Relationship between Visceral Adipose Tissue and Oriental Obesity Pattern Identification in Obese Korean Women (비만여성에서 내장지방과 한방비만변증의 연관성)

EUNJOO KIM (김은주); 이아라; 황미자; 조재흥; 최선미; Chung, Seok Hee (정석희); Mi-Yeon Song (송미연)

Relationship between Visceral Adipose Tissue and Oriental Obesity Pattern Identification in Obese Korean Women

Journal of Korean Medicine Rehabilitation
Abbr : JKMR
2011, 21(2), pp.279-288
Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
Research Area : Medicine and Pharmacy > Korean Medicine

EUNJOO KIM ¹, 이아라 ¹, 황미자 ¹, 조재흥 ¹, 최선미 ², Chung, Seok Hee ¹, Mi-Yeon Song ¹

¹경희대학교
²한국한의학연구원

Accredited

ABSTRACT

Objectives :Our purpose of this study was to evaluate the association between abdominal adipose tissue and oriental obesity pattern identification. Methods :This study was performed in 78 healthy obese(BMI(body mass index)≥25 kg/m2) women in Seoul. Subjects underwent abdominal CT(computed tomography) scanning and were asked to complete the oriental obesity pattern identification questionnaire. Subjects were given written consent and this study was performed under permission of institutional review board of Kyung-hee East-west Neo medical center. Results :1. VFA(visceral fat area) and VSR(visceral/subcutaneous adipose tissue ratio) were significantly correlated with stagnation of the liver qi(肝鬱, gan-yu) (p<0.05). But, other patterns were not significantly correlated with oriental obesity pattern identification(p>0.05). 2. We evaluated a difference of oriental obesity pattern identification score in visceral obesity group(n=34) versus non-visceral obesity group(n=44). Scores of all patterns except food accumulation(食積, shi-ji ) were significantly higher in the visceral obesity group than in the non-visceral obesity group(p<0.05). Especially, there was a further significant difference in stagnation of the liver qi(肝鬱, gan-yu)(p<0.01). Conclusions :Generally, the stagnation of the liver qi(肝鬱, gan-yu) has a close relation with stress and depression. This study suggests that stress and depression might be correlated with visceral fat, and the use of oriental obesity pattern identification would be helpful for planning a treatment schedule of visceral obesity in the clinic.

KEYWORDS

Obesity, Visceral fat, Oriental obesity pattern identification, Stagnation of the liver qi(肝鬱, gan-yu)

Citation status

* References for papers published after 2023 are currently being built.

[journal] Haslam DW / 2005 / Obesity / Lancet 366(9492) : 1197~1209

[journal] BjoÈrntorp P / 1993 / Visceral obesity: a civilization syndrome / Obes Res 1 : 206~222

[journal] 박혜순 / 2002 / 비만 성인에서 컴퓨터 단층촬영에 의한 내장지방 축적과 관련된 생활습관 요인 / 대한비만학회지 11(4) : 337~348

[journal] 김수경 / 2003 / The comparison of intra-abdominal fat distance (I-A Fat Distance) and visceral adipose tissue area (VAT) or visceral fat to skeletal muscle area ratio (VMR) measured by computed tomography (CT) / 대한내과학회지 / 대한내과학회 65(1) : 49~57

[journal] 문진석 / 2008 / Weighting Method based on Experts Opinions for Obesity Syndrome Differentiation Questionnaire / 한방비만학회지 / 한방비만학회 8(1) : 51~61

[journal] Yoshizumi T / 1999 / Abdominal fat: standardized technique for measurement at CT / Radiology 211 : 283~286

[journal] 문진석 / 2007 / 한의사와 환자의 설문을 통한 비만 변증지표 연구 / 대한한방비만학회지 7(1) : 55~69

[journal] 강병갑 / 2007 / 비만변증 설문지에 대한 신뢰도 분석 / 한국한의학연구원 논문집 13(1) : 109~114

[journal] / 2002 / Examination committee of criteria for ‘obesity disease’ in Japan-Japan society for the study of obesity. New criteria for ‘obesity disease’ in Japan / Circ J 66(11) : 987~992

[journal] 이병주 / 1998 / 肥滿의 槪念 및 辨證施治에 관한 文獻的 고찰 / 대전대학교 한의학연구소 논문집 7(1) : 533~541

[journal] 이형철 / 2006 / 비만환자의 담음변증과 복부내장지방과의 연관성에 관한 연구 / 대한한방비만학회지 6(1) : 51~59

[journal] 황미자 / 2008 / Correlation between Visceral Adipose Tissue and Stagnation of the Liver Qi (gan-yu, 肝鬱) in Korean Perimenopausal Women / 한방재활의학과학회지 / 한방재활의학과학회 18(2) : 143~156

[journal] 정원석 / 2008 / Relationship between Obesity, Social Readjustment Rating, Self-Esteem, Eating Attitude, Depression, Stress Response and Climacteric symptom in Korean Peri-menopausal Overweight Women / 한방비만학회지 / 한방비만학회 8(1) : 71~80

[journal] Ruiz RJ / 2007 / The relationships among acculturation, body mass index, depression and interleukin 1-receptor antagonist in Hispanic pregnant women / Ethinicity & Disease 17(2) : 338~343

[journal] Rosmond R / 1998 / The interactions between hypothalamic-pituitary-adrenal axis activity, testosterone, insulinlike growth factor I and abdominal obesity with metabolism and blood pressure in men / Int J Obes Relat Metab Disord 22 : 1189~1196

[journal] Kyrou I / 2006 / Stress, visceral obesity and metabolic complications / Ann NY Acad Sci 1083 : 77~110

[journal] Charmandari E / 2005 / Endocrinology of the stress response / Annu Rev Physiol 67 : 259~284

[journal] McEwen BS / 1998 / Protective and damaging effects of stress mediators / N Engl J Med 338 : 171~179

[web] Karen K / Obesity and cortisol: controlling stress hormones to limit fat storage / http://intelegen.com/nutrients/obesity _and_cortisol_controlling.htm

[journal] BjoÈrntorp P / 1996 / Review: the regulation of adipose tissue distribution in humans / Int J Obes Relat Metab Disord 20 : 291~302

[journal] Chrousos GP / 2000 / The role of stress and the hypothalamic-pituitary-adrenal axis in the pathogenesis of the metabolic syndrome: neuro-endocrine and target tissue-related causes / Int J Obes Relat Metab Disord 24(2) : 50~55

[journal] Kyrou I / 2007 / Stress mechanisms and metabolic complications / Horm Metab Res 39 : 430~438

[journal] Chandola T / 2006 / Chronic stress at work and the metabolic syndrome: prospective study / BMJ 332 : 521~525

[journal] Brunner EJ / 2007 / Prospective effect of job strain on general and central obesity in the Whitehall II Study / Am J Epidemiol 165 : 828~837

[journal] Kyrou I / 2008 / Chronic stress, visceral obesity and gonadal dysfunction / Hormones 7(4) : 287~293

[journal] Pasquali R / 1993 / The hypothalamo -pituitary-adrenal axis in obese women with different patterns of body fat distribution / J Clin Endocrinol Metab 77 : 341~346

[journal] Pasquali R / 1996 / Hypothalamic-pituitary-adrenal axis activity and its relationship to the autonomic nervous system in women with visceral and subcutaneous obesity: effects of corticotropin-releasing factor /arginine vasopressin test and of stress / Metabolism 45 : 351~356

[journal] BjoÈrntorp P / 2000 / Neuroendocrine abnormalities in visceral obesity / International Journal of Obesity 24(2) : S80~S85

[journal] 이영미 / 2002 / 복부비만의 지표로서 부위별 허리둘레 측정값의 신뢰도 / 대한비만학회지 11(2) : 123~130

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