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      • SCOPUSKCI등재

        비만아동을 위한 운동 및 식이조절 효과에 관한 연구

        김유섭(Yoo-Sup Kim),이성숙(Sung-Sug Lee),오승호(Seoung-Ho Oh) 한국식품영양과학회 1996 한국식품영양과학회지 Vol.25 No.2

        본 연구는 비만아동을 위한 효과적인 운동 및 식이요법에 관한 자료를 얻기 위하여 실시하였다. 대상자는 8~12세의 비만아동(체지방 36.1±1.3%)과 정상아동(18.9±1.3%) 각각 5명이었으며 3일간 실험환경에 적응하기 위한 대조기간(Control : C)을 거친 후 1주간은 운동은 부하하되 에너지는 제한하지 않는 운동기간(Exercise without energy deficit : EEN)와 다음 1주간은 비만아동만을 대상으로 운동부하와 동시에 에너지를 제한하는 에너지 제한 운동기간(Exercise with energy deficit : EED)으로 나누어 실시하였다. 운동강도는 60~75%HRmax이었으며 에너지 제한량은 493㎉/day이었다. 각 실험 조건별 대사에너지 섭취량, 체중, 체성분, 체내 보유 에너지, 에너지 소비량의 변화를 측정하였다. 체지방량은 생체 전기저항 지방측정기를 이용하여 측정하였다. 대변 및 소변으로의 에너지 손실량으로 부터 측정한 1일 평균 대사 에너지량(ME)은 정상아동이 대조기간(C) 및 운동기간(EEN)별로 각각 1802±50㎉ 및 1771±72㎉이었고 비만아동이 대조기간(C), 운동기간(EEN) 및 에너지 제한 운동기간(EED)별로 각각 2152±138㎉, 1861±138㎉ 및 1368±87㎉이었다. 대조기간(C)에 비만아동은 정상 아동에 비해 대사에너지량(ME)이 높았으나 무지방조직(LBM) ㎏당 섭취량은 정상아동이 79㎉이며 비만아동이 70㎉로 오히려 비만아동의 경우가 낮았다. 대체로 운동에 의해 에너지 섭취량은 감소되었다. 동일한 운동 부하로 정상아동 및 비만아동의 체중은 각각 1.00±0.20㎏ 및 1.24±0.22㎏씩 감소되어 정상아동에 비하여 비만아동의 체중감소가 더 많았다. 비만아동에서 에너지 제한(493㎉으로 인한 체중 감소량은 0.52㎏이었고 체지방조직량(FM)은 0.46㎏이었다. 운동기간(EEN)중 체성분 변동량으로부터 산출한 l일 1인당 체내 에너지 변동량은 정상아동이 1092㎉, 비만아동이 1270㎉ 감소되어 비만아동의 에너지 소모량이 더 많았다. 비만아동에 있어 에너지제한 운동기간(EED) 중 체내 에너지 변동량은 1786㎉ 감소되었다. 1일 1인당 평균 에너지 소비량은 운동기간(EEN)에 정상아동이 2863±58㎉, 비만아동이 3131±158㎉이었으며, 에너지 제한 운동기간(EED)에 비만아동은 3153±151㎉이었다. 이상의 성적으로 보아 본 실험에 적용한 운동 프로그램은 체중 강소에 효과적으로 작용하나 일부 무지방조직(LBM)의 감소를 동반하는 것으로 보아 다소 운동 부하량이 과도한 것으로 생각된다. 그러나 에너지 제한량(500㎉)은 체중감소에 매우 효율적인 것으로 평가되어 이후 비만아동의 체중조절에 본 실험의 에너지제한 운동 프로그램중 운동 부하량만을 다소 줄여 적용하면 매우 효과적일 것이라 생각된다. This study was conducted to obtain data on effective exercise and diet therapy for obese children. A group of 5 obese(body fat : 36.1±1.3%) and 5 normal(body fat : 18.9±1.3%) boys, 8 to 12 year old, participated in the Control(C) for 3 days, Exercise without energy deficit(EEN) for a week and Exercise with energy deficit(EED) for a week. The intensity of exercise was 60~75% HRmax and the amount of energy deficit was 493㎉/day. The metabolizable energy intake, and changes in body weight, body composition, body energy store and energy expenditure were measured at the end of each experimental program. Fat mass was measured by bio-electrical fatness analyzer. Mean daily metabolizable energy(ME) intake estimated by subtracting fecal and urinary energy loss, of normal boys were 1802±50㎉ and 1771±72㎉ for C and EEN, respectively, and those of obese boys were 2152±138㎉, 1861±138㎉, and 1368±87㎉ for C, EEN, EED, respectively. During C, the ME intake of the obese boys were higher than that of the normal boys but ME/㎏ of lean body mass were 79㎉ in the normal boys and 70㎉ in the obese boys, less in obese boys. Overall, the energy intake was reduced by the exercise program. Under identical exercise program, the normal boys lost 1.00±0.20㎏ of body weight and the obese boys lost 1.24±0.22㎏, indicating there was more weight loss in obese boys. The energy reduction(493㎉/day) caused body weight reduction of 0.52㎏ and fat mass reduction of 0.46㎏ in the obese boys. Total body energy changes estimated from body composition change over a week were decreased at the levels of 1092㎉/day in the normal and 1270㎉/day in the obese boys for the EEN, and those in the obese boys was decreased 1786㎉/day for the EED. Mean daily energy expenditure were 2863±58㎉ in the normal and 3131±158㎉ in the obese boys for the EEN, and those in the obese boys were 3153±151㎉ for the EED. With above results considerd, it seems the exercise program employed for this study was effective in weight reduction, but it also reduced lean body mass, which may indicate an excess in amount of exercise. Energy reduction(493㎉) seems to be very effective in weight reduction. Thus energy reduction plus exercise program for obese children should be more successful only if the amount of exercise can be reduced.

      • KCI등재후보

        규칙적인 유산소성 운동과 근저항성 운동을 병행한 복합운동이 폐경기 비만여성의 신체구성과 혈중 지질대사에 미치는 영향

        김유섭(Yoo-Sup Kim),박찬칠(Chan-Chil Park) 한국생활환경학회 2005 한국생활환경학회지 Vol.12 No.4

        The purpose of this study was to investigate the effect of aerobic exercise and muscle resistance exercise on body composition and blood lipid of menoposal obese women. The subjects was 18 women, which was divide into three group(aerobic exercise group (AEG), muscle resistance exercise group (REG), aerobic exercise+muscle resistance exercise group (A+REG). The result was following; 1. The changes of Body fat were decreased significantly after 12 weeks in the AEG, after 6 weeks and 12 weeks in the A+CEG The changes of BMI were decreased significantly after 12 weeks in the A+CEG. 2. The changes of TC were decreased significantly after 12 weeks in the AEG, A+CEG, and the changes of HDL-C were increased significantly after 12 weeks in the A+CEG, and the changes of TG were decreased significantly after 6 weeks and 12 weeks in the AEG, REG and A+CEG In conclusion, aerobic exercise and combined exercise did showed good effect on body composition and blood lipid to menoposal obese women.

      • SCOPUSKCI등재

        한국 청소년 여성의 에너지 소비량에 관한 연구

        김유섭(Yoo-Sup Kim),오승호(Seung-Ho Oh) 한국식품영양과학회 1993 한국식품영양과학회지 Vol.22 No.4

        본 연구는 15~16세의 여자 고등학생 7명을 대상으로 4주간 평상시와 같은 생활양식과 식생활 환경에서 에너지 섭취량(GE)과 체내 에너지 보류량(BE)의 변동을 측정하므로써 (에너지 평형법) 에너지 소비량을 산출하였다. 에너지 섭취량과 대변으로의 에너지 손실량(FE)은 열량계로 측정하였고 소변으로의 에너지 손실량(UE)은 질소 배설량으로부터 환산하였다. 체내 지방조직량(FM)은 피부두께를 측정하여 산출한 신체 밀도법에 의하였다. 총 에너지 섭취량에 대한 당질, 단백질 및 지방질의 구성비는 각각 70.1±1.8%, 12.2±0.7% 및 17.7±2.0%이었다. 총 에너지 섭취량에 대한 대변으로의 에너지 손실율은 2.8%이었다. 대변과 소변으로의 에너지 손실량을 감하여 산출한 1일 1인당 평균 대사에너지량(ME)은 2022±50㎉이었다. 28일동안의 체성분 변동량으로부터 산출한 체내 총 에너지 변동량(BE)은 평균 2400±950㎉가 증가하였다. 1일 1인당 평균 에너지 소비량은 1958±87㎉로서 체중㎏당 39±2㎉이었다. A 4-week energy balance study was conducted to estimate the energy expenditure (EE) of 7 high school age girl, 15 to 16 year age, by measurement of energy intakes and changes in body energy(BE) content (intake/balance technique), keeping their normal living pattern and eating behavior. Gross energy intake (GE) and fecal energy (FE) loss was measured by bomb calorimetry. Urinary energy (UE) loss was calculated from nitrogen excreted. Fat mass (FM) was determined from body density estimated from skinfold thickness. Mean constitutional ratio of carbohydrate, protein and fat for the total energy intake was 70.1±1.8%, 12.2±0.7% and 17.7±2.0%, respectively. Fecal energy loss was 2.8% proportion of the gross energy intake. Mean daily metabolizable energy estimated by subtract fecal and urinary energy loss was 2022±50㎉. Total body energy change estimated from body composition change over 28days was increased 2400±950㎉. Mean daily energy expenditure was 1958±87㎉ (39±2㎉/㎏ of body weight).

      • KCI등재후보
      • KCI등재

        뇌졸중 환자에 있어서 물리치료가 운동기능과 인지기능의 회복에 미치는 영향

        김희한,김유섭,이혜진,송명수,Kim, Hee-Han,Kim, Yoo-Sup,Lee, Hye-Jin,Song, Myung-Soo 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

        In order to find the effects of physical therapy on the recovery of motor functions and mental state, a survey was conducted to 63 patients who, diagnosed as stroke by brain CT, had been hospitalized in a university medical center located in Jeonbuk provincial area from December 2000 to August 2001. The outcomes of the survey are as follows: 1. The subjects of the study were composed of 35 males(55.6%) and 28 females(44.4%), with 34(54.0%) below 60 in age and 29(46.0%) older than 60 years. 2. As to type of lesion, the surveyed patients were divided into 28(44.4%) with cerebral infarction, 24(38.1%) with cerebral hemorrhage, and 11(17.5%) with subarachnoid hemorrhage. In terms of size of lesion, they were divided into 29(46.0% with less than tan 1cm, 15 (23.8%) with $1{\sim}2cm$ and 19(30.2%) with longer than 2cm. Thirty-five patients(55.7%) reported paralysis in their right side, while 28(44.8%) complained paralysis in their left side. No recidivation was reported by 51(81.1%) while recidivation was asserted by 12(19%). Among them, 27(42.9%) had no past history but 36(57.1%) had such. 3. Regarding the time hour onset to admission to physical therapy, 46patients(73.0%) experienced it for less than one month, while 17(27.0%) for longer than one month. In terms of period of physical therapy, 30(47.6%) underwent the therapy for less than one month, 18(28.6%) for 1-2 months and 15(23.8%) for longer than 2 months. As is shown in the above study, the longer the period of physical therapy is, the more changes might occur in points of MMSE-K and MMAS. It may, therefore, be concluded that sufficiently longer period of physical therapy ensures the increased recovery of physical functions from stroke.

      • SCOPUSKCI등재

        운동수행 능력 및 체력 증진을 위한 효율적 영양관리에 관한 연구 - 식이급식조건에 대하여 -

        오승호(Seung-Ho Oh),김유섭(Yoo-Sup Kim),강정채(Jung-Chaee Kang) 한국식품영양과학회 1991 한국식품영양과학회지 Vol.20 No.2

        식이 급식 조건이 운동 수행에 관련된 물질대사의 상호관계를 파악하므로서 운동수행 능력을 향상시키는 조건을 규명하기 위하여 운동선수(선수군)와 비운동선수(비선수군) 각각 8명씩을 대상으로 급식후 시간별 및 식이 조성별로 구분하여 급식 후 일정 강도의 운동을 부하시키고 혈액중 포도당, palmitate 및 젖산 농도와 혈압, 맥박을 측정한바 다음과 같은 결과를 얻었다. 실험기간중 1일 1인당 대사에너지 섭취량은 선수군에 비하여 비선수군이 훨씬 높았다. 식이 급식후 휴식시간별 운동부하로 선수군 및 비선수군 모두 혈중 포도당 농도는 2시간군 이후에 대조군과 비슷하게 되었는데 혈중 palmitate 농도는 증가되었다. 혈중젖산 농도는 운동 부하로 모두 증가되었는데 특히 선수군에 비하여 비 선수군의 증가폭이 더 컸다. 운동부하에 의한 혈압 상승율은 각 휴식 시간별 비선수군에 비하여 선수군이 낮았다. 식이 조성별 급식후 운동부하로 혈중 포도당 및 젖산 농도는 선수군 및 비선수군 모두 고당질식이군이 다른 식이군보다 높았는데 혈압 상승율은 고당질식이군이 제일 낮았다. 혈중 palmitate 농도 및 맥박수는 각 식이 조성별로 큰 차이는 없었다.<br/> 이상의 성적을 종합할때 비운동선수의 경우에는 급식 2시간후에 운동부하가 유리하며 운동전 급식하는 식이 조성은 고당질이 효과적인 것으로 생각된다. 그러나 운동선수는 에너지 발생기전에 예민하게 반응하므로서 급식 1시간후 휴식시간별 운동부하에 큰 영향이 없는 것 같으며 역시 식이 조성에 의한 영향을 크게 받지 않는 것으로 사료된다. This study was directed to further clarify the effect of resting time or dietary condition for the improvement of exercise capacity and physical fitness, and the changes of some body constituents and physiological functions which are related to the exercise metabolism. Sixteen male students(8 athletes and 8 nonathletes) were participated during 3 weeks(Aug. 20-Sep. 9, 1989). Each subject performed two treadmill running trials at an absolute intensity(1 mintute in 3.4mph/15% slope and 2 minutes in 5.5mph/20% slope). In the resting time trials, general diet was fed before 1, 2, 4 and 12 hours of the treadmill exercise loaded. In the dietary condition trials, high carbohydrate(HC), high fat(HF) and high protein(HP) diet were fed before 2 hours of the treadmill exercise loaded. Control trial was that of resting time before treadmill exercise loaded after 12 hours of general diet feeding. Measurements were made to study the change of blood glucose, palmitate, lactate, blood pressure and heart rate. The results obtained are summarized as follows : Mean daily metabolizable energy intakes of athlete was much higher than those of nonathlete during experimental period. In resting time trial, the blood glucose concentration of athlete and non athlete from 2 hours group was similar to control group. The blood palmitate concentration of athlete was increased in 1 and 2 hours group but those of nonathlete was not only increased in 1 and 2 hours group but was more increased in 12 hours group, compared with both control group. The blood lactate concentration was increased in all experimental group, compared with both control group and those of nonathlete was much higher than athlete. The elevation rate of blood pressure in pre-and after-exercise of athlete was lower than those of nonathlete. In dietary composition trial, the blood glucose concentration of athlete and nonathlete in HC group was higher than other diet groups. The blood lactate concentration of athlete and nonathlete in HC group was lower than other diet groups. There was no remarkable change of the blood palmitate concentration and heart rate in each dietary composition trial. The elevation rate of blood pressure of athlete was no remarkable change in each dietary composition trial, but those of non athlete was low in HC and high in HP group. In above results, it was suggested that the effective condition of resting time and dietary composition for the improvement of exercise capacity of nonathlete may be 2 hours and HC diet, respectively. But it was showed that the exercise capacity of athlete may not be affected by experimental condition of resting time, except 1 hour after feeding or of dietary composition because of well adaptation in new exercise condition.

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