DOI QR코드

DOI QR Code

The Effects of Very Low Calorie Diet Using Meal Replacements that Contain the Wild Grass Extracts Based on Samul-tang Prescription on Weight Reduction and Health Promotion in the Obese Premenopausal Women

산야초 추출물을 함유한 식사 대용식을 이용한 초저열량 식사요법이 성인 비만 여성들의 체중감량과 건강 개선에 미치는 영향

  • Published : 2005.01.01

Abstract

This study was performed to investigate the effects of very low calorie diet (VLCD) using meal replacements that contain the wild grass extracts that are consisted of mainly Samul-tang ingredients on weight reduction and health promotion in the obese women (BMI$\geq$25 kg/$m^2$) for four weeks. Fifty six premenopausal women participated in this experiment. Each subject was either classified as part of the control group (C group, n=28) that consumed 3 regular meals a day or the meal replacement group (MR group, n=28) that consumed 1 regular meal and 2 meal replacements within 600 kcal/day. Anthropometric measurements, body composition, health related factors, and psychological factors were assessed before (the initial) and after (the 4$^{th}$ week) the study. Obesity was significantly decreased after the diet intervention. Anthropometric measurements such as weight, waist and hip circumference, and BMI and body composition such as body fat, and fat mass were significantly decreased in all groups after the diet intervention. Anthropometric measurements and body composition of the MR group were significantly decreased more than those of the C group. Serum total cholesterol was significantly decreased in the MR groups but not in the C group and serum triglyceride concentration was significantly decreased in all groups after the diet intervention. All the biochemical measurements were within normal ranges after the diet intervention. Psychological factors such as stress and depression were significantly decreased in two groups after the diet intervention. Therefore, VLCD using meal replacements is very effective for weight reduction in the obese premenopausal women.

본 연구는 산야초 추출물이 함유된 식사대용식을 이용한 초저열량 식사요법의 체중감량과 건강개선에 미치는 효과를 평가하고자 실시되었다 그 결과 식사대용식을 이용하여 초저열량 식사요법을 한 성인 비만여성들의 경우 일반 음식으로만 초저 열량 식사요법을 한 성인 비만여성들보다 체중과 체지방율이 유의하게 감소하였음을 알 수 있었다. 건강관련 인자는 두 군간에 유의한 차이는 없었으나 산야초 추출물이 함유된 식사대용식을 섭취한 군내에서 식사중재 기간 동안 유의하게 지질 개선 효과가 있었다. 한편, 산야초 추출물이 함유된 식사대용식의 맛에 대한 기호도도 긍정적으로 평가되었다. 그러므로, 본 연구에서 사용된 산야초 추출물을 주성분으로 하여 제조된 식사대용식은 향후 임상에서 비만치료제로 응용함에 있어 크게 도움이 될 것으로 사료된다. 단, 앞으로 요요 현상의 가능성에 대한 보다 장기간에 걸친 임상연구가 이루어져야 할 것으로 사료된다.

Keywords

References

  1. Korean Health Industry Association. 2000. Dietary guideline for people's nutrition improvement
  2. Huh KB. 1990. Symposium: Recent progress in obesity research: Pathogenesis of obesity. J Korean Nutr 23: 333-336
  3. Sjostrom L, Lonn L, Chowdhury B, Grangard LL, Sjostrom D, Sullivan L. 1994. The sagirral diameter is a valid maker of the visceral adipose tissue volume. Progress in Obesity 7: 309-319
  4. Korean Society for the Study of Obesity. 1995. Clinical Obesity Study. Korean Medicine
  5. Centers for disease control and prevention. 2002. Health. Washington DC, United States. p 214-215
  6. Dalton D. 1997. Overweight and weight management. An Aspen Publication, New York, USA
  7. Park JH, Bae YH, Lee GH, Park HS. 1997. The recognition and practice about weight control in obese adults. J Korean Soc Study Obes 6: 161-168
  8. Mustajoki P, Pekkarinen T. 2001. Very low energy diets in the treatment of obesity. Obesity Review 2: 61-72 https://doi.org/10.1046/j.1467-789x.2001.00026.x
  9. Wadden TA, Berkowitz RI, Sarwer DB, Prus-Wisniewski R, Steinberg C. 2001. Benefits of lifestyle modification in the pharmacologic treatment of obesity: A randomized trial. Arch Intern Med 161: 218-217 https://doi.org/10.1001/archinte.161.2.218
  10. Chang KJ. 1995. Treatment of obese women with low calorie diet, aerobic exercise and behavior modification. J Korean Soc Food Nutr 24: 510-515
  11. Heber D, Ashley JM, Wang HJ, Elashoff RM. 1994. Clinical evaluation of minimal intervention meal replacement regimen for weight reduction. J Am Coll Nutr 13: 608-614 https://doi.org/10.1080/07315724.1994.10718456
  12. Rothandker DQ. 2000. Five-year self-management of weight using meal replacement: comparison with matched controls in rural Wisconsin. J Nutr 16: 344-348 https://doi.org/10.1016/S0899-9007(99)00280-4
  13. Ashley JM, St-Jeor ST, Suzanne PC. 2000. Meal replacement in weight intervention. Obes Res 9: 1599-1604
  14. Lee BG, Lee KR, Park MH. 2002. Short-term weight management using meal replacement (meal replacement trial in Korean obese women). J Korean Soc Study Obes 11: 131-141
  15. Heymsfield SB, Mierlo CA, Knaap HC, Heo M, Frier HI. 2003. Weight management using a meal replacement strategy: meta and pooling analysis from six studies. Int J Obes Relat Metab Disord 27: 537-549 https://doi.org/10.1038/sj.ijo.0802258
  16. Noakes M, Foster PR, Keogh JB, Clifton PM. 2004. Meal replacements are as effective as structured weight-loss diets for treating obesity in adults with features of metabolic syndrome. J Nutr 134: 1894-1899
  17. Lee JH, Jang YS, Park HY, Kim OY, Ryu HJ, Chae JS. 1999. Beneficial effect of weight reduction in overweight middle-aged men. J Korean Soc Study Obes 8: 154-163
  18. Cho JG. 2000. Obesity and weight loss. J Korean Soc Study Obes 9: 48-54
  19. Kim EM. 2002. Meal replacement in obesity treatment. J Korean Soc Study Obes 11: 17-24
  20. Kim SS. 2002. Popular diet - fact and fiction. J Korean Soc Study Obes 11: 11-18
  21. Hwang SW, Kim KJ. 1989. The effects of Bojungikaitang, Samooltang and variants on the starvation. J Korean Oriental Society 4: 55-67
  22. Kang JS, Sung RK. 1994. Effect of Sagoonjatang, Samooltang and Palmooltang an the hormone. J Korean Oriental Society 9: 35-60
  23. Kim SW. 1998. A study on effects of Samultang composition on anemia and starvation. J Korean Oriental Society 11: 1-28
  24. Korean society for the study of obesity. 2000. Guideline for diagnosis and treatment in Asian-pacific areas
  25. Korean Medical Association of Prevention. 1993. Standard study for data collection and survey of health statistical data
  26. Han HM, Aum TH, Sin YW, Kim KH, Yun DJ, Jung GJ. 1986. Beck depression inventory (Korean edition). J Nervous Medical Science 25: 487-520
  27. Hong MR. 1995. A model of weight control and self adjustment on obesity. PhD Dissertation. Kyunghee University
  28. Ann JO, Yoo GY. 2003. Statistical Analysis of medical science. SPSS academy, eds. Free academy, Seoul, Korea
  29. Wilson MA. 1990. Southwestern internal medicine conference: Treatment of obesity. Am J Med Sci 299: 62-68 https://doi.org/10.1097/00000441-199001000-00014
  30. Westerterp-Plantenga MS, Kempen KPG, Saris WHM. 1998. Determinants of weight maintenance in women after dietinduced weight reduction. Int J Obes 22: 1-6
  31. Dohm F, Beattie JA, Aibel C, Striegel-Moore RH. 2001. Factors differentiating women and men who successfully maintain weight loss from women and men who do not. J Clin Psychol 57: 105-117 https://doi.org/10.1002/1097-4679(200101)57:1<105::AID-JCLP11>3.0.CO;2-I
  32. Rothandker DQ, Ellis S. 2001. Lipuid meal replacements vs traditional food: A potential model for women who cannot maintain eating habit change. J Am Diet Assoc 101: 345-347 https://doi.org/10.1016/S0002-8223(01)00089-X
  33. Lee GR. 1996. The effect of partial fasting and medical therapy. J Korean Soc Study Obes 5: 49-51
  34. Institute of Medicine. 1995. Weighing the options: Criteria for evaluating weight management programs. Institute of medicine, Washington, DC
  35. Van Gall LF. 1978. Dietary treatment of obesity. In Handbook of obesity. Brag GA, Bouchard C, James WPT, eds. Marcel Dekker, New York, USA. p 875-890
  36. Dattilo AM, Kris-Etherton PM. 1992. Effect of weight reduction on blood lipids and lipoprotens: a meta-analysis. Am J Clin Nutr 56: 320-328
  37. Sartorio A, Lafortuna CL, Vangeli V. 2001. Short-term changes of cardiovascular risk factors after a nonpharmacological body weight reduction program. European J Clin Nutr 55: 865-869 https://doi.org/10.1038/sj.ejcn.1601235
  38. Barton SB, Walker L, Lambert G, Gately PJ. 2004. Cognitive change in obese adolescents losing weight. Obes Res 12: 313-318 https://doi.org/10.1038/oby.2004.39

Cited by

  1. 구기자 분말을 첨가한 스펀지케이크의 품질특성 vol.21, pp.6, 2015, https://doi.org/10.20878/cshr.2015.21.6.006