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11 "Body weight"
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Original Articles
Effect of DHEA Administration before, during and after Dexamethasone Treatment on Body Weight and Mass of TypeI, II Muscles in Rats
Myoung Ae Choe, Gi Soo Shin, Gyeong Ju An, Eun Ju Lee
Journal of Korean Academy of Nursing 2002;32(5):727-734.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.5.727
AbstractAbstract PDF

PURPOSE: This study was to determine the effect of DHEA administration before, during, and after dexamethasone treatment on body weight and TypeI,II muscle weight of rat receiving dexamethasone treatment. METHOD: Wistar rats were divided into 6 groups: control(C), dexamethasone(D), DHEA administration for 3days after dexamethasone treatment for 7days(7D+3DH), dexamethasone treatment for 7days after DHEA administration for 3days(3DH+7D), DHEA administration during dexamethasone treatment for 4days after dexamethasone treatment for 3days(3D+4DDH), DHEA administration during dexamethasone treatment for 7days(7DDH). Dexamethasone was injected by subcutaneously daily at a dose of 5mg/kg. DHEA was orally administered daily at a dose of 5mg/kg for 7 days. Soleus(TypeI) muscle, and both plantaris and gastro- cnemius(TypeII) muscles were dissected on the 7th day of experiment. RESULT: Body weight of both 3DH+7D group and 3D+4DDH group increased significantly compared with that of 7D group. Body weight of 7D+3DH group decreased significantly compared with that of 7D group, 7DDH group, 3DH+7D group and 3D+4DDH group. Muscle weight of both plantaris and gastro- cnemius tended to decrease compared with that of 7D group. Muscle weight of 7DDH group, 3D+4DDH group and 3DH+7D group increased significantly compared with that of 7D+3DH group. Muscle weight of gastrocnemius of both 3DH+7D group and 3D+4DDH group increased significantly compared with that of 7D group. CONCLUSION: Based on these results, it can be suggested that DHEA administration before and during dexamethasone treatment can increase both body weight and mass of atrophied TypeII muscle induced by dexa- methasone treatment.

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Difference of the Obesity Index, Blood Pressure and Serum Lipids in Abdominal and Non Abdominal in Men and Women
Hee Seung Kim, Nam Cho Kim
Journal of Korean Academy of Nursing 2000;30(4):948-955.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.948
AbstractAbstract PDF

This study was done to compare the difference of obesity index(waist-hip ratio, body fat, body mass index, relative body weight), blood pressure and serum lipids in abdominal obesity and non abdominal in both men and women. Abdominal and non abdominal obesity was divided into waist-hip ratio above 0.85 in women and 0.95 in men. The subjects were 412 adults (age range 40-59), who had regular health examinations between 1996 to 1997 at the S-Hospital in Seoul. The data were analyzed using ANCOVA (for adjusted for age) and Pearson correlation coefficient. The results were as follows: 1. 39.9% of men and 42.5% of women had abdominal obesity. The average age group of abdominal obesity was 50.8 which is older than the non abdominal obesity group(48.0). 2. After they were adjusted for age, the group of men who have abdominal obesity had higher levels in body fat, body mass index, relative body weight, blood pressure, total cholesterol, LDL- cholesterol and triglyceride than the group of non abdominal obesity group. The group of women with abdominal obesity had higer levels in body fat, body mass index, relative body weight , blood pressure and triglyceride than the group of non abdominal obesity. 3. In the group of non abdominal obesity, the waist-hip ratio was significantly correlated to body fat, body mass index, relative body weight, blood pressure and serum lipids the group of abdominal obesity in men and women.

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The Effects of Kangaroo Care on Body Weight, Physiologic Responses and Behavioral States in Premature Infants
Hyun Young Koo
Journal of Korean Academy of Nursing 2000;30(1):171-182.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.1.171
AbstractAbstract PDF

This study was performed to investigate the effect of kangaroo care on body weight, physiological responses and behavioral states in premature infants. The subjects were 32 premature infants, fifteen for the kangaroo care group and seventeen for the control group, who hospitalized in a neonatal intensive care unit at a university-affiliated hospital. The kangaroo care was applied 8 times during the twenty five days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a premature infant wearing a diaper and a hat is placed on its mother's chest. As for the measures, body weight was measured everyday. The levels of epinephrine, norepinephrine and 17-OHCS were measured twice, before beginning the first intervention and after finishing the last intervention. While each session of the care is undergoing, such physiological responses were measured periodically as heart rate, respiration rate, oxygen saturation, core temperature and skin temperature. The results were as follows : 1. The weight gain was significantly greater in the kangaroo care group than that in the control group during the period of performing the kangaroo care. 2. No significant difference was revealed between the two groups in heart rate, respiration rate, oxygen saturation and core temperature. The kangaroo care group also showed significant increases in the skin temperature. 3. The differences in the levels of epinephrine, norepinephrine and 17-OHCS were not significant between the kangaroo care and the control groups. The level of norepinephrine in the two groups was significantly increased over time. 4. Sleep pattern changed significantly in the kangaroo group from a very restless sleep to a very quiet sleep. These results suggest that kangaroo care is an effective nursing intervention for premature infants in gaining weight, achieving stable physiological responses and facilitating a quiet sleep.

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Correlations Between Waist-Hip Ratio, Body Fat, BMI (Body Mass Index), Relative Body Weight and Serum Lipids by Men and Women
Hee Seung Kim
Journal of Korean Academy of Nursing 1999;29(3):596-604.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.596
AbstractAbstract PDF

This study aims at examining the correlations between waist-hip ratio, body fat, BMI, relative body weight and serum lipids by men and women in 40's and 50's. The subjects were 412 adults, who had regular health examinations between January and December of 1996 at S-Hospital in Seoul. The data were analyzed using unpaired t-test and Pearson correlation coefficient. The results were as follows: 1. The group of men had higher levels in waist-hip ratio, BMI, body weight, triglyceride, total cholesterol / HDL-cholesterol ratio, LDL-cholesterol / HDL-cholesterol ratio than the group of women. The group of women had higher levels in body fat and HDL-cholesterol than the group of men. 2. In the group of men, waist-hip ratio more significantly correlated to serum lipids than body fat and BMI. In the group of women, body fat, BMI and relative body weight was more significantly correlated to serum lipids than waist-hip ratio.

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The Effect of Infant Massage on Weight Gain, Physiological and Behavioral Responses in Premature Infants
Hae kyung Lee
Journal of Korean Academy of Nursing 2005;35(8):1451-1460.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.8.1451
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the premature infants' responses to infant massage (tactile and kinesthetic stimulation). These responses measured by weight, physiological (vagal tone, heart rate, oxygen saturation) and behavioral responses (behavioral states, motor activities, and behavioral distress).

Methods

This study was conducted using an equivalent control pretest-posttest design. The sample was divided into two groups of 13 infants with gestational age less than 36 weeks at birth, birth weight less than 2000g, and no congenital anomalies. The experimental group received the massage intervention twice daily for 10 days. The data were collected for 10 minutes prior to and 10 minutes after the massage.

Results

The vagal tone was significantly higher after massage than before massage in the experimental group, while no change in the control group. The experimental group had significantly higher scores for awake state and motor activity than the control group. Significantly greater awake state, more fidgeting or crying, and increased motor activity were reported after massage than before massage.

Conclusions

The results of this study showed that massage therapy might enhance optimal physiological responses and behavioral organization of premature infants. Nursing staff in the NICU can use massage to promote the infant's capability to respond positively to his environment and to provide developmental support for healthy premature infants.

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Growth Patterns of Premature Infants Up to 40th Term Week of Corrected Age
Youngmee Ahn, Min Sohn, Sangmi Lee
J Korean Acad Nurs 2011;41(5):613-622.   Published online October 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.5.613
AbstractAbstract PDF
Purpose

Study purpose were to describe growth patterns of premature infants in weight, length and head circumference from birth to 40th week of corrected ages (CA) and to explore factors affecting patterns.

Methods

A longitudinal descriptive study was conducted with 267 premature infants. They were categorized into 2 groups; GA group with measurements at birth and the CA group with measurements at CA, which was categorized into 3 groups (group 1-3) by WHO guideline for gestational age (GA) at birth.

Results

GA group presented greater measures in all than CA group at same week of life. Among CA groups, group 3 showed the highest measurements, up to 37 weeks of life, though this disappeared at 38-40 weeks. Reversely, group 1 revealed the highest growth rates in all measures, followed by group 2 and group 3. Significant interaction was observed in all measures between week of life and any type of groups.

Conclusion

Higher measures in GA group, as well group 3 among CA groups, supported the superiority of intra-uterine environment overriding quality of regimen from NICU. Regardless of growth acceleration, smaller infants remain smaller, indicating that intra-uterine thrifty phenotype may continue at least up to the 40th week of CA.

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Comparison in Weight, Height, Degree of Obesity and Body Mass Index Among Different Methods for Body Shape Classification in School-Age Children
Young-mee Ahn, Min Sohn, Sun-Ha Choi
J Korean Acad Nurs 2010;40(6):775-784.   Published online December 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.6.775
AbstractAbstract PDF
Purpose

The study was conducted to describe body shapes of school age children using the degree of obesity index (DOI) and body mass index obesity index classified by the Ministry of Education, Science and Technology (M-BOI) and Seoul Metropolitan Office of Education (S-BOI).

Methods

In this cross sectional descriptive study health screening data for school children collected in 2007 was used.

Results

Data were analyzed for 2,193 4th-6th grade boys (52%) and girls who attended 4 schools in rural areas. DOI determined that only 44.3% of students had average weight. This proportion was much lower than the results of other methods (74.3-77.6%). All three methods defined girls (51.3-61.8%) as skinnier than boys. Skinny and average body shaped children classified by DOI and obese children classified by S-BOI were heavier and taller and presented higher degrees of obesity (DO) and BMI scores than by other methods. M-BOI and S-BOI presented statistically significant positive correlations with weight, height, DO and BMI, while DOI was not correlated with height.

Conclusion

BMI based body shape classifications provide a more rigorous classification of body shape which are favorable for school health professionals with limited resources and policy makers for internationally comparable references.

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Effects of Breast-feeding Education and Support Services on Breast-feeding Rates and Infant's Growth
Gun-Ja Jang, Sun-Hee Kim
J Korean Acad Nurs 2010;40(2):277-286.   Published online April 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.2.277
AbstractAbstract PDF
Purpose

This study was done to investigate the effects of breast-feeding education and support services on rate of breast-feeding three and six months after birth, and the effect on infant's growth (weight, height, body mass index [BMI]). The experimental group which had both education and support services was compared with the control group which had only breast-feeding education.

Methods

This study was a quasi-experimental study with a time-series design. The participants were 39 mothers who were hospitalized for childbirth. Twenty mother were assigned to the experimental group and 19 mothers, to the control group. The breast feeding education was done during hospitalization, and support services were provided once a week after discharge for a month (a total 4 times) by a maternity ward nurse. Data regarding breastfeeding rate at one month after childbirth was collected by phone call; the breast-feeding rates at three and six months after childbirth were collected in a visit to the families. The child's weight and height were also measured during the visit.

Results

The experimental group had a statistically significant higher rate for frequency of breast-feeding at one, three and six months after childbirth than the control group. However, there was no meaningful difference between the two groups for infant growth.

Conclusion

The results of this study suggest that breast-feeding education is helpful for a start, but support services are also necessary to sustain breast-feeding.

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Health Promotion Lifestyle According to Self-Perception of Obesity and Objective Status Measured by Bioelectric Impedance Analysis in College Women
Eun Young Chang, Jeong Sun Kim, Su Jin Shin
J Korean Acad Nurs 2009;39(5):693-699.   Published online October 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.5.693
AbstractAbstract PDF
Purpose

The purpose of this study was to identify congruence between self-perception and objective status of obesity according to %Fat, and to investigate health promotion lifestyle in college women.

Methods

The participants were a convenience sample of 392 college women who were eligible and agreed to participate in this study. Respondents were asked questions using a health promotion lifestyle profile and were evaluated for their body composition using InBody 3.0. The data were analyzed with SPSS 14.0 program, which was used for Chi square, ANOVA, and post-hoc comparison with Scheffe.

Results

The major findings were as follows; 1) Overall, 41.8% of participants misclassified their perceived status of weight by %Fat standards and kappa was 0.329. 2) Two percent were underweight by BMI but overweight by %Fat and 39.0% normal weight by BMI but overweight by %Fat. 3) There were significant differences in health promotion lifestyle according to self-perception of body weight but there was no difference in health promotion lifestyle according to %Fat standards.

Conclusion

These findings suggest the necessity for development and application of tailored health promotion program based on self-perception of body weight and %Fat in order to reform incorrect body image and health behavior in college women.

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Effects of Weight Control Program on Body Weight and the Sense of Efficacy for Control of Dietary Behavior of Psychiatric Inpatients
Mi Na Hong, Geum Sun Baek, Yong Hee Han, Myung Soon Kwon
J Korean Acad Nurs 2008;38(4):533-540.   Published online August 31, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.4.533
AbstractAbstract PDF
Purpose

This study was designed to examine the effects of a weight control program on body weight and the sense of efficacy for control of dietary behavior in psychiatric inpatients.

Methods

A quasi-experimental design was used. Data were collected from March 1 to September 30, 2007. Female mentally ill patients in closing psychiatry ward of H University Hospital participated in the study (16 persons in the experimental group and 13 in the control group).

Results

The weight control program including diet therapy, exercise, education and behavior modification therapy decreased the rate of weight gain in female mentally ill patients taking atypical antipsychotics, and effectively increased a sense of efficacy for control of dietary behavior.

Conclusion

Weight control program had a positive effect as a nursing intervention to decrease obesity and to increase the sense of efficacy for control of dietary behavior of psychiatric inpatients in psychiatric inpatients.

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Effects of a Network Program for Preventing Obesity of Patients Taking Antipsychotics or Antidepressants
Soyaja Kim, Kyung Mi Sung, Young Sin Hwang, Sook Ja Kim
Journal of Korean Academy of Nursing 2005;35(3):526-534.   Published online June 30, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.3.526
AbstractAbstract PDF
Purpose

This study was designed to investigate the effects of a network program to prevent obesity and improve dietary habits for patients taking antipsychotics or antidepressants.

Method

Thirty-seven patients in two hospitals were assigned to a control group (21 patients) or an intervention group (16 patients). The intervention group was evaluated to analyze the effect of the network program for six weeks after the program.

Result

There was a difference in the rate of increased body weight between the control group and the intervention group. Notably, the body weight of both groups before the intervention was significantly increased. However, after the intervention the body weight of the intervention group rarely increased, whereas, the body weight of the control group was significantly increased as expected. There was an observed difference in diet between the control group and the intervention group. After the intervention, caloric intake per day of the intervention group decreased. Also, the duration of the meal of the intervention group after the intervention was longer than before.

Conclusion

The network program for preventing obesity and improving dietary habits of patients taking antipsychotics or antidepressants was effective. The study shows that a network program can be an important part of a nursing intervention in clinical practice.

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