케톤 식이요법(Ketogenic Diet, KD)은 고지방, 적당한 단백 질, 저탄수화물로 식이 패턴으로 최근 몇 년 동안 스포츠 분야 에서 많은 관심을 받고 있다. 본 연구는 케톤 식이요법이 체중 조절 및 운동수행력에 미치는 영향을 검토하고 잠재적인 생리 학적 메커니즘에 대해 논의했다. 케톤 식이요법은 인슐린 분비 를 줄이고 지방 산화를 촉진해서 케톤체의 이용률을 높임으로 써 체지방을 효과적으로 줄이고 체급별 종목의 선수가 안전한 체중 관리를 할 수 있도록 도울 수 있다. 지구력 선수의 경우 케톤 식이요법은 지방 산화 능력을 향상시키고 글리코겐 의존 성을 줄이며 장기간 운동 중에 운동 시간을 연장할 수 있다. 그러나 고강도 무산소성 운동(예: 단거리 달리기, 역도)에서 제 한된 탄수화물은 해당과정의 속도를 감소시키고 에너지 공급에 영향을 미치며 폭발력과 최대 근력을 약화시킬 수 있다. 따라 서 케톤 식이요법은 지구력 운동과 체중 조절이 더 필요한 운 동선수에게 어울리지만 근 성장과 순간 순발력에 의존하는 운 동 종목의 효과는 여전히 논란의 여지가 있다. 이 연구는 케톤 식이요법을 사용할 때 운동수행력을 최적화하고 잠재적인 위험 을 줄이기 위해 운동 유형, 개별 대사 특성 및 적응 기간에 따 라 합리적으로 조정해야 함을 강조한다. 향후 연구에서는 과학 적인 스포츠 영양지침을 제공하기 위해 케톤 식이요법의 장기 적인 영향과 다른 영양 전략의 조합을 추가로 조사해야 한다.

The purpose of this study was to investigate self-esteem, body image, body cathexis and body attitude of female middle school students. A total of 298 subjects were included in this study. Subjects were classified into weight control group and a non weight control group. As a result of analyzing body shapes satisfaction was higher in the non weight control group 2.83 than in the weight control group 2.28 (p<0.001). The weight control group revealed lower body satisfaction than the non weight control group. The result of the reason for weight control was the ratio of ‘weight loss’ 84.6%, respectively (p<0.001). Factors impacting physical image of female middle school students were analyzed as friends (3.46), internet (3.22), and TV (3.13). Results suggest that educational program should be combined with a positive emphasis on physical image and self-esteem for female middle school students. Also, there was a high correlation between body weight and self-esteem. Results indicate that female middle school students are interested in weight loss with the wrong body image. Therefore, female middle school students should be provided with an educational approach to such issues so that they have a realistic perception of their body and form realistic values about self-esteem and body.

The purpose of this study was to investigate the fad dieting status and needs of nutrition education on healthy dieting in male and female collegians according to the desired loss weight. The subjects were 611 students (287 males, 324 females) from universities in Gyeonggi and Gangwon provinces in Korea. The subjects were divided into the following four groups based on the difference between their current body weight and their desired body weight: no desired weight loss (WL0), desired weight loss less than 5 kg (WL5), desired weight loss 6 to 10 kg (WL10), and desired weight loss more than 11 kg (WL11). The fad dieting status was surveyed using a questionnaire about 11 selected trendy dieting methods. The higher desired weight loss group showed higher current weight and BMI in both males and females. Self weight overestimation was higher in the females than in the males, and in the WL10 group than in the other groups of males. As desired loss weight increased, weight loss trials and experienced trendy dieting types increased in both males and females. In the male subjects, the experience of the half meal diet and the chicken breast diet was significantly associated with the desired loss weight. In females, trials of more trendy diet types including the half meal diet, cereal diet, fasting, and Atkins diet were significantly associated with the higher desired loss weight. The need for nutrition education on healthy dieting was high among all the different desired weight loss groups, showing that a minimum of 60% of subjects in each group answered ‘necessary and strongly necessary’, with the highest in the WL11 group in both males and females. From these results, desired loss weight is associated with higher current weight status, unhealthy weight control practices, and needs for nutrition education in both male and female subjects. Therefore, in the future, nutrition education programs should give greater attention to providing healthy dieting methods for young collegians who desire more weight loss.

This study was conducted to investigate the effectiveness of a nutrition and exercise education program on weight control and nutrition knowledge. The nutrition-exercise educational period was 12 weeks. The subjects were 160 adult women with an average age of 48.1 years. We investigated general characteristics, diet history, eating habits, and intake frequencies of six food groups by survey. A total of 94 women among the subjects participated in the pre and post nutrition knowledge evaluations and anthropometric data assessment. After the program, body weight, body mass index (BMI), and waist circumference significantly decreased. Further, % of body fat decreased, but not significantly. BMI significantly decreased (p<0.001) from 25.14 to 24.80 kg/m2, and waist circumference significantly decreased (p<0.001) from 79.72 to 77.63 cm. The nutrition knowledge scores of subjects significantly increased (p<0.001) from 8.01 to 9.03. However, there was little change in employment. These results suggest that the nutrition-exercise education program may improve obesity index and nutrition knowledge. However, it is necessary to develop a specialized weight control program for workers.

The purpose of this study was to compare weight control behaviour, eating habits, and health-related life habits accordingto degree of obesity among normal, overweight, and obese groups. Self-perception of weight and desire for weight controlin males (p<0.001) and females (p<0.001) varied among the three groups. Reasons (p<0.001), experience (p<0.01), andmethod of weight control (p<0.05) were different among the three female groups, whereas males did not show anydifferences. Intake of nutritional supplements in the male obese group was higher compared to other groups (p<0.01),whereas eating habits were not significantly different among the three groups for both males and females. Food habits scorefor intake of fruits, milk, and yogurt were higher in females than males (p<0.001). Correlation coefficients of food habitsscore and anthropometric measurements showed that hip circumference was negative for intake of fruits in males, whereasRBW and BMI were positive for food combination, intake of bean products, and fishes in females (p<0.05). Frequency andfitting exercise in the obese female group were lower than in the other groups (p<0.01). Therefore, proper nutritionaleducation for obese individuals is recommended proper self-perception of weight, good food habits, and regular exercise.

This study was performed to investigate the eating habit, body image, and weight control behavior by BMI in Korean female high school students. Data on the 16, 574 subjects was obtained from the sixth Korea Youth Risk Behavior Web-based Survey (2010). Only 52.2% of the subjects had regular breakfast. The rate of skipping breakfast was higher in the underweight group than in the obese group, but the rate of skipping dinner was on the contrary to this. Underweight students had a higher intake frequency of fruits, fast food, instant noodle, and snacks than the obese groups. 3.5% of underweight students considered themselves to be overweight or obese. 53.4% of obese students considered themselves to be overweight. The experience of weight control increased according to BMI, but underweight students considered weight control as an effort to be slimmer. Meal restriction was used more frequently to control weight. The perceived stress level was higher in obese student, especially due to appearance. Therefore, an appropriate, integrated and personalized high school nutrition program should be established for proper body image perception and to develop the self-esteem of female high school students.

This study aimed to find the differences in weight control status and eating behavior of satisfied and dissatisfied female high school students regarding their own body shape. The participants consisted of 238 students at two female high schools in Nonsan-si, Chungnam-do in May of 2008. Self-assessment evaluated present body shape and ideal body shape they would like to have by providing silhouette drawings. The subjects were divided into two groups, 'satisfied' and 'dissatisfied', according to the differences between present body shape and ideal body shape. In the distribution of subjects according to body mass index, 100% of overweight, 97.0% of normal weight and 48.7% of underweight belonged to the dissatisfied group. There were significant differences in weight control and eating behavior between dissatisfied and satisfied groups in terms of frequency and reasons of conducting weight control behavior, body weight return after weight reduction, skipping breakfast and consuming fast food. The satisfied group was two times more likely to not conduct weight control behaviors compared to the dissatisfied group. The main reason for trying to control weight differed according to the group; the reason was feeling fat in the dissatisfied group and desiring to be healthy in the satisfied group. The percentage of subjects that returned to their original weights after weight reduction was 5 times higher in the dissatisfied group. The percentages of subjects that regularly skip breakfast and consume fast food were both higher in the dissatisfied group than in the satisfied group. The dissatisfied group responded 'eating alone' more frequently among nine binge eating behaviors compared to the satisfied group. Both groups, however, did not show any difference in overeating of meals, eating speed, intake frequency of regular meals, food preference, preferred cooking method, carbonated beverage intake and snack eating behavior. In summary, the dissatisfied group tried more unnecessary body weight reduction and had poor eating behavior. Accordingly, to correct the biased perception of body shape by the majority of female high school students, the values of our society should change toward the pursuit of beauty of health.

This study was conducted to investigate the change in the anthropometric values, biochemical index, nutritional knowledge, food habits and nutrient intakes in obese children after a weight control program. The subjects of the study were 22 obese children with an obesity index over 120%. The children that participated in this study took nutritional education for weight control along with exercise once a week. The weight control program was conducted for 10 weeks. The BMI, WHR (Waist-Hip ratio), body fat (%) significantly decreased at the end of the weight control program. Total cholesterol and LDL cholesterol were also significantly decreased. The nutritional knowledge scores and knowledge score about obesity were slightly improved. Energy intake significantly decreased from 1768 to 1421 kcal. Intake of Ca, Na, K, vitamin A, vitamin B6, vitamin C and folate increased, while intakes of P, Zn, vitamin B1, vitamin B2, vitamin E and niacin decreased. The distribution of energy intake was significantly changed for the better. The percent fat consumed decreased from 26.5 to 19.7%. In addition, the distribution of energy intake in the meals was changed, where the percent calories consumed during lunch significantly increased from 31.4 to 40.1% and the calorie percentage consumed from snacks significantly decreased from 17.6 to 10.7%. In conclusion, the nutritional education in the weight control program, which was conducted for 10 weeks, was effective in improving the anthropometric values, biochemical index and nutrient intake although nutrition knowledge and eating behaviors only changed slightly. Thus, nutritional weight control programs for obese children should be continuously provided under the proper cooperation of a nutritional teacher at elementary schools.

This study was conducted to investigate the effects of weight control programs on BMI, serum profiles, nutrition knowledge and eating behaviors of adult obese women. The subjects of this study were 33 adult obese women aged 30- 65 years residing in Seoul. The weight control program for obese women included nutritional education, cognitive behavioral therapy and exercise for 12 weeks. The weight control experience of the subjects was 60.6%. They preferred physical exercise and diet restriction to weight control and 72.7% of subjects answered that the reasons for wanting to control their weight was health. The BMI of test subjects significantly decreased (p<0.001) from 28.3 to 27.1 after the 12 weeks of the weight control program. In addition, the % body fat significantly decreased (p<0.001) from 36.4% to 34.5% after completion of the weight control program. SGPT levels in the serum were also significantly decreased (p<0.05) after the program. Triglyceride levels significantly decreased from 194.9 mg/dL to 98.1 mg/dL (p<0.01) and the HDL cholesterol level significantly increased (p<0.01) from 55.8 mg/dL to 60.0 mg/dL after completion of the weight control program. Nutritional knowledge and eating behavior scores were significantly increased (p<0.001). In addition, the eating self-efficacy of the subjects was significantly increased (p<0.01); however, the food diversity scores were not changed after the program. These results suggest that the weight control program for adult obese women may be effectively used to promote weight reduction and improve nutritional knowledge and eating behavior.

The purpose of this study was to evaluate the multilateral weight control program provided by the university health care center for female college students. The program was 8weeks long and composed of nutrition consultation, exercise, and behavior modification. Nutrition education focused on a low calorie and balanced diet, increasing the intake of protein and micronutrients and reducing carbohydrate and fat consumption. Evaluations were made upon completion of an 8-week program and upon follow-up at 6 months after the end of program. A total of 92 women completed the 8-week program, while 20 completed the follow-up survey. Upon completion of the 8-week program, significant decreases in body weight, BMI, body fat (kg), and %body fat were observed, and muscle mass was also reduced. The total energy and carbohydrates intake were also significantly decreased in subjects with weight loss, while the percentage of subjects whose consumption of protein, calcium, iron, vitamin B1, B6, and niacin did not meet the EAR, were decreased. The blood values of glucose, total cholesterol and HDL-cholesterol were decreased. The follow-up survey revealed that the subjects continued to lose weight after completion of the program. In addition, a Mini nutrition assessment revealed that diet quality improved, especially with respect to reductions in the consumption frequency of fried, greasy and salty food. In conclusion, the multilateral weight control program with diet education for female college students was effective for long lasting weight control and improved dietary behavior. Nutrition education for weight reduction should focus on balanced nutrition as well as lowering the total caloric intake.

This study was conducted to identify the factors associated with weight control and nutritional knowledge of juvenile delinquents. The average heights of the subjects in this study were 172.20 cm (male) and 160.89 cm (female), and the average weights were 66.73 kg (male) and 58.42 kg (female), and the BMIs (Body Mass Index; kg/m2) were 22.46 (male) and 22.54 (female). The results of this study revealed that 41.4% of the subjects were over weight or obese. In addition, there were significant differences in the BMI, satisfaction with body image and perception of body image observed between male and female subjects. Furthermore, female subjects were more experienced at weight control than male students (p〈0.001). Additionally, overweight and obese individuals had more experience with weight control than subjects that were not overweight. Moreover, there were significant differences in the reason that subjects took weight control measured between male and female students. Specifically, female subjects practiced weight control due to their appearance (p〈0.001). The order of methods by which male subjects attempted to control their weight was exercise〉diet control〉starvation and for girl student were diet control〉starvation〉excercise. The nutritional knowledge scores were higher for female subjects than for mele subjects. In addition, the nutritional knowledge scores increased as the BMI value increased and the father˚Øs educational level increased. These results of this study could be useful data to plan and develop nutritional education programs for juvenile delinquents.

The study analyzed the body shape perception, weight control attitude, nutrition knowledge, and dietary habits of 529 high school students in Jeju surveyed from January 14-18, 2008 according to students' body shape satisfaction, with the aim of providing basic nutritional education data to aid in appropriate weight control for high school students. The data were analyzed by descriptive analysis, T-test, Chi-square test, ANOVA, and Pearson's correlation coefficients, using the SPSS Win 12.0 program. The body mass index (BMI) of subjects was in the normal range. With regard to weight distribution, 59.4% of subjects showed normal weight and girls were significantly more underweight than boys. More girls considered themselves to be fatter than boys and tended to be increasingly dissatisfied with their body shape. Both boys and girls were more interested in weight control for obesity and were significantly less satisfied with their body shape. Efforts at weight control and reduction had occurred significantly more often for girls than for boys. Dietary attitude scores were significantly higher in girls than boys. BMI positively correlated to weight control concern and nutrition knowledge positively correlated to dietary attitude. BMI negatively correlated to the body shape satisfaction, which in turn negatively correlated to food ingestion disorders. Therefore, it is necessary to develop a systematic nutrition educational program that can induce changes in dietary behavior and increase accurate perception and satisfaction of body shape.