성인 여성의 비만, 체형인식 및 체중조절의 관계

채현주 한국여성건강간호학회 2019 여성건강간호학회지 Vol.25 No.2

Purpose: The purpose of this study was to investigate the relationship between obesity, body image perception, and weight control for obesity management in adult women. Methods: The subjects of this study were 3,617 women aged over 19 years, who participated in the Seventh Korea National Health and Nutrition Examination Survey 2016. Data were analyzed through complex sampling design data analysis. Results: Right body image perception according to obesity was apparent between 70.6–81.7% of women and 76.5% of women with abdominal obesity perceived that they were normal. Obese women performed more weight control than non-obese women. Women with only abdominal obesity performed less weight control than non-obese women, and 47.3% of them performed weight control. Women who perceived themselves as obese performed more weight control than women who perceived themselves as non-obese (odds ratio, 2.08; confidence interval, 1.69–2.57), but body mass index was not observed to be associated with weight control. Conclusions: Education on abdominal obesity should be provided to increase awareness about abdominal obesity and its effective management, especially in women with only abdominal obesity. In addition, interventions for right body type perception should be provided for proper weight control along with prevention and management of obesity.

Socioeconomic inequalities in obesity among Korean women aged 19-79 years: the 2016 Korean Study of Women’s Health-Related Issues

최은지,CHOHANA,서다해,박보영,박소희,조주희,김수,박영란,최귀선,이유미 한국역학회 2019 Epidemiology and Health Vol.41 No.-

OBJECTIVES: While the prevalence of obesity in Asian women has remained stagnant, studies of socioeconomic inequalities in obesity among Asian women are scarce. This study aimed to examine the recent prevalence of obesity in Korean women aged between 19 years and 79 years and to analyze socioeconomic inequalities in obesity. METHODS: Data were derived from the 2016 Korean Study of Women’s Health-Related Issues. The chi-square test and logistic regression analysis were used to analyze the associations between socioeconomic factors and obesity using Asian standard body mass index (BMI) categories: low (<18.5 kg/m2), normal (18.5-22.9 kg/m2), overweight (23.0-24.9 kg/m2), and obese (≥25.0 kg/m2). As inequality-specific indicators, the slope index of inequality (SII) and relative index of inequality (RII) were calculated, with adjustment for age and self-reported health status. RESULTS: Korean women were classified into the following BMI categories: underweight (5.3%), normal weight (59.1%), overweight (21.2%), and obese (14.4%). The SII and RII revealed substantial inequalities in obesity in favor of more urbanized women (SII, 4.5; RII, 1.4) and against of women who were highly educated (SII, -16.7; RII, 0.3). Subgroup analysis revealed inequalities in obesity according to household income among younger women and according to urbanization among women aged 65-79 years. CONCLUSIONS: Clear educational inequalities in obesity existed in Korean women. Reverse inequalities in urbanization were also apparent in older women. Developing strategies to address the multiple observed inequalities in obesity among Korean women may prove essential for effectively reducing the burden of this disease.

성인 여성들의 비만인식 및 관리에 대한 연구 - 서산지역 성인여성을 대상으로 -

정미라,최은영,장병수 사단법인 인문사회과학기술융합학회 2016 예술인문사회융합멀티미디어논문지 Vol.6 No.9

본 연구는 성인 여성들의 비만인식 및 관리에 대한 자료를 제공하는데 목적이 있다. 연구의 대상자들은 서산에 거주하는 440명의 여성을 대상으로 설문조사를 실시하였다. 효과적인 분석을 위하여 SPSS WIN 15.0 프로그램을 사용하여 결과 처리하였다. 분석 결과 성인 여성들은 더 날씬한 체형을 선호하지만 정확한 체형을 인지하지 못하며 본인 스스로를 과체중이거나 비만으로 인식하였다. 본 연구는 성인 여성들이 비만에 대한 인식이 주관적 인식에서 객관적 인식으로 변해야하며, 과체중과 비만을 예방하고 관리하기 위해서 지역사회의 공적 건강프로젝트와 병행하여 개인의 체질에 맞는 건강 프로그램의 개발에 관심을 가져야 한다. 즉, 성인여성들의 비만화 추세는 공중보건 정책 수립의 동기가 되고 수립된 정책의 시행은 궁극적으로 비만율의 완만한 감소를 유도할 수 있다. 결론적으로 본 연구 대상 지역인 신흥 산업발전도시의 특성상 공공기관에서 건강정책 기능의 제공과 함께 지역사회 건강 관련 문화생활을 위한 프로그램이 제공되어져야 한다. The purpose of this study is to provide basic date the recognition obesity and management of adult women. The subjects of this study were 440 adult women who were in the regions of Seosan. In order to analyze the effectiveness was used the SPSS WIN 15.0. The results of the study were as follows. Adult women are in favor of more esthetic and more slim body but most of women don't realize their measured obesity. therefore many of women are likely to consider themselves over weight and obesity. These findings suggested that adult women should change recognition and management of obesity. Adult women obesity have been used to motivate the way public health policies. they will ultimately determine the long- term course and pace of change in obesity rates. therefore health Management of Obesity with health policy has to pay more attention to prevent overweight and obesity. In other words, adult women will be given more better programs to prevent overweight and obesity.

비만 클리닉 내원 여성의 비만 실태 및 심리사회적 위험요인

이영선,한인영 대한비만학회 2010 The Korean journal of obesity Vol.19 No.4

Background: Even though obese population is growing and women’s obesity is especially becoming a serious problem, not enough research have given attention to the individual’s psychosocial factors which may play a crucial role in women’s obesity. Therefore, this study investigates the obesity related factors in adult females by analyzing the relation between risk factors, such as physical activity,health maintenance factors, quality of life, psychological and social factors with the degree of obesity. Methods: A cross-sectional design was used with an exploratory survey method through self-report questionnaires. Adult women who previously visited the health care center for consultation on obesity were included. A total of 313 female participants were recruited from hospitals and community health care centers in three different cities in Korea. Data on obesity related factors, including physical activity and health maintainemce factor, demographic factor, quality of life, psychological factor, social factor and obesity were collected by self –reported questionnaires. Data were analyzed using SPSS 14.0 for windows. Results: Mean BMI score of participants was 25.71 (SD: 3.19) and 57.7% were overweight according to the criteria (BMI > 25 kg/m2). The more obese the participants were, there was a greater tendency of history of maternalobesity, tendency to blame their own eating habits and lack of exercise, experience physical symptoms, go on frequent diets, and take antihypertensive medications compared to the non overweight group (P < 0.05). Also,overweight women had misperceptions of their own body image, had lower QOL, and experienced higher social physique anxiety compared to non overweight group (P <0.05). Conclusion: These results show the need for understanding the psychological aspects of obesity in women. Education and counseling programs that target the psychological risk factors are necessary for managing obesity in women. 연구배경: 비만인구가 증가하고, 특히 성인 여성들의 비만문제가 심각함에도 불구하고 비만 위험요인 및 영향에 개인의 심리사회적 요인을 복합적으로 고려한 연구는 미비한 상황이다. 따라서 본 연구는 성인 여성을 대상으로 비만관련 요인, 신체활동 및 건강유지 요인, 일반적 사항, 삶의 질, 심리적, 사회적 특성 및 비만 정도를 파악하고, 이들 주요 변인 간의 관계를 살펴보고자 시도되었다. 방법: 자료수집은 비만을 주소로 의료기관에 내원한 여성 313명을 대상으로 하여, 인구사회학적 및 비만관련특성, 신체활동 및 건강유지요인. 삶의 질, 심리적, 사회적 특성 측정 도구로 구성된 자가보고형 설문지를 통해 이루어졌다. 수집된 자료는 SPSS 14.0 프로그램을 사용하여 분석하였다. 결과: 연구대상자의 BMI지수 평균은 25.71 (SD: 3.19)로, BMI (25 kg/m2)를 기준으로 57.7%가 비만군에 해당 하였다. 비만일수록 어머니가 비만, 식습관이나 운동부족을 비만원인이라고 생각, 가슴 답답함, 숨이 참, 음식물 과다섭취 증상을 느낌, 본인 체형에 대해 비만이라고 생각함, 체중 조절 노력을 하는 경우, 혈압약을 복용하는 경우가 더 많았다. 또한 건강관련 삶의 질, 비만관련 삶의 질의 각 영역에서 더 낮은 삶의 질을 보고하였으며, 사회적 체형 불안이 더 높게 나타났다. 결론: 이상의 연구결과를 통해, 성인여성의 비만과 관련된 요인을 확인할 수 있었으며, 특히 본인의 체형에 대한 생각이 왜곡되어 있고, 비만 여성의 경우 사회적 체형불안이 높으며, 비만은 낮은 삶의 질과 상관성이 높은 것으로 확인되었다. 따라서 성인 여성에 대한 교육과 상담을 통해 비만 관련 요인과 특히 심리적 비만에 대한 이해를 돕고, 비만 유병률을 감소시키고, 비만으로 인한 영향을 완화시키기 위한 중재방안이 개발될 필요가 있다.

중년기 복부비만여성의 섭식패턴과 혈청성분함량

김명숙,안홍석 대한비만학회 2003 The Korean journal of obesity Vol.12 No.2

연구배경: 우리나라 여성의 경우 출산 후 중년기 여성들은 비만 유병률이 특히 높다고 보고되고 있으며 경제수준의 향상과 식생활의 변화로 인하여 비만이 점차 증가 추세에 있어, 중년기 여성비만은 외관상 및 건강상 문제로 대두되고 있으므로 본 연구에서는 중년기 복부비만여성의 섭식양상과 혈청성분을 조사하여 문제점을 파악하고 BMI, 체지방, 신차둘레, 피하지방두께 및 혈압과 혈청성분과의 상관관계를 파악하고자 한다. 방법: 서울시 강남구 여성센타의 프로그램 광고를 통해 30∼55세에 해당되는 여성으로서 체질량지수가 25 kg/㎡이상이면서 허리둘fp나 80 cm이상인 복부비만여성을 차상자 66명을 선정하여, 이들의 체지방, 신차둘레, 피하지방두께, 혈압 및 영양소 섭취량을 조사하고 혈청성분을 분석하였으며 비만도에 따라 경도비만군과 고도비만군으로 분류하여 비교, 연구하였다. 결과: 1) 수축키와 확장기혈압이 모두 경도비만군과 고도비만군간 유의적인 차이로 고도비만군이 높았다2) 섭식양상에서 식습관 중 아침결식률이 전체 비만군에서 59.18%였으며 고도비만군이 경도비만군에 비해 유의적으로 높게 나타났다 1일 평균 열량섭취량은 경도비만군이 1823.91 kcal, 고도비만군이 1740.97kcal로 각각 권장량의 91.20%, 87.05%로서 권장량보다 낮았으며, 고도비만군이 경도비만군에 비해 오히려 낮게 나타났으나 통계적으로 유의하지는 않았다. 두 군의 1일 영양소섭취량은 단백질 인, 비타핀A, 비타핀B₁, 나이아산, 비타민C의 경우 권장량을 초과했으나 칼슘, 철,비타민B₂는 권장량의 66.28%, 67.38%, 84.23%로 권장량 이하로 유사연령대의 일반여성에 비해 낮은 수준이었으며 콜레스테롤섭취는 두 군이 모두 1일 권장량인 300 mg미만을 초과했다. 3) 혈청성분 중 경도비만군과 고도비만군 모두에게 총콜레스테롤과 LDL-콜레스테롤이 정상보다 높은 수준이었곤, 유리지방산과 ALT는 특히 고도비만군에서 정상보다 높은 수치를 나타내 경도비만군과 유의적인 차이를 보여 중년기 복부비만여성의 경우 비만도에 따라 유리지방산과 ALT의 차이가 큰 것을 알 수 있었다. 총항산화능은 경도비만군과 고도비만군 모두에서 정상범위였으나 낮은 수준에 속하였으며 두 군간 유의적인 차이가 없었다. 4) 혈청성분과 신체계측치 및 혈압과의 상관관계에서 유리지방산이 체중, BMI, 체지방, 허리둘레, 복부둘레, 힙둘레, WHR과 양의 상관성을 보여 AST, ALT가 체중. BMI, 체지방, 허리둘레, 복부둘레와 양의 상관성을 보였다. 결론: 중년기 복부비민자서 섭식패턴의 문제는 과열량섭취보다 아침결식의 습관에 있으며 중년기 복부비만여성의 총콜레스테롤과 LDL콜레스테롤 평균함량은 정상수치보다 높다 또한 유리지방산과 ALT의 함량은 경도비만군과 고도비만군간 유의적인 차이가 있으며 유리지방산, AST, ALT가 체지방 및 복부비만을 나타내는 신체계측치와 상관관계가 있는 것으로 나타났다. Background: Middle-aged Korean women over 30 years old reportedly become fat in particular after delivery. The obesity ratio has steadily increased due to economic growth coupled with change in diet pattern, causing appearance and health problems against middle-aged women. Since abdominal obesity particularly relates to metabolic disease including heartblood vessel disorder, the purpose of this study is to analyze the serum component and the nutritional aspects of middle-aged women with abdominal obesity, who are 30 to 55 years old, in order to find the physiological causes and problems of middle-aged abdominal obese women in Korea. Methods: Sixty six women aged between 30 and 55 who have BMI above 25 kg/㎡ and live in Seoul, Korea and whose WHR is 0.85 or more are selected as an subject of this study. Results: 1) As for the diet pattern, 51.72% of pre-obese group and 70% of obese group do not have breakfast, showing significant difference between two groups. The average daily caloric intake is 1823.91 kcal and 1740.97 kcal for pre-obese group and obese group, respectively which are 91.20% and 87.05% of RDA. It is lower in obese group than in pre-obese group, but is not statistically significant. Both groups intake more protein, phosphorus, vitamin A, vitamin B1, niacin and vitamin C than RDA, but intake less calcium, iron, vitamin B₂, than RDA, corresponding to 66.28%, 67.38% and 84.23% of RDA, respectively. Obese group and pre-obese group exceed RDA of 300mg. 2) The cholesterol and LDL-cholesterol level are higher in both groups than normal. The free fatty acid and ALT concentration is higher in obese group than pre-obese group, showing significant difference between two groups. This means that the free fatty acid and ALT concentration concentration substantially depends on obesity level. There is no significant difference in total antioxidant, AST, but ALT between two groups. The total antioxidant is low and in a normal range in both groups. 3) The free fatty acid, ALT and AST concentration are related with weight, BMI, body fat, abdominal circumference, waist circumference, significantly. Conclusion: Comparing pre-obese group with obese group, abdominal obesity of women is related with regularity and with diet pattern such as "skipping breakfast" more closely than caloric intake is. The free fatty acid and ALT concentration substantially depends on obesity level in abdominal obese women and the free fatty acid, ALT and AST concentration is related with abdominal obesity.

The Comparison of Korean and Japanese College Women's Self-evaluation on Obesity and Attitude to Weight Control

Kim, Mi-Ok,Eun, Jong-Geuk,Chang, Un-Jae,Sawano, Kayoko,Miyamoto, Tokuko The Korean Society of Food Science and Nutrition 2009 Preventive Nutrition and Food Science Vol.14 No.4

This study compares Korean and Japanese college women's self-evaluation on obesity and examines their attitude to weight control. The subjects of this study were 101 college women residing in Daegu-si of Korea and 123 Japanese college women living in Saga-ken of Japan. A survey was conducted by each of the participants and was analyzed. This self-evaluation on obesity revealed that 47.5% of Korean college women answered that they were obese while 31.7% of Japanese college women responded they were. The results of this study show that there are about 5% of college women in both Japan and Korea who thought they were obese, even though they were actually normal or underweight. Both Korean and Japanese women who considered themselves obese selected wrong eating habits as the cause of their obesity. In terms of their recognition on ashamedness, Japanese college women showed rather stronger recognition than Korean ones. In addition, more Korean college women responded that they had been suggested to lose weight than Japanese ones. In terms of the factors that motivate weight control, few women in either Korea or Japan controlled their weight for health reasons. Most of the Korean and Japanese college women chose the size of their clothes, their undesirable look reflected on the mirror, or having no boyfriend as the chief motivating factors for weight control. In terms of their attitude towards weight control, Japanese college women checked their weight more frequently than Korean ones. Moreover, both Korean and Japanese college women were directly motivated to lose weight while they were talking with their friends.

근감소성 비만 중년여성의 저항성운동 중재에 따른 일시적, 장기적 Irisin 발현 및 근감소증 지표에 미치는 영향

최재일 한국웰니스학회 2022 한국웰니스학회지 Vol.17 No.2

This study was conducted to investigate the difference between acute and long-term irisin expression and sarcopenia Indices according to resistance exercise intervention. The subjects of this study were 40 middle-aged women between the ages of 50 and 64 living in Y city. The subjects of the normal women group were selected from 20 middle-aged women who had no clinically special disease and had a body fat percentage between 20 and 25%. For the subjects of the women group, 20 middle-aged women with sarcopenic obesity (ASM/m2 less than 5.4kg/m2 + %fat 30% or more) were selected. The subjects of this study were a resistance exercise group (sarcopenic-obese women, n=10), a control group (sarcopenic-obese women, n=10) , a resistance exercise group (normal women, n=10), and a control group (normal women, n= 10) was grouped. The results of repeated measure ANOVA analysis to compare the difference between the dependent variables for acute resistance exercise and long-term resistance exercise were as follows. irisin expression following acute resistance exercise intervention before long-term exercise was significantly increased in normal women group after resistance exercise compared to rest (p<.05). After long-term exercise (8 weeks), irisin expression following acute resistance exercise intervention was significantly increased after acute resistance exercise compared to rest in the resistance exercise group (sarcopenic-obese women) as well as in the normal women group (p<.05). irisin expression at rest was significantly increased in the resistance exercise group (sarcopenic-obese women) and resistance exercise group (normal women) after 8 weeks compared to before resistance exercise (p<.05). In addition, the expression of irisin at rest after 8 weeks of resistance exercise was found to be higher in the resistance exercise group (sarcopenic-obese women) and in the resistance exercise group (normal women) than the control group (sarcopenic-obese women) and control group (normal women). In the ASM/m2 change, the resistance exercise group (sarcopenic-obese women) and the resistance exercise group (normal women) showed a significant increase in ASM/m2 after 8 weeks compared to before resistance exercise (p<.05). These results showed that irisin expression was increased only in normal women during acute resistance exercise in untrained middle-aged women. However, after 8 weeks of resistance exercise, acute resistance exercise increased irisin expression even in sarcopenic-obese women. In addition, resistance exercise was effective in preventing sarcopenia and obesity in normal women and sarcopenic-obese women. 이 연구는 저항성운동 중재에 따른 일시적, 장기적 irisin 발현과 근감소증 지표의 변화를 규명하기 위해 실시되었다. 이 연구의 대상자는 40명의 50~64세 사이의 G도 Y시에 거주하는 중년여성을 모집하였다. normal women group에 해당하는 대상자는 임상적으로 특별한 질환이 없고 저체중 또는 비만이 아닌 대상으로 선정하기 위해 체지방율 20~25% 사이의 중년여성 20명을 선정하였다. sarcopenic-obese women group에 해당하는 대상자는 근감소성 비만에 해당(ASM/m2 5.4kg/m2 이하 + %fat 30%이상)하는 중년여성 20명을 선정하였다. 모집된 대상자들을 근감소성 비만 및 저항성운동 유·무에 따라 무작위 배치하여 resistance exercise group(sarcopenic-obese women) 10명, control group(sarcopenic-obese women) 10명, resistance exercise group(normal women) 10명, control group(normal women) 10명으로 분류하였다. 일시적 저항성운동과 장기적 저항성운동에 대한 종속변인의 차이를 비교하기 위해 repeated measure ANOVA를 실시한 결과 다음과 같이 나타났다. 장기적 운동 전 일시적 저항성운동 중재에 따른 irisin 발현에서는 일반여성 집단에서만 안정시에 비해 저항성 운동 후 유의하게 증가한 것으로 나타났다(p<.05). 장기적 운동(8주) 후 일시적 저항성운동 중재에 따른 irisin 발현에서는 모든 일반여성 집단뿐만 아니라 근감소성-비만 여성 저항성운동 집단에서도 안정시에 비해 일시적 저항성 운동 후 유의하게 증가한 것으로 나타났다(p<.05). 장기적(8주) 저항성 운동 후 안정 시 irisin 발현에서는 근감소성-비만 여성 저항성운동 집단, 일반여성 저항성운동 집단에서 운동 전에 비해 8주 후 안정 시 irisin 발현량이 유의하게 증가한 것으로 나타났다(p<.05). 또한 8주 후 안정 시 irisin 발현에서는 근감소성-비만 여성 저항성운동 집단, 일반여성 저항성운동 집단이 근감소성-비만 여성 통제집단, 일반여성 통제집단보다 높은 것으로 나타났다. ASM/m2 변화에서는 근감소성-비만 여성 집단(저항성운동 집단)과 일반여성 집단(저항성운동집단)에서 운동 전에 비해 8주 후 ASM/m2이 유의하게 증가한 것으로 나타났다(p<.05). 이상의 결과를 종합해볼 때 운동경험이 없는 상태에서의 일시적 저항성 운동에 따른 irisin 발현은 일반여성 집단에서만 증가하는 것으로 판단되며, 8주간 저항성운동 후 일시적 저항성 운동에서는 근감소성-비만 여성들에서도 irisin 발현이 증가하는 것으로 사료된다. 또한 일반여성과 근감소성-비만 여성들에게 저항성운동은 근감소증과 비만 예방 효과를 나타내는 것으로 판단된다.

The Comparison of Korean and Japanese College Women’s Self-evaluation on Obesity and Attitude to Weight Control

Mi-Ok Kim,Jong-Geuk Eun,Un-Jae Chang,Kayoko Sawano,Tokuko Miyamoto 한국식품영양과학회 2009 Preventive Nutrition and Food Science Vol.14 No.4

This study compares Korean and Japanese college women’s self-evaluation on obesity and examines their attitude to weight control. The subjects of this study were 101 college women residing in Daegu-si of Korea and 123 Japanese college women living in Saga-ken of Japan. A survey was conducted by each of the participants and was analyzed. This self-evaluation on obesity revealed that 47.5% of Korean college women answered that they were obese while 31.7% of Japanese college women responded they were. The results of this study show that there are about 5% of college women in both Japan and Korea who thought they were obese, even though they were actually normal or underweight. Both Korean and Japanese women who considered themselves obese selected wrong eating habits as the cause of their obesity. In terms of their recognition on ashamedness, Japanese college women showed rather stronger recognition than Korean ones. In addition, more Korean college women responded that they had been suggested to lose weight than Japanese ones. In terms of the factors that motivate weight control, few women in either Korea or Japan controlled their weight for health reasons. Most of the Korean and Japanese college women chose the size of their clothes, their undesirable look reflected on the mirror, or having no boyfriend as the chief motivating factors for weight control. In terms of their attitude towards weight control, Japanese college women checked their weight more frequently than Korean ones. Moreover, both Korean and Japanese college women were directly motivated to lose weight while they were talking with their friends.

중년기 복부비만여성의 비만관리 프로그램 실시효과 : 아로마 마사지를 중심으로 With Focus on Aroma Massage

김명숙,안홍석 대한비만학회 2003 The Korean journal of obesity Vol.12 No.1

연구배경: 우리나라 여성의 경우 출산 후 30대 이후 중년기 여성들은 비만 유병률이 특히 높다고 보고되고 있으며, 경제수준의 향상과 식생활의 변화로 인하여 비만이 점차 증가 추세에 있어 중년기 여성비만은 외관상 및 건강상 문제로 대두되고 있다. 특히 복부비만은 심혈관계질환 등 대사성 질환발생과 관련이 있으므로 이에 본 연구는 30~55세에 해당되는 중년기 복부비만여성을 대상으로 기본관리군과 추가관리군으로 분류하여 두 군에게 각각 다른 비만관리 프로그램을 실시한 후 효과를 측정, 비교하여봄으로써 효율적인 프로그램을 개발하고자 시행하였다. 방법: 서울시 강남구 여성센타의 프로그램 광고를 통해 30~55세에 해당되는 여성으로서 체질량지수가 25 kg/㎡이상이면서 허리둘러나 80 cm이상인 복부비만여성을 대상자 66명을 선정하였으며, 이들을 식이요법, 운동요법, 행동수정요법으로 구성된 병합요법을 실시하는 기본관리군과 식이요법, 운동요법, 행동수정요법 외에 아로마 복부마사지를 추가적으로 실시하는 추가관리군으로 다시 분류하여 10주간 비만관리 프로그램을 실시하였다. 결과: 연구기간동안 계속적인 참여를 한 자는 기본관리군 16명, 추가관리군 23명이었다. 1) 프로그램실시 10주 후 총체중은 기본관리군 추가관리군이 각각 4.14 kg, 5.58 kg, BMI는 1.66kg/㎡, 2.41 kg/㎡ 감소되어 유의적인 차이로 추가관리군에서 감소의 폭이 컸다(p<0.01, p<0.001). 실시 10주 후 신차둘레 중 허리둘레는 기본관리군, 추가관리군이 각각 6.81 cm, 9.09 cm, 복부둘레는4.61 cm, 8.11 cm 감소되어 허리둘레, 복부둘레 모두 유의적인 차이로 추가관리군에서 감소의 폭이 컸으며 (p<0.01 p<0.001), 피하지방두께 중 복부피하지방두께 역시 추가관리군이 유의적인 차이로 기본관리군에 비해 감소의 폭이 컸다(p<0.001). 실시 10주 후 처니방은 기본관리군 추가관리군이 각각 3.19%, 4.94% 감소괴어 두 군간 유의적인 차이로 추가관리군에서 감소의 폭이 컸으며 (p<0.05), 혈압은 추가관리군에서만 수축기혈압이 유의적인 감소를 나타났다(p<0.05). 2) 혈청성분 중 중성지질과 유리지방산은 두 군에서 모두 유의적으로 감소되었으나(p<0.05, p<0.01)두 군간 유의적인 차이는 없었다. 총 콜레스테롤과 LDL-콜레스테롤은 추가관리군에서만 유의적인 감소를 보여(p<0.001) 두 군간 유의적인 차이를 보였으며 (p<0.05), 총항산화능과 AST 역시 추가관리군에서만 유의적인 변화를 가져와(p<0.001, p<0.01), 두 군간 유의적인 차이를 보였다(p<0.001, p<0.05). 결론: 식이요법과 운동요법, 행동요법에 아로마 복부마사지를 추가 실시했을 때 체중. BMI, 체지방, 허리둘레, 복부둘레, 복부피하지방두께의 감소에 영향을 줄 뿐 아니라. 총콜레스테롤과 LDL-콜레스테롤의 감소와 항산화능의 증가에 변화를 주었다. 따라서 식이요법과 운동요법, 행동수정요법에 아로마 복부마사지를 추가적으로 실시한 프로그램이 식이요법과 운동요법, 행동요법으로 구성된 병합요법에 비해 복부비만을 감소시키고 비만관련 질병의 예방에도 효과적인 관리방법이라고 결론을 내릴 수 있다. Background: Middle-aged Korean women over 30 years old reportedly become fat in particular after delivery. The obesity ratio has steadily increased due to economic growth coupled with change in diet pattern, causing appearance and health problems against middle-aged women. Since abdominal obesity particularly relates to metabolic disease including heart/blood vessel disorder, the middle-aged women with abdominal obesity are divided into basic treatment group and additional abodominal massage group who are subject to different obesity managemant program. Then the outcomes are checked and compared with each other. These basic data are used to develop efficient abdominal obesity managemant program and to operate professional obesity managemant center. Methods: Sixty six women aged between 30 and 55 who have BMI above 25 kg/m2 and live in Seoul, Korea and whose WHR is 0.85 or more are selected as an subject of this study. They are divided into additional abodominal massage group and basic treatment group for 2nd level study. Abdominal massage is done in addition to the diet education, physical exercise therapy and behavior correction therapy for the additional abodominal massage group, whereas the basic treatment group is subject to the diet treatment, physical exercise therapy and behavior correction therapy as an abdominal obesity managemant program. Results: 1) Additional abdominal massage group and basic treatment group lose weight 5.58 kg and 4.14 kg in 10 weeks, respectively, while BMI drops 2.41 kg/㎡ and 1.66 kg/㎡ in additional abdominal massage group and basic treatment group, respectively. This indicates that additional abdominal massage reduces weight and BMI more effectively than combined diet, physical exercise and behavior correction therapy do. In 10 weeks, additional abdominal massage group and basic treatment group witness waist circumference decrease by 9.09 cm and 6.81 cm and abdomen circumference decrease by 8.11 cm and 4.61 cm, respectively. This indicates that additional abdominal massage reduces waist circumference and abdomen circumference more effectively than combined diet, physical exercise and behavior correction therapy do. Meanwhile, there is no significant difference in hip circumference and WHR between additional abdominal massage group and basic treatment group. In 10 weeks, additional abdominal massage group and basic treatment group witness body fat decrease by 4.94% and 3.19% respectively. This indicates that additional abdominal massage notably reduces body fat more effectively than combined diet, physical exercise and behavior correction therapy do. In 10 weeks, there is no significant change in skinfold thickness at triceps and suprailiac significant between two groups, whereas there is notable difference in the skinfold thickness between two groups. This indicates that additional abdominal massage effectively reduces abdominal skinfold thickness. There is notable drop in diastolic blood pressure only for additional abdominal massage group in 10 weeks. There is significant difference in blood pressure between two groups in 10 weeks. 2) There is notable drop in triglyceride level in serum component of both groups. Total cholesterol and LDL-cholesterol level change significantly in additional abdominal massage group, showing the remarkable effect of abdominal massage. There is notable change in total antioxidant and AST in additional abdominal massage group, showing the remarkable effect of abdominal massage. Conclusion: This study also shows that diet, physical exercise and behavior correction therapy coupled with abdominal massage using aroma therapy effectively reduces weight, BMI, waist/ abdomen circumference, body fat, abdominal skinfold thicknrss, total cholesterol and LDL-cholesterol level while increasing total antioxidant. Therefore, it is concluded that the abdominal obesity management program adopting diet, physical exercise and behavior correction therapy coupled with abdominal massage using aroma therapy effectively control abdominal obesity and prevent obesity related disorders.

40~60대 비만체형 여성의 인체 형상 연구

김효숙 ( Kim Hyo-sook ),이소영 ( Lee So-young ) 한국디자인트렌드학회 2011 한국디자인포럼 Vol.31 No.-

본 연구의 목적은 40대, 50대, 60대 비만여성의 체형 특성을 파악하여 비만여성의 의복생산을 위한 기초자료로 제공하고자 하는 데 있다. 비만여성의 인체 특성 파악을 위해 `Size Korea 2004`의 직접측정치와 3차원 인체 단면형상을 분석하였으며 결과는 다음과 같다. 1. 직접측정치의 높이항목을 제외한 모든 항목에서 비만여성이 일반여성에 비해 큰 값을 나타냈으며 높이항목에서는 같은 연령대에서의 비만여성과 일반여성 간에 큰 유의차는 보이지 않았다. 2. 너비항목과 두께항목, 둘레항목, 길이항목, 몸무게에서는 모두 큰 유의차가 나타났으며 비만여성의 허리두께와 배꼽수준허리두께가 큰 값을 나타냈다. 3. 둘레항목에서는 비만여성의 허리둘레와 배꼽수준허리둘레가 특히 크게 나타났으며 길이항목에서는 샅앞뒤길이가 크게 나타났다. 4. 40대, 50대, 60대 비만여성을 임의추출하여 3D로 측정한 결과, 전체적으로 비만여성 피험자의 단면형태는 평균체형여성의 단면과 형태는 비슷하였으나 크기가 크게 나타났으며 너비항목보다는 두께항목에서 더 많은 차이를 보였다. 5. 40대 비만여성 피험자는 비교적 평균체형여성의 단면과 형태와 크기가 비슷하였으며 50대 비만여성 피험자는 허리와 배꼽수준허리의 너비와 두께가 평균체형여성에 비해 크게 나타났다. 6. 60대 비만여성 피험자는 뒤허리중심의 형태가 평평하며 복부가 전체적으로 돌출되어 있는 체형으로 나타났다. The purpose of this study is to provide the fundamental data of the body shape for the 40s, 50s, 60s obese women. In order to identify the body shape of obese women, this study analyzed the direct measurements of `Size Korea 2004` and shapes of 3D horizontal section through the 3D measurements. The results were as follows; 1. In all items, obese women`s measurements had high values than non-obese women`s, except for the height. In height, there were no significant differences between the obese women and ordinary women of the same age groups. 2. Measurements in width, thickness, circumference, length, and weight, there were significant differences between obese women and non-obese women, and especially obese women`s waist and navel level waist were much thicker than non-obese women`s. 3. The circumference of waist and navel level waist, and length of clutch of obese women had high values. 4. The shapes of horizontal sections of 40s, 50s, 60s obese woman subjects were almost similar to average women`s, but the horizontal sections were bigger and much more thicker than that. 5. The size and shapes of 40s obese woman subject`s horizontal section were similar to average women`s, but 50s obese woman subject had wider and thicker in waist and navel level waist measurements than average women`s. 6. The body shape of 60s obese woman subject is flat in back waist, and protrude in front abdomen.