Guidelines of Body Mass Index in Korean Childhood and Adolescent Obesity and relationship with Physical Strength

한국 초.중.고등학생 비만의 BMI 기준 제시 및 체력과의 관계에 대한 연구

  • Published : 2000.04.01

Abstract

The study examined BMIs, physical strength, activities, and the attitudes and behavior toward weight control among 7,968 Korean students{2,435 5th graders from elementary schools(ESs), 2,524 2nd graders from middle schools(MSs), 2,739 2nd graders from high schools(HSs)} nationwide. Compared to the 1987 data, there were increases of height(3-6cm) and weight(3-8kg), but decreases of physical strength and exercise. Lack of 'regular exercise' among girls from MSs and HSs and higher proportion of time spent on watching TV and using a computer for elementary schoolers were particularly noticeable. Proportions of students who were satisfied with their body weight were 49% for ESs, 35% for MSs, and 29% for HSs. There was no relationship between subjective and objective evaluations of body weight. Diet rather than exercise was more frequently chosen as a method of weight control. Compared to boys, girls showed stronger association between the amount of exercise and the subjective body weight in MSs and HSs, however this association was not found for the subjects from HSs. Values for the 50th percentile of BMI of boys and girls were 18.4 and 17.7 for ESs, 19.9 and 20.1for MSs, and 21.4 and 20.6 for HSs. In MSs and HSs, boys with BMI between 15th to 85th percentiles were physically stronger than those whose BMIs were lower than 15th kor higher than 85th percentiles. For the other groups, there was a trend of a positive relationship between BMI and physical strength. Based on the analyses of BMI and physical strength, this study suggests 22 and 21 for upper grades in ESs, 24 and 23 for MSs, and 27 and 25 for HSs as the respective cut off points of BMI for weight control n boys and girls. A need for implementing nutrition education program focused on weight control is also suggested.

Keywords

References

  1. Nutr Rev v.56 no.4 The obesity epidemic is a worldwide phenomenon Popkin BM;Doak CM
  2. J sch Health v.67 no.1 Guidelines for School Health Programs to Promote Lifelong Health Eating
  3. Korean Nutrition Resource Data The Korean Nutrition Society
  4. Statistical Yearbook of Education Seoul Metropolitan Office of Education
  5. Korean J Public Health v.11 no.2 A study of obesity in primary school children in Seoul Go KS;Sung NE
  6. Korean J Nutr v.13 no.1 A study on the physical growth and food habits of obese children Choi WJ;Kim KY
  7. Korean J Nutr v.19 no.6 Prevalence of obesity in school children from various housing pattern in Seoul Lee YL;Lee LH
  8. Korean J Nutr v.25 no.1 Nutrition survey of children attending and elementary school with a school lunch program, in socioeconomically high apartment compound of Seoul Lee YN;Kim WG;Lee SK;Chung SJ;Choi KS;Kwon S;Lee EW;Mo S
  9. Korean J Nutr v.26 no.2 The prevalence of obseity and it's related factors of high school girls in the large cities Kim HS;Lee L
  10. Korean J Dietary Culture v.8 no.3 A study on food ecology according to obesity index of elementary school children in a high socioeconomic apartment comlex in Seoul Kim JH;Kim BH;Kim HK;Son SM;Mo S;Choi H
  11. J Pediatr v.132 Use of the body mass index(BMI) as a measure of overweight and obesity in children and adolescents Editorials
  12. Am J Clin Nutr v.59 The predictive value of childhood body mass index values for over-weight at age 35y Guo SS;Roche AF;Chumlea WC;Gardner JD;Siervogel RM
  13. Nutr Rev v.56 Predicting obesity in children Vanltallie TB
  14. J Pediatr v.134 BMI;Does it really reflect body mass? Widbrem K;Schoneger K
  15. Am J Clin Nutr v.59 Guideline for overweight in adolescent preventive services: recommendations from an expert committee Hims JH;Diwtz WH
  16. J Pediatr v.132 The use of the body mass index as a measure of overweight in children and adolescents Diez WH;Robinson TN
  17. Pediatrics v.102 Obesity evaluation and treatment: Expert committee recommendations Barlow SE;Dietz WH
  18. Lancet v.2 40-year follow-up of overweight children Mossberg H-O
  19. Br Med J v.283 Longitudinal study of obesity in the National Survey of Health and Development Stark O;Atkins E;Wolff OH;Douglas JWB
  20. Br Med J v.293 Onset of obesity in a 36 year birth cohort study Braddon FEM;Rogers B;Wadswoth MEJ;Davies JMC
  21. Korean Pediatric Society Standard growth charts of Korean Children and adolescent in 1998
  22. J Korean Pediatr Soc v.42 no.10 Guidlines of Diagnosis and treatment in childhood obesity Hong YM;Moon KR;Seo JW;Sim JG;Yoo KW;Jeong BJ;Choe YH
  23. Korean J Nutr v.32 no.6 The relationships among household characterostocs. nutrient intake status and academic achievements of primary, middle and high school students Han SS;Kim HYO;Kim WK;Oh SY;Won HS;Lee HS;Jang YA;Kim SH
  24. Human Nutrition Lee HS;Chang SO;Choi YS;Park HR
  25. Recommended Dietary Allowances for Koreans(6th revision) Korean nutrition society
  26. Statistical Yearbook of Education Seoul Metropolitan Office of Education
  27. Korean J Nutr v.21 no.4 A study on anthropometric data of 5th grade students with demographic,biochemical and personality factors Moon HK;Chung HR;Kim YC;Choi HM;Kim HY
  28. An ecological study on the nutritional status and eating behavior of middle school students in Seoul Choi JH
  29. J Korean Pediatr Soc v.39 no.6 Studies on the distribution of percentiles of skinfold thickness and body mass index among adolescents in Seoul Ko JS;Ahn KM;Choe YH;Choi EH;Choi Y;Ahn YO
  30. Korean J Dietary Culture v.11 no.3 Nutritional knowledge and eating behavior of high school students in Sungnam area Lee YM;Han MS
  31. Korean J Nutr v.26 no.2 The prevalence of obesity and it's related factors of high school girls in the large cities Kim HS;Lee L
  32. Korean J Nutr v.30 no.7 The Prevalence of childhood and adolescent obesity over the last 18 years in Seoul area Kang YJ;Hong CH;Hong YJ
  33. Statistical yearbook of Education Seoul Metropolitan Office of Education
  34. Am J Epidemiol v.132 no.6 The relation between body mass index and plasma total cholesterol in a multiracial sample of US schoolchildren Resnicow K;Morabia A
  35. Am J Epidemiol v.136 no.2 Childhood weight and growthrate as predictors of adult mortality Nieto FJ;Szklo M;Comstock GW
  36. J Pediatr v.86 no.5 Coronary heart disease risk factors in school children: The Muscat Study Lauer RM;Coonor WE;Leaverton PE;Reiter MA;Clarke W
  37. Am J Clin Nutr v.59 The predictive value of childhood body mass index values for overweight at age 35 years Guo SS;Roche AF;Chumlea WC;Gardner JD;Siervogel RM