Prospective Study for Evaluating Therapeutic Efficacy of Obese Patients of Low Socioeconomic Status in Korea.
10.15384/kjhp.2017.17.2.54
- Author:
Sang Joon AN
1
;
Eun Jung PARK
;
Ji Hyeon CHEON
;
Hee Jin HWANG
;
Min Jeong KIM
Author Information
1. Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Obesity;
Socioeconomic Factor;
Korea;
Depression;
Feeding behavior
- MeSH:
Blood Pressure;
Body Mass Index;
Body Weight;
Depression;
Drug Therapy;
Eating;
Feeding Behavior;
Hematologic Tests;
Humans;
Korea*;
Lipoproteins;
Male;
Obesity;
Prevalence;
Prospective Studies*;
Social Class*;
Social Problems;
Socioeconomic Factors;
Waist Circumference
- From:Korean Journal of Health Promotion
2017;17(2):54-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Recently, the prevalence of obesity and socioeconomic costs stemming from obesity are increasing steeply. Obesity, in particular, has a highly polarization caused by income levels. Obesity in low-income patients is expected to become a serious social problem in the future. This study aims to observe the effects of consistent consultation and drug therapy during a six months period, and to develop the treatment process of obesity for low-income people. METHODS: The body weight, waist circumference, body mass index (BMI), and blood pressure (BP) was measured every 2 weeks, and laboratory blood tests with a survey including Beck Depression Inventory (BDI) and eating behavior index was checked at 0, 3, and 6 months. Paired t-test and linear mixed model was done to evaluate the difference between pre-treatment data and post-treatment data. RESULTS: Twenty-one patients (2 males, median age [interquartile range] of 39 years [29-46]) were analyzed. There were statistically significant reductions of body weight (P<0.01), BMI (P<0.01), waist circumference (P<0.01), low-density lipoprotein (P=0.01), BDI-I (P<0.01), eating behavior index (P<0.01). There was no statistically significant difference of safety outcome of the BP and blood tests. CONCLUSIONS: Proper obesity treatment of obese patients of low socioeconomic status was meaningful enough to affect depression and eating patterns as well as reducing body weight and decreased waist circumference.
