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원저 : 폐경전 및 갱년기 과체중 한국 성인 여성의 변증 지표 차이에 대한 연구
정원석 ( Won Suk Chung ),황미자 ( Mi Ja Hwang ),이아라 ( A Ra Lee ),문진석 ( Mi Yeon Song ),최선미 ( Jin Seok Moon ),송미연 ( Sun Mi Choi ) 한방비만학회 2008 한방비만학회지 Vol.8 No.2
Objectives The aim of the study was to investigate the difference between pattern identification of premenopausal(n=39) and climacteric(n=40) korean obese and overweight women using Syndrome Differentiation Questionaire. Methods 39 premenopausal obese women(BMI≥25kg/m2) and 40 climacteric overweight and obese women(BMI≥23kg/m2) were recruited from October 2007 to March 2008 in Seoul, Korea. Subjects who had other disease were rejected. Basic anthropometry and body composition were measured. Every subjects were given and filled out the Syndrome Differentiation Questionaire, and we analyzed that using Fisher`s exact test. Results 1. Premenopausal women showed high frequency of food accumulation pattern(43.6%), but in climacteric women, liver qi depression pattern was frequent(57.5%, p=0.021). 2. In weighted Syndrome Differentiation Questionaire score, Premenopausal women showed high frequency of food accumulation pattern(43.6%), but in climacteric women, liver qi depression pattern was frequent(47.5%, p=0.004). 3. There were no correlation between anthropometry and scores of the each patterns. Conclusions In this study, we can find out that the dietary factors play major roles in obesity of premenopausal women and emotional factors in obese climacteric women in the view of oriental pattern identification diagnosis. But it seemed that there lacked of consideration that reflected the degree of obesity in this Syndrome Differentiation Questionaire.
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김은주 ( Eun Joo Kim ),이아라 ( A Ra Lee ),황미자 ( Mi Ja Hwang ),조재흥 ( Jae Heung Cho ),최선미 ( Sun Mi Choi ),정석희 ( Seok Hee Chung ),송미연 ( Mi Yeon Song ) 한방재활의학과학회 2011 한방재활의학과학회지 Vol.21 No.2
Objectives: Our purpose of this study was to evaluate the association between abdominal adipose tissue and oriental obesity pattern identification. Methods: This study was performed in 78 healthy obese(BMI(body mass index)≥25 kg/m2) women in Seoul. Subjects underwent abdominal CT(computed tomography) scanning and were asked to complete the oriental obesity pattern identification questionnaire. Subjects were given written consent and this study was performed under permission of institutional review board of Kyung-hee East-west Neo medical center. Results: 1. VFA(visceral fat area) and VSR(visceral/subcutaneous adipose tissue ratio) were significantly correlated with stagnation of the liver qi(肝鬱, gan-yu) (p<0.05). But, other patterns were not significantly correlated with oriental obesity pattern identification(p>0.05). 2. We evaluated a difference of oriental obesity pattern identification score in visceral obesity group(n=34) versus non-visceral obesity group(n=44). Scores of all patterns except food accumulation(食積, shi-ji ) were significantly higher in the visceral obesity group than in the non-visceral obesity group(p<0.05). Especially, there was a further significant difference in stagnation of the liver qi(肝鬱, gan-yu)(p<0.01). Conclusions: Generally, the stagnation of the liver qi(肝鬱, gan-yu) has a close relation with stress and depression. This study suggests that stress and depression might be correlated with visceral fat, and the use of oriental obesity pattern identification would be helpful for planning a treatment schedule of visceral obesity in the clinic.
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