복부비만 관리프로그램이 성인 비만여성의 식이섭취, 스트레스지수 및 복부비만율에 미치는 영향 - 복부비만감소군과 복부비만증가군의 비교를 중심으로

This study was conducted to evaluate the effects of an abdominal obesity management program on dietary intake, stress index, and waist to hip ratio (WHR) in abdominally obese women. The subjects were 195 adult abdominally obese women (WHR ${\geq}$ 0.80) who had been participating in a nutrition education (total of nine times) and dietary habits and life style modification programs (total of six times) for 12 weeks. The abdominal obesity management program focused on the nutrition provided by breakfast, lunch, and dinner, proper dietary habits, and practices to improve life style. The subjects were divided into a WHR decrease group and a WHR increase group according to changes in the WHR. Daily nutrient intake was assessed with a 3-day food record, body measurements and blood vessel age, stress index, and a health index that were measured at baseline and after 12 weeks. After the intervention, weight, waist circumference, hip circumference, WHR, and body mass index (BMI) decreased significantly in the WHR decrease group. Energy intake increased from 1486.2 kcal to 1541.4 kcal with a significant improvement in nutrient density for animal protein, total fat, animal fat, fiber, calcium, phosphorus, zinc, vitamin $B_6$, vitamin C, vitamin E, and saturated fatty acids in the WHR decrease group. Additionally, dietary diversity increased significantly in the WHR decrease group compared to that in the WHR increase group. The WHR decrease group showed a significant improvement in the stress and health indices. Changes in WHR were correlated with changes in nutrient intake (animal protein, total fat, animal fat, plant fat, fiber, calcium, iron, potassium, vitamin A, vitamin $B_2$, vitamin $B_6$, vitamin C, and folate) and medical index profiles (stress and indices) adjusted for age, birth status, baseline BMI, and baseline WHR. These results show that an abdominal obesity management program was effective not only for reducing the WHR but also to improve dietary intake and the stress index in abdominally obese women. 본 연구는 비만연구소 복부비만관리 프로그램에 참여한 복부비만율 0.80 이상인 복부비만 여성 195명을 대상으로 12주간 실시하였으며, 프로그램 종료 후 복부비만 감소 여부에 따라 복부비만율 감소군과 복부비만율 증가군으로 나누어 신체계측치의 변화, 식이섭취의 변화, 혈관나이, 스트레스 지수 및 건강지수의 변화를 비교 하였다. 영양소의 섭취량을 살펴본 결과, 체중, 허리둘레, 엉덩이둘레가 유의적으로 감소한 복부비만율 감소군에서 식물성 단백질, 칼륨, 비타민 A, 엽산, 식이섬유, 칼슘, 인, 비타민 $B_2$, 비타민 $B_6$, 비타민 C, 식물성지방, 철분, 나트륨, 나이아신, 비타민 E 및 다가불포화지방산의 영양밀도가 유의적으로 증가하였고, 단백질, 칼슘, 인, 비타민 A, 비타민 $B_1$, 비타민 $B_2$ 그리고 비타민 C의 INQ가 유의적으로 증가하였다. 특히 식이섬유, 칼슘, 인, 아연, 비타민 $