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비만 청소년에서 복부 내장지방량을 반영하는 비만지표에 대한 연구
최영민 ( Young Min Choi ),이형철 ( Hyung Chul Lee ),심우진 ( Woo Jin Sim ),김길수 ( Kil Soo Kim ),신승우 ( Seung Uoo Shin ) 한방비만학회 2006 한방비만학회지 Vol.6 No.1
The purpose of this study was to determine what is useful index of abdominal visceral fat area among Korean obese adolescents. Methods : 35 obese adolescents who had visited Kirin Oriental Hospital from August 2004 to May 2006 were included in the study. Weight, height, waist and hip circumferences were measured. Abdominal visceral fat areas at L4-5 level were measured by computed tomography. The subjects were divided into two groups, according to sex. In each group, we investigated the correlation among waist circumference, waist/hip ratio, waist/height ratio, obesity degree and abdominal visceral fat area and evaluated that which one of these kinds of indices is the most useful predictor for visceral fat area in Korean obese adolescents. Results : There were significant correlation between waist circumference, waist/hip ratio, waist/height ratio and obesity index in both group. In boys waist/hip ratio had correlation with abdominal visceral fat area and in girls obesity index had significant correlation with abdominal visceral fat area. Conclusions : Our study suggests that waist/hip ratio in boys, obesity degree in girls can be a relatively good parameter for predicting abdominal visceral fat area.
비만환자의 담음변증(痰飮辨證)과 복부내장지방과의 연관성에 관한 연구
이형철 ( Hyung Chul Lee ),최영민 ( Young Min Choi ),심우진 ( Woo Jin Sim ),김길수 ( Kil Soo Kim ),최선미 ( Seung Uoo Shin ),강병갑 ( Sun Mi Choi ),신승우 ( Byeong Kab Kang ) 한방비만학회 2006 한방비만학회지 Vol.6 No.1
This study was designed to evaluate the relationship with abdominal visceral fat area in obese patients identified as phlegm type. Methods : This research were performed in 201 cases, visited Kirin Oriental Hospital from March 2005 to February 2006 for weight loss. We measured body mass index(BMI), abdominal CT, and classified all patients into two groups, normal and obesity group. And then we differentiated patients with phlegm-retention symptom from patients without it through questionnaire made by Korea Institute of Oriental Medicine. Results and Conclusions : Phlegm type was significantly higher than them of no symptom of phlegm in the abdominal visceral areas(P=0.036) and ratio(P=0.007), in obesity group(BMI≥25). On the other hand, there is little difference between abdominal visceral fat areas of phlegm type and no symptom of phlegm in normal group. According to the above results, if obese patients are diagnosed as identification of phlegm type there is good chance of abdominal visceral obesity.
원저 : 정상골밀도이하 중년비만여성환자의 기린다이어트시 골밀도 변화
신승우 ( Seung Uoo Shin ),최영민 ( Woo Jin Sim ),심우진 ( Young Min Choi ),김길수 ( Kil Soo Kim ),윤유식 ( Yoo Sik Yoon ) 한방비만학회 2005 한방비만학회지 Vol.5 No.1
This study was performed to investigate the change of bone mineral density(BMD) after 1 month Kirindiettherapy including very low calory diet(VLCD) in middle-aged obese women(65>age 40, BMI 25) under normal BMD(T-score 0) . ? ? ? We examined body weight, body fat, protein mass and BMD of 13 middle-aged obese women who visited to Kirin Oriental Hospital from Sep. 7. 2004 to Oct. 12. 2005 before and after 1 month Kirindiettherapy. Body weight, body fat and protein mass was checked by Inbody 4.0 and BMD was checked by quantitated computed tomography. Wilcoxon signed rank test was used for analyzing changes of body weight, body fat, protein mass and BMD before and after treatment. After 1 month treatment body weight(-4.89Kg, -6.74%, p=0.001), body fat(-3.47Kg, p=0.001) and protein mass(-0.97Kg, p=0.006) was significantly reduced. BMD was significantly increased in all cases(+4.87mg/cc,+4.16%,p=0.001). Though body weight, body fat and protein mass were significantly reduced, BMD was significantly increased(p<0.01). In this study, we can conclude that after 1 month Kirindiettherapy including VLCD, BMD in middle-aged obese women under normal BMD was significantly increased inspite of reduction of body weight, body fat and protein mass.