BACKGROUND: The relation of initial depression and weight loss in a low calorie diet(LCD) alone or exercise combination in Korean wamen, 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 thirtyt obese females were treated with a LCD of 1,000kcal/d combined with supervised 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 fo this study. RESULTS: 21 out of 30 obese females in group A and 25 out of 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 =-0.659: p=0.0012). But initial BDI score was not correlated with the percent of weight loss in group B(r =0.099: p=0.637). In group A and B, the percent of weight loss was not correlated with change of BDI score. In group A and B, the change of BDI score was positively correlated with the initial BDI score(group A;r=0.504:p=0.028, group B;r=0.762:p=0.0001). CONCLUSIONS: Regardless of the exercise combination, LCD therapy seemed to decrease diepression. The degree of weight loss was negatively correlated with initial degree of depression. this negative correlation can be compensated by planned thorough exercise.
Caloric Restriction* ; Depression* ; Exercise ; Female ; Humans ; Weight Loss* ; Surveys and Questionnaires

Objectives: Healthcare facilities are high-risk sites for infection. This study analyzed the epidemiological characteristics of a coronavirus disease 2019 (COVID-19) outbreak in a tertiary hospital after COVID-19 vaccination had been introduced in Republic of Korea. Vaccine effectiveness (VE) and shared anti-infection strategies are also assessed. Methods: The risk levels for 4,074 contacts were evaluated. The epidemiological characteristics of confirmed cases were evaluated using the chi-square test. The “1 minus relative risk” method was used to determine VE in preventing infection, progression to severe disease, and death. In the largest affected area (the 8th floor), a separate relative risk analysis was conducted. A multivariate logistic regression analysis (with 95% confidence interval [CIs]) was used to identify transmission risk factors with a significance level <10% via the backward elimination method. Results: In total, 181 cases of COVID-19 were confirmed, with an attack rate of 4.4%. Of those cases, 12.7% progressed to severe disease, and 8.3% died. In the cohort isolation area on the 8th floor, where 79.0% of the confirmed cases occurred, the adjusted odds ratio was 6.55 (95% CI, 2.99–14.33) and 2.19 (95% CI, 1.24–3.88) for caregivers and the unvaccinated group, respectively. VE analysis revealed that 85.8% of the cases that progressed to severe disease and 78.6% of the deaths could be prevented by administering a second vaccine. Conclusion Caregiver training for infection prevention and control is necessary to reduce infection risk. Vaccination is an important intervention to reduce the risk of progression to severe disease and death.