This study was intended to collect the baseline information on dietary behavior of adults to develop nutrition education program in the context of health promotion at community level. Nutrients intake of 135 housewives were assessed by 24 hour recall methods. Also food habits, nutrition knowledge and attitude were investigated by self-administered questionnaires. Our results indicated dietary intake of calcium and vitamin B2 were insufficient when they were compared to Korean recommended dietary allowances(RDA). Among five food groups, intakes of milk and dairy product was inadequate as compared to the recommended amount. When we compared the fatness indices to self-evaluated meal problems, overeating and speedy eating were significantly related to fatness indices. Fatness indices such as relative body weight(RBW) and body mass index(BMI) were significantly higher in the subjects who self-evaluated their unsound food behavior as overeating. However, there were no significant differences of food habit score and nutrition knowledge among groups classified by fatness or meal problem. Body fat ratio, frequencies of night snack and skipping meal significantly increased with age. Food habit score was positively related to health-concerned attitude and active attitude toward change. We concluded that nutrition education program for housewives should include detailed strategies to modify unsound food behaviors for healthy weight.

This study was designed to investigate nutrition intakes and its relation to the obesity and the prevalence of anemia in 252 children(136 boys, 116 girls) aged 2~6 years. The hematological parameters, daily nutrient intakes and height and weight were measured. Calorie intakes of 2 and 3year-old-children were over their RDA while those of 4-6 years were below the RDA. Intakes of protein, P, and vit B complex were far over the RDA in all ages of children. Fe and vit A intakes were insufficient in all ages except 3 years while Ca intakes were insufficient in all ages except 2 and 3 years. About 18.2% of the children were evaluated as obese. However, very few children were anemic by hematologic parameters. The mean Hb concentrations were 12.2mg/dl in boys and also in girls. The mean Hct was 36.2% in boys, 35.8% in girls. Serum Fe concentration was 100.1mg/dl in boys, 101.1mg/dl in girls. RBC count was significantly higher in boys while MCH was significantly higher in girls. Intakes of protein, P, Fe, vit B1, niacin, vit C were significantly higher in obese group compared to under weight group. There were significant positive correlations between protein intake and Hb, Hct, MCH, and MCHC. The correlation between Fe intake and Hb or Hct was not significant. In conclusion, it seems that the nutritional status of the most children was in very good condition. However, they needed to take more foods supplying Fe, Ca, and vit A.

To compare actual obesity rate and self-evaluated body shape, 651 women living in Inchon were participated in the measurement of anthropometric indices and in the survey by questionnaire. Mean RBW and BMI were in normal range except the girl in 13-15 years. RBW and BMI of the women in 40s and 50s were significantly higher than those in women in younger ages(p<0.001). Triceps skinfold thickness of the subjects were not significantly different. Significantly low DRBW in teenagers and women in 20s showed that their desire to reduce body weight were very strong. Over the half of the subjects thought they were too heavy and unsatisfied at their body shapes. The parts of the body desired to remove extra fat were the waist & abdomen in women over 30s and the thigh & legs in teenagers. It is thought that women, especially in 10s and 20s need the education about the appropriate evaluation of body shape and also need the nutrition education about the deteriorated influence of underweight on health.

This study was designed to evaluate food habits, anthropometry and obesity of 252 children(136 boys, 116 girls) aged 2~6 years old. The anthropometric indices were measured and food habits were surveyed. Average food habit score was 11.7/20.0 in boys and 11.8/20.0 in girls. It was found that 60.3% of the subjects belonged to fair score group(7-13) in food habits, while subjects in poor (0-6) and in excellent (14-20) were 30.6% and 9.1% respectively. There was no significant difference in food habits score between boys and girls. The food habits score tended to be higher as the mother's education level, total family income, number of siblings were increased. The mean height, weight and chest circumference of the subjects were much higher than the Korean standards. Evaluating the obesity by weight for height, 77.8% subjects was normal, 4.0% was underweight and 18.3% was obese. Underweight children did not seem to enjoy their meals and ate too slowly compared to normal or obese children. Therefore they needed to promote food habits by good nutritional education.

The present study was conducted to investigate the relation of eating behavior and food intake to 534 adolescents' obesity indices. Group means of relative body weight (RBW) were 93.66 for males and 97.12 for females. Body mass index(BMI) were 20.39 for males and 20.41 for females. Respondents were divided into 3 groups on the basis of RBW as an obesity index. Astonishingly, 44.76% of total respondents were underweight and 12.92% overweight and obese. 64.54% of respondents usually skipped their breakfasts and 24.23% their dinners. More males did not have their breakfasts than females. In contrast, more females skipped their dinners than males. A significant difference was found between males and females in their eating habits(p<.001) that should be changed. As their undesirable eating habits, males pointed out 'skipping meals', while females stressed 'overeating'. There were more overeating respondents in the overweight group, while more respondents skipping their meals were found in the underweight group. Many females(72.79%) and males(52.78%) tended to alternate consistently overeating and fasting to lose weight. The most important reason for losing weight was to improve their appearance(61.12%). In addition, nutrient score indices of respondents were very low with a mean of 33.39. Only 42.13% of total respondents showed good nutrient score indices. More males ate meat, bean, white vegetables, potato and fat than females(p<.05), whereas more females ate bread, rice cake and fruit than males(p<.01). Among the 3 groups -overweight, normal weight and underweight groups, overweight group was the most eaters of meat, fish, egg and milk; underweight group was the least eaters of them.

The purposes of this study were to investigate changes in serum lipid levels with age and gender, and to determine which factors affect the serum lipid profiles. The anthropometric parameters(height, weight, waist girth, hip girth) and biochemical status(cholesterol, triglyceride, HDL-chol.) were measured for clinically normal adults(male 89, female 91) in Yeongdong area. The results are as follows: 1. The obesity index was significantly higher in female(115.2±15.2%) than in male(109.9±13.4%), but waist/hip girth ratio(WHR) was significantly higher in male (0.89±0.05) than in female(0.81±0.06). 2. Male subjects had higher triglyceride and atherogenic index and lower HDL-cholesterol and relative cholesterol than those of female subjects. 3. Prevalences of hypercholesteolemia, hypertriglyceridemia and hypoHDL-cholesterolemia were 9.0%, 9.0%, 14.6% respectively in male and 9.9%, 2.2%, 4.4% in female. 4. WHR positively correlated with serum cholesterol, TG, LDL/HDL and A.I., and negatively correlated with HDL-chol. and relative chol. Correlation analyses indicated that WHR seemed to be more closely associated with serum lipid levels(rather than obesity index). 5. Age showed positive correlations with waist girth, WHR, cholesterol, LDL-cholesterol, LDL/HDL and A.I., but negative correlations with height, body weight and relative cholesterol. 6. There was significant differences in TG concentration between drinker(169.3±130.0mg/dl) and non-drinker(111.4±64.5mg/dl), and smoker(165±103.6mg/dl) and non-smoker (110.8±39.0mg/dl). That is to say that as risk factors for hyperlipidemia are obesity index, serum lipid concentration, life style(such as alcohol drinking and smoking) and age. Specially major risk factors are drinking, smoking and regulated exercise in male and age is an important risk factor in female.

Stroke is a serious disease despite recent improvement in medical and surgical treatment. Hence, identification of modifiable risk factors for stroke is important. This case-control study was done to demonstrate that relationship between smoking, alcohol consumption, obesity, perception of saltness and the incidence of stroke and to identify that smoking, alcohol consumption, obesity and perception of saltness, after adjusting for age, hypertension. A structured interview was carried out from April 15, 1996 to May 3, 1996 in Yonsei Medical Center. The study group consisted of 59 neurologically confirmed stroke patients as the study group and 59 non-stroke patients as controls. Analysis of the data was done by means of -test and logistic regression analysis. The results were as follows. In the study group: 1) Hypertension in males had a 10.2 odds ratio (p<0.05), cardiovascular disease in females had a 11.3 odds ratio (p<0.05) and a farnily history of stroke in males had a 3.1 odds ratio (p<0.05). 2) Females smoking one or more cigarettes had a 8.3 odds ratio (p<0.1), but males had no direct relationship with odds ratio of 1.5 (non-significant). 3) Alcohol consumption in males had a 0.4 odds ratio, and in females had a 0.8 odds ratio. The odds ratio was decreased in alcohol consumption group (non-significant). 4) Males with more than 20 cigarettes pack-years history had a 2.5 odds ratio (p<0.05), more than 25 Body Mass Index had a 3.1 odds ratio (p<0.05) and more than 220 ml ethanol weekly consumption had a 1.5 odds ratio (non-significant). 5) Female smokers had a 8.3 odds ratio (p<0.1), drinkers a 0.8 odds ratio and more than 25 Body Mass Iidex, a 43.1 odds ratio (p<0.05). 6) Females without saltness perception from a 0.5% salt solution had a 6.8 odds ratio (non-significant). 7) By logistic regression analysis independent risk factors for stroke in males were found to be hypertention, age, and obesity. The study was limited because number of subjects was too small for practical implications. However, like as other results, this study suggest that people should be advised to control hypertension, and obesity since these carry a risk of stroke.

This survey was conducted to investigate the relation of children's obesity index to their mothers' food habit during the October in 1995. The survey covered a total of 492 mothers whose children were in the fifth grade of elementary schools in Cheju City area. The results are summarized as follows: 1.The surveyed children's average WLI(Weight-Length Index) is 107.08. WLI shows that 16.1% of them are overweight, 16.1% obese and 49.8% ideally weighted. The mothers' average BMI(Body Mass Index) is 22.4. 21.8% of them are underweight and 69.4% normal. The children's obesity index is significantly correlated to their fathers', but not significant to their mothers'. 2.As to the food habit I (balance of nutrients intake), 58.4% of the mothers have 'excellent' or 'good' food habit and the mean score is 14.95 out of maximum possible score 24.0. Concerning to the food habit II (intake of sugar, fat and salt etc.), 87.4% of mothers have 'good' or 'fair' food habit and the mean score of is 13.34 out of maximum (possible score) 20.0. The mothers' food habit I and II, as a whole, have no significant effect on the children's obesity index, but in some items the significant relations are founded. The children's chesty index is significantly related to the intake of eggs (P<0.05) and pan-broiled or fried foods (P<0.05). The amount of mothers' food intake is significantly relevant to their obesity index (P<0.001), but not significantly to their children's. The food habit of mothers who have taken midnight snack almost every day are significantly related to their children's chesty index (P<0.05). The findings of the study emphasize the importance of the nutrition education to ensure health and better physical fitness for children and their mothers.

The difference between self-evaluated obesity and obesity index of RBW and BMI as well as attitude toward weight control were studied among college students in Chungnam area. The subjects of 307 students were randomly selected and asked to categorize their body shape into 5 groups and to record their body weight and height. We found that average RBW and BMI of the students were 95.7% and 20.6, respectively. By RBW, 30.6% of students belonged to underweight and severe-underweight groups whereas 14.0% overweight and obesity ones. The female students showed lower obesity indice than the male. Self-evaluated obesity seemed likely to overestimate their body shapes above RBW and BMI, which lead to high unsatisfactioin toward their body shape. The overestimation was profound in normal weighted female students up to 20%. Misunderstanding about their obesity, especially among female college students, should be corrected necessarily by proper nutrition counseling and nutrition education, unless malnutrition could be serious in college students.

The relationship of obesity and related behaviors was analyzed among 361 primary school children, 4th and 5th grade, in one of private school in Seoul in July 1994. Compared to 1985 Korean Children's Growth Standard, the surveyed children have shown remarkable growth, which is the secular trend in growth of Korean children accompanied with rapid economic growth. But the relative incremental weight was far larger than that of height and this trend was more evident among children over 50th percentile, which shows a wide prevalence of obesity of the surveyed children. By WLI index, 15% of the children was overweight and 13% was obese. The higher the WLI, the more frequent and stronger stress they had. The nutrition knowledge score of obese children was higher compared to others. They were especially sensitive to their physical fitness but many normal or underweight-children also experienced stress due to their body weight and have tried to lose weight by incorrect methods. On the other hand many obese children thought they were optimal or underweight. These results reasserts the importance of nutrition education focused on children aheading puberty. They need to know the correct degree of obesity and to get appropriate education through teachers, dietitians, parents and doctors. The findings of this study could be applied to a nutrition implementation policy to ensure better physical fitness of children aheading puberty in the future.

An ecological survey of food and nutrition was conducted in April and May, among 278 children, 6 to 12 years old, of the Youido elementary school, which offers no school lunch program, and is situated in Youido delta of Han River side of Seoul, known as the location of one of the socioeconomically high groups; Eighteen percent and 18.3% of subjects were proven to be overweight and obese, respectively. With regard to frequency of skipping breakfast, 28.4% of the subjects skipped breakfast often and 2.5% of subjects skipped breakfast every morning. Obese children showed good appetite and the time consumed for eating was shorter than those of normal or overweight children. Most serious anxiety among the mothers for those children was food habit of `eating rapidly' and `overeating'. Another striking observation was that 14.4% of the subjects ate only one side-dish with boiled rice, and such a pattern was more often found in the normal or slim group. Most of the subjects had their snacks after being back in home from school. Thirty-one percent of the children had snacks when they felt hungry, 69% had snacks for various reasons such as `habitually', `for unwinding', and `mother gives me snacks'. Thirty-eight percent of the boys and 19% of the girls had physical exercise everyday and overweight and obese children got exercise more frequently. But the time consumed for exercise was much more shorter than that of normal subjects. Most of the children liked fruits, meats, and biscuit, in contrast, lowest preferency was for vegetables, fermented fish products, and boiled rice mixed with other grains. Obese children experienced more kinds of food than normal or slim group. The study found that habits of overeating due to good appetite and eating rapidly were recognized as one of dominant reasons causing obesity among children. On the other hand, serious dietary problem of children of normal or slim group was eating less variety of food. Active nutrition education for both children and mothers will be recommended with joint participation of teachers.

The purpose of this paper it to investigate the differences in prevalence of obesity and body fat distribution on the variances of age. Height, weight, skinfold thickness and girth circumference on about 422 women residing in Cheju, Korea were surveyed. The results of analysis of the survey are as follows : 1) All the antropometric measurements except height were shown to increase with age. Weight is at its highest level between the age of 50-59. The measurement of skinfold thickness and girth circumference between the ages of 20-39 of the female subjects are significantly higher than the above 40's. However, there is no significant difference among the middle aged women. 2) Physical indices tend to increase according to age. Both BMI and RBW of women in their 50's are at their highest values, however, the index values of the women in their 60's decreased slightly (p<0.05). On the contrary, there is no significant difference in the percentage of body fat and total body fat content among the middle aged women surveyed. 3) According to this survey, 15.6% of the 422 subjects are assessed as being obese ; more specifically 4.4% of women in their 20's, 12.6% in 30's, 25.6% in 40's, 22.5% in 50's and 17.3% in 60's. 4) 39.4% among obese women proved to be upper body type women. Because the frequency of upper body type women became higher as the obese women aged, there is possibility that the pattern of fat distribution can change. 5) Weight is the most highly correlated with BMI(r=0.91), whereas weight as correlated with RBW, percentage of BF and WHR are 0.8, 0.66 and 0.44 respectfully. The conclusion of this survey is that it is better to estimate the value of total body fat and percentage of body fat than the value of BMI in the analysis of prevalence of obesity and its related factors of middle aged women.

Background : Obesity is a type of metabolic diseases caused by unbalanced in take and consumption of calories. 3T3-L1 is differentiated into adipocytes by various hormones and transcription factors and accumulates intracellular lipid. Therefore, it is important to inhibit the adipocyte differentiation precess for effective obesity inhibition. Aster yomena and Aster glehui are medicinal plant of Compositea family that grows widely in Korea. Aster genus plants have been used to treat snakebite wound or bruises in oriental. The aim of this study was comparison of inhibitory effect oxidation and adipocyte differentiation with Arial parts of A. yomena (AY) and A. glehni (AG). Methods and Results : AY and AG were cultivated from Pyeongchang in Korea, 2018. AY and AG were extracted by 70% ethanol (-E) and water (-W) at room temperature. AG-W has higher phenolic content (6.92 ± 0.23) and AG-E has higher flavonoid content (8.22 ± 0.19) than other extracts. AG-E has higher radical scavenging activity on DPPH and ABTS assay (IC50 value; 104.88 ± 10.50 and 30.06 ± 0.27). In cytotoxity assay, all extracts concentrations of lower 100 ㎍/㎖ were nontoxic to the cells and can be applied for the next assay. The anti-adipogenic effect of extracts were determined in 3T3-L1 cell by Oli Red-O (ORO) staining. The lipid diplot stained with Oil red O was dissolved to determine by microplate-reader. AG-W significantly reduced the adipocyte differentiation of 3T3-L1 cells (70.49%) compared with other extracts (AG-E, AY-W and AY-E). Conclusion : Theses results reveal that the water extract of AG has utility as a functional food material for preventing obesity.

목적: 본 연구의 목적은 저소득층 아동·청소년의 신체 활동에 관한 선행연구를 토대로 신체활동상담 프로그램을 개발하고, 이를 아동·청소년에게 적용하여 그 효과를 검증하는 것이었다. 방법: 인천에 소재한 초등학교 2개교와 중학교 2개교의 재학생 중 저소득층 학생 189명(초등학생 92명, 중학생 97명)이 선정되어 초등학교 46명, 중학교 50명이 실험집단에 배정되어 신체 활동 상담 프로그램이 12주간 진행되었다. 프로그램의 효과 검증은 양적 연구방법과 질적 연구방법을 병행하는 동시적 혼합연구 방법을 사용하였다. 양적 연구에서는 프로그램의 적용 효과를 검증하기 위하여 네 가지 항목, 즉 유연성, 근력, 순발력, BMI를 측정하였다. 신체적 자기개념의 변화를 알아보기 위해 최선인, 정청희, 김병준(2005)의 신체적 자기개념 측정 도구를 사용하였다. 체력검사와 신체적 자기개념 검사 모두 사전 검사, 사후검사, 지연검사를 12주 간격으로 실시하여 이원혼합 설계 분산분석을 활용하여 자료를 처리하였다. 한편, 질적 연구에서는 양적 연구에 참여한 학생 중 무작위로 초등학생 13명, 중학생 12명을 대상으로 비참여적 관찰, 반구조화 개별 면담, 학생 신체 활동일지를 활용하여 문화 기술적 연구를 시행하였다. 연구 자료는 영역분석과 분류 분석의 절차를 통해 자료의 분석이 이루어졌다. 결과: 양적인 연구에서는 4가지의 체력검사와 6가지의 신체적 자기개념 검사별로 이원분산분석을 실시하여 사후검사에서는 프로그램의 효과가 있다는 것을 확인하였으나 지연검사에서는 일부 요인에서 집단별 평균점수의 차이가 없는 것으로 나타났다. 질적 연구에서 학생들은 신체 활동과 영양에 관한 지식, 개인 내적 변화(체력향상, 재미, 건강증진, 학업태도의 변화), 관계향상에서 진전이 있었다고 하였다.

Background : Obesity, a global health problem and a chronic diseases, is associated with increased risk of developing type 2 diabetes and coronary heart diseases. A wide variety of natural remedies have been explored for their obesity treatment potential. To elucidate the anti-obesity effect of ginsenoside Rg5 : Rk1 (Rg5 : Rk1), a mixture of protopanaxadiol type ginsenosides isolated from Panax ginseng Meyer in a 3T3-L1 adipocytes. Methods and Results : In order to determinate the anti-obesity effect of Rg5 : Rk1, Oil Red O staining and triglyceride (TG) content was assessed. Furthermore, to elucidate the possible mechanism whether Rg5:Rk1 affects lipid accumulation, mRNA and protein expression analyses of adipocyte markers such as STAT3, PPARγ, CBEPα and ap2 were carried out. Rg5:Rk1 treatment showed an inhibition of lipid droplet accumulation and decrease on TG content. In addition, expression of STAT3, PPARγ, CEBPα and ap2 were decreased in dose dependent manner. Similar to these results, Rg5:Rk1 treatment reduced PPARγ and CEBPα protein expression. Conclusion : Rg5 : Rk1 treatment exhibits anti-adipogenic activity by down-regulation of the STAT3PPARγ/CEBPα pathway in 3T3-L1 adipocyte cell line.

Background: An imbalance in energy intake and expenditure can cause obesity, which is a major risk factor for chronic diseases such as heart disease, type 2 diabetes, insulin resistance, cancers and hyperlipidemia. Methods and Results: In this study, we evaluated the anti-obesity effects of a water extract from the young leaves of barley sprout (BS) in 3T3-L1 cells and in high-fat diet (HFD)-induced obese mice (HF). Lipid accumulation measurement indicates that BS markedly inhibited adipogenesis by reducing lipid droplet production in a dose-dependent manner. Furthermore, the mRNA expression of adipogenic transcription factors peroxisome proliferator-activated receptor-γ and fatty acid synthetase, CCAAT/enhancer binding protein-α and fatty acid binding protein 4 in 3T3-L1 cells was significantly inhibited by BS treatment. In an in vivo test, the BSadministered group of HFD-induced mice showed less body weight gain, and lower liver and epididymal white adipose tissue weights. The BS-treated mice showed decreased serum levels of leptin and lipids compared to untreated HFD mice and the levels of adiponectin and the HDL-cholesterol/total cholesterol ratio increased. These results indicate that BS inhibits body fat accumulation by reducing the mRNA expression of lipogenesis transcription factors and increasing serum adipokine concentration in in vitro and in vivo tests. Conclusions: BS reduced high fat diet-induced weight gain and had a positive effect on dyslipidemia.

As the number of obese patients increases, childhood obesity also increases and it is recognized as a big problem because it increases the incidence of hypertension, hyperlipidemia, diabetes and metabolic syndrome. Although thyroid hormone abnormalities sometimes exist in obese patients without thyroid disease, there is still much controversy on the impact of obesity on thyroid hormone test results. Accordingly, the present study investigated the correlation between obesity and thyroid hormone concentrations in children with normal thyroid function. In the present study, 356 patients aged 6-18 years who visited the Chosun University Hospital were randomly selected, after exclusion of those with thyroid disease, diabetes mellitus, kidney disease, those with a history of smoking and drinking, and those taking steroids or lipid lowering agents. There were no significant differences in levels of thyroid stimulation hormone (TSH) and free thyroxin (fT4) between males and females. The patients were divided into groups based on serum TSH concentration: group A with TSH < 4.0 μIU/mL and group B with TSH ≥ 4.0 μIU/mL (upper level of normal range). BMI z score, ALT, rGTP, and total cholesterol were significantly higher in group B. Multiple regression analysis adjusted for age, gender, birth weight, and pubertal development showed that TSH and BMI z score were positively correlated, while fT4 was not correlated with other factors.