Journal of Nutrition and Health

  • 제45권6호
  • /
  • Pages.511-521
  • /
  • 2012
  • /
  • 2288-3886(pISSN)
  • /
  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
권호 표지
DOI QR코드

DOI QR Code

소아청소년의 비만여부에 따른 신체활동수준, 1일 총에너지소비량 및 에너지필요추정량의 평가

Physical activity level, total daily energy expenditure, and estimated energy expenditure in normal weight and overweight or obese children and adolescents

  • 김명희 (강릉원주대학교 생명과학대학 식품영양학과) ;
  • 김은경 (강릉원주대학교 생명과학대학 식품영양학과)
  • Kim, Myung Hee (Department of Food and Nutrition, Gangneung-Wonju National University) ;
  • Kim, Eun Kyung (Department of Food and Nutrition, Gangneung-Wonju National University)
  • 투고 : 2012.09.03
  • 심사 : 2012.10.22
  • 발행 : 2012.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The purposes of this study were to assess the physical activity level (PAL) and the total daily energy expenditure (TEE) as well as to evaluate the validity of prediction equation for the estimated energy requirement (EER) in normal weight and overweight or obese children and adolescents. The subjects comprised of 100 healthy Korean students aged between 7-18. The anthropometric data was collected. PAL was calculated from the physical activity diary by the 24-hour recall method, and the resting metabolic rate (RMR) was measured by an open-circuit indirect calorimetry using a ventilated hood system. Daily energy expenditure was PAL multiplied by RMR. EER was calculated by using the prediction equation published in KDRIs. There was no significant difference in the means of age and height between the 46 obese subjects and 54 nonobese subjects. The weight and BMI of the obese group (60.2 kg, $25.3kg/m^2$) were significantly higher than those of the nonobese group (42.4 kg, $18.4kg/m^2$). However, PAL was not significantly different between the two groups (nonobese 1.45, obese 1.46). TEE of the obese group (2,212 kcal/day) was significantly higher than that of the nonobese group (1,774 kcal/day). EER (individual PA) and EER (light PA) were significantly higher than TEE (p < 0,001); however, EER (sedentary PA) was not significantly different with TEE in the two groups. These results showed that the levels of physical activity were the same as the sedentary activity both in the nonobese and obese Korean students; moreover, the predictive equation for EER published in KDRI overestimated the TEE of Korean children and adolescents. Therefore, in further research, a new predictive equation for EER should be developed for Korean children and adolescents through the doubly labeled water method.

키워드

참고문헌

  1. Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, Kim YT. Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr 2008; 51(9): 950-955 https://doi.org/10.3345/kjp.2008.51.9.950
  2. Ministry of Health and Welfare. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1); 2011
  3. Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public- health crisis, common sense cure. Lancet 2002; 360(9331): 473-482 https://doi.org/10.1016/S0140-6736(02)09678-2
  4. Choi TI, Rhee HJ, Ko KM, Yoo SM, Kim KN, Lee SY, Kang JH. The prevalence of obesity and obesity-related metabolic complications in Korean adolescents. J Korean Acad Fam Med 2006; 27(3): 175-181
  5. Barlow SE; Expert Committee. Pediatrics. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics 2007; 120 Suppl 4: S164-S192 https://doi.org/10.1542/peds.2007-2329C
  6. Seo JW. Obesity in children and adolescents. Korean J Pediatr 2009; 52(12): 1311-1320 https://doi.org/10.3345/kjp.2009.52.12.1311
  7. Lee HM, Kim EK. Assessment of daily steps, physical activity and activity coefficient of the elementary school children in the rural area. Korean J Community Nutr 2007; 12(3): 361-371
  8. Baek S. The effect of physical activity on children's obesity. Korean J Obes 2008; 17(2): 55-64
  9. Owen OE, Kavle E, Owen RS, Polansky M, Caprio S, Mozzoli MA, Kendrick ZV, Bushman MC, Boden G. A reappraisal of caloric requirements in healthy women. Am J Clin Nutr 1986; 44(1): 1-19 https://doi.org/10.1093/ajcn/44.1.1
  10. An YD. A study on physical activity for one week in elementary school boys. J Korea Sport Res 2007; 18(2): 545-556
  11. Kim YS, Kong SA, Lee O, Kim JW, Kim SS, Park IH. The relation between physical activity and fitness in children. Exerc Sci 2008; 17(4): 495-504 https://doi.org/10.15857/ksep.2008.17.4.495
  12. Woo UH. Comparison and analysis of physical activity steps per day according to the level of BMI in high school male students. Korean J Growth Dev 2008; 16(2): 103-110
  13. Kang HS, Hong HR, Park JK. Comparison of obesity indices, metabolic risk factors, physical activity between boys and girls. Korean J Phys Educ 2010; 49(6): 581-589
  14. Koo JC, Park MH. The correlation between body composition and basic physical strength of high school students by bioelectrical impedance analysis. J Learn Cent Curric Instr 2010; 10(2): 35-48
  15. Jung JU, Hwang YS, Oh SI. Analysis of elementary school students' physical activity based on existence of playground and physical education. J Korean Soc Study Phys Educ 2010; 15(1): 301-310
  16. Energy and protein requirements. Report of a joint FAO/WHO/ UNU Expert Consultation. World Health Organ Tech Rep Ser 1985; 724: 1-206
  17. The Korean Nutrition Society. Dietary reference intakes for Koreans, 1st revision. Seoul; 2010
  18. Kim JH, Kim EK. Assessment of physical activity, activity coefficient of preschool children and actual condition of daycare center outdoor play. Korean J Community Nutr 2009; 14(6): 777-788
  19. Kim EK, Kim EK, Song JM, Choi HJ, Lee GH. Assessment of activity coefficient, resting energy expenditure and daily energy expenditure in elementary school children. J Korean Diet Assoc 2006; 12(1): 44-54
  20. Oh SI, Jang JH, Hur S. Assessment of after-school obesity control program through on life habits and physical activity in obese elementary school children. Korean J Exerc Nutr 2008; 12(1): 1-6
  21. Kim MJ, Na HJ, Kim Y. The analysis of activity energy, total energy, and estimated energy expenditures in 5th and 6th grade primary school students. Korean J Community Nutr 2011; 16(2): 195-205 https://doi.org/10.5720/kjcn.2011.16.2.195
  22. Kim Y, Na HJ. The estimation of the daily energy expenditure of Korean adolescents. Korean J Community Nutr 2003; 8(3): 270-279
  23. Kim EK, Kim GS, Park JS. Comparison of activity factor, predicted resting metabolic rate, and intakes of energy and nutrients between athletic and non-athletic high school students. J Korean Diet Assoc 2009; 15(1): 52-68
  24. Choi HJ, Song JM, Kim EK. Assessment of daily steps, activity coefficient, body composition, resting energy expenditure and daily energy expenditure in female university students. J Korean Diet Assoc 2005; 11(2): 159-169
  25. Park JA, Kim KJ, Yoon JS. A comparison of energy intake and energy expenditure in normal-weight and over-weight Korean adults. Korean J Community Nutr 2004; 9(3): 285-291
  26. Korea Centers for Disease Control and Prevention; The Korean Pediatric Society; The Committee for the Development of Growth Standard for Korean Children and Adolescents. 2007 Korean children and adolescents growth charts. 2007 [cited 2012 Jun 15]. Available from: http://www.cdc.go.kr
  27. Ministry of Health, Labour and Welfare. Japanese dietary allowance, 5th revision. Tokyo; 1985
  28. Ministry of Health and Welfare. A study to determine the recommended dietary allowance of energy and to develop practical dietary education program for Korean adults. Seoul; 2002
  29. Compher C, Frankenfield D, Keim N, Roth-Yousey L; Evidence Analysis Working Group. Best practice methods to apply to measurement of resting metabolic rate in adults: a systematic review. J Am Diet Assoc 2006; 106(6): 881-903 https://doi.org/10.1016/j.jada.2006.02.009
  30. Weir JB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol 1949; 109(1-2): 1-9
  31. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1(8476): 307-310
  32. Baik I, Shin C. Association of daily sleep duration with obesity, macronutrient intake, and physical activity. Korean J Community Nutr 2011; 16(3): 315-323 https://doi.org/10.5720/kjcn.2011.16.3.315
  33. Rey-Lopez JP, Vicente-Rodriguez G, Biosca M, Moreno LA. Sedentary behaviour and obesity development in children and adolescents. Nutr Metab Cardiovasc Dis 2008; 18(3): 242-251 https://doi.org/10.1016/j.numecd.2007.07.008
  34. Mifflin MD, St Jeor ST, Hill LA, Scott BJ, Daugherty SA, Koh YO. A new predictive equation for resting energy expenditure in healthy individuals. Am J Clin Nutr 1990; 51(2): 241-247 https://doi.org/10.1093/ajcn/51.2.241
  35. Institute of Medicine of the National Academies. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington D.C: The National Academies Press; 2002. p.107-264
  36. Wang X, You T, Lenchik L, Nicklas BJ. Resting energy expenditure changes with weight loss: racial differences. Obesity (Silver Spring) 2010; 18(1): 86-91 https://doi.org/10.1038/oby.2009.163

피인용 문헌

  1. Assessment of Pedometer Counts, Physical Activity Level, Energy Expenditure, and Energy Balance of Weekdays and Weekend in Male High School Students vol.22, pp.2, 2016, https://doi.org/10.14373/JKDA.2016.22.2.131
  2. Physical Activity Measurements with a Pedometer in the Fun and Run Health Camp for Children vol.25, pp.4, 2016, https://doi.org/10.7570/kjo.2016.25.4.240
  3. Energy expenditure measurement of various physical activity and correlation analysis of body weight and energy expenditure in elementary school children vol.48, pp.2, 2015, https://doi.org/10.4163/jnh.2015.48.2.180
  4. Comparison of Physical Activity Level, Physical Activity Pattern and Energy Expenditure in Male and Female Elementary School Soccer Players using Accelerometer and Physical Activity Diary vol.22, pp.6, 2017, https://doi.org/10.5720/kjcn.2017.22.6.529
  5. 고등학생의 비만 여부에 따른 8가지 걷기 활동의 에너지 소비량 비교 - 간접열량계 및 허리와 발목에 착용한 가속도계를 이용하여 - vol.23, pp.1, 2012, https://doi.org/10.14373/jkda.2017.23.1.78
  6. 청소년의 간식 종류별 섭취빈도와 과체중 및 비만 위험률과의 연관성 분석 - 2007~2009 국민건강영양조사 자료를 바탕으로 - vol.30, pp.1, 2012, https://doi.org/10.9799/ksfan.2017.30.1.074
  7. Establishment and future tasks of estimated energy requirement in 2020 dietary reference intakes for Koreans vol.54, pp.6, 2012, https://doi.org/10.4163/jnh.2021.54.6.573