There is a fair amount of evidence indicating that increased risk of obesity and insulin resistance is associated with postmenopausal state, but can be modulated by diet and exercise. In this study, we explored whether a Pueraria lobata root-based supplement containing Rehmannia glutinosa (PR) and/or aerobic treadmill exercise can modify the metabolic changes associated with estrogen deficiency. Methods: Seventy rats were randomly assigned to the following groups for 8 weeks (n=10 per group): SHAM, sham-operated; PR0, ovariectomized (OVX) control; PR200, OVX with PR200 mg/kg B.W; PR400, OVX with PR400 mg/kg B.W; EPR0, OVX with exercise; EPR200, OVX with exercise and PR200 mg/kg B.W; EPR400, OVX with exercise and PR400 mg/kg B.W. Results: OVX induced significant increases in body weight, food intake, fat mass, LDL-cholesterol, and fasting blood glucose, confirming induction of menopausal symptoms. PR supplementation or exercise significantly suppressed the above mentioned changes through different regulatory elements in adipose tissue: PR supplement upregulated adiponectin gene expression and aerobic exercise upregulated adiponectin and insulin receptor gene expression and a combination of PR supplement and aerobic exercise showed an additive effect on adiponectin gene expression. Conclusion: Taken together, the results of this study suggest that PR supplement has a potential to provide health benefits in OVX rats through leptin and adiponectin secretion. In addition, the data suggest that combination of exercise and PR would have additive effects on metabolic dysfunction associated with estrogen deficiency.

Comparison of Nutritional and Physical Status according to the Residental Type among College Women in Seoul Women's University and Sahmyook University (삼육대 및 서울여대 재학 중인 일부 여대생의 거주형태에 따른 영양섭취상태 및 신체계측 비교 연구)

  • Choi, Kyung-Soon;Shin, Kyung-Ok;Huh, Seon-Min;Chung, Keun-Hee
    • Journal of Nutrition and Health
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    • v.43 no.1
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    • pp.86-96
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    • 2010
  • This study was conducted to investigate the effects of residence types ((1) parent house, (2) dormitory or boarding home, (3) boarding home w/o food) on the dietary habits and health status of college women (20-23 y). Overall, 46.1% of college women reported that they were economically middle class and spent 200,000-390,000 won. Additionally, 17.4% of college women considered themselves healthy, while 33.8% reported that they were not healthy. Furthermore, 32.0% of college women had experience to control their weight and 39.8% reported that they exercised to control their weight. There were no significant differences in the height and weight of the subjects according to residential type, but the amount of skeletal muscles mass ($21.0\;{\pm}\;2.6\;kg$) of the subjects that lived in dormitory or boarding home was significantly higher (p < 0.05) than that of women who lived at home. Additionally, 30.8% of students that lived in private residences, 25.0% of students that dwelled in dormitory or boarding homes and 27.7% of students that boarding home w/o food had three regular meals every day (p < 0.05). It has been reported that 18.3% of college students eat processed and instant foods due to their convenience. In the present study, intakes of energy, protein, fat, vitamin A, vitamin $B_1$, vitamin $B_2$, vitamin $B_6$, niacin, vitamin C, vitamin E and folic acid for the subjects who lived in dormitory or boarding homes was significantly higher than those of students who lived in private residences (p < 0.05). Additionally, intakes of iron, calcium, and zinc were lower in the subjects that boarding home w/o food (p < 0.05). Finally, the blood glucose level was $84.7\;{\pm}\;13.0\;mg/dL$, and differed significantly by residential types (p < 0.05); however, the average glucose levels of all subjects were within the normal range (90-110 mg/dL).

Present status of Kochujang, a fermented hot pepper soybean paste, and its globalization (고추장 산업의 현황과 세계화 제안)

  • Shin, Dong-Hwa
    • Proceedings of the Korean Society of Postharvest Science and Technology of Agricultural Products Conference
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    • 2005.09a
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    • pp.1-23
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    • 2005
  • Kochujang, a fermented hot pepper soybean paste, is a spicy condiment mixed with red pepper, boiled rice and mold fermented soybean (as koji) which is then fermented for several months. It has unique taste of hot, sweet, salty and savory flavor by all mixed ingredients by fermentation, and is one of most famous Korean traditional foods. The scale of the kochujang industry is about 200 billion won in Korea, and 7.8 million dollars and 4,500 tons in exports. Although it is still not a large part of the food industry in Korea, the scale of soy products will increase because it is a major subsidiary food in our dietary life and has grown from a homemade to a mass produced product. Kochujang has the largest market in the scale of sales among fermented soybean products and has merit because of its domestic base and its ability to grow to an international market due to its unique fermented taste. In order to make kochujang an international food, it Is necessary to study the scientific development of kochujang and the diversity of products using kochujang that are fitted to the taste of people around the world. In addition, participation in various exhibitions and food fairs supported by the government should help to promote kochujang throughout the world. In addition, these should be actively supported by the related businesses. Red pepper, a major ingredient in kochujang, has been widely studied and shown to have a positive effect on the reduction of fat, on the strengthening of the immune system, and on active biological functions. A fermented spice like kochujang has been shown to be beneficial for the body due to the process of fermentation rather than from the red pepper itself. If we prove the various biological functions of kochujang with a particular taste and flavor, it will energize a new market. It is necessary for business to make a continuous effort supported fly the scientific world and by government policy, in order to introduce this traditional food to the world. In the present day, the kochujang market is now on a firm basis and has been activated in the field of its study. Now, it is possible to achieve the birth of a secondary international market by concentrating on these efforts.

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Analysis of Dietary Characteristics of Participants Attending the Nutrition Education Program for Hypertensive Patients at a Public Health Center (보건소 고혈압 영양교육 참여자의 식생활 요인 분석)

  • Im, Gyeong-Suk;Han, Mun-Hwa;Gang, Yong-Hwa;Park, Hyei-Ryeon;Kim, Chan-Ho
    • Journal of the Korean Dietetic Association
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    • v.6 no.2
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    • pp.125-135
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    • 2000
  • Hypertension is a well-known degenerative disease whose prevalence rate increases with age. Management of high blood pressure is a critical concern in preventive strategies to reduce the morbidity and mortality for cardiovascular disease. The purpose of this study was to examine the dietary characteristics of hypertensive program participants, and to establish strategies based on their nutritional needs. Hypertensive patients were enrolled in the program in a public health center or in a local elderly center, at Suwon, in 1999-2000. Trained dietitians interviewed 62 enrollees(24-hour recall) and related variables. Mean body mass index of the subjects was 25.0kg/m². 30.7% of the subjects had a family history of hypertension. The majority of them ate regularly and partook of all available side dishes. They consumed grains and vegetables regularly, but seldom ate dairy products or food prepared with oil. Male enrollees frequently consumed more processed food and animal fat than did female enrollees(p<0.05). An analysis of the percentage of RDA(Recommended Dietary Allowances of Korea 1995) showed that but for ascorbic acid, enrollees consumed nutrients below the RDA. The food group intake pattern was not diverse, thus only 8.1% of enrollees consumed all food groups in a day. An analysis of eating attitude showed that 64.5% of enrollees always added salt to beef soup. Male enrollees showed low food-related self-efficacy compared to female enrollees, especially with reference to reduction of instant food intake(p<0.01), increase in vegetable intake(p<0.01), reduction of monosodium glutamate(MSG) intake(p<0.01). and not overeating(p<0.05). Their perceived barriers for participating in hypertension nutrition programs included lack of time, program necessity non-recognition, and program comprehension difficulty. These results suggest that nutrition education program necessity non-recognition, and program comprehension difficulty. These results suggest that nutrition education programs for community hypertensive patients should focus on increasing participant consumption of foods, expecially dairy products, and desirable eating attitudes. It also suggests that the program should consider should consider encouraging self-efficacy in changing eating behavior.

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The study on the level of concern with nutritional knowledge and food intake according to increasing age and the mode of food life (연령증가에 따른 영양지식 관심도와 식품섭취 및 식생활 양상에 관한 연구)

  • 김이수
    • Culinary science and hospitality research
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    • v.7 no.3
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    • pp.295-317
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    • 2001
  • This study divided people into the age groups of their twenties, thirties, forties and more than fifties and multilaterally examined their nutritional knowledge and mode and attitude of food intake in order to survey the effects that the level of concern with nutritional knowledge according to age has on the mode of food life with a sample of women in more than their twenties who live in the region of Seoul. If I examine the general characteristics of those who are surveyed, in age their twenties accounted for the most part of 34.6 percent, and in educational background people who did not graduate from high schools accounted for 58.6 percent and jobless people 55.9 percent and there were many people whose standard of living was thought to be in a middle level, and in the income of home, people with less than two million Won were universal, and in physical condition an average case accounted for 37.8 percent, but the case that most of people were fat(49.1%) was characterized by more than a thin case(13.1%,). In the object of survey the case of being nutritionally reeducated was as 76.1% higher than the case of not doing so, but the necessity for nutritional education was not felt by 62.7%, and statistical significance was indicated according to age (p<.001***) and in the sources of nutritional knowledge mass media accounted for 49.3%. The knowledge about nutrition was well known as a whole and in evaluating nutritional knowledge, top group accounted for 75.4% and evaluating scores according to age showed differences, but had no statistical significance. As a result of surveying the actual condition of food intake and food habit, those who are surveyed was surveyed to observe the quantity of a meal (31.9%) best, and they were revealed in the order of 30.5%, of taking in fruits and 28.3%, of having meals regularly. In particular, in the regularity of meals, statistical significance according to age(P<.001***) was indicated by their fifties accounting for 38.7% and their twenties 10.9%. In food habit, regardless of age, the case of taking in marine algae for 0 to two days indicated 53.7% and the case of faking in greeny yellow vegetables 52.0%, and we could see that modern people evade the kind of vegetables, and in the scores of evaluating food habit a middle group accounted for 57.3% and as age increases, the group of higher age showed more desirable mode of food life than the one of lower age, showing statistical significance(p<.01**).

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Evaluation of Nutritional Deficit Status in Hemodialysis Patients' Based on Usual Dietary Intake, Anthropometric and Biochemical Parameters (일상식이섭취상태와 신체계측 및 혈액화학적 영양지표에 의한 혈액투석 환자의 영양결핍상태 평가)

  • Sohng Kyeong-Yae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.1
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    • pp.68-80
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    • 1996
  • Long-term hemodialysis(HD) patients manifest various signs of protein and caloric malutrition due to poor intake of nutrients and other causes. Poor nutritional status increases the mortality and morbidity rates in HD patients. Thus, mataintnance of adequate nutritional status has been a major task in taking care of patients receiving HD. This study was to evaluate the nutritional status of HD patients and to clarify the degree of nutritional deficit based on usual dietary intake, anthropometric and biochemical indicators. Sixty HD patients comprised a HD group, while the control group consisted of 60 healthy adults whose age and sex matched those of the HD group. Nutritional status was evaluated by dietrary intake using instant nutritional scale, anthropometric measures, serum protein concentrations and the number of lymphocytes. The data were analyzed by using Chi-square test and unpaired t-test. The results are as follows. 1. Regarding usual dietary intake of HD group. 1) Estimated caloric intake was significantly lower than the recommended daily allowance(RDA) and among them, 35% were taking calories less than 85% of the RDA. 2) Estimated protein intake was significantly higher than the RDA and among them 40% were taking protein more than 115% of the RDA. 3) Estimated fat intake was lower than the RDA. 4) Vitamin A, B, $B_1,\;B_2$, C and niacin in take was lower than the RDA respectively. 5) Estimated ferrous intake was within the normal limit the RDA while estimated calcium intake was higher than the RDA. 6) Both calorie and protein intake were higher for the 10 patients who had been under continuous ambulatory peritoneal dialysis than for the patients under HD from the beginning. 2. Regarding anthropometric measures : 1) Body mass index(BMI), midarm circumference(MAC), and triceps skinfold thickness(TSF) were lower in the HD group than in the control group. 2) Among HD group, 47.1% were within the normal limit of BMI, while 86.7% were within the same limit in the control group. 3) Among HD group, 35.0% were within the normal limit of MAC, while 83.3% were within the same limit in the control group. 4) Among HD group, only 8.3% were normal, 30.3% were mild deficit status of TSF, while 50% were normal and 48.3% were mild deficit status in the control group. 3. Regarding biochemical laboratory tests 1) Albumin, transferrin concentrations and the number of lymphocytes were lower in HD group than in the control group. 2) Among HD group, 98.3% were within the normal limit of albumin concentration and all were within the same limit in the control group. 3) Among HD group, only 11.7% were within the normal limit of transferrin concentration, while 81.7% were within the same limit in the control group. 4) Among HD group, 25% were within the normal limit, while 93.3% were within the same limit in the control group. The above findings suggest that HD patients were in nutritional deficit status. Adequate diet therapy and periodical evaluation of the nutritional status in HD patients are needed. Accordingly, it turned out that anthropometric measures were very reliable parameters and easy to use to evaluate nutritional status. So nurses are encouraged to adopt anthropometric measures to examine nutritional deficit status of HD patients.

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Study on the Physique Status and Eating Disorder Behavior among High School Students in Daejeon (대전시에 거주하는 남ㆍ녀 고등학생의 체격지수 평가 및 섭식 장애 행동 분석)

  • Kim Jung-Hyun
    • Journal of Korean Home Economics Education Association
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    • v.16 no.3
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    • pp.115-129
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    • 2004
  • We investigated the prevalence of eating disorder risk group and its relationship with Physique status and eating behavior among high school students in Daejeon. In May - June 2002, 350 students were sampled from 6 high schools in Daejeon by multi-stage cluster sampling and assessed with self-completing questionnaires. We used the Korean version of Eating Attitude test(EAT-26) to screen eating disorder risk group. and other instruments to screen physique status and eating behavior. The response rate was 91%(total 320) and numbers of female students were 167(52.2%) and male students were 153(47.8%). Average age was 16.0${\pm}$0.35 years, and average body-mass index(BMI) and PIBW(Percent Ideal Body Weight) were 20.9${\pm}$3.3 Kg/m2 and 102${\pm}$4.2% in male students, 20.2${\pm}$3.7 Kg/m2 and 98${\pm}$7.2% in female students(p<0.0001). Over 50% of the subjects were dissatisfied with their body shape; the degree of dissatisfaction with body shape was higher in those who believed themselves to be fat. Mean score of EAT-26 was higher in female students (10.78${\pm}$7.36) than male students(6.07${\pm}$4.39)(p<0.0001). The prevalence of high risk eating disorder group was 2.6% in male students, 11.4% in female students(p<0.0001). Eating behavior was better in female students than male(p<0.0001). Eating behavior was significantly higher in eating disorder risk group in both sex. Therefore eating disorder symptomatology was highly prevalent among high school students in Daejeon. And this symptomatology has a more close relationship with physique status and eating behavior in female students.

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Accuracy of Electronic Pedometers to Assess Body Fatness in Obese Children and Youth (비만 어린이와 청소년들의 체지방 평가를 위한 electronic pedometer 의 정확성 분석)

  • Kim, Do-Yeon
    • Journal of Life Science
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    • v.19 no.10
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    • pp.1368-1373
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    • 2009
  • The purpose of this study was to assess the influence of waist size on the reliability and validity of pedometers to count steps in children and youth. The participants for this study were 20 children and youth, composed of 14 Hispanic and 6 Caucasian children. Ten children and youth had waist circumferences greater than the $85^{th}$ percentile (Body Mass Index (BMI)=$28.91\pm3.07$), and 10 children and youth had waist circumferences smaller than the $50^{th}$ percentile (BMI=$18.05\pm1.55$). To examine pedometer reliability, each child completed 3 ascent and descent trials up a set of 15 stairs while wearing a Yamax SW-701 pedometer. The main effect of trials was not statistically significant for the stair ascent trials F (2, 36)=2.575 or for the descent trials F (2, 36)=0.235. The trial by group interaction was also not statistically significant. To examine the influence of waist circumference on the validity of the pedometer in counting walking steps at a self-selected walking pace, the children and youth in the two groups completed a 400-m course. The main effect on the groups was statistically significant, F (1, 18)=7.489. The main effect of counting techniques was not statistically significant, F (1, 18)=2.983 (hand-counted vs. pedometer counted). Overall, the trial and trial by group interaction comparisons for the 400-m walk were not statistically significant, suggesting that the pedometer was equally valid as a tool for assessing walking steps in high waist circumference (HWC) and low waist circumference (LWC) in children and youth.