Treatment of Korean obese women with low calorie diet, aerobic exercise and behavior modification

초록

A multidisciplinary weight control program was conducted for obese women. The major components of the program include low calorie diet therapy, exercise, behavior modification and nutritional education and countseling. Sixteen healthy volunteers in excess of body fat, above 30%, were enrolled in the group support program. But 5 person were dropped out in the 2nd week of treatment. During the 1st week of the group orientation, individual cause of obesity was assessed through a computer program including survey of dietary intake, activity, eating habits and life styles. During the 5 weeks of treatment, 4.8kg of average weight loss was accomplished using a following program; low calorie diet(1200kcal/day with all essential nutrients), low impact aerobic exercise(50~60% of VO2max , 1 hour/day in a group, 3~5 days/week), behavior modification of individual life styles and eating habits causing causing obesity and nutritional education concerning nutrition, role of exercise such as brisk walking, importance of slow eating in regular meal pattern and internal motivation for wegiht reduction, health risk of obesity and rapid weight loss, weight recycling and yo-yo syndrome, etc. Nutritional counseling was conducted 3 times per week with checking self-records of foods, activity, emotional state and triedness. Before and immediately after 5 weeks of treatment, blood pressure, fasting blood glucose, cholesterol and triglyceride were measured and compaired with paired t-test. After 5 weeks of treatment, body weight, body mass index, body fat and circumferences of waist, upper arm and hip were significantly decreased. Also LDL-cholesterol was significantly decreased after obesity treatment.