A Study on Effects of Weight Control Program in Obese Children

학령기 비만아동을 위한 체중조절 프로그램의 실시 및 효과평가

  • Published : 1996.04.01

Abstract

The enforcement and its effect of weight control program including nutrition education, exercise and behavioral modification therapy during 20 weeks were studied in primary school obese children. The sample consisted of treatment group(n=19) and control group (n=23). To evaluate the effects of weight control program, treatment group took pretest and posttest for nutrition knowledge, attitude and food habits. Nutrient intakes, serum lipid levels and anthropometric values were also measured. After weight control program, body weight of treatment group significantly decreased from 47.0$\pm$9.0kg to 45.9$\pm$8.5kg(p<0.001), but than of control group increased from 47.8$\pm$8.1kg to 49.0$\pm$8.7kg (p$\leq$0.05). Obesity index showed decline of 8.6% for treatment group and gain of 0.7% for control group. After self-control period, body weight and relate index in both groups were increased. For the nutrition knowledge test results, the posttest mean scores of treatment group showed the significant increase(p<0.001). For the attitude toward nutrition and food habit results, the posttest mean scores increased significantly (p<0.05, p<0.01). There was a decline of 28% in serum triglycerides, whereas serum total cholesterol increased 11% of baseline. These findings suggest that well-combined weight control program for obese children may result in a substantial loss of body weight during 14 weeks. In addition, these reuslts indicate that weight redution through weight control program can be a viable approach to help normalize serum lipids in obese children. Finally, these data suggest that it may be important to identify that affect weight loss and maintenance, and to examine how to manipulate these factors in weight control program.

Keywords

References

  1. 공중보건잡지 v.11 no.2 서울 시내 일부 국민학교 아동의 비만증에 대한 고찰 고경숙;성낙응
  2. 한국영양학회지 v.19 no.6 서울지역 10세 아동의 비만이환 실태조사 이주연;이일하
  3. 한국영양학회지 v.25 no.5 서울지역의 학동기 소아 및 청소년의 비만증 이환률 조사 문형남;홍수종;서성제
  4. Am J Epidemiol v.125 Relation of obesity to clustering of cardiovascular disease risk factors in children and young adult : the Bogalusa Heart Study Smoak,C.G.;Burke,G.L.;Webber,L.S.;Harsha,D.W.;Srinivasan,S.S.;Berenson,G.S.
  5. N Engl J Med v.314 Serum lipoprotains and systolic blood pressure are related to atherosclerosis in early life : the Bogalusa Heart Study Newman,W.P.;Freedman,D.S.;Voors,A.W.
  6. J Pediat v.95 no.1 A longitudinal study of body fatness in childhood and adolescence Zark,P.M.;Harlen,W.R.
  7. Eating disorders The treatment of childhood obesity Epstein,L.H.;Wing,R.R.;Brownell,K.D.(ed.);Foreyt,J.P.(ed.)
  8. Am J Clin Nutr v.55 Total energy expenditure and spontaneous activity in relation to training in obese boys Blaak,E.E.;Westererp,K.R.;Bar Or O;Wouters,L.J.M.;Saris,W.H.M.
  9. Am J Clin Nutr v.50 Evaluation of an alternatingcalorie diet with and without exercise in the treatment of obesity Hill,J.O.;Schlundt,D.G.;Sbrocco,T.;Sharp,T.;Cordle,J.P.;Stetson,B.;Kaler,M.;Heim,C.
  10. Am J Clin Nutr v.49 Repetitive weight loss and weight regain : effets on weight redution, resting metabolic rate, and lipolytic activity before and after exercise and/or diet treatment Dale,D.V.;Saris,W.H.M.
  11. Am J Clin Nutr v.56 Combination of very-low-calorie diet and behavior modification in the treatment of obesity Atkinson,R.L.;Fuchs,A.;Pastors,J.G.;Saunders,J.T.
  12. Am J Dis Child v.143 The effect of weight control on lipid changes in obese children Epstein,L.H.;Kuller,L.H.;Wing,R.R.;Valoski,A.;McCurley,J.
  13. Am J Clin Nutr v.56 Effects of weight reductionon on blood lipids and lipopreteins : a meta- analysis Dattilo,A.M.;Kris-Etherton P.M.
  14. Am J Clin Nutr v.57 Long-term effects of weight reduction on serum lipids and plasma insulin in obese children Knip,M.;Nuutinen,O.
  15. 한국영양학회지 v.25 no.2 도시 저소득층 주부의 영양태도, 영양지식 및 식생활을 통해서 본 영양교육의 효과 강명희;송은주;이미숙;박옥진
  16. 한국식문화학회지 v.8 no.4 단기간의 영양교육이 비만도가 다른 여대생들의 식생활 태도와 영양소 섭취에 미치는 영향 권종숙
  17. 한국영양식량학회지 v.19 no.4 학교급식 프로그램의 영양교육적 효과 김상애
  18. 한국영양학회지 v.27 no.1 비만아에 대한 영양교육 실시효과에 관한 연구 박진경;안흥석;이동환;김명중;이종호;이양자
  19. 한국영양학회지 v.23 no.2 신체계측을 이용한 각종 체지방량 추정식의 타당성 평가 김은경;이기열;손태열
  20. Am J Clin Nutr v.40 A new approach for the estimation of body composition : infrared interactance Conway,J.M.;Norris,K.H.;Bodwell,C.E.
  21. Am J Clin Nutr v.35 Muscle mass : reliable indicator of protein-energy malnutrition, severity and outcome Heymsfield,S.B.;NcNanus,C.;Stevens,V.;Smiths,J.
  22. 한국소아의 발육표준치 대한소아과학회
  23. 한국인 영양권장량(제 6차 개정)
  24. Nutrition achievement tests National Dairy Council and Iowa State University
  25. J Am Diet Assoc v.82 no.3 Measuring nutrition attitude among university students Boren,A.R.;DIxon,D.N.;Reed,D.B.
  26. Clin Chem v.18 Estimation of concentration of low density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge Fridewald,W.T.;Levy,R.I.;Fedreicsson,D.S.
  27. 어린이 비만! 이렇게 예방하자 대한영양사회
  28. 영미의 영양왕국탐험 대한영양사회
  29. 자녀건강을 위한 영양관리 대한영양사회
  30. Weight management National Dairy Council
  31. 배추낭자와 쌀동자(컴퓨터 소프트 프로그램) 대한영양사회
  32. SAS/STAT guide for personal computers(Version 6.03 edition)
  33. Am J Clin Nutr v.32 National Center for Health Statistics percentile Hamill,P.V.V.;Drizal,T.A.;Johnson,C.L.;Reed,R.B.;Roche,A.F.;Moore,W.M.
  34. 대한비만학회지 v.1 소아비만증의 증상과 진단 이동환
  35. 營養指導事展 濱喜代治;岩尾裕文
  36. 한국영양식량학회지 v.22 no.6 아동기 비만이 혈장 지질, 혈압 및 혈당에 미치는 영향 임현숙;이종임
  37. 한국영양학회지 v.25 no.2 학령기 비만아동과 정상아동의 리보플라빈 영양상태 비교 김난희;윤진숙
  38. Am J Clin Nutr v.52 Diet composition, energy intake, and exercise in relation to body fat in men and women Miller,W.C.;Lindemsn,A.K.;Wallace,J.;Niederpruem,M.
  39. 한국영양학회지 v.26 no.1 어린이들의 식습관이 비만도와 혈청 지질 수준에 미치는 영향 임경숙;윤은영;김초일;김경태;김창임;모수미;최혜미
  40. J Nutr Educ v.20 no.6 A nutrition education curriculum for senior high home economics students : Its effect on students's knowldege, attitudes and behaviors Bredbenner,B.;Shannon,B.;Smith,D.H.
  41. J Nutr Educ v.18 no.6 Evaluation of an affective-based adult nutrition education program Brush,K.H.;Woolcott,D.M.;Kawash,G.F.
  42. J Am Diet Assn v.66 Nutritional knowledge, attitudes, and pratices of high school graduates Schwarz,N.E.
  43. Textbook of Pediatrics(14th ed.) Nelson,W.E.
  44. Am J Clin Nutr v.32 Unexpected decrease in plasma high density lipoprotein cholesterol with weight loss Thompson,P.D.;Jeffery,R.W.;Wing.R.R.;Wood,P.D.