대한지역사회영양학회지 (Korean Journal of Community Nutrition)

대한지역사회영양학회 (The Korean Society of Community Nutrition)
권호 표지

체중조절 프로그램을 통한 비만 아동의 비만도, 혈중지질 및 영양소섭취량의 변화

Changes of Obesity Index, Serum Lipid Profiles and Nutrient Intakes in Obese Children after the Weight Control Program of Nutrition Education

  • 이은주 (덕성여자대학교 식품영양학) ;
  • 김경희 (덕성여자대학교 식품영양학)
  • Lee, Eun-Ju (Department of Food and Nutrition, Duksung Women's University) ;
  • Kim, Kyung-Hee (Department of Food and Nutrition, Duksung Women's University)
  • 발행 : 2010.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The purpose of this study was to evaluate the effect of a weight control program on anthropometric values, serum lipid profiles and nutrient intakes. The subjects of this study were 38 obese children (boy : 17, girl : 21) with obesity index over 120%. The weight control program for obese children included nutritional education (50 min) and exercise (50 min) for 10 weeks. The nutrition intakes of the children were surveyed before and after the weight control program by 24hr recall test. The BMI, R$\ddot{o}$hrer Index, Obesity Index, WHR (Waist - Hip ratio) and body fat(%) were significantly decreased after completion of the weight control program. The total cholesterol and HDL-cholesterol of subjects were significantly increased after the weight control program. Distribution of serum lipid profiles was slightly changed. The energy intakes were significantly decreased (p < 0.001). from 1760.8 kcal to 1435.2 kcal. In addition, the intakes of P, Zn, retinol, vitamin $B_1$, vitamin $B_2$, vitamin E and niacin were significantly decreased. while intakes of vitamin C and folate were increased. Calcium and folic acid were upper 25% of subjects, under EAR(Estimated Average Requirements) intake before the weight control program. The distribution of energy intakes was significantly changed into positive status; fat percentage was decreased 26.3% to 22.1% (p < 0.01). Carbohydrate was increased 58.6% to 61.2% (p < 0.05). Meal distribution of energy intakes was changed; calorie percentage from lunch significantly increased from 32.2% to 38.3%. Calorie percentage from snack significantly decreased from 17.7% to 13.5%. In conclusion, weight control program for 10 weeks is effective in obesity index and nutrient intakes although serum lipid values were a little changed.

키워드

참고문헌

  1. Chaung SK, Kim JA (2002): The study of the blood pressure, blood sugar and blood cholesterol in obese children. J Korea Community Health Nursing Academic Society 16(2): 436-444
  2. Friedwald WT, Levy RI, Fredrickson DS (1972): Estimation of concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultra centrifuge. Clin Chem 18(6): 499-502
  3. Han JS, Lee EH (2008): The effect of obesity management education program(nutritional education and physical activity program) for obesity children in Korea. J Kor Soc Cosm 14(4): 1392-1399
  4. Han JS, Rhee SH (1996): The relationship between serum cholesterol level and dietary intakes in obese children. J Korean Soc Food Nutr 25(3): 433-440
  5. Kang YJ, Hong CH, Hong YJ (1997): The prevalence of childhood and adolescent obesity over the last 18 years in Seoul area. Korean J Nutr 30(7): 832-839
  6. Kim EK, Lee AR, Kim JJ, Kim JS, Moon HK (2000): The difference of biochemical satus, dietary habits and dietary behaviors according to the obesity degree among obese children. J Korean Diet Assoc 6(2): 161-170
  7. Kim HA, Kim EK (1996): A study on effects of weight control program in obese children. Korean J Nutr 29(3): 307-320
  8. Kim JY, Han YS, Bae HS, Ahn HS (2006): Dietary intakes and serum lipids and iron indices in obese children. Korean J Community Nutr 11(5): 575-586
  9. Kim KH (2005): Effects of eating habits and control of overeating of obese children on body weight control program. Korean J Food Culture 20(4): 476-486
  10. Kim YH, Park NH, Lee SM (2004): The effects of obese program on the BMI, body composition, physical fitness, knowledge, eating behaviors in obese elementary school. J Korean Acad Child Health Nurs 10(1): 14-21
  11. Kim YS, Lee SS, Oh SH (1996): Effect of exercise and diet control program for obese children. J Korean Soc Food Nutr 25(2): 214-224
  12. Korean Society of Pediatrics (1999): Body Growth Standard Value of Korean Pediatrics in 1998
  13. Lee AR, Moon HK, Kim EK (2000): A study on dietary habits, dietarybehaviors and body image recognition of nutrition knowledge after nutrition education for obese children in Seoul. J Korean diet Assoc 9(2): 171-178
  14. Lee HS, Choi JS, Kim WY (2005): Effect of nutrition education for weight control on the dietary behavior, anthropometry, body composition, and the serum levels of adipocytokines in the elementary obese children. Korean J Food Culture 20(3): 323-330
  15. Lee HY (2000): A study of dietsry intake and biochemical satus of obese children in Anyang. Korean J Food Nutr 13(3): 273-280
  16. Lee MY, Kim SK, Chang KJ (2002): Dietary behaviors, healthrelated lifestyle and blood lipid profile of obese children in Incheon. Korean J Community Nutr 7(6): 803-813
  17. Lee SA, Bae YJ, Sung CJ (2006): A study on nutritional status of iron in korean normal and obese male elementary school students. J Korean Diet Assoc 12(1): 55-67
  18. Lim HS, Lee JI (1993): Relationships of obesity in childhood to plasma lipids, blood pressure and blood glucose. J Korean Soc food Nutr 22(6): 724-733
  19. Lee YS, Park HS, Lee MS, Sung MK, Park DY, Choi MK, Kim MH, Sung CJ (2002): A study of nutrient intake, serum lipid and leptin levels of elementary school students with different obesity index in Kyunggi area. Korean J Nutr 35(7): 743-753
  20. Ministry of Health and Welfare (2006): Korea Obesity Management Measure(obesity management symposium report). Ministry of Health and Welfare
  21. Nam JH (2007): Effects of a weight control program on anthropometric measurements and serum lipid profiles of obese elementary students. Korean J Food Nutr 20(1): 88-95
  22. Nead KG, Halterman JS. Kaczorowski JM, Auinger P, Weitzman M. (2004): Overweight children and adolescents:a risk group for iron deficiency. Pediatrics 114(1): 104-108 https://doi.org/10.1542/peds.114.1.104
  23. Ortega Anta RM, Andres Carvajales P, Requejo Marcos AM, Lopez Sobaler AM, Redondo MR, Gonzalez-Fernandez M (1996): The food habits and energy and nutrient intake in overweight adolescents compared to those with normal weight. An Esp Pediatr 44(3): 203-208
  24. Park HS, Kang YJ, Shin ES (1994): Serum lipid profile and diet pattern in obese children in Seoul. Korean Soc Study Obesity 3(1): 47-54
  25. Park J, Ryu SY, Lee CG, Ann HO, Park YB, Park SK, Moon KR, Yang ES, Rho YI, Bae HY (1998): The associated factors with obesity in primary school children - 2 years follow-up study -. Korean J Obesity 7(2): 134-141
  26. Park JH, Son CS, Lee JW, Tocko YC (1993): Obesity in elementary school children. Pediatrics 36(3): 338-346
  27. Park JK, Ahn HS, Lee DH (1995): Nutrient intake and eating behavior in mid and severely obese children. Korean Soc Study Obesity 4(1): 43-50
  28. Pinhas-Hamiel O, Newfield RS, Koren I, Agmon A, Lilos P, Phillip M (2003): Greater prevalence of iron deficiency in overweight and obese children and adolescents. Int J Obes Relat Metab Disord 27(3): 416-418 https://doi.org/10.1038/sj.ijo.0802224
  29. Rocandio AM, Ansotegui L, Arroyo M (2001): Comparison of dietary intake among overweight and non-overweight schoolchildren. Int J Obes Relat Metab Disord 25(11): 1651-1655 https://doi.org/10.1038/sj.ijo.0801793
  30. Seoul Metropolitan Office of Education (2006): Seoul Statistic of Health
  31. Shin EK, Lee HS, Lee YK (2004a): Effect of nutrition education program in obese children and their parents(I) - Focus on anthropometric values and serum biochemical index -. Korean J Community Nutr 9(5): 566-577
  32. Shin EK, Lee HS, Lee YK (2004b): Effect of nutrition education program in obese children and their parents(II) -Focus on nutrition knowledge, eating behaviors, food habit and nutrient intakes- Korean J Community Nutr 9(5): 578-588
  33. Shin EK, Lee JH, Lee YK, Lee HS (2005): Effect of short-term nutrition education camp on food and nutritient intakes of obese children. J Korean Soc Food Sci Nutr 34(7): 987-999 https://doi.org/10.3746/jkfn.2005.34.7.987
  34. Sung MK, Sung JJ, Yoo WC, Park JN, Park DY, Choi MK, Cho KO, Choi SH, Lee YS, Kim YK, Lee EJ (2003): The evaluation of a nutrition education camp program for overweight and underweight adolescents. Korean J Community Nutr 8(4): 504-511
  35. The Korean Nutrition Society (2006): Nutrition Information Center. Nutritional Assessment Program, 'CAN-Pro 3.0'
  36. The Ministry of Health Welfare (2006): National Health and Nutrition Examination Survey Report 2005
  37. Yim KS, Yoon EY, Kim CI, Kim KT, Kim CI, Mo SM, Choi HM (1993): Eating behavior, obesity and serum lipid levels in children. Korean J Nutr 26(1): 56-66
  38. Yoon GA (2002): Overweight tracking in primary schoolchildren and analysis of related factors. Korean J Nutr 35(1): 69-77