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The Effects of Weight Reduction Programme for Obese Primary School Students on Serum Lipid Level

초등학교 비만아동을 위한 비만관리프로그램이 혈중지질농도 변화에 미치는 효과

  • Jung, Mi-Hee (College of Nursing Science, Kyung Hee University) ;
  • Han, Sang-Sook (College of Nursing Science, East-West Research Institute, Kyung Hee University) ;
  • Lim, So-Hee (Nursing Department, ShinSung University)
  • 정미희 (경희대학교 간호과학대학) ;
  • 한상숙 (경희대학교 간호과학대학.동서간호연구소) ;
  • 임소희 (신성대학교 간호학과)
  • Received : 2015.08.28
  • Accepted : 2015.12.04
  • Published : 2015.12.31

Abstract

This study was designed to examine the effects of weight reduction programme(WRP) for obese primary school students on serum lipid level. This research used non-equivalent control group non-synchronized design that was conducted on two groups comprising 5th and 6th graders: an experimental group that received 12-week long WRP that combines diet, exercise and behavior modification therapy and the control group that did only rope-jumping. The collected data were analysed using ${\chi}^2$-test, t-test, ANOVA, Pairwise Comparsons by SPSS 18.0 Programme. It was proven that the WRP of this study was effective in lowering the total cholesterol(F=4.21, p=.049) and triglyceride(F=4.25, p=.049). WRP may be used as a basis for further studies that may be conducted after intervening the motivation level of the study subjects.

본 연구는 초등학교 5~6학년 비만아동에게 식이요법, 운동요법 및 행동수정요법을 포함한 비만관리프로그램을 주 1회씩 12회에 걸쳐 시행한 실험군과 줄넘기 운동만을 적용한 대조군을 비교 확인하는 비동등성 대조군 전후시차 설계 연구이다. 효과를 확인하기 위해 혈중지질농도를 측정하였으며, 수집된 자료는 SPSS Windows 18.0 Program을 이용하여 ${\chi}^2$-test, t-test, ANOVA, Pairwise Comparisons으로 분석하였다. 비만관리프로그램은 총콜레스테롤은 대조군(m=40.7)이 실험군(m=16.95)에 비해 더 큰폭으로 증가하였으며(F=4.21, p=.049), 중성지방은 실험군이 $21.55mg/d{\ell}$가 감소하였으나, 대조군은 $37.45mg/d{\ell}$가 증가하였다(F=4.25, p=.049). 본 프로그램을 기초로 수정 보완하여 활용한다면 학교건강증진사업의 일환으로서 실효성을 거둘 수 있을 것으로 기대한다.

Keywords

References

  1. I. Janssen, P. T. Katzmaryzk, W. F. Boyce, C. Vereechen, C. Mulvihill, C. Roberts, C. Currie, W. Pickett. "The Health Behaviour in School-Aged Children Obesity Working Group. Comparison of overweigh and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns," Obesity Reviews. 6(2), pp. 123-132, 2005. DOI: http://dx.doi.org/10.1111/j.1467-789X.2005.00176.x
  2. E. S. Park, Y. J. Lim, H. S. Lim. "Perceptions of obesity and management behaviors of obese adolescents and their families in korea," Journal of Korean Academy of Nursing. 33(6), pp. 1028-1037, 2003. https://doi.org/10.4040/jkan.2003.33.7.1028
  3. M. R. Carnethon, S. S. Gidding, R. Nehgme. "Cardiorespiratory fitness in young adulthood and the development of cardiovascular disease risk factors," Journal of the American Medical Association, 290, pp. 3092-3100, 2003. DOI: http://dx.doi.org/10.1001/jama.290.23.3092
  4. W. H. Yoo. "Effects of body composition, blood lipids and fitness factors as the polymorphism in the $\beta$3-AR gene and ACE gene of obese children on aerobic exercise," Sookmyung Woman's University, Unpublished master's thesis, Seoul. 2006.
  5. M. Wabitsch. "Molecular and biological factors with emphasis on adipose tissue development," Child and Adolescent Obesity. Causes and Consequences. pp. 50-68, 2002. DOI: http://dx.doi.org/10.1017/cbo9780511544675.005
  6. N. S. Seo, Y. H. Kim, H. S. Kang. "Effects of an obesity control program based on behavior modification and self-efficacy in obese elementary school children," Journal of Korean Academy of Nursing. 35(3), pp. 611-620, 2005. https://doi.org/10.4040/jkan.2005.35.3.611
  7. M. I. Goran, R. L. Weinsier. "Role of environment vs. metabolic factor in the etiology of Obesity : time to focus on the environment," Obesity Research. 8(5), pp. 407-409, 2000. DOI: http://dx.doi.org/10.1038/oby.2000.50
  8. S. Illuzzi, B. Cinelli. "A coordinated school health program approach to adolescent obesity," The Journal of School Nursing: The Official Publication of the National Association of School Nurses. 6(1), pp. 12-19, 2000. DOI: http://dx.doi.org/10.1177/105984050001600103
  9. R. Jago, T. Baranowski, J. C. Baranowski, D. Thompson, K. A. Greaves. "BMI from 3-6 years of age is predicted by TV viewing and physical activity, not diet," International Journal of Obesity. 29(6), pp. 557-564, 2005. DOI: http://dx.doi.org/10.1038/sj.ijo.0802969
  10. U. S. Department of Health and Human Services. Healthy people 2010: understanding and improving health. washington, DC: U. S. Department of Health and Human Services, Government Printing Office. 2000.
  11. L. H. Epstein. "Family-based behavioral intervention for obese children," International journal of obesity and related metabolic disorders. 20(1), pp. 14-21, 1996.
  12. J. K. Park, H. S. Ahn, D. H. Lee. "Effects of step by step diet control program in obese children," Journal of Korean Oriental Association for Study of Obesity. 10(2), pp. 165-173, 2001.
  13. S. O. Roberts. "The role of physical activity in the prevention and treatment of childhood obesity," Pediatric Nursing. 26(1), pp. 33-41, 2000.
  14. J. B. Roach, M. K. Yadrick, J. T. Johnson, L. J. Boudreus, W. A. Forsythe, W. Billon. "Using self-efficacy to predict weight loss among young adults," Journal of the American Dietetic Association. 103(10), pp. 1357-1359, 2003. https://doi.org/10.1016/S0002-8223(03)01072-1
  15. Y. R. Tak, J. Y. AN, Y. A. Kim, H. Y. Woo. "The effects of a physical activity-behavior modification combined intervention(PABM-intervention) on metabolic risk factors in overweigh and obese elementary school children," Journal of Korean Academic Nursing, 37(6), pp. 902-913, 2007. https://doi.org/10.4040/jkan.2007.37.6.902
  16. H. J. Kim, T. G. Park. "Physical science : Effect of exercise on body composition and blood lipids in obesity and overweight children," Korea Sport Research. 17(3), pp. 261-270, 2006.
  17. B. C. Ahn, T. U. Kim, K. S. Ko, J. U. Han, J. K. Lee, H. K. Moon. "The effect of diet control and divided exercise on %fat, Fat area and serum lipid metabolism in obese children," The 2000 Seoul International Sport Science Congress. pp. 829-827, 2000.
  18. K. Cole, J. Waldrop, J. D'Auria, H. Garner. "An integrative research review: effective school-based childhood overweight interventions," Journal for Specialists in Pediatric Nursing. 6, pp. 51-59, 2006. DOI: http://dx.doi.org/10.1111/j.1744-6155.2006.00061.x
  19. J. E. Yim, R. W. Choue, Y. S. Kim. "Effects of dietary counseling and HMG co a reductase inhibitor treatment on serum lipid levels in hyperlipidemic patients," Korean Journal of Lipidology. 8(1), pp. 61-76, 1998.
  20. D. S. Han, W. S. Eom. "Physical science : The effect of a 12 week rope-jumping on an obese elementary school student's body composition and blood lipid profiles," Korea Sport Research. 18(4). pp. 523-530, 2007.
  21. J. Parizkova, A. P. Hills. Childhood obesity, Prevention and treatment. CRC Press LLC, Boca Ration. pp. 137-153, 2001.
  22. Y. H. Kim, N. H. Park, S. M. Lee. "The effects of obese program on the BMI, body composition, physical fitness, knowledge, eating behaviors in obese elementary school," The Korean Journal of Child Health Nursing. 10(1), 14-21, 2004.
  23. D. Newmark-Sztainer. "School-Based programs for preventing eating disturbances," Journal of School Health. 66(2), pp. 64-71, 1996. DOI: http://dx.doi.org/10.1111/j.1746-1561.1996.tb07912.x
  24. B. E. Saelens, S. R. Daniels. "Childhood obesity : causes and therapies," Current Opinion in Endocrinologu & Diabets. 10, pp. 3-8, 2003. DOI: http://dx.doi.org/10.1097/00060793-200302000-00002
  25. H. Y. Lee. "Effectiveness of obrdity management programs: systematic review and meta-analysis," Korean Journal of Health Education and Promotion. 24(4), pp. 131-146, 2007.
  26. J. H. Jang, S. H. Cho. "Effectiveness of worksite nutrition counseling for hyperlipidemic employees in Kyung-buk area," Journal of the Korean Dietetic Association. 5(1), pp. 1-9, 1999.
  27. Y. R. Huh, H. S. Lim. A comparison of normocholesterolemic and hypercholesesrolemia in middle-aged men in kwang-ju. The Journal of Korean Community Nursing. 2(3), pp.237-337, 1997.
  28. Y. G. Jeon. "Effects of weight control method on blood lipid and body composition in obese children," Korea Sport Research. 16(6), pp. 231-238, 2005.
  29. J. L. Durstine, P. W. Grandjean, C. A. Cox, P. D. Thompson. "Lipids, lipoproteins and exercise," Journal of Cardiopulmonaly Rehabilitation. 22(6), pp.385-398, 2002. DOI: http://dx.doi.org/10.1097/00008483-200211000-00002