본 연구는 12주간 운동 강도 차이에 따른 복합운동 수행이 55-64세의 폐경 후 5년 이내 비만 중년 여성의 혈중지질, 알부민 및 FFA 수준에 미치는 영향을 분석하였다. 대상자는 중강도 운동군(MIG, n=10), 고강도 운동군(HIG, n=10)으로 구성하여 탄력밴드를 이용한 저항운동 및 트레드밀을 이용한 유산 소 걷기 운동을 주 3회, 1회 운동시간 60분간 실시하였다. 자료처리는 측정항목에 대한 평균값(M)과 표준 편차(SD)를 산출하였고, 그룹 및 시기 간 상호작용 효과 검증은 two-way repeated measures ANOVA를 실시하였다. 상호작용 효과를 포함하여 필요에 따라 그룹 내 시기 간 차이 검증은 paired t-test를 실시하였 고, 그룹 간 차이 검증은 independent t-test, 각 항목별 통계적 유의수준은 .05로 설정하였다. 그 결과, 혈 중지질 중 TG는 상호작용 효과(p<.05)가 나타났고, 알부민은 통계적으로 유의한 차이가 없었으며, FFA는 상호작용 효과(p<.05) 및 그룹 내 MIG, HIG 모두 감소하였지만, MIG에서 더 많은 감소가 나타났다. 이러 한 결과는 규칙적인 운동의 수행이 폐경 후 비만 중년 여성의 비만의 개선 및 예방에 효과적이라고 사료되 며, 특히 중강도 운동은 고강도 운동보다 TG 및 FFA에 더 많은 효과를 나타낸다는 것을 입증하였다. 따라서, 노년기로 넘어가기 전 꾸준한 운동 수행을 통해 비만을 개선하여 건강한 삶을 영위할 수 있도록 지속적 인 운동 수행을 권장한다.

본 연구는 12주 복합운동 프로그램이 비만 중년 여성의 심혈관계 기능과 심전도 기반의 ST 분 절 및 QRS에 미치는 영향을 알아보기 위하여 중년 여성 24명을 무작위 배정하였다. 결과에 대한 분석은 집단 내 및 기간·집단 간 차이 검증을 실시하였다. 심혈관계 기능에서 심근 산소소비량은 실험군에서 안정 단계와 운동 중 최고 강도 단계에서 유의한 감소가 나타났으며, 안정 시 집단·기간 간 상호작용 역시 나타 났다. 심박수 회복률은 실험군에서 회복기 2분에 유의한 감소가 나타난 반면 대조군에서는 반대로 유의한 증가가 나타났다. 수축기 혈압에서는 실험군이 유의하게 감소한 것으로 나타났으며, 집단·기간 간 상호작용 역시 나타났다. 이완기 혈압은 실험군 대조군 모두 변화가 없었으며, 맥압에서는 회복기 3분 단계에서 실험 군에서만 통계적으로 유의한 감소가 나타났다. 심전도의 경우 QRS 높이는 실험군이 안정 시, 회복기 3분, 6분, 9분에서 대부분 유의한 증가를 나타낸 반면 QRS 기간은 실험군 대조군 모두 유의한 차이가 없었으 며, ST 분절 높이는 실험군에서 안정 시에 유의하게 증가한 것으로 나타났다. 따라서 본 연구의 결과를 종 합해 보면 12주 복합운동 프로그램은 비만 중년여성의 심혈관계 기능과 심전도에서 심실의 수축력 향상과 심근의 허혈을 개선하는데 긍정적인 효과가 있다고 사료된다.

본 연구는 미세전류자극이 비만인의 체성분과 혈중지질성분의 변화에 미치는 효과를 규명하고, 복합운동의 효과와 비교함으로써 효과적인 체형 관리 방안으로서 미세전류자극의 유용성을 밝히고자 하였 다. 체지방율 30% 이상인 여대생 30명을 통제집단, 복합운동집단, 미세전류자극집단으로 분류하였으며, 각 집단 별 4주간의 처치 전후 체중, 체지방율, 허리 둘레 등의 체성분 요인과 TG, TC, apolipoprotein 등의 혈중지질성분을 측정한 자료를 분석하여 다음과 같은 결과를 얻었다. 통제집단에서는 모든 측정 항목에서 통계적으로 유의한 차이가 나타나지 않은 반면 복합운동 집단에서는 허리둘레와 TC가 유의하게 감소한 것 으로 나타났고, 미세전류자극 집단에서는 체중, 체지방율, 허리둘레, apolipoprotein 등이 유의하게 감소한 것으로 나타났다. 이러한 연구결과를 고려할 때 미세전류 자극은 비만인의 체성분과 혈중지질성분을 개선 시켜 건강한 신체를 갖도록 하는데 효과적인 중재 방안으로 제안할 수 있다.

본 연구의 목적은 12주간 수중걷기운동이 비만 노인 여성의 신체조성, hs-CRP, HOMAIR 및 혈압에 미치는 영향을 알아보기 위하여 실시하였다. 체지방률 30% 이상인 비만 노인 여성 중 운 동군(10명), 대조군(10명)으로 총 20명으로 실시하였으며, 모든 검사항목은 동일한 방법과 조건으로 신 체조성, hs-CRP, HOMA-IR 및 혈압을 사전, 사후 총 2회 측정하였다. 수중걷기운동은 12주간, 주 3 회, 1회 50분, RPE 11-14 강도로 실시하였다. 측정변인에 대해 평균값과 표준편차(M±SD)를 산출한 후 사전 운동군과 대조군의 신체적 특성과 각 측정변인에 대한 동질성 검정을 위하여 독립 t-test를, 집 단 내의 사전·사후 평균치 변화에 대한 차이 검증은 종속 t-test를, 집단 간 차이에 대한 주효과 검정 및 집단 간 시기 간 상호작용 효과는 반복측정 분산분석을 이용하였다. 본 연구결과 운동군에서 신체조성, 체지방률(p<.05), 인슐린(p<.01), HOMA-IR(p<.01) 및 수축기 혈압(p<.05)이 유의하게 감소하였다. 따 라서 수중걷기운동이 비만 노인 여성의 비만 및 심혈관질환의 개선에 도움을 줄 수 있을 것으로 사료 된다.

본 연구는 만 65세 이상 85세 이하의 제2형 당뇨병 비만 여성 노인을 대상으로 12주간 복합운동 후 irisin, 신체조성 및 당 대사에 미치는 영향을 구명하기 위하여 복합운동군(n=20), 대조군(n=16)으로 구분하여 실시하였다. 복합운동 프로그램은 야외 걷기 운동과 탄성 밴드 운동을 12주간 주 3회, 1회 60분 간 실시하였으며, 야외 걷기 운동의 운동강도는 중강도(RPE 5~6)로 수행되었으며, 탄성 밴드 운동은 1~4주는 저강도(OMNI-RES 3~4), 5~8주는 중강도(OMNI-RES 5~6), 9~12주는 고강도(OMNI-RES 7~8)로 점진적으로 운동강도를 증가시켰다. 그 결과 복합운동군의 irisin이 유의하게 증가하였고(p<.001), 체지방률은 유의하게 감소하였으며(p<.001), 골격근량은 유의하게 증가하였다(p<.001). 당 대사 관련 인자 중 HbA1c(p=.020), 혈당(p<.001)은 유의하게 감소하였고, HOMA-β는 유의하게 증가하였다(p<.001). Irisin의 변화는 체지방률의 변화와 부적 상관이 있는 것으로 나타났고(r=-.423, p=.010), 유산소성 지구력 변화와 정적 상관이 있었다(r=.355, p=.034). 또한, HbA1c(r=-.351, p=.036)와 혈당(r=-.424, p=.010)의 변화는 부적 상관이 있었으며, HOMA-β는 정적 상관이 있는 것으로 나타났다(r=.411, p=.013). 결론적 으로 규칙적인 복합운동의 실천은 제2형 당뇨병 비만 여성노인의 혈중 irisin의 수준을 증가하고, 신체조성 변화에 긍정적인 영향을 주는 것으로 나타났다. 그리고 당화혈색소, 공복혈당 및 인슐린 분비능을 개선하여 당 대사 조절 능력에 도움을 주어 당뇨 예방 및 관리를 위해 효과적인 운동으로 권장될 것으로 사료된다.

본 연구는 50대 비만중년여성을 대상으로 순환운동이 건강체력, 혈압 및 혈관탄성도에 미치는 영향을 규명하는데 있었으며, 이를 위해 비만중년여성 24명을 대상으로 운동그룹 12명, 대조군 12명으로 분류하여 8주간 순환운동 프로그램을 실시하였다. 순환운동 프로그램은 유산소 운동과 저항운동으로 구성 되었으며, 회당 40분간, 주3회 실시하였고, 유산소 운동 수행강도는 50-70% HRmax, 저항운동은 1-RM 의 40-60%로 수행되었으며, 순환운동 전·후에 측정한 자료의 그룹 내 차이 비교를 위해 대응표본 T검정, 그룹 간 차이는 운동 전·후의 변화율을 산출하여 독립표본 T검정을 실시하였다. 그 결과 운동그룹은 건강 체력 중 BMI(p<.05)가 유의하게 감소하였고, 심폐지구력(p<.001), 근지구력(p<.001), 유연성(p<.01)이 증가하였으며, 그룹 간 대조군 보다 심폐지구력, 유연성이 유의하게 증가되었다(p<.01). 수축기 혈압과 이완기 혈압은 운동그룹이 유의하게 감소하였으며(p<.01), 이완기 혈압은 그룹 간 대조군 보다 운동그룹이 유 의하게 감소하였다(p<.05). PWV는 운동그룹이 유의하게 감소하였고(p<.05), 대조군이 유의하게 증가하였으며(p<.01), 그룹 간 대조군 보다 운동군이 유의하게 감소하였다(p<.05). 이상의 결과 비만중년여성의 건강증진 및 비만치료를 위한 순환운동은 건강체력, 혈압 및 혈관탄성도에 긍정적인 영향을 미친 것으로 사료된다.

The purpose of this study was to classify the upper torso body types of obese Korean adult women using the 7th Korea National Anthropometric Study data and compare the body type differences according to three age groups: 20s～30s, 40s～50s, and 60s. A total of 548 adult women whose BMI was in the obese range of 25 or higher and whose age ranged from 20s to 60s were selected from the anthropometric database. Twenty-nine body measurements related to torso and arm areas important for torso and sleeve pattern development were chosen. Five drop values by differences between bust, waist, and hip circumferences were also chosen for analysis. The number of obese women increased with age. The results revealed seven factors according to the factor analysis and three obese body types based on the cluster analysis. Body type 1 (47.3% of obese women) was characterized by narrow shoulders, a small or medium torso, and a straight waist. Body type 2 (42.4% of obese women) was characterized by a defined waist and a larger lower torso than upper torso. Body type 3 (10.3% of obese women), the largest obese body type among the three types, was characterized by a large bust, large abdomen area, and long upper torso. Women in their 20s to 30s were most likely to have body type 2, women in their 40s to 50s were evenly distributed between body types 2 and 3, and women in their 60s were most likely to have body type 1.

The purpose of this study was to suggest torso patterns that fit the three main body shapes of elderly obese women. To reduce time, costs, and also the trial and error needed to make patterns, the CLO program for 3D test wear was employed. Three virtual models for aged obese women were use, with the YUKA system used to produce torso patterns. 3D simulation of test wear and corrections was done to design optimal torso patterns. The results were as follows: First, for the three models of obese women’s body shapes as realized by CLO 3D, Type 1 is lower-body obesity shapes, Type 2 is abdominal obesity shapes, and Type 3 is whole-body obesity shapes. Second, to design the study patterns, actual measurement values, back waist length and waist to hip length, were used. The armhole depth (B/4-1.5), front interscye (B/6+2.3), front neck width (B/12-0.5), front neck depth (B/12+0.5), front waist measurement (W/4+ 1.5+D), front hip measurement (H/4+2+0.5), and back hip measurement (H/4+3-0.5) were calculated using formulas. Third, according to the results of test-wearing the study patterns, reduced front neck width and depth improved the neck fit and reduced armhole depth bettered loose or plunging armhole girth and also reduced the sagging of bust c.. Also, tight sidesfrom aprotruded waist and abdomen improved with the increase of surpluses in the back waist and also back and front hip c. The exterior was enhanced by displacement of back and front darts, which distributed surpluses better.

The purpose of this study was to suggest torso patterns that fit the three main body shapes of elderly obese women. To reduce time, costs, and also the trial and error needed to make patterns, the CLO program for 3D test wear was employed. Three virtual models for aged obese women were use, with the YUKA system used to produce torso patterns. 3D simulation of test wear and corrections was done to design optimal torso patterns. The results were as follows: First, for the three models of obese women’s body shapes as realized by CLO 3D, Type 1 is lower-body obesity shapes, Type 2 is abdominal obesity shapes, and Type 3 is whole-body obesity shapes. Second, to design the study patterns, actual measurement values, back waist length and waist to hip length, were used. The armhole depth (B/4-1.5), front interscye (B/6+2.3), front neck width (B/12-0.5), front neck depth (B/12+0.5), front waist measurement (W/4+ 1.5+D), front hip measurement (H/4+2+0.5), and back hip measurement (H/4+3-0.5) were calculated using formulas. Third, according to the results of test-wearing the study patterns, reduced front neck width and depth improved the neck fit and reduced armhole depth bettered loose or plunging armhole girth and also reduced the sagging of bust c.. Also, tight sidesfrom aprotruded waist and abdomen improved with the increase of surpluses in the back waist and also back and front hip c. The exterior was enhanced by displacement of back and front darts, which distributed surpluses better.

The purpose of this study is to propose a specialized clothes-sizing system for elderly (aged 60~79) obese women satisfying the following conditions based on the data from the fifth Korean Agency for Technology and Standards (2004): a Rohrer's index of over 1.6, a BMI of over 25, and a WHR of over 0.85. The lower bodies of elderly obese women tends to be shorter and wider than average. Particularly, their torsos from the chest to the waist tend to be more obese than other areas. According to the KS standards, the clothes-sizing system sets up its size intervals as follows: 5cm in stature, 5cm and 3cm in bust, 3cm in waist, and 3cm in hip. Based on the dualistic distribution of each section, the names of the sections indicating high distribution are suggested. For suit tops, 11 sizes are selected as distributed in the 145-155cm stature section and 91-103cm bust section. For casual tops, nine sizes are selected as distributed in the 145-155cm stature section and 90-105cm bust section. For bottoms, 11 sizes are selected as distributed in the 82-97cm waist section and 91-97cm hip section. According to the KS standards, detailed sizes are suggested in the division of basic and reference areas.

This study analyzed the body-type characteristics of 340 old-aged obese women that had been on the rise as a part of efforts to activate the silver clothing industry. The subjects were in the age range of 60-79 and met some obesity requirements, including a Rohrer Index of 1.6 or higher, a BMI of 25 or higher, and a WHR of 0.85 or higher. Old-aged obese women showed increased thickness of the torso with age, which suggests that they revealed the characteristics of regardless of gender. In other words, they became bigger in the waist and abdomen, shorter in height, slimmer in the lower body, and thicker in the torso. There are three types of obesity: Type 1 is lower-body obesity with a higher degree of obesity in the abdomen than the upper body. Type 2 is abdominal obesity with a higher degree of obesity in the upper body than in the lower body. Type 3 is whole-body obesity with balanced obesity of the whole body. As for changes to the types of obesity according to age, those who are in their sixties usually fall into the categories of upper-body and whole-body obesity, and those who are in their seventies are much more concentrated in the categories of abdominal obesity and upper-body obesity with a decreased percentage of whole-body obesity. It is apparent that the percentage of abdominal and upper-body obesity rises with age due to fat accumulation in the abdomen.

The effects of Proprioceptive Neuromuscular Facilitation (PNF) and elastic band exercise on the physical functions and blood lipids of obese elderly women were investigated. The experimental group (n1=16) patients underwent PNF for 12 weeks, and the control group (n2=15) patients performed elastic band exercises. SPSS 21.0 was used to compute the means and standard deviations. After the 12-week PNF, both the experimental and control groups showed statistically significant differences in the physical functions (cardiovascular endurance, strength of the lower extremity, muscular endurance, flexibility, balance, and agility) (p<.05), but the difference in the experimental group was more significant than that in the control group (p<.05). In terms of the changes in the blood lipid levels (total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein), the experimental group showed significant changes (p<.05). In conclusion, PNF was confirmed as more effective than elastic band exercise in improving the physical functions and blood lipid levels of obese elderly women.

The purpose of this study was to investigate the association of homocysteine and antioxidant nutrients with obesity in Korean middle aged women. The study subjects included were middle-aged obese women (n=36) whose body mass index (BMI) was greater than 25 kg/m2. A total of 36 participants were randomly divided into two groups. They were assigned to either the Nutritional Management and Exercise (NME) program or the Exercise Management (EM) program, which were both conducted for 3 months. We measured serum homocysteine, total cholesterol and HDL cholesterol levels of the participant. We also measured the dietary intakes of antioxidant nutrient, cholesterol, body weight, body mass index, blood pressure, and VO2. At the end of both programs, please confirm this change. It was unclear when these measurements were shown to have decreased. The body weight and BMI of NME group were decreased compared to those of EM group. The serum total cholesterol levels of the participants in NME group were significantly decreased, in contrast to EM group. Also, serum homocysteine levels of NME group participants were decreased compared to EM group, but the difference was not statistically significant. In the NME group, there were significant differences in the change of dietary cholesterol and vitamin C intake. These results showed that participating NME program will continuously promote the healthy status of the middle aged obese women, compared to participating only in the EM program.

본 연구는 안전하면서 효율적으로 비만을 개선시키는데 도움이 될 수 있는 식품소재로 목이버섯을 선정하여 복부비만이 있는 중년 여성의 골밀도 및 혈청지질농도에 미치는 영향에 대하여 알아보고자 하였다. 30～50대의 복부비만 여성 30명에게 4주 동안 대조군은 목이버섯을 섭취시키지 않았고, 실험군은 목이버섯을 식사와 함께 섭취하도록 하였다. 실험 전 후 골밀도(T-score, Z-score), 총 콜레스테롤, HDL-콜레스테롤, LDL-콜레스테롤, 중성지방을 측정하였다. 연구결과, 목이버섯 섭취군과 대조군 간에 T-score와 Z-score는 유의한 차이를 보이지 않았지만, 목이버섯 섭취군의 혈청 총 콜레스테롤, LDL-콜레스테롤 및 중성지방 수준이 대조군에 비해 유의하게 소되었다.

In previous studies, we performed joint animal studies and clinical trials between Yonsei University and Oryza Oil & Fat Chemical Co. Ltd. We have shown that coffee bean extract has potent anti-obesity and hypotriglyceridemic activities as well as beneficial effects on body fat reduction.In this study, the effects of coffee bean extract (100 mg/capsule) on body fat reduction were evaluated in overweight/obese women (body mass index of 25~30 kg/m2 or body fat 〉 30%) not diagnosed with any type of disease. Subjects were randomly assigned to a coffee bean extract group (n=10) or placebo group (n=10). We measured anthropometric parameters, abdominal fat distribution by computed tomography and blood components before and after the 8week intervention period. After supplementation, the coffee bean extract group showed body weight (p=0.08), body mass index (p=0.06), hip circumference (p〈0.05), and upper waist circumference (p〈 0.01). In addition, after 8 weeks, the coffee bean extract group showed a significant decrease in abdominal internal fat area compared to 0 weeks (0 weeks : 155.8cm2; 8 weeks : 145.9cm2, δ change : -9.9cm2, respectively). However, there were no significant differences in lipid profiles or serological measurements between the coffee bean extract group and placebo group. The results of our human study demonstrated that coffee bean extract supplementation for 8 weeks has beneficial effects on reducing abdominal internal fat area as well as hip and waist circumferences.

As a preliminary research of body characteristics analysis of Korean obese woman, this study aims to select optimal obesity judgment tools for reliable sampling of obese subjects from 2,425 female measurement data out of 2004 Size Korea project’s raw data. From previous researches related to obesity, 7 obesity judgment tools were chosen. 2007 obesity rate(26.3%) of Korean female adults was refered in selecting optimal obesity judgment criteria in the study. The results are as follows. Firstly, it was verified that BMI was the most suitable in judging and sampling the obese subjects by the percentile analysis. Röhrer index was also reliable in grouping the obese subjects from a population. Secondly, it was concluded that the obesity ratios of relative weight 120 and higher group, Röhrer index 1.6 and higher group and waist girth 80cm and higher group were the most similar to obesity rate of Korean female adults by 2007 National Health & Nutrition Survey. Thirdly, 30 direct measurements, age, 2 drop values and 6 ratios of 7 groups by the obesity judgment tools showed the significance each other at p<0.001 level. On the other hand, “bust point to bust point” and “waist to hip length” measurements didn’t show the significant differences among 7 groups. Conclusively, 4 to 5 satisfactions out of 7 obesity judgment criteria were adequate and sufficient in sampling the obese subjects. If it is needed the strict criteria for judging the obesity, 5 satisfactions and higher group will be the best choice as the obese subjects. However 4 satisfactions and higher group generally, will be adequate for sampling of the obese subjects.

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 determine the influence of high-heeled shoes on walking of obese women as it was already proven an extrinsic factor of knee osteoarthritis in women with normal weight. In this study the aimed therefore in particular was to utilize high-heeled shoes in proving it's causal influence on knee osteoarthritis by measuring the angle and torque of the knee joint. Fifteen obese women (BMI>25 ) were measured in their twenties. Each angle and torque of their knee joints during walking on 6.5 cm high-heeled shoes and with a bare feet, were compared with each other and analyzed with a 3D motion analysis system. There was no significant difference in walking speed, cadence and stride length between the two conditions. However, there was a significant increase in a double limb support time and the stance phase when walking on high-heeled shoes as when walking with bare feet. The peak knee flexion angle and peak knee varus torque was higher when walking on high-heeled shoes than with bare feet. On the contrary, the peak knee flexion angle in the swing phase was not statistically different. The prolongation of peak knee varus torque was also proven. There was a significant increase in peak knee varus torque in the initial and last stance phases during walking on high-heeled shoes as compared to walking on bare feet. Through the above results, it was proven that when obese women walked on high-heeled shoes, rather than with bare feet, peak knee flexor and varus torque increased along with the changes of the in knee joint angle. Therefore, the influence of high-heeled shoes might be a significant intrinsic factor in knee osteoarthritis of obese women.