Journal of Nutrition and Health

  • 제35권1호
  • /
  • Pages.69-77
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  • 2002
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
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초등학생의 과체중 이환율 추적과 관련요인 분석

Overweight Tracking in Primary Schoolchildren and Analysis of Related Factors

  • 윤군애 (동의대학교 식품영양학과)
  • 발행 : 2002.01.01
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초록

The purpose of this study was to determine the probability of overweight throughout childhood in relation to the presence of overweight at birch or in early childhood, and presence of overweight in children's parents. Weight and height measures were collected at birth and at ages of 7, 10, 12 years from 655 6th grade primary schoolchildren. Childhood overweight was defined as a body mass index at or above the 85th percentile for age and sex, and overweight in children's parents as a body mass index at or above 27. The prevalence of overweight increased with age of the children. Overweight at birth was not associated with overweight at 12 years of ages. However, overweight at 12 years old was already related to overweight at 7 years old. In comparison to non-overweight peers, overweight children at ages 7(OR = 7.64, 95% CI = 4.32-13.51) and 10 years(OR = 19.69, 95% CI = 11.42-33.94) had a higher rick of becoming overweight at 12 years of age. Among children who was overweight at age 7years, 60.7% remained overweight 5 years later, Yearly increment in BMI of overweight children was larger than that of non-obese children (1.15-1.65kg/m$^2$vs 0.50-0.71kg/m$^2$. As compared with the lower case in mealy increment of BMI, the probability of being overweight at age of 12 years was greater in higher case. BMI values at age 7years were positively correlated with BMI values at age of 10 and 127ear,i, and with annual increments in BMI. But those relationships with birth weight were not observed. Children were at greater risk for overweight if at least ogle parent was overweight. The odds ratio for child overweight associated with maternal overweight was 2.41(95% CI = 1,13-5.IS), and those associated with paternal overweight 1.70(95% CI = 0.92-3.17). And parents' BMIs were positively correlated with children's BMI values and yearly BMI increment. In conclusion, overweight at early childhood and annual inclement in BMI can be important in predicting the prevalence of overweight and the risk that overweight will remain after 7 years of age. The risk of being overweight throughout the childhood increases by the parents'overweight.

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참고문헌

  1. Nutr Rev v.56 The obesity epidemic is a worldwide phenomenon Popkin BM;Doak CM https://doi.org/10.1111/j.1753-4887.1998.tb01722.x
  2. Obesity:preventing and managing the global epidemic World Health Organization
  3. Prev Med v.22 Do obese children become obese adult? A review of the literature Serdula MK;Ivery D;Coates RJ;Freedman DS;Williamson DF;Byers T https://doi.org/10.1006/pmed.1993.1014
  4. Korean J Nutr v.30 The prevalence of childhood and adolescent obesity over the last 18 years in Seoul Area Kang YJ;Hong CH;Hong YJ
  5. Am J Clin Nutr v.59 The predictive value of childhood body mass index values for overweight at age 35y Guo S;Chumlea WC;Roche AF;Gardner JD;Siervogel RM
  6. New Engl J Med v.327 Long-term morbidity and mortality of overweight adolescent-a follow up of the Harvard Growth Study of 1935 to 1992 Must A;Jacques P;Dallal G;Bajema C;Dietz WH https://doi.org/10.1056/NEJM199211053271904
  7. New Engl J Med v.337 Predicting obesity in young adulthood from childhood and parental obesity Whitaker RC;Wright JA;Pepe MS;Seidel KD;Dietz WH https://doi.org/10.1056/NEJM199709253371301
  8. Am J Clin Nutr v.59 Critical periods in childhood for the development of obesity Dietz WH
  9. Int J of Obesity v.24 Body mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity:the Fels longitudinal study Guo SS;Huang C;Maynard LM;Demerath E;Towne B;Chumlea WC;Siervogel RM https://doi.org/10.1038/sj.ijo.0801461
  10. Int J Obesity v.22 Influence of diet, physical activity and parents' obesity on children's adiposity:a four-year longitudinal study Maffeis C;Talamini G;Tato L https://doi.org/10.1038/sj.ijo.0800655
  11. N Engl J Med v.322 The bodymass index of twins who have been reared apart Stunkard AJ;Harris JR;Pederson NL;McClean GE https://doi.org/10.1056/NEJM199005243222102
  12. Br Med J v.298 Genetics of obesity in adult adoptees and their biological siblings Sorenscn TIA;Price RA;Stunkard AJ;Schulsinger F https://doi.org/10.1136/bmj.298.6666.87
  13. Int J of Obesity v.20 Risk factors for childhood obesity in a transitional society in Thailand Mo-suwan L;Geater AF
  14. Pediatrics v.57 Trends in fatness and the origins of obesity Garn SM;Clark DC
  15. Arch Dis Child v.77 Child to adult body mass index in the 1958 British birth cohort:associations with parental obesity Lake JK;Power C;Cole TJ https://doi.org/10.1136/adc.77.5.376
  16. Standard growth charts of Korean children and adolescents in 1998 Korean Pediatrics Siociety
  17. J Pediatr Child Health v.28 Tracking relative weight in subjects studied longitudinally from ages 3 to 13 years Kelly JL;Stanton WR;McGee R;Silva PA https://doi.org/10.1111/j.1440-1754.1992.tb02633.x
  18. Int J of Obesity v.24 Determinants of overweight tracking from childhood to adolescence:a 5y follow-up study of Hat Yai schoolchildren Mo-suwan L;Tongkumchum P;Puetpaiboom A https://doi.org/10.1038/sj.ijo.0801432
  19. Am J Clin Nutr v.59 Guidelines for oberweight in adolescent preventive services:Recommendations from an expert committee Himes JH;Dietz WH
  20. Int J Obesity v.17 Chidhood body mass index-genetic and familial environmental infulences assessed in a longitudinal adoption study Sorensen TIA;Holst C;Stunkard AJ
  21. Pediatr Res v.28 Genetic analysis of anthrometric measures in 11-year-old twins:the Medical College of Virginia Twin Study Bodurtha JM;Mosteller M;Hewitt JK;Nance WE;Eaves LJ;Moskowirz WB;Karz S;Schieken RM https://doi.org/10.1203/00006450-199007000-00001
  22. Int J Obesity v.14 Childhood onset(age<10) obesity has high familial risk Price RA;Stunkard AJ;Ness E;Wadden T;Heshka S;Kanders B;Cormillot A
  23. Int J Obesity v.18 Parental and perinatal factors associated with childhood obesity in northeast Italy Maffers C;Micciolo R;Must A;Zaffanello M;Pinclli L
  24. Am J Clin Nutr v.74 Family social class, maternal body mass index, childhood body mass index, and age menarche as predictors of adult of obesity Laitinen J;Power C;Jarvelin MR
  25. N Engl J Med v.295 Childhood antecedents of adult obesity. Do chubby infants become obese adults? Charney E;Goodman HC;McBride M;Lyon B;Pratt R https://doi.org/10.1056/NEJM197607012950102
  26. Pediatrics v.64 Obesity in 10-year-olds:an epidemiologic study Vuille JC;Mellbin T
  27. Int J Obesity v.14 A longitudinal study of obesity in Japan:Relationship of body habitus between at brith and at age 17 Muramatsu S;Sato Y;Miyao M;Muramatsu T;Ito A
  28. Pediatrics v.63 Where do the heaviest children come from: A prospective study of white children from birth to 5 years of age Dine MS;Gartside PS;Glueck CJ;Rheincs L;Greene G;Khoury P