비만 성인에서 복부 내장지방과 단순 비만 지표와의 연관성 연구

유진숙 ( Jin Sook Yoo ),송윤경 ( Yun Kyung Song ),임형호 ( Hyung Ho Lim ) 한방재활의학과학회 2010 한방재활의학과학회지 Vol.20 No.2

Objectives: This study examined search on how the obesity indices, that are largely used in clinics such as waist circumference(WC), body mass index(BMI) and waist-hip ratio(WHR), are related to the visceral fat that was measured from abdominal computed tomography(CT) and the ratio of visceral fat/subcutaneous fat. Then, two groups were compared in order to find out which characteristics of ordinary adults relationship with the abdominal obesity. Two groups are divided as follows; ones who are obese based on the measurement of WC and the others who are obese based on the level of BMI. Methods :A group of 63 test subjects that were gathered in the oriental medical hospital of Kyung-Won university is divided into two groups; ones (n=51, general obesity; group A) who have BMI≥25 and WC≥85, and the others (n=12, abdominal obesity; group B) who have BMI<25 and WC≥85. Then, each group’s obesity indices, abdominal CT, lipid level, glucose, adiponectin, leptin and C-reactive protein(CRP) are compared. In addition, subjects are again divided into two to examine the characteristics; ones (n=14, visceral obesity; group C) with visceral obesity based on the ratio between visceral fat and subcutaneous fat measured through abdominal CT, and the others (n=38, non-visceral obesity; group D) who are obese but not viscerally obese. Results & Conclusions :As a measurement that applies abdominal visceral fat and subcutaneous fat, BMI and WC can be considered as an appropriate obesity index while WHR cannot appropriately apply the abdominal fat amount. Moreover, the study indicates that abdominal obesity group based on the ratio of visceral fat/subcutaneous fat has more significant difference than the abdominal obesity group based on the WC in case of blood lipid index.

Obesity in Children and Adolescents: 2022 Update of Clinical Practice Guidelines for Obesity by the Korean Society for the Study of Obesity

강은구,홍용희,김재현,정소정,김경곤,함지희,김범택,김은미,박정환,이상열,강지현,이영준 대한비만학회 2024 Journal of obesity & metabolic syndrome Vol.33 No.1

The prevalence of obesity in children and adolescents has been gradually increasing in recent years and has become a major health problem. Childhood obesity can readily progress to adult obesity. It is associated with obesity-related comorbidities, such as type 2 diabetes mellitus, hypertension, obstructive sleep apnea, non-alcoholic fatty liver disease, and the risk factor for cardiovascular disease. It is important to make an accurate assessment of overweight and obesity in children and adolescents with consideration of growth and development. Childhood obesity can then be prevented and treated using an appropriate treatment goal and safe and effective treatment strategies. This article summarizes the clinical practice guidelines for obesity in children and adolescents that are included in the 8th edition of the Clinical Practice Guidelines for Obesity of the Korean Society for the Study of Obesity.

Obesity, obesity-related diseases and application of animal model in obesity research An overview

( Byung Sung Park ),( N K Singh ),( Am M T Reza ) 한국유화학회 2013 한국응용과학기술학회지 Vol.30 No.4

The multi-origin of obesity and its associated diseases made it’s a complex area of biomedical science research and severe health disorder. From the 1970s to onwards this health problem turned to an epidemic without having any report of declining yet and it created a red alert to the health sector. Meanwhile, many animal models have been developed to study the lethal effect of obesity. In consequence, many drugs, therapies and strategies have already been adopted based on the findings of those animal models. However, many complicated things based on molecular and generic mechanism has not been clarified to the date. Thus, it is important to develop a need based animal model for the better understanding and strategic planning to eliminate/avoid the obesity disorder. Therefore, the present review would unveil the pros and cons of presently established animal models for obesity research. In addition, it would indicate the required turning direction for further obesity and obesity based disease research.

Association Between the Persistence of Obesity and the Risk of Gastric Cancer: A Nationwide Population-Based Study

임주현,신철민,한경도,이승우,진은효,최윤진,윤혁,박영수,김나영,이동호 대한암학회 2022 Cancer Research and Treatment Vol.54 No.1

Purpose There remains controversy about relationship between obesity and gastric cancer. We aimed to examine the association using obesity-persistence. Materials and Methods We analyzed a nationwide population-based cohort which underwent health check-up between 2009 and 2012. Among them, those who had annual examinations during the last 5 years were selected. Gastric cancer risk was compared between those without obesity during the 5 years (never-obesity group) and those with obesity diagnosis during the 5 years (non-persistent obesity group; persistent obesity group). Results Among 2,757,017 individuals, 13,441 developed gastric cancer after median 6.78 years of follow-up. Gastric cancer risk was the highest in persistent obesity group (incidence rate [IR], 0.89/1,000 person-years; hazard ratio [HR], 1.197; 95% confidence interval [CI], 1.117 to 1.284), followed by non-persistent obesity group (IR, 0.83/1,000 person-years; HR, 1.113; 95% CI, 1.056 to 1.172) compared with never-obesity group. In subgroup analysis, this positive relationship was true among those < 65 years old and male. Among heavy-drinkers, the impact of obesity-persistence on the gastric cancer risk far increased (non-persistent obesity: HR, 1.297; 95% CI, 1.094 to 1.538; persistent obesity: HR, 1.351; 95% CI, 1.076 to 1.698). Conclusion Obesity-persistence is associated with increased risk of gastric cancer in a dose-response manner, especially among male < 65 years old. The risk raising effect was much stronger among heavy-drinkers.

고등학생에서 체질량지수에 따른 비만에 대한 인식과 생활습관의 차이에 관한 조사

김미정,최광해,이경수 대한소아과학회 2002 小兒科 Vol.45 No.12

The Relationship between Sarcopenic Obesity and Lower Limb Function after Total Knee Arthroplasty in the Elderly with Osteoarthritis

Su-Hee Mun,Suyoung Choi 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aim: This study aimed to investigate the relationship between obesity, sarcopenia, sarcopenic obesity and lower limb function after total knee arthroplasty (TKA) in the elderly with osteoarthritis Methods: This study analyzed the data obtained from the medical records of 260 patients who underwent TKA and rehabilitation treatment for knee osteoarthritis in a university hospital between June 2014 and December 2019. Analysis of covariance was used to examine the relationship between obesity, sarcopenia, sarcopenic obesity, and lower limb function after TKA. Results: The mean age of the patients was 72.7 years, and 225 patients (86.5%) were female. The prevalence of obesity, sarcopenia, and sarcopenic obesity was 51.2%, 15.4% and 6.2% respectively. Among the lower limb functions after TKA, knee joint range of motion (ROM) extension angle (F=4.50, p=.004), stair-climbing test (SCT) ascent (F=2.73, p=.045), and SCT descent (F=2.74, p=.044), six-minute walk test (F=5.02, p=.002) were significantly different according to the degree of obesity. Knee joint ROM flexion angle (F=5.14, p=.024), isometric knee extensor strength (F=4.52, p=.034), and SCT descent (F=6.09, p=.014) were significantly different between patients with and without sarcopenia. Isometric knee flexor strength (F=3.97, p=.047), timed up and go test (F=5.83, p=.016), SCT ascent (F=6.98, p=.009), and SCT descent (F=8.96, p=.003) were significantly different between patients with and without sarcopenic obesity. Conclusion: In conclusion, obesity, sarcopenia, and sarcopenic obesity were all identified as variables that negatively affect the lower limb function of elderly patients with osteoarthritis who had undergone TKA. Thus, comprehensive assessment and management, including evaluation of risk factors for obesity, sarcopenia, and sarcopenic obesity, should be considered in elderly patients with osteoarthritis.

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 The Korean Society of Pediatric Gastroenterology 2016 Pediatric gastroenterology, hepatology & nutrition Vol.19 No.3

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.

Overview of energy intake, physical activity, and neuronal substances on obesity

Seung Yun Lee(Seung Yun Lee),Hea Jin Kang(Hea Jin Kang),Sun Jin Hur(Sun Jin Hur) 한국축산식품학회 2020 Food and Life Vol.2020 No.1

This study provides an overview of the effects that energy sources, physical activity, endocrine substances and meat consumption have on the prevention and treatment of obesity. We found that many factors are considered to be involved in the occurrence of obesity, and that controversies exist over the mechanisms underlying, and solutions for, obesity. Several endocrines, including dopamine, insulin, leptin, and adiponectin, are implicated in body weight gain or obesity. The accumulation of body fat may vary depending on the percentage of carbohydrate and fat intake, but the results of several studies regarding this aspect are inconsistent. Information regarding the effects of the extreme restriction of carbohydrate intake or fat intake on the reduction of body weight gain is also insufficient. Furthermore, the relationship between eating habits, physical activity and meat consumption in obesity remains controversial. While the influence of leptin and adiponectin on food intake and obesity has been widely studied, the development of drugs that use these substances to treat obesity is difficult. Based on the findings of this study, the authors believe that further research is needed to determine how to control body weight gain and to address the various controversies regarding diet or obesity.

한국 소아청소년의 비만 유병률 추이: 1997년과 2005년 비교

오경원,장명진,이나연,문진수,이종국,유명환,김영택 대한소아청소년과학회 2008 Clinical and Experimental Pediatrics (CEP) Vol.51 No.9

Purpose:The objective of this study was to provide current estimates of the prevalence and examine trends of overweight and obesity in children and adolescents. Methods:Height and weight measurements from 183,159 (112,974 in 1997, 70,185 in 2005) children and adolescents aged 2 to 18 years were obtained via the 1997 and 2005 National Growth Survey. Obesity among children and adolescents was defined as being at or above the 95th percentile of the gender-specific body mass index (BMI) for age in the 2007 Korean National Growth Charts or a BMI of 25 or higher; overweight was defined as being at or above the 85th percentile to less than the 95th percentile BMI. Results:In 2005, 9.7% (11.3% for boys, 8.0% for girls) of South Korean children and adolescents were obese; 19.0% (19.7% for boys, 18.2% for girls) were overweight or obese. The overall prevalence of obesity increased from 5.8% in 1997 to 9.7% in 2005 (from 6.1% in 1997 to 11.3% in 2005 for boys and from 5.5% in 1997 to 8.0% in 2005 for girls); the increasing trend was most evident in boys, especially those aged 13-18 years. Conclusion:The prevalence of obesity among children and adolescents increased significantly during the eight-year period from 1997 to 2005. This study suggests that we need to make a priority of developing strategies to control obesity in children and adolescents; the potential health effects of increases in obesity are of considerable public health importance. (Korean J Pediatr 2008;51:950-955) Purpose:The objective of this study was to provide current estimates of the prevalence and examine trends of overweight and obesity in children and adolescents. Methods:Height and weight measurements from 183,159 (112,974 in 1997, 70,185 in 2005) children and adolescents aged 2 to 18 years were obtained via the 1997 and 2005 National Growth Survey. Obesity among children and adolescents was defined as being at or above the 95th percentile of the gender-specific body mass index (BMI) for age in the 2007 Korean National Growth Charts or a BMI of 25 or higher; overweight was defined as being at or above the 85th percentile to less than the 95th percentile BMI. Results:In 2005, 9.7% (11.3% for boys, 8.0% for girls) of South Korean children and adolescents were obese; 19.0% (19.7% for boys, 18.2% for girls) were overweight or obese. The overall prevalence of obesity increased from 5.8% in 1997 to 9.7% in 2005 (from 6.1% in 1997 to 11.3% in 2005 for boys and from 5.5% in 1997 to 8.0% in 2005 for girls); the increasing trend was most evident in boys, especially those aged 13-18 years. Conclusion:The prevalence of obesity among children and adolescents increased significantly during the eight-year period from 1997 to 2005. This study suggests that we need to make a priority of developing strategies to control obesity in children and adolescents; the potential health effects of increases in obesity are of considerable public health importance. (Korean J Pediatr 2008;51:950-955)

비만위기 소통의 재생산메커니즘

송형석 한국체육철학회 2017 움직임의철학 : 한국체육철학회지 Vol.25 No.2

Obesity and obesity crisis belong to everyday naturalness. The general public regards obesity as an objective fact and believes it is a crisis that can make individuals and society in trouble. Therefore, they do not raise any objection to the existence of obesity and the certainty of the obesity crisis, and they live in an effort to avoid obesity or escape from obesity. However, obesity and obesity crisis is not an objective fact but a reality composed by social functional systems. And the criteria for distinguishing between normal and abnormal which are used to construct this reality are unclear. Nonetheless, the functional systems of society are concerned with obesity crisis based on their own interests, and constitute each realities on obesity crisis. The functional systems of the society that produce the obesity crisis do not work independently but work closely like the clock wheel. Here, money, power, and reputation play a role in lubricating the gear wheels. Obesity is indicated to as a crisis by science, the indicated crisis is delivered to the masses through the mass media, and the spreading crisis consciousness urges the public to shake the money to invest in crisis-related industries, the invested money enables the accumulation of capital by activating related industries, and the part of the accumulated capital is put back into science and mass media, and a mechanism of obesity crisis reproduction is established. 비만과 비만위기는 일상의 자명성에 속한다. 일반인들은 비만을 객관적 사실로 간주하고 있으며, 개인과 사회를 곤경에 처하게 만들 수 있는 위기라고 믿고 있다. 따라서 그들은 비만의 존재와 비만위기의 확실성에 그 어떤 이의도 제기하지 않으며, 오직 비만이 되지 않기 위해 또는 비만으로부터 벗어나기 위해 노심초사하며 살아가고 있다. 그러나 비만과 비만위기는 객관적 사실이 아니라 사회의 기능체계들에 의해 구성된 현실일 뿐이다. 그리고 이 현실을 구성하는데 동원된 정상과 비정상의 구별 기준은 그 근거가 모호하다. 그럼에도 불구하고 사회의 기능체계들은 각자 고유한 이해관계에 근거하여 비만위기에 관심을 갖고, 각각의 미만위기 현실을 구성해낸다. 비만위기를 생산하는 사회의 기능체계들은 독립적으로 작동하지 않고 시계의 톱니바퀴처럼 긴밀하게 연동되어 작동한다. 여기서 돈, 권력, 평판 등이 톱니바퀴의 작동을 원활하게 만들어주는 윤활유 역할을 담당한다. 비만은 과학에 의해 위기로 지칭되고, 지칭된 위기는 대중매체의 보도프로그램을 통해 대중에게 전달되며, 확산된 위기의식은 대중을 동요시켜 위기해결 관련 산업에 돈을 투입하도록 촉구하고, 투입된 돈은 관련 산업을 활성화시켜 자본 축적을 가능하게 하며, 축적된 자본의 일부는 다시 과학과 대중매체에 투입됨으로써, 비만위기 재생산메커니즘이 구축된다.