안상준1, 박은정2, 천지현3, 황희진4, 김민정5

1서울대학교 의과대학 서울대학교병원 신경과, 2단국대학교 의과대학 제일병원 가정의학과, 3청담i성형외과, 4가톨릭관동대학교 국제성모병원 가정의학과, 5미하나의원

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.
Korean J Health Promot 2017;17(2):54-63
Keywords: Obesity, Socioeconomic Factor, Korea,
Depression, Feeding behavior