This study was tried to investigate that REE and RQ changes, and contents of weight loss might be different by weight control methods and to prove the prediction effects of REE and RQ for weight changes. For these purposes, 62 college women(BMI>23) were voluntarily recruited to response for advertizing. With the 2nd stepped selection procedures, 47 persons(15 diet group, 18 exercise group and 14 medication(Reductil 10mg-15mg/d) group) were finally selected. During the 3months course of study, 9 persons(4 for dieting group, 3 for exercise group and 2 for medication group) were dropped. Persons of diet group were forced to maintain 500kcal deficit per day of food intake on the basis of estimated daily requirements by REE at start point and present level of activity. Persons of exercise group also forced to maintain 500kcal deficit per day by exercise on the basis of estimated daily requirements by REE at start point and present level of food intake. Persons of medication group were maintained 10mg-15mg of Reductil per day and forced to maintain present level of food intake and activity. All persons should keep the write the daily eating diary and activity diary with pedometer and were monitored by specialists on weekly basis. Group LEARN program was done weekly for each group. At start, after 1month, and 3 months, anthrometric data(weight, BMI, FFM, FM, WC), REE and RQ were obtained. The results were as follows. First, There were no significant differences among three groups in the changing amounts of REE and RQ during 3 months. For each group, there was no significant change in the value of REE and RQ. However, changing patterns of REE and RQ according to time process were different by groups. Second, there were significant differences for each group in the changing amounts of weight, BMI, FFM, FM and WC during 3 months but there were no significant differences among three groups. However, changing patterns of FFM, FM and WC according to time process were different by groups. This might suggest that even weight loss was achieved, changing contents could be different by weight control methods. Third, REE and RQ value had no prediction effects for 3 months duration weight changes. Result that changing patterns of REE and RQ according to time process were different by groups even that there were no significant differences among three groups in the changing amounts of REE and RQ during 3 months may suggest that major weight control strategies can be arranged or mixed for effective weight control to keep the high REE and low RQ during the courses of weight control. Negative result for the prediction effects of REE and RQ may suggest the necessary to investigate it's relation with amounts of weight change or/and time lags after weight change.
김광민, (2004) Strategies improving energy expenditure. 제 9회 대한비만학회 연수강좌 : Current Issues on Obesity, 대한비만학회지
대한비만학회, (2003) 비만의 진단과 치료, 대한비만학회
이민규, (1998) 한국판 식사태도 검사-26(The Korean version of Eating Attitude Test-26: KEAT-26) 표준화 연구 I: 신뢰도 및 요인분석, 정신신체의학
이민규, (1995) 한국판 Beck 우울척도의 표준화 연구II: 타당화 연구, 정신병리학
한국 런 프로그램위원회, (2002) 리덕틸과 함께하는 체중감량 프로그램, 한국 런 프로그램위원회
한국영양학회, (1995) 한국인의 영양권장량. 제 6차 개정, 중앙문화진수출판사
American College of Sports Medicine, (2000) Guidelines for exercise testing and prescription, Lippincott Williams & Wilkins
Anderson, R. E., (2002) Physiologic changes after diet combined with structured aerobic exercise or lifestyle activity, Metabolism
Astrup,A., (1998) Sibutramine and energy balance, International journal of obesity and related metabolic disorders
Bathalon,G.P., (2001) The energy expenditure of postmenopausal women classified as restrained or unrestrained eaters, European Journal of
Bjorntorp,P., (1977) Pysical training in human hyperplastic obsity. IV. Effects on the hormonal status, Metabolism
Brownell,J.D., (2002) Goals of obesity treatment in : Eating Disorders and Obesity : A Comprehensive Handbook, Guildford Press
Dore,C., (1982) Prediction of energy requirements of obese patients after massive weight loss, Human Nutrition: Clinical Nutrition
Filozof,C., (2000) Predictors of weight gain: the biological-behavioural debate, Obesity Reviews
Fisher,J.S., (1987) Starvation and semistarvation diets in the management of obesity, Annual Review of Nutrition
Forbes,G.B., (1988) Body composition: Influence of nutrition, disease, growth, and aging in : Modern Nutrition in Health and Disease. 7th ed, Lea & Febinger
Franklin,B., (1979) Effects of physical conditioning on cardio-respiratory function, body composition and serum lipids in relatively ormal weight and obese middle-aged women. International,
Garrow,J.S., (1974) Techniques for the measurement of human body composition, West Indian Medical Journal
Gokcel,A., (2002) Effects of sibutramine in non-dieting obese women, Journal of Endocrinological Investigation
Gwinup,G.., (1975) Effect of exercise alone on the weight of obese women, Archives of Internal Medicine
Hansen,D.L., (1998) Thermogenic effects of sibutramine in humans, American Journal of Clinical Nutrition
Hansen,D.L., (1999) The effect of sibutramine on energy expenditure and appetite during chronic treatment without dietary restriction, International journal of obesity and related metabolic disord
Heymsfield,S.B., (1989) Rate of weight loss during underfeeding: Realtion to level of physical activity, Metabolism
Hill,A.J., (1987) Some evidence for short-term caloric compenasation in normal weight human subjects: the effect of high- and low-energy meals on hunger, food preference and food intake, Clinical Nut
Jebb,S.A., (2002) Energy intake and body weight in : Eating Disorders and Obesity : A Comprehensive Handbook, 2nd Ed, Guildford Press
Keim,N.L., (1990) Energy expenditure and physical performance in overweight women: response to training with and without caloric restriction, Metabolism
Keys,A., (1950) The Biology Human Starvation, University of Minnesota Press
Krotkiewski, M., (1984) Effects of physical training on insulin, connecting peptide(C-peptide), gastric inhibitory polypeptide(GIP) and pancreatic polypeptide(PP) levels in obese,
Miller,A.T., (1953) Lean body mass as a metabolic reference standard, Journal of Applied Physics
National Institute of Health, (2002) The practical guide : Identification, evaluation, and treatment of overweight and obesity in adults. North American Association for the Study of Obesity, National Institute of Health
O'Hara,W.J., (1977) Treatment of obesity by exercise in the cold, Canadian Medical Association Journal
Parizkova,J., (1963) Some metabolic consequences of adaptation to muscular work, British Journal of Nutrition
Phinney,S.D., (1988) Effects of aerobic exercise on energy expenditure and nitrogen balance during VLCD, Metabolism
Poehlman,E.T., (1989) A review: Exercise and its influence on resting energy metabolism in man, Medicine & Science in Sports & Exercise
Poehlman,E.T., (2002) Effects of endurance and resistance training on total daily energy expenditure in young women: a controlled randomized trial, Journal of Clinical
Poehlman,E.T., (1991) The impact of exercise and diet restriction on daily energy expenditure, Sports Medicine
Poehlman,E.T., (1986) Heredity and changes in hormones and metabolic rates with short-term training, American Journal of Physiology
Rath, R., (1964) Changes of body composition in the obese subjected to different types of reducing regimens, Nutritio et dieta; European review of nutrition and dietetics
Ravussin,E., (2002) Energy expenditure and body weight in : Eating Disorders and Obesity : A Comprehensive Handbook, 2nd Ed, Guildford Press
Ravussin,E., (1999) Metabolic predictors of weight gain, International journal of obesity and related metabolic disorders
Seagle,H.M., (1998) Effects of sibutramine on resting metabolic rate and weight loss in overweight women, Obesity research
Speakman,J.R., (2003) Physical activity and resting metabolic rate, Proc Nutr Soc
Starling,R.D., (2002) Influence of sibutramine on energy expenditure in African american women, Obesity research
Sullivan,L., (1976) Metabolic and Physiologic effects of physical training in hyperplastic obesity, Scandinavian Journal of Rehabilitation Medicine
Van Gaal,L.F., (1998) Sibutramine and fat distribution: is there a role for pharmacotherap in abdominal/visceral fat reduction, International journal of obesity and related metabolic disorders
Wadden,T.A., (1990) Long-term effects of dieting on resting metabolic rate in obese outpatients, Journal of the American Medical Association
Walsh,K.M., (1999) The effect of sibutramine on resting expenditure and adrenaline-induced thermogenesis in obese females, International journal of obesity and related metabolic disorders
Westerterp,K.R., (1994) Food intake and energy expenditure, CRC Press
Westerterp,K.R., (1994) Energy expenditure in : Food intake and energy expenditure , CRC Press
Westerterp,K.R., (1991) Physical activity and sleeping metabolic rate, Medicine & Science in Sports & Exercise
Whatley,J.E., (1994) Obesity and exercise in : Obesity Pathophysiology, Psychology, Treatmen, Chapman & Hill Inc
Woo,R., (1982) Voluntary food intake during exercise in obese women, American Journal of Clinical Nutrition
Zuti,W.B., (1976) Comparing diet and exercise as weight reducing tools, Physician and Sports Medicine