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KMID : 0388120030120010054
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Journal of Korean Society for the Study of Obesity
2003 Volume.12 No. 1 p.54 ~ p.67
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Study on the Effect of Obesity Management Program in Middle Aged Abdominal Obese Women
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Kim Myung-Sook
Ahn Hong-Seok
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Abstract
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Background: Middle-aged Korean women over 30 years old reportedly become fat in particular after delivery. The obesity ratio has steadily increased due to economic growth coupled with change in diet pattern, causing appearance and health problems against middle-aged women. Since abdominal obesity particularly relates to metabolic disease including heart/blood vessel disorder, the middle-aged women with abdominal obesity are divided into basic treatment group and additional abodominal massage group who are subject to different obesity managemant program. Then the outcomes are checked and compared with each other. These basic data are used to develop efficient abdominal obesity managemant program and to operate professional obesity managemant center.
Methods: Sixty six women aged between 30 and 55 who have BMI above 25 kg/m2 and live in Seoul, Korea and whose WHR is 0.85 or more are selected as an subject of this study. They are divided into additional abodominal massage group and basic treatment group for 2nd level study.
Abdominal massage is done in addition to the diet education, physical exercise therapy and behavior correction therapy for the additional abodominal massage group, whereas the basic treatment group is subject to the diet treatment, physical exercise therapy and behavior correction therapy as an abdominal obesity managemant program.
Results: 1) Additional abdominal massage group and basic treatment group lose weight 5.58 kg and 4.14 kg in 10 weeks, respectively, while BMI drops 2.41 kg/㎡ and 1.66 kg/㎡ in additional abdominal massage group and basic treatment group, respectively. This indicates that additional abdominal massage reduces weight and BMI more effectively than combined diet, physical exercise and behavior correction therapy do.
In 10 weeks, additional abdominal massage group and basic treatment group witness waist circumference decrease by 9.09 cm and 6.81 cm and abdomen circumference decrease by 8.11 cm and 4.61 cm, respectively. This indicates that additional abdominal massage reduces waist circumference and abdomen circumference more effectively than combined diet, physical exercise and behavior correction therapy do. Meanwhile, there is no significant difference in hip circumference and WHR between additional abdominal massage group and basic treatment group.
In 10 weeks, additional abdominal massage group and basic treatment group witness body fat decrease by 4.94% and 3.19% respectively. This indicates that additional abdominal massage notably reduces body fat more effectively than combined diet, physical exercise and behavior correction therapy do.
In 10 weeks, there is no significant change in skinfold thickness at triceps and suprailiac significant between two groups, whereas there is notable difference in the skinfold thickness between two groups. This indicates that additional abdominal massage effectively reduces abdominal skinfold thickness.
There is notable drop in diastolic blood pressure only for additional abdominal massage group in 10 weeks. There is significant difference in blood pressure between two groups in 10 weeks.
2) There is notable drop in triglyceride level in serum component of both groups. Total cholesterol and LDL-cholesterol level change significantly in additional abdominal massage group, showing the remarkable effect of abdominal massage.
There is notable change in total antioxidant and AST in additional abdominal massage group, showing the remarkable effect of abdominal massage.
Conclusion: This study also shows that diet, physical exercise and behavior correction therapy coupled with abdominal massage using aroma therapy effectively reduces weight, BMI, waist/ abdomen circumference, body fat, abdominal skinfold thicknrss, total cholesterol and LDL-cholesterol level while increasing total antioxidant. Therefore, it is concluded that the abdominal obesity management program adopting diet, physical exercise and behavior correction therapy coupled with abdominal massage using aroma therapy effectively control abdominal obesity and prevent obesity related disorders.
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KEYWORD
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Abdominal obesity, Middle aged women, Obesity management program
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