Background
This study compared the impact of Short Message Service (SMS)-based education with traditional group-based education and the control group on body mass index, weight, and lifestyle in obese and overweight patients in a limited-resource country. It also compared the direct financial costs between the two intervention groups.
Methods
In this controlled randomized educational study, 90 overweight or obese adults from four family physician clinics in Shiraz, Iran were randomly allocated to three training groups: SMS-based education, group-based education, and a control group. The participants’ weight, body mass index (BMI), and waist circumference were measured at baseline, and the Physical Activity Scale questionnaire was completed. Group-based training was conducted in 1-hour weekly sessions. The SMS group received a text message each morning. The control group received routine care from a family physician. The intervention lasted 12 weeks. All participants were re-examined for the studied variables. Additionally, the direct costs were estimated, calculated, and compared.
Results
The mean weight, BMI, and waist circumference changed significantly after 3 months compared to baseline in each group. The mean weight change differed significantly among the three groups (P-value=0.04), and the mean BMI changes were near significant (P-value=0.06). A post hoc comparison of changes in weight and BMI showed a significant difference between the control and SMS groups. SMS education incurred much lower costs for patients and healthcare services than group-based education.
Conclusion
The study showed that SMS is an effective and cost-saving educational method for weight loss compared to group-based education, especially in developing countries.

Background
Noncombustible nicotine or tobacco product (NNTP) use, and cigarette smoking are associated with a high likelihood of unhealthy weight control behaviors (UWCBs) among adolescents. However, no study has addressed the differences in UWCBs among non-users, single users of combustible cigarettes (CCs) or NNTPs and dual users. This study compared the frequencies of weight control behaviors according to the status of CC and NNTP use among Korean adolescents.
Methods
This was a cross-sectional study of 25,094 adolescents who had attempted to reduce or maintain their body weight during the past 30 days, using data from the 15th Korea Youth Risk Behavior Survey, 2019. Data on the status of CC and NNTP use, weight status, and weight control behaviors were obtained using self-report questionnaires. Subjects were categorized into four groups: non-users, cigarette-only users, NNTP-only users, and dual users.
Results
Among boys and girls, current smokers and NNTP users were 8.9%±0.3% and 5.5%±0.3%, and 4.2%±0.2% and 1.7%±0.1%, respectively. Among boys, NNTP-only users were more likely to engage in extreme weight control behaviors than non-users. Among girls, users of either CCs or NNTPs were more likely to engage in extreme weight control behaviors and less extreme weight control behaviors than non-users.
Conclusion
This study shows that users of either CCs or NNTPs are more likely to engage in UWCBs, and NNTP-only users are the most likely to do so.

Citations

• Reflecting on progress and challenges: the Korean Journal of Family Medicine in 2024
  Seung-Won Oh
  Korean Journal of Family Medicine.2025; 46(2): 55.     CrossRef
• The Interconnected Nature of Smoking, Depression, and Obesity in Behavioral Medicine
  Joung Sik Son
  Korean Journal of Family Medicine.2024; 45(4): 181.     CrossRef

Background
Obesity is associated with increased mortality as a significant risk factor for chronic diseases, including cardiovascular diseases and cancer. Several people believe that weight gain is harmful, and weight loss helps maintain health. However, some studies have shown that weight loss, particularly among older adults, is more likely to increase the risk of mortality than weight gain.
Methods
We used data for the cohort of the Korean Longitudinal Study of Aging, which is a nationwide stratified multi-stage sample of adults aged 45 years. The all-cause mortality risk was assessed using the survival status and the number of months of survival calculated from 2006 (baseline year) to 2016. Cox proportional hazard regression were used to study the causal link between weight change and all-cause mortality risk.
Results
The results showed interactive associations between weight loss and mortality among middle-aged and older adults. The hazard ratio was 1.62 (95% confidence interval [CI], 1.10–2.40) for the participants aged 45–65 years with weight losses greater than 5 kg and 1.56 (95% CI, 1.29–1.89) for those older than 65 years with weight losses greater than 5 kg. The results for the group with weight gain above 5 kg were not significant. Middle-aged and older men showed an increase in all-cause mortality associated with weight loss of more than 5 kg, but only the older women showed significant results.
Conclusion
This large-scale cohort study in Korea showed a relationship between weight loss and all-cause mortality in middle-aged and older individuals.

Citations

• Body mass index trajectories and all-cause mortality in older Chinese adults: Hong Kong’s Elderly Health Service Cohort
  Man Ki Kwok, Siu Yin Lee, Gabriel M Leung, C Mary Schooling
  Journal of Epidemiology and Community Health.2025; : jech-2025-223659.     CrossRef
• Associations of obesity indices change with cardiovascular outcomes: a dose-response meta-analysis
  Lyu Wang, Hanyue Ding, Yunyang Deng, Junjie Huang, Xiangqian Lao, Martin C. S. Wong
  International Journal of Obesity.2024; 48(5): 635.     CrossRef
• Social isolation and depression as risk factors for weight loss of 5kg or more among older Korean adults
  Youngjoon Bae, Mark C. Pachucki, Ellen L. Idler
  PLOS ONE.2024; 19(3): e0299096.     CrossRef
• Associations of short‐term changes in obesity indices with all‐cause mortality and cardiovascular disease
  Lyu Wang, Yun‐Yang Deng, Tsung Yu, Xiang‐Qian Lao, Martin C. S. Wong
  Obesity.2024; 32(8): 1568.     CrossRef
• In-hospital outcomes of older patients with gastric cancer and their risk factors: large comprehensive institution-based study
  Lei Huang, Yunmei Liu, Lei Wang, Lan Rong, Weiguo Hu
  European Geriatric Medicine.2024; 15(6): 1909.     CrossRef
• Weight loss rather than weight gain has a detrimental effect on successful aging in older adults: A 4-year longitudinal study in China
  Nan Liu, Tao Liu, Yihan Pan, Jin Wang, Xiaoguang Zhao
  Geriatric Nursing.2024; 60: 297.     CrossRef
• Association of weight change with all-cause and cause-specific mortality: an age-stratified analysis
  Qing-Mei Huang, Dong Shen, Jian Gao, Huan Chen, Jia-Hao Xie, Hao-Yu Yan, Bin Wu, Zhi-Hao Li, Gang Liu, Chen Mao
  BMC Medicine.2024;[Epub]     CrossRef
• Associations of Change in Body Size With All-Cause and Cause-Specific Mortality Among Healthy Older Adults
  Sultana Monira Hussain, Anne B. Newman, Lawrence J. Beilin, Andrew M. Tonkin, Robyn L. Woods, Johannes T. Neumann, Mark Nelson, Prudence R. Carr, Christopher M. Reid, Alice Owen, Jocasta Ball, Flavia M. Cicuttini, Cammie Tran, Yuanyuan Wang, Michael E. Er
  JAMA Network Open.2023; 6(4): e237482.     CrossRef
• Association between Weight Loss and Hand-Grip Strength with Cause-Specific Mortality in Middle-Aged and Older Adults
  Inhwan Lee
  Exercise Science.2023; 32(3): 339.     CrossRef
• Weight Change and Risk of Atherosclerosis Measured by Carotid Intima–Media Thickness (cIMT) from a Prospective Cohort—Analysis of the First-Wave Follow-Up Data of the Canadian Longitudinal Study on Aging (CLSA)
  Jian Liu, Newman Sze, Miya Narushima, Deborah O’Leary
  Journal of Cardiovascular Development and Disease.2023; 10(10): 435.     CrossRef
• Weight maintenance and gain were significantly associated with lower risk of all-cause and cancer-related mortality in Korean adults who were newly diagnosed with cancer based on the Korean NHIS-HEALS cohort
  Yong-June Kim, Seung Park, Won Tae Kim, Yoon-Jong Bae, Yonghwan Kim, Hee-Taik Kang
  Medicine.2023; 102(47): e36184.     CrossRef
• Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study
  Monika Puzianowska-Kuznicka, Alina Kurylowicz, Lukasz Wierucki, Aleksander Jerzy Owczarek, Kacper Jagiello, Malgorzata Mossakowska, Tomasz Zdrojewski, Jerzy Chudek
  Nutrients.2022; 14(21): 4621.     CrossRef

Background
Gastroesophageal reflux disease is highly prevalent among overweight and obese individuals. This study aimed to investigate the effect of weight change on the development of erosive esophagitis (EE).
Methods
A retrospective review of medical records from a university hospital in South Korea identified 7,123 subjects who underwent routine health checkups in 2012 and 2014. We excluded participants with EE in 2012. Body mass index (BMI) changes were classified as loss, stable, mild gain, or moderate gain.
Results
Mild and moderate weight gain increased the odds of EE development (odds ratio [OR], 1.39; 95% confidence interval [CI], 1.06–1.84 and OR, 2.80; 95% CI, 1.87–4.21, respectively) relative to weight stability. Weight loss decreased the odds of EE development (OR, 0.58; 95% CI, 0.38–0.90) relative to weight stability. After stratifying subjects into three groups by baseline BMI, those with mild and moderate weight gain in the obese group and moderate gain in the overweight group showed increased odds of EE development relative to members of those groups whose weights remained stable (OR, 2.08; 95% CI, 1.29–3.36; OR, 3.92; 95% CI, 1.99–7.73 in obese group, and OR, 3.30; 95% CI, 1.64–6.64 in overweight group, respectively). In comparison, weight loss in the normal weight group decreased the odds of EE development relative to weight stability (OR, 0.38; 95% CI, 0.15–0.97).
Conclusion
Weight gain was positively associated with EE development in overweight or obese individuals. Weight loss was negatively associated with EE development in normal-weight individuals.

Citations

• Features of lipid metabolism in patients with erosive esophagitis during the period of martial law
  L.M. Mosiychuk, I.A. Klenina, O.P. Petishko
  GASTROENTEROLOGY.2025; 59(1): 8.     CrossRef
• Nomogram for predicting reflux esophagitis with routine metabolic parameters: a retrospective study
  Tao He, Xiaoyu Sun, Zhijun Duan
  Archives of Medical Science.2024; 20(4): 1089.     CrossRef
• Risk factors and 26-years worldwide prevalence of endoscopic erosive esophagitis from 1997 to 2022: a meta-analysis
  Andro Pramana Witarto, Bendix Samarta Witarto, Shidi Laras Pramudito, Lintang Cahyaning Ratri, Nabilah Azzah Putri Wairooy, Tiffany Konstantin, Achmad Januar Er Putra, Citrawati Dyah Kencono Wungu, Annisa Zahra Mufida, Arief Gusnanto
  Scientific Reports.2023;[Epub]     CrossRef
• Increased risk of reflux esophagitis in non-obese individuals with nonalcoholic fatty liver disease: a cross-sectional study
  Peihong Qiu, Juan Du, Cheng Zhang, Mengting Li, Hongliang Li, Changxi Chen
  Annals of Medicine.2023;[Epub]     CrossRef
• Abdominal obesity increases the risk of reflux esophagitis: a systematic review and meta-analysis
  Junyi Zhan, Mengqi Yuan, Yujie Zhao, Xin Zhang, Tianci Qiao, Tianshu Ji, Hui Gao, Zhiqun Cao, Dongli Wang, Nan Ding
  Scandinavian Journal of Gastroenterology.2022; 57(2): 131.     CrossRef
• Current status of health promotion in Korea
  Soo Young Kim
  Journal of the Korean Medical Association.2022; 65(12): 776.     CrossRef

Profound weight loss with painful symmetrical peripheral neuropathy in diabetic patients was first described as diabetic neuropathic cachexia more than 4 decades ago. It is a distinct type of diabetic peripheral neuropathy that occurs in the absence of other microvascular and autonomic complications of diabetes. The mechanism and precipitating cause are unknown. It was reported to have good prognosis with spontaneous recovery within months to 2 years. However, it was frequently missed by clinicians because the profound weight loss is the most outstanding complaint, rather than the pain, numbness, or weakness. This often leads to extensive investigation to exclude more sinister causes of weight loss, particularly malignancy. We report a case of a young woman with well-controlled diabetes who presented with profound unintentional weight loss (26 kg), symmetrical debilitating thigh pain, and clinical signs of peripheral neuropathy. As the disease entity may mimic an inflammatory demyelinating cause of neuropathy, she was treated with a trial of intravenous immunoglobulin, which failed to give any significant benefit. However, she recovered after 6 months without any specific treatment, other than an antidepressant for the neuropathic pain and ongoing rehabilitation.

Citations

• Treatment‐induced neuropathy of diabetes in an adolescent with rapid reduction in HbA1c and weight loss: Persistent neuropathic findings at follow‐up after 1.5 years
  Vinni Faber Rasmussen, Mathilde Thrysøe, Hatice Tankisi, Páll Karlsson, Esben Thyssen Vestergaard, Kurt Kristensen, Jens Randel Nyengaard, Klaus Krogh, Christina Brock, Astrid Juhl Terkelsen
  Clinical Case Reports.2022;[Epub]     CrossRef
• Diabetic Neuropathic Cachexia: A Clinical Case and Review of Literature
  Alessio Bellelli, Daniele Santi, Manuela Simoni, Carla Greco
  Life.2022; 12(5): 680.     CrossRef
• Rare case of diabetic neuropathic cachexia along with diabetic amyotrophy
  Zahid Ullah Khan, Nasrullah Ghuman, KaHinKaren Mak
  BMJ Case Reports.2021; 14(5): e239869.     CrossRef
• A Compendium of Perspectives on Diabetes: A Challenge for Sustainable Health in the Modern Era
  Amit K Verma, Yamini Goyal, Deepti Bhatt, Kapil Dev, Mohammed A Alsahli, Arshad Husain Rahmani, Ahmad Almatroudi
  Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.2021; Volume 14: 2775.     CrossRef
• Rare diabetic neuropathies: It is not only distal symmetrical polyneuropathy
  Georgia Samakidou, Ioanna Eleftheriadou, Anastasios Tentolouris, Nikolaos Papanas, Nikolaos Tentolouris
  Diabetes Research and Clinical Practice.2021; 177: 108932.     CrossRef
• Paraneoplastic Neuropathies: What's New Since the 2004 Recommended Diagnostic Criteria
  Marco Zoccarato, Wolfgang Grisold, Anna Grisold, Valentina Poretto, Federica Boso, Bruno Giometto
  Frontiers in Neurology.2021;[Epub]     CrossRef

Anxiety disorders are the most prevalent psychiatric disorders in the general population. The relationship between dyspepsia and particularly gastroesophageal reflux disease (GERD) and psychiatric comorbidity such as anxiety is poorly defined. However, GERD was noted to be strongly associated and often coincident in onset with generalized anxiety disorder in the community. In this paper, we report the case of an adult man who presented with severe weight loss and underlying GERD, and was later found to have an anxiety disorder as the cause of both.

Background
Body image is associated with the perception of people on themselves. Influencing factors are generated internally and/or externally. The most common issue pertaining to body image is body weight and weight loss. This study aimed to determine the association between body weight perception and weight loss practices among college students.
Methods
A cross-sectional study was conducted involving 297 college students from private nursing colleges in the state of Kelantan, Malaysia. A self-administered questionnaire was used to assess sociodemographic characteristics, body weight perception, and weight loss methods. Weight and height were measured, and body mass index (BMI) was calculated based on weight and height measurement. The World Health Organization BMI cutoffs were applied in the study.
Results
More than half (54.2%) of college students perceived their weight correctly as per actual measured BMI. A total of 51.5% of participants had tried various methods to reduce their weight. Body weight perception is associated with weight loss practices (odds ratio, 0.31; 95% confidence interval, 0.19–0.50; P<0.001) adjusted for sex, marital status, and status of having obese family members. Those who had correct body weight perception were less likely to engage in weight loss practice. Food intake restriction (42.4%) is the most popular weight reduction method among students in nursing colleges. Over a quarter of the participants chose physical exercise (25.3%) to reduce their weight, and a small number engaged in unhealthy weight loss practices.
Conclusion
Body weight perception is an important factor that influences the practice to reduce weight especially among young adult group and college students.

Citations

• A cross-sectional evaluation of binge-eating behavior and its correlation with anxiety disorders among adolescents in Northern Saudi Arabia: implications for future generations
  Ahmed M. Alhuwaydi
  Frontiers in Psychiatry.2024;[Epub]     CrossRef
• The impact of weight loss diet programs on anemia, nutrient deficiencies, and organ dysfunction markers among university female students: A cross-sectional study
  Osama Y. Althunibat, Sultan Ayesh Mohammed Saghir, Saleem Hmoud Aladaileh, Atikah Rawadieh
  Electronic Journal of General Medicine.2023; 20(1): em436.     CrossRef
• Sociodemographic factors associated with weight perception of adolescents: A systematic review and meta‐analysis
  Kaihan Yang, Anqi Zhao, Yujie Xie, Zhanyi Xu, Yubinxin Peng, Haiyang Tang
  Journal of Child and Adolescent Psychiatric Nursing.2023; 36(2): 95.     CrossRef
• Knowledge and Perception Regarding Ketogenic Diet Among Students of College of Nursing, Medicine and Applied Medical Sciences at Northern Border University, Arar, KSA
  Waseem Fatima, Danah Fudhayl Naif Alanazi, Norah Badar Alanazi, Rizwan Fatima Zaidi, Mohd. Imran Ansari
  Current Nutrition & Food Science.2023; 19(2): 182.     CrossRef
• Do the body weight perception and body mass index affect the participation of exercise?
  Sema Can, Erkan Demirkan, Abdulkerim Çeviker
  Biomedical Human Kinetics.2022; 14(1): 8.     CrossRef
• Research on the Formation Mechanism of Individual Food Waste Behavior from the Perspective of Image Construction
  Feiyu Chen, Xiao Gu, Jing Hou
  Foods.2022; 11(9): 1290.     CrossRef
• Anxiety towards COVID-19, Fear of Negative Appearance, Healthy Lifestyle, and Their Relationship with Well-Being during the Pandemic: A Cross-Cultural Study between Indonesia and Poland
  Shally Novita, Dhini Andriani, Erika, Mariusz Lipowski, Małgorzata Lipowska
  International Journal of Environmental Research and Public Health.2022; 19(12): 7525.     CrossRef
• Effects of Ambient Particulate Matter (PM2.5) Exposure on Calorie Intake and Appetite of Outdoor Workers
  Thavin Kumar Mathana Sundram, Eugenie Sin Sing Tan, Hwee San Lim, Farahnaz Amini, Normina Ahmad Bustami, Pui Yee Tan, Navedur Rehman, Yu Bin Ho, Chung Keat Tan
  Nutrients.2022; 14(22): 4858.     CrossRef
• The Association of Body Image Perception With Dietary and Physical Activity Behaviors Among Adolescents in Indonesia
  Ilyatun Niswah, Jee Hyun Rah, Airin Roshita
  Food and Nutrition Bulletin.2021; 42(1_suppl): S109.     CrossRef

Background
This study aimed to identify and examine the effects of weight control behaviors correlated with weight 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 Korean National Health and Nutrition Examination Survey (2010–2014). Three of nine verified methods of weight control suggested in the survey were selected: diet therapy (reduced food intake), exercise therapy (exercise), and medication therapy (prescribed weight loss medications). Participants were divided into one of seven groups (diet therapy alone; exercise therapy alone; drug therapy alone; combined diet and exercise therapy; combined exercise and drug therapy; combined diet and drug therapy; or combined diet, exercise, and drug therapy). Logistic regression analysis was used to determine whether the group that tried to lose weight in the past year had indeed lost weight 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. Weight loss ≥6 kg but <10 kg was significantly associated with combined diet and exercise therapy as well as with combined diet, exercise, and medication therapy among individuals who tried to lose weight in the past year.

Citations

• Participatory Action for Optimizing Health Literacy and Access to Manage Hypertension: Pre-post Evaluation in a Marginalized Community of India
  Reetu Passi, Manmeet Kaur, Madhu Gupta, Savita Kumari, Rajesh Kumar
  SAGE Open.2025;[Epub]     CrossRef
• Glucagon-like peptide 1 receptor (GLP-1R) agonist relieved asthmatic airway inflammation via suppression of NLRP3 inflammasome activation in obese asthma mice model
  Jung Hur, Ji Young Kang, Young Kyoon Kim, Sook Young Lee, Hwa Young Lee
  Pulmonary Pharmacology & Therapeutics.2021; 67: 102003.     CrossRef
• Pravastatin alleviates allergic airway inflammation in obesity-related asthma mouse model
  Hwa Young Lee, Eung Gu Lee, Jung Hur, Chin Kook Rhee, Young Kyoon Kim, Sook Young Lee, Ji Young Kang
  Experimental Lung Research.2019; 45(9-10): 275.     CrossRef

Citations

• Barriers and Facilitators to Engagement With a Weight Management Intervention in Asian Patients With Overweight or Obesity: A Systematic Review
  Vickram Vijay Anand, Ethan Lee Cheng Zhe, Yip Han Chin, Wen Hui Lim, Rachel Sze Jen Goh, Chaoxing Lin, Cheng Han Ng, Gwyneth Kong, Phoebe Wen Lin Tay, Kamala Devi, Mark Muthiah, Vijai Singh, Dinh-Toi Chu, Chin Meng Khoo, Mark Y. Chan, Georgios K. Dimitria
  Endocrine Practice.2023; 29(5): 398.     CrossRef
• A Qualitative Exploration of Weight Loss Experiences through Hypnotherapy
  Nurul Afiedia Roslim, Aryati Ahmad, Mardiana Mansor, Myat Moe Thwe Aung, Farrahdilla Hamzah, Pei Lin Lua
  International Journal of Clinical and Experimental Hypnosis.2023; 71(3): 235.     CrossRef
• The experience of living with obesity for adults in Asian countries: A scoping review of qualitative studies
  Nor Akma Yunus, Grant Russell, Rosediani Muhamad, Tze Lin Chai, Mohamad Ariff Fahmi Ahmad Zawawi, Elizabeth Sturgiss
  Obesity Reviews.2023;[Epub]     CrossRef
• Awareness of Blood Pressure or Blood Sugar Level and Subjective Body Weight Perception Impacts the Likelihood of Weight Loss Attempts among Overweight and Obese Adults: A Secondary Data Analysis
  Wonjong Kim, Ahra Jo, Geungyeong Park, Heeyoung Oh, Mirae Jo
  Korean Journal of Adult Nursing.2023; 35(3): 195.     CrossRef
• Personal motivation, self-regulation barriers and strategies for weight loss in people with overweight and obesity: a thematic framework analysis
  Han Shi Jocelyn Chew, Yujia Gao, Asim Shabbir, Su Lin Lim, Kayambu Geetha, Guowei Kim, Choon Seng Chong, Davide Lomanto, Bok Yan Jimmy So
  Public Health Nutrition.2022; 25(9): 2426.     CrossRef
• Counselling and Behaviour Modification Techniques for the Management of Obesity in Postpartum and Midlife Women: A Practical Guide for Clinicians
  Gauri Shanker Kaloiya, Tanveer Kaur, Piyush Ranjan, Sakshi Chopra, Siddharth Sarkar, Archana Kumari, Harpreet Bhatia
  The Journal of Obstetrics and Gynecology of India.2022; 72(2): 134.     CrossRef
• What is it like to live with obesity in Peninsular Malaysia? A qualitative study
  Nor Akma Yunus, Grant Russell, Rosediani Muhamad, Chris Barton, Elizabeth Sturgiss
  Clinical Obesity.2022;[Epub]     CrossRef
• Eating Concerns Associated with Nutritional Information Obtained from Social Media among Saudi Young Females: A Cross-Sectional Study
  Mona Mohammed Al-Bisher, Hala Hazam Al-Otaibi
  International Journal of Environmental Research and Public Health.2022; 19(24): 16380.     CrossRef
• Global Dieting Trends and Seasonality: Social Big-Data Analysis May Be a Useful Tool
  Myung-Bae Park, Ju Mee Wang, Bernard E. Bulwer
  Nutrients.2021; 13(4): 1069.     CrossRef
• Overweight or Obesity Onset and Past Attempts to Lose/Manage Weight: A Qualitative Study
  Ziaul Hasan Rana, Debra B. Reed, Wilna Oldewage-Theron, Conrad Lyford, Malinda Colwell, John A. Dawson
  Obesities.2021; 1(3): 136.     CrossRef
• Are pre-pregnancy weight fluctuations and adherence to prenatal nutrition and exercise recommendations related to excessive gestational weight gain?
  Taniya S. Nagpal, Harry Prapavessis, Christina G. Campbell, Barbra de Vrijer, Isabelle Giroux, Michelle F. Mottola
  Journal of Behavioral Medicine.2020; 43(6): 1047.     CrossRef
• An update on obesity research pattern among adults in Malaysia: a scoping review
  Noor Safiza Mohamad Nor, Rashidah Ambak, Norazian Mohd Zaki, Nur Shahida Abdul Aziz, Siew Man Cheong, Mohamad Aznuddin Abd Razak, Muslimah Yusof, Mohamad Hasnan Ahmad, Azli Baharuddin, Megat Rusydi Megat Radzi, Wan Nur Khairunnisa Wan Kozil, Intan Hafizah
  BMC Women's Health.2018;[Epub]     CrossRef

Citations

• Association between weight gain following smoking cessation and development of hypertension in the future
  Yuichi Ninomiya, Shin Kawasoe, Takuro Kubozono, Akihiro Tokushige, Hitoshi Ichiki, Anwar Ahmed Salim, Yoshiyuki Ikeda, Hironori Miyahara, Koichi Tokushige, Mitsuru Ohishi
  Hypertension Research.2024; 47(5): 1167.     CrossRef
• Unhealthy Weight Control Behaviors according to the Status of Combustible Cigarette and Noncombustible Nicotine or Tobacco Product Use among Korean Adolescents with Experience Attempting to Reduce or Maintain Their Body Weight: The 15th Korea Youth Risk B
  A Ra Bong, Young Gyu Cho, Hyun Ah Park, Kyo Woon Kim
  Korean Journal of Family Medicine.2024; 45(4): 223.     CrossRef
• Unhealthy weight control behaviors and related factors by gender and weight status: Results from a nationally representative sample of Korean adolescents
  Eun Jung Bae, Ju Young Yoon
  Archives of Psychiatric Nursing.2023; 42: 75.     CrossRef
• Factors Associated With Unhealthy Weight Control Behaviors Among a Representative Sample of U.S. High School Students
  Chung-Bang Weng, Jiunn-Jye Sheu, Huey-Shys Chen
  The Journal of School Nursing.2022; 38(6): 533.     CrossRef
• Latent Class Analysis of Obesogenic Behaviors among Korean Adolescents: Associations with Weight-Related Outcomes
  Haein Lee, In-Seo La
  International Journal of Environmental Research and Public Health.2021; 18(21): 11059.     CrossRef
• Smoking as a weight control strategy of Serbian adolescents
  Biljana Kilibarda, Jelena Gudelj Rakic, Sonja Mitov Scekic, Srmena Krstev
  International Journal of Public Health.2020; 65(8): 1319.     CrossRef
• Relationship between unhealthy weight control behaviors and substance use patterns among Korean adolescents: results from the 2017 national youth risk behavior survey
  Yeji Lee, Kang-Sook Lee
  Public Health.2019; 174: 56.     CrossRef
• Associations between History of Hospitalization for Violence Victimization and Substance-Use Patterns among Adolescents: A 2017 Korean National Representative Survey
  Yeji Lee, Kang-Sook Lee
  International Journal of Environmental Research and Public Health.2018; 15(7): 1543.     CrossRef

Citations

• Body Image and Nutritional Status Are Associated with Physical Activity in Men and Women: The ELSA-Brasil Study
  Carolina Coelho, Luana Giatti, Maria Molina, Maria Nunes, Sandhi Barreto
  International Journal of Environmental Research and Public Health.2015; 12(6): 6179.     CrossRef

Citations

• The Relationship between Body Mass Index and Smoking Cessation Plans in Korean Adults
  Ji Young Lee, Seon Mee Kim, Yoon Seon Choi, Yong Gyu Park, E Yeon Kim, So Jung Yoon, Jin Wook Kim, Jung Hwan Yoon, Man Kim, Hye Ran Jeon
  Journal of Obesity & Metabolic Syndrome.2017; 26(4): 281.     CrossRef
• Factors Affecting Smoking Cessation Intention of Female Workers: Using Community Health Survey, 2014
  Hye-Young Jang, Song Yi Han
  Korean Journal of Occupational Health Nursing.2016; 25(4): 352.     CrossRef

The most common cause of small bowel obstruction is postoperative adhesion, and besides a hernia, metastatic or primary cancer and small bowel tumors are possible causes. Superior mesenteric artery (SMA) syndrome is a rare cause of upper gastrointestinal obstruction and is associated with debilitating conditions with marked weight loss. SMA syndrome results from the compression of the third part of the duodenum due to the narrowing of the aortomesenteric angle. We report a 28-year-old woman with SMA syndrome after acute gastroenteritis. Her stomach was severely dilated due to the duodenal obstruction and computed tomography showed the compression of the third portion of the duodenum by SMA. She was conservatively cared for and thus favorably improved.

Citations

• Superior Mesenteric Artery Syndrome: Where Do We Stand Today?
  Tae Hee Lee, Joon Seong Lee, Yunju Jo, Kyung Sik Park, Jae Hee Cheon, Yong Sung Kim, Jae Young Jang, Young Woo Kang
  Journal of Gastrointestinal Surgery.2012; 16(12): 2203.     CrossRef

Background
Obesity is one of the health problems with high risk of metabolic and physiologic morbidity worldwide. Obesity increases cardiovascular disease risk and death as well as psychological and emotional health problems. Self-efficacy and physical self-efficacy are important evaluation tools for successful diet and exercise in obesity diet practice and it is directly associated with health behaviors. This study conducted to evaluate the effect of weight loss on self-efficacy and life quality.Methods: The 39 adults who joined in weight control program in one public health center were recruited into this study. Quality of life, depression scale, anxiety scale, self-efficacy and physical self-efficacy were examined. Also physical performance ability and weight and lipid profile were examined. Statistical analysis obtained by SPSS.Results: Quality of life and anxiety scale were significantly diminished in obese subjects than non-obese subjects. Quality of life was increased after weight control program in obese subjects. Physical self-efficacy was improved in weight reduction group with much more than 5% of initial weight.Conclusion: Weight reduction has positive impact on psychological aspects in obese subjects. Therefore, we should be more concerned about psychological and functional aspect of obese individuals during weight control treatment.

Citations

• The Effect of Pre-operative Information through Audiovisual Media on Self-Care Knowledge, Self-Efficacy, and State Anxiety of Patients before Bariatric Surgery
  Ho Im Lee, Jung Suk Park
  Korean Journal of Adult Nursing.2020; 32(4): 421.     CrossRef

Amiodarone is a potent antiarrhythmic agent that is used to treat ventricular arrhythmias and atrial fibrillation. But it has a wide range of adverse effects, including pulmonary toxicity, thyroid dysfunction, liver toxicity, gastrointestinal events, corneal deposits, peripheral neuropathy and so on. Patients treated with amiodarone should be followed regularly to assess ongoing need for amiodarone, efficacy of the drug, appropriateness of dosage, adverse effects, and potential drug interactions. We experienced a case of severe weight loss due to amiodarone-induced multiple toxicity after a long course of a low dose therapy. So we report this unusual case with literature review.

Background
: In general, long-term weight loss maintenance is difficult. Thus we have attempted to examine the factors associated with weight loss maintenance after weight reduction to appropriate level in obese people.

Methods : The study subjects were 170 obese adults who visited the Yeung Nam University Medical Center Obesity Clinic from January 2002 to April 2004. Selected individuals for this study were those who have intentionally lost at least 5% of their body weight and have kept it off for at least 1 year and considered to be ; weight loss maintainers ; and the factors that are associated with weight loss maintenance were obsened and assessed by telephone survey.

Results : Among all study subjects, the successful weight loss maintainers were 61 (35.9%) subjects (males: 23, females: 38) and re-gainers were 109 (64.1%) subjects (males: 42, females: 67). The difference between maintainers and re-gainers according to sex, age and basal body weight was not statistically significant. The difference between maintainers and retainers were statistically significant in those with regular exercise more than 3 times per week (P=0.001), no alcohol intake (P= 0.001), physical activity more than moderate level (P＜0.001), TV viewing (internet using) times less than 2 hours (P＜0.001), dietary control (P＜0.001), and no overeating (P＜0.001). According to multiple regression analysis, obesity treatment medication use during the weight loss maintenance period had the greatest influence (R²=0.336, P=0.000), and the following were TV (internet) viewing time, smoking, exercise, and physical activity in order.

Conclusion : By using, medications, reducing TV viewing (internet using) times, smoking cessation, diet control exercise weight loss were maintained significantly.

Obesity is an independent risk factor for cardiovascular disease, hypertension, and diabetes and is associated with several other medical and psychological disorders. Weight loss is known to reduce these risks and to improve or resolve these cormorbid disorders and it is generally assumed that weight loss will improve the health of large people. But there is little research to support this. And no randomized controlled trials have been published to demonstrate that intentional weight loss in the obese actually reduces morbidity or increases longevity. In fact, the large majority of published epidemiological studies show that persons who experience a net loss of weight over time have shorter life spans than those whose body weights remain relatively stable. In addition, many persons who have intentionally lost weight report that they ultimately gain back some or all of the weight they originally lost. For some persons, this pattern of weight loss followed by regain will be repeated over many years of dieting and be exposed to the risk for eating disorders. These findings suggest that our current attitude or assume about weight loss should be challenged or reevaluated. With a culturally determined esthetical ideal and well-documented salutary effects of intentional weight loss on physiological risk factors, dichotomous thinking pattern about weight loss that weight loss is good one but weight gain even weight maintenance above normal is bad one has been prevailing. Therefore, intentional weight loss has been prevalent and intentional weight loss and it's related physical and psychosocial problems may become one of the most common health related issue in Korea. However, the efforts for weight control have been mainly focused on the weight loss rather than weight maintenance without serious consideration about long-term consequences of weight loss. To provide more balanced informations for weight loss and weight control, the authors reviewed the literatures concerning physical and psychosocial effects of weight loss, and effects of weight loss on morbidity and mortality. And we also reviewed the literatures about possible problems that may be resulted by various methods of weight control and discussed what is more appropriate approaches to the weight control.

Background
: Weight loss in obese patients has been shown to decrease plasma lipid level and high blood pressure, to improve glycemic control in diabetic patients and to decrease cardiovascular risk in obese patients. But, study for association of weight loss and Health-related Quality of Life is not well known yet worldwide. This study was to determine whether weight loss would associate with improvements on Health-Related Quality of Life.

Methods : Participants was recruited in 48 obese patient visiting obesity clinic of Family Medicine of Sungkyunkwan University Hospital. 27 patients who answered mailed questionnaire was analyzed. Health-Related quality of life was measured by Catholic Medical Center Health Survey(CMCHS) V 1.0. Questionnaire included not only Health Related Quality of Life but also alcohol habit, exercise, smoking, marital status, economic status, education.

Results : In multiple regression analysis, weight loss is statistically significant differences on satisfaction, vitality, physical function, social function, role limitation, general health dimensions of CMCHS.

Conclusion : The results of this study demonstrate that weight loss on obese patients may be associated with an improvement in Health-Related Quality of Life.

Background
: The relation of initial depression and weight loss in a low calorie diet(LCD) alone or exercise combination in Korean women, was considered and change of emotional state after program was determined in this study.

Methods : Sixty obese females were randomly prescribed a LCD(low calorie diet) alone or a LCD with exercise. Thirty obese females were treated with a LCD of 1,000kcal/d for 8weeks(group A). Another thirty obese females were treated with a LCD of 1,000kcal/d combined with supervise aerobic exercise for 8 weeks(group B. Questionnaires including Korean-translated Beck Depression Inventory(BDI), Korean translated Brief Encounter Psychosocial Instrument(BEPSI) were reported before and after 8weeks for this study.

Results : 21 out of 30 obese females in group A and 25 out 30 obese females in group B completed the study. At the eighth week, mean weight loss was 5.7±2.2kg(8.0%) in group A, and 6.8±1.7kg(9.5%) in group B. Depression were decreased after program(decreased BDI score in combined group(6.86±6.31: p=0.0001), group A(5.79±4.06:p=0.0001) and group B(7.68±7.58:p=0.0001), but no statistically significant difference between group a and B was noted(p=0.3309). Initial BDI score was negatively correlated with the percent of weight loss in group A(r=0.0099:p = 0.637). In group A and B, the percent of weight loss was not correlated with change of BDI score(group A;r=0.504:p=0.028, group B;r=0.762:p=0.0001).

Conclusion : Regardless of the exercise combination, LCD therapy seemed to decrease depression. The degree of weight loss was negatively correlated with initial degree of depression. this negative correlation can be compensated by planned thorough exercise.

Background
: Obesity and its complications are increasing as social economic standard of living is improving and life style has been changing in Korea. There is growing evidence that the visceral/subcutaneus adipose tissue area ratio (VSR) on computed tomography (CT) is closely related to the obesity complication. Therefore, it is important to determine whether the VSR reduction is produced during weight loss. The purpose of this study was to observe and compare the amount of reduction of intraabdominal fat between low calorie diet(LCD) alone and LCD with exercise.

Methods : Sixty obese females were randomly prescribed a LCD alone or a LCD with exercise. Thirty obese females were treated with a LCD of 1,000kcal/d for 8 weeks (group A). Another thirty obese females were treated with a LCD of 1,000kcal/d combined with supervised aerobic exercise for 8 weeks(group B). Weight, height, BMI, and body fat distribution were measured in all subjects immediately before and after 8 weeks of this study. The body fat distribution was assessed by CT, by which the total abdominal adipose tissue area (AT), subcutaneous abdominal adipose tissue (SAT), intraabdominal adipose tissue(VAT), and visceral/subcutaneous adipose tissue ara ratio (VSR) were measured at the level of the umbilicus. A venous blood sample was taken after an overnight fast to determine lipid, glucose, and insulin concentrations in all subjects before and after 8 weeks of this study.

Results : Body weight, BMI, CT measurement of total(AT), visceral (VAT), and subcutaneous(SAT) fat were found to be decreased significantly in the two groups B decreased significantly (P<0.05) during weight loss. Fasting plasma glucose and total cholesterol levels significantly decreased in the both groups(P<0.001). Fasting plasma insulin and triglyceride levels significantly decreased in the group B, but not in group A.

Conclusion : This study shows that the VSR decreased significantly in group B, but not in group A. Fasting plasma inulin and triglyceride levels decreased significantly in group B, but not in group A. These results suggest that the LCD with exercise is more effective in reducing expected complications of obesity than LCD alone.