The Effects of Weight Control Behaviors among Korean Obese Adults
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Background: This study aimed to identify and examine the effects of weight control behaviors correlated withweight loss in obese individuals who attempted to lose weight within the past year. Methods: In this cross-sectional study, data from 9,461 obese individuals were collected from the fifth and sixth KoreanNational Health and Nutrition Examination Survey (2010–2014). Three of nine verified methods of weightcontrol suggested in the survey were selected: diet therapy (reduced food intake), exercise therapy (exercise), andmedication therapy (prescribed weight loss medications). Participants were divided into one of seven groups (diettherapy alone; exercise therapy alone; drug therapy alone; combined diet and exercise therapy; combined exerciseand drug therapy; combined diet and drug therapy; or combined diet, exercise, and drug therapy). Logistic regressionanalysis was used to determine whether the group that tried to lose weight in the past year had indeed lostweight compared to the group that did not. Results: The odds ratios for weight loss (≥3 but <6 kg vs. ≥6 but <10 kg) for the combined therapies were 2.05 (95%confidence interval, 1.23–3.41) for combined diet and exercise therapy and 5.43 (1.74–16.92) for combined diet, exercise,and drug therapy. Conclusion: All levels of weight loss were significantly associated with combined diet and exercise therapy. Weightloss ≥6 kg but <10 kg was significantly associated with combined diet and exercise therapy as well as with combineddiet, exercise, and medication therapy among individuals who tried to lose weight in the past year.
Abstract
Background: This study aimed to identify and examine the effects of weight control behaviors correlated withweight loss in obese individuals who attempted to lose weight within the past year. Methods: In this cross-sectional study, data from 9,461 obese individuals were collected from the fifth and sixth KoreanNational Health and Nutrition Examination Survey (2010–2014). Three of nine verified methods of weightcontrol suggested in the survey were selected: diet therapy (reduced food intake), exercise therapy (exercise), andmedication therapy (prescribed weight loss medications). Participants were divided into one of seven groups (diettherapy alone; exercise therapy alone; drug therapy alone; combined diet and exercise therapy; combined exerciseand drug therapy; combined diet and drug therapy; or combined diet, exercise, and drug therapy). Logistic regressionanalysis was used to determine whether the group that tried to lose weight in the past year had indeed lostweight compared to the group that did not. Results: The odds ratios for weight loss (≥3 but <6 kg vs. ≥6 but <10 kg) for the combined therapies were 2.05 (95%confidence interval, 1.23–3.41) for combined diet and exercise therapy and 5.43 (1.74–16.92) for combined diet, exercise,and drug therapy. Conclusion: All levels of weight loss were significantly associated with combined diet and exercise therapy. Weightloss ≥6 kg but <10 kg was significantly associated with combined diet and exercise therapy as well as with combineddiet, exercise, and medication therapy among individuals who tried to lose weight in the past year.
참고문헌 (20)
- Flegal KM, "Trends in obesity among adults in the United States, 2005 to 2014", JAMA, 315, pp.2284~2291 (2016)[DOI]
- 김철식, "Prevalence, Awareness, and Management of Obesity in Korea: Data from the Korea National Health and Nutrition Examination Survey (1998–2011)", Diabetes and Metabolism Journal, 38(1), pp.35~43 (2014), 대한당뇨병학회[DOI]
- 김미경, "2014 Clinical Practice Guidelines for Overweight and Obesity in Korea", Endocrinology and Metabolism, 29(4), pp.405~409 (2014), 대한내분비학회
- Jensen MD, "2013 AHA", ACC, American Heart Association Task Force on Practice Guidelines and The Obesity Society, pp.J Am Coll Cardiol, 2014[DOI]
- Appel LJ, "Comparative effectiveness of weight-loss interventions in clinical practice", N Engl J Med, 365, pp.1959~1968 (2011)[DOI]
- 박여린, "지역사회건강조사와 국민건강영양조사에 따른 우리나라 성인의 비만 및과체중 유병률 비교", Journal of Obesity & Metabolic Syndrome, 23(1), pp.64~68 (2014), 대한비만학회[DOI]
- 김경배, "국내 비만연구에서 적용된 운동요법의 효과에 대한 메타분석", Journal of Obesity & Metabolic Syndrome, 16(4), pp.177~185 (2007), 대한비만학회
- Kushner RF, "Assessment and lifestyle management of patients with obesity: clinical recommendations from systematic reviews", JAMA, 312, pp.943~952 (2014)[DOI]
- Jensen MD, "Guidelines (2013) for managing overweight and obesity in adults", Obesity, 22(S2), pp.S1~S410 (2014)
- Erlandson M, "Update on office-based strategies for the management of obesity", Am Fam Physician, 94, pp.361~368 (2016)
- 김미경, "비만의 행동중재와 약물치료", 대한내과학회지, 84(5), pp.624~628 (2013), 대한내과학회[DOI]
- Kruger J, "Attempting to lose weight : specific practices among U.S. adults", Am J Prev Med, 26, pp.402~406 (2004)[DOI]
- Serdula MK, "Prevalence of attempting weight loss and strategies for controlling weight", JAMA, 282, pp.1353~1358 (1999)[DOI]
- Weiss EC, "Weight-control practices among U.S. adults, 2001-2002", Am J Prev Med, 31, pp.18~24 (2006)[DOI]
- Aljuraiban GS, "The impact of eating frequency and time of intake on nutrient quality and body mass index: the INTERMAP Study, a Population-Based Study", J Acad Nutr Diet, 115, pp.528~536 (2015)[DOI]
- Jakicic JM, "Objective physical activity and weight loss in adults: the step-up randomized clinical trial", Obesity (Silver Spring), 22, pp.2284~2292 (2014)[DOI]
- Yoong SL, "A cross-sectional study assessing the self-reported weight loss strategies used by adult Australian general practice patients", BMC Fam Pract, 13, pp.48~ (2012)[DOI]
- 김명숙, "비만 여성의 영양교육과 운동 중재가 체중감량과 유지에 미치는 영향", 대한지역사회영양학회지, 12(1), pp.80~89 (2007), 대한지역사회영양학회
- Marinilli Pinto A, "Successful weight-loss maintenance in relation to method of weight loss", Obesity (Silver Spring), 16, pp.2456~2461 (2008)[DOI]
- Heshka S, "Weight loss with self-help compared with a structured commercial program: a randomized trial", JAMA, 289, pp.1792~1798 (2003)[DOI]