• Title/Summary/Keyword: obesity

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Management of Chronic Kidney Disease in Obesity Patients (비만환자의 만성콩팥병 관리)

  • Han, Kunhee
    • Archives of Obesity and Metabolism
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    • v.1 no.2
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    • pp.66-73
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    • 2022
  • Obesity is an increasing public health and medical issue worldwide. It has been associated with several comorbidities, including diabetes, cardiovascular disease, stroke, and cancer. Chronic kidney disease (CKD) is another important comorbidity of obesity. Other major causes of CKD include hypertension and diabetes. However, the association between obesity and CKD is often overlooked. Among patients with CKD, patients with obesity were more vulnerable to have rapid kidney function decline than that of those with normal weight. Additionally, CKD is more prevalent among patients with obesity. These aggravations are induced through multiple mechanisms, specifically metabolic impairment of obesity and mechanical burden because of increasing intraabdominal renal pressure. Furthermore, the inflammation and lipotoxicity, caused by obesity, are critical in the CKD aggravation in patients with obesity. To prevent this, all adult patients with obesity are tested for CKD. The workup includes the estimated glomerular filtration rate and regular follow-up. Step-wise management is required for patients with obesity with CKD. Prompt reduction and management of obesity effectively delay CKD progression among patients with obesity and CKD. Therefore, weight loss is a core management for patients with obesity and CKD. Based on several studies, this article focused on the association between CKD and obesity, as well as the diagnosis and weight management of patients with obesity and CKD.

Relationship between Alcohol Drinking Patterns and Obesity and Abdominal Obesity in Korean Adult Men (한국 성인 남성의 음주패턴과 비만과의 관련성)

  • Kim, Bo Young;Lee, Eun Sook
    • Journal of Korean Public Health Nursing
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    • v.31 no.3
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    • pp.478-491
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    • 2017
  • Purpose: This study was conducted to determine whether alcohol drinking patterns (drinking frequency, drinking quantity, binge drinking frequency and risk drinking) were related to obesity and abdominal obesity. Methods: A total of 6,749 adult men from the sixth Korea National Health and Nutrition Examination Survey were evaluated. Multivariate logistic regression analyses were employed to determine if obesity and abdominal obesity was associated with alcohol consumption patterns after adjusting for covariates. Results: No relationship was observed between drinking frequency and obesity. The odds ratio vs. nondrinkers for obesity was significantly low for individuals who consumed 5 to 6 drinks per typical occasion and monthly binge drinking. However ${\geq}7$ drinks per typical occasion resulted in a significantly higher odds for obesity relative to nondrinkers. The odds ratio vs. nondrinkers for abdominal obesity was significantly lower in response to monthly binge drinking, whereas ${\geq}10$ drinks per typical occasion and daily binge drinking resulted in significantly higher odds for abdominal obesity. Risk drinking had higher odds for abdominal obesity than non-risk drinking. Conclusion: Although moderate alcohol drinkers have a lower prevalence of obesity and abdominal obesity than nondrinkers, higher drinking quantity and frequent binge drinking are indicators of a higher prevalence of obesity and abdominal obesity in men.

Influential Factors of Difference between Actual Obesity and Perceptional Obesity among Korean Adolescents (청소년의 실제 비만도와 인지된 비만도 차이에 영향을 주는 요인)

  • Nam, Su-Jung;Park, Jong-Ho
    • Korean Journal of Human Ecology
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    • v.24 no.5
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    • pp.701-712
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    • 2015
  • This study analyses "Survey of Health and Behavior of Children and Adolescents" which is conducted by National Youth Policy Institute that investigated influential factors in difference between actual obesity and perceptional obesity. GLM (Generalized Linear Mode) was carried out to estimate the effects on the eating habits and physical activities and multinomial logit analysis was carried out to examine the influential factors in difference between actual, obesity and perceptional obesity. The results of this study are shown as follows. First 72.0% of total respondents showed the congruence between actual obesity and perceptional obesity and 24.6% of total respondents perceived them fatter than actual. The remaining 3.5% perceived them thinner than actual. Second, the main effects of actual obesity and perceptional obesity on eating habits were statistically significant, but interaction effect between them was not statistically significant. The main effects of actual obesity and perceptional obesity on physical activities and interaction effect between them were all statistically significant. Third, the influential factors in difference between actual obesity and perceptional obesity were gender, age, school record, education of parents, subjective economic status, and living together with family.

Research trends in obesity & obesogenic environments in Korea

  • Lee, Myoungsook
    • Nutrition Research and Practice
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    • v.13 no.6
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    • pp.461-472
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    • 2019
  • BACKGROUND/OBJECTIVES: Globally, it has been projected that there will be 2 billion overweight and 1 billion obese individuals by 2030. In Korea, the prevalence of adult obesity (BMI > 25) increased from 29.7% in 2009 to 32.4% in 2015. Moreover, childhood obesity, which leads to adulthood obesity, has increasingly become a social problem. The purpose of this review is to summarize the scientific basis for the development of effective models and policies aimed at preventing obesity over a lifetime based on research modeling obesogenic environments. MATERIALS/METHODS: The review focuses on the characteristics of obesity prevalence and trends in 3P analysis (papers, patents, and products) as well as government-funded projects in Korean obesity obesogenic environments over the last 10 years. RESULTS AND DISCUSSION: As a result of the 3P analysis, studies on obesity risk factors were frequently carried out, according to two data bases RISS (4.9%) and PubMed (24.7%). Since there were only 17% patents related to the mechanism of preventing obesity in 7,951 Korean patents related to obesity, new paradigms of technologies to dominate the global obesity markets are needed. After government-funded projects were analyzed, communication and cooperation in multi-governmental departments were suggested to elucidate the characteristics of Korean obesity. Government should also produce short- and long-term road maps to develop a practical, successful outcome. Although the rate of obesity in Korea is currently lower than in other developed countries according to WHO criteria, without adequate governmental intervention, obesity rates will approach those of the top countries with high incidence rates of obesity within the next 10 years.

The Influence of Disability on Prevalence of Obesity at Each Stage: Considering Severity and Type of Disability (장애가 비만 단계별 유병률에 미치는 영향: 장애중증도, 장애유형을 고려하여)

  • Jeong, Jae Yeon;Koo, Jun Hyuk;Shin, Eui Chul;Lee, Hae Jong
    • Health Policy and Management
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    • v.30 no.3
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    • pp.345-354
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    • 2020
  • Background: This study purposed to examine the difference in the prevalence of obesity at each stage among people with and without disabilities considering the severity and type of disability. Methods: The study targeted a total of 1,315,967 people, including 68,418 disabled and 1,247,549 non-disabled, who completed the national health screenings. Logistic analysis and average marginal effect analysis were conducted in three stages (pre-obesity, obesity, severe obesity). Those analyses were conducted considering the severity and type of disabilities. Results: People with disabilities were more likely to be at all stages of obesity than non-disabled people. In severely disabled people, the probability of obesity was higher than non-disabled people at all stages of obesity, but mildly disabled people had a higher only in the severe obesity stage, no difference in obesity stage, and a low in the pre-obesity stage. In physical and mental disabilities, the probability of obesity was higher than non-disabled people at all stages of obesity, but external physical function and internal organs disabled had a lower in the obesity and pre-obesity stage, and no difference in severe obesity stage. Conclusion: This study found that people with disabilities had a higher relationship with obesity than people without disabilities. In addition, severity and types of disabilities have different effects on the stage of obesity. Therefore, it is necessary to care about the health inequality and health of disabled people considering their severity and types of disabilities.

The Mediating Effects of Obesity Perception on the Relationship between the Mother's Psychological Control and the Obese Child's Obesity Stress (아동이 지각한 어머니의 심리통제가 비만아동의 비만스트레스에 미치는 영향에 대한 비만지각의 매개효과)

  • Oh, Soo-Jeong;Han, Eu-Gene
    • Journal of Families and Better Life
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    • v.26 no.4
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    • pp.119-133
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    • 2008
  • The purpose of this study is to investigate the mediating effects of obesity perception in the relationship between the mother's psychological control and the child's obesity stress. Questionnaires regarding the mother's psychological control, obesity perception and the child's obesity stress were administered to 1200 4th and 6th grade elementary school students in the province of Seoul, South Korea. Finally 1006 questionnaires were collected and statistically analyzed through Cronbach's, t-test, multiple linear regression analysis and stepwise regression. The main results of the study were as follows: 1) There were difference between the effects of the mother's psychological control, obesity perception, and child's obesity stress in terms of the sex, grade and obesity level of the child. 2) The mother's psychological control, obesity perception, and obesity level had an effect on the child's obesity stress. 3) As the result of searching for the mediating effects of obesity perception in the relationship between the mother's psychological control and the child's obesity stress.

Relation between Obesity Pattern Identification and Metabolic Parameters in Overweight and Obese Women (과체중 및 비만 여성에서 한방비만변증에 따른 체성분 및 대사관련 지표의 상관성)

  • Song, Miyoung;Kim, Hojun;Lee, Myeong-Jong
    • Journal of Korean Medicine for Obesity Research
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    • v.14 no.1
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    • pp.24-28
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    • 2014
  • Objectives: We conducted this study to analysis obesity pattern and obesity related blood parameters. Methods: A total of 64 overweight and obese (body mass index [BMI] ${\geq}23cm/kg^2$) women who had no other disease was recruited. Body composition and obesity related blood parameters were measured. Also subjects were given and filled out the Obesity pattern identification questionnaire. We analyzed the differences of body composition and blood parameters and measured correlations of BMI and blood parameters in each obesity pattern. Results: The distribution of obesity pattern was liver depression (35.6%), food accumulation (47.5%) and deficiency (pi and yang deficiency, 22.0%), in order. There were no significant differences age, body composition and obesity related blood parameters between obesity patterns. BMI and obesity related blood parameters, however, showed significant correlations depending on obesity patterns. Conclusions: We concluded that correlations between BMI and obesity related blood parameters were differed depending on obesity patterns.

The Effect of Long Coronavirus Disease on Obesity and the Role of Korean Medicine (롱코비드가 비만에 미치는 영향과 그에 대한 한의학의 역할)

  • Han, Kyungsun;Kim, Myung-Ho
    • Journal of Korean Medicine for Obesity Research
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    • v.22 no.1
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    • pp.77-85
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    • 2022
  • While the Coronavirus disease 2019 (COVID-19) pandemic is gradually turning into an endemic disease, concerns about post COVID-19 conditions (Long COVID) are emerging. Obesity is a major risk factor for severe complications of COVID-19, and COVID-19 has a wide range of effects on obesity and metabolic function. This paper aims to examine the interaction between COVID-19 and obesity, the effects and mechanisms of long COVID on obesity, and the role of Korean medicine on long COVID-related obesity. Obesity may worsen with cardiometabolic damage and psychosocial insecurity during COVID-19 and long COVID-induced neuroinflammation, systemic inflammation, mitochondrial dysfunction, and hypoxia also may aggravate obesity. Korean Medicine treatments, which have been widely used to treat obesity, have the potential to improve obesity in the era of long COVID by intervening in these mechanisms.

A Review of Childhood Obesity (아동비만에 관한 고찰)

  • Shin, Yeong-Hee
    • Child Health Nursing Research
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    • v.11 no.2
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    • pp.240-245
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    • 2005
  • The problem of childhood obesity is accelerating throughout the world. Korea is no longer an exception to this problem. The following topics are discussed in this review article: 1) the linkage between childhood obesity and adult obesity, which is often associated with metabolic diseases such as type2 diabetes, hypertension, cardiovascular diseases, and certain cancers; 2) characteristics of childhood obesity; 3) measurement of obesity and its unique problem; 4) recent trends in interventions for childhood obesity. Lastly, the author points out that nurses are best suited for carrying out interventions to prevent obesity in childhood. As childhood obesity is a risk factor for persistence of obesity into adulthood, the need to consider the priority of prevention of obesity during childhood is emphasized in this review.

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Associations among the Degree of Nonalcoholic Fatty Liver Disease, Metabolic Syndrome, Degree of Obesity in Children, and Parental Obesity

  • Oh, Min-Su;Kim, Sorina;Jang, Joon-Hyuck;Park, Jong Yoon;Kang, Hyun-Sik;Lee, Mu Sook;Kang, Ki Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.3
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    • pp.199-206
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    • 2016
  • Purpose: To analyze the associations among the degrees of nonalcoholic fatty liver disease (NAFLD) by ultrasonography and metabolic syndrome, degrees of obesity in children, and degrees of parental obesity. Methods: A total of 198 children with obesity who visited a pediatric obesity clinic were prospectively enrolled in this study. The severity of NAFLD based on ultrasonography was classified into no, mild, moderate, or severe NAFLD group. The degree of obesity based on the percentage over standard weight for height per sex was classified into mild, moderate, or severe. Results: Of 132 patients evaluated for the degree of NAFLD and metabolic syndrome, the p-value of correlation between the two factors was 0.009. Therefore, metabolic syndrome might significantly affect the degree of NAFLD. Of 158 patients evaluated for the degree of NAFLD and the degree of obesity, the p-value of correlation between the two factors was 0.122. Of 154 patients evaluated for the degree of obesity and father's obesity, the p-value was 0.076. Of 159 patients evaluated for the degree of obesity and mother's obesity, the p-value was 0.000, indicating that mother's obesity could significantly affect the degree of obesity in children. Of 142 patients evaluated for the degree of obesity and metabolic syndrome, the p-value was 0.288. Conclusion: Metabolic syndrome might significantly affect the degree of nonalcoholic fatty liver in children. In addition, mother's obesity might be a significant factor that affects the degree of obesity in children.