Journal of the East Asian Society of Dietary Life (동아시아식생활학회지)

The East Asian Society of Dietary Life (동아시아식생활학회)
권호 표지
DOI QR코드

DOI QR Code

Energy Intake according to Expected Body Mass Index of Middle School Students in Seoul

서울 일부지역 중학생의 희망 체질량지수에 따른 에너지 섭취 상태

  • Ko, Min-Jeong (Major in Nutrition Education, Graduate School of Education, Kongju National University) ;
  • Bae, Yun-Jung (Division of Food Science and Culinary Arts, Shinhan University) ;
  • Kim, Hyun-Jin (Division of Food Science, Kongju National University) ;
  • Choi, Mi-Kyeong (Division of Food Science, Kongju National University)
  • 고민정 (공주대학교 교육대학원 영양교육전공) ;
  • 배윤정 (신한대학교 식품조리과학부) ;
  • 김현진 (공주대학교 식품과학부) ;
  • 최미경 (공주대학교 식품과학부)
  • Received : 2014.12.08
  • Accepted : 2015.02.27
  • Published : 2015.02.27
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to compare energy intake according to expected body mass index (BMI) in adolescents. A total of 280 middle school students were divided into current or/and expected obesity groups (underweight group; UWG, normal weight group; NWG, and overweight group; OWG) by BMI to compare energy intake and perception on body shape and weight control. The average age of total subjects was 15 years, and the distributions of boys and girls were 52.5% and 47.5%, respectively. The distribution of boys and girls was not significantly different among current obesity groups but was among expected obesity groups (15% and 82% in UWG vs. 71.4% and 16.5% NWG vs. 13.6% and 1.5% in OWG; P<0.001), indicating that girls wanted to lose weight more than boys. For body shape, most subjects in current obesity groups responded "fitness" in UWG (38.7%), "fitness" and "slightly chubby" in NWG (45.5% and 39%), and "slightly chubby" in OWG (65.2%), showing a significant difference (P<0.001). For interest in weight control, most subjects responded "average" in current UWcinterested" in current OWG (52.2%), whereas they responded "very interested" in expected UWG (55.7%), "average" in expected NWG (51.2%), and "not interested" in expected OWG (45.5%), showing a significant difference (P<0.001). The percentage of subjects with experience with weight control was significantly high in current OWG (71.7%), NWG (51.2%) and UWG (34.2%) as well as in expected UWG (57.3%), NWG (40.2%) and OWG (36.4%) in descending order (P<0.001). The daily energy intake of total subjects was 2,057.1 kcal without any significant difference among current obesity groups. However, it was significantly lower in expected UWG than expected NWG and OWG (1,943.1 kcal vs. 2,165.0 kcal or/and 2,152.1 kcal; P<0.001). To sum up these results, girls wanted to lose weight more than boys. The more students wanted to lose weight, the greater their experience and interest in weight control and the lower their energy intake.

본 연구의 목적은 청소년들이 희망하는 체질량지수에 따른 에너지 섭취 상태를 규명하는 것이다. 이에 280명의 중학생을 대상으로 현재 또는 희망하는 체중과 신장을 근거로 체질량지수에 따른 비만도군으로 분류하여 체형 및 체중조절에 대한 인식과 에너지 섭취 상태를 비교, 분석하였다. 전체 대상자의 평균 연령은 15세이었으며, 남학생은 147명(52.5%), 여학생은 133명(47.5%)이었다. 현재 비만도군에 따라 성별 분포는 유의한 차이가 없었으나, 희망하는 비만도군에 따라서 저체중군은 남녀 각각 15%와 82%, 정상체중군은 71.4%와 16.5%, 과체중군은 13.6%와 1.5%로 유의한 차이를 보여(P<0.001) 여학생은 체중감소를, 남학생은 체중증가를 더 원하는 것으로 나타났다. 자신의 체형에 대해 저체중군은 적당하다(38.7%), 정상체중군은 적당하다(45.5%)와 약간 뚱뚱하다(39%), 과체중군은 약간 뚱뚱하다(65.2%)라는 응답이 가장 높아, 현재 비만도군에 따라 유의한 차이를 보였다(P<0.001). 체중조절에 대한 관심에 있어 현재 저체중군과 정상체중군은 보통이다(36.9%, 44.7%), 과체중군은 관심이 많다(52.2%)라는 응답이 가장 높았던 반면, 저체중 희망군은 관심이 많다(55.7%), 정상체중 희망군은 보통이다(51.2%), 과체중 희망군은 관심이 없다(45.5%)라는 응답이 가장 높아 유의한 차이를 보였다(각 P<0.001). 체중조절 경험이 있다는 비율은 전체대상자의 47.9%이었으며, 현재 과체중군(71.7%), 정상체중군(51.2%), 저체중군(34.2%) 순으로 유의하게 높았고(P<0.001), 희망 비만도군에 따라서는 저체중 희망군(57.3%), 정상체중 희망군(40.2%), 과체중희망군(36.4%) 순으로 높았다(P<0.001). 전체대상자의 1일 에너지 섭취량은 2,057.1 kcal이었으며, 현재 비만도군에 따라 유의한 차이가 없었다. 그러나 희망 비만도군에 따라서는 저체중 희망군의 에너지 섭취량이 1943.1 kcal, 정상체중 희망군이 2165.0 kcal, 과체중 희망군이 2152.1 kcal로 유의한 차이를 보였다(P<0.001). 이상의 연구결과를 종합할 때, 여학생은 남학생보다 체중감소를 더 희망하고, 체중감소를 원할수록 체중조절에 대한 관심과 경험이 높고, 에너지 섭취가 낮은 것으로 나타났다.

Keywords

References

  1. Ahn Y, Kim H, Kim K (2006) A study on weight control, nutritional knowledge, dietary attitudes and eating behaviors among high school female students. Korean J Community Nutr 11: 205-217.
  2. Ali MM, Fang H, Rizzo JA (2010) Body weight, self-perception and mental health outcomes among adolescents. J Ment Halth Policy Econ 13: 53-63.
  3. Choi MK, Choi SH (1998) A survey on nutrition intake of the female students in Seoul area according to BMI. J East Asian Soc Dietary Life 8: 280-288.
  4. Choi IS, Ro HK (2010) A comparison study on middle school students of Gwangju and Jeonnam in terms of dietary behavior, body perception and weight control concerns according to BMI. J Korean Soc Food Sci Nutr 39: 383-391. https://doi.org/10.3746/jkfn.2010.39.3.383
  5. Desmond SM, Price JH, Gray N, O'Connell JK (1986) The etiology of adolescents' perception of their weight. J Youth Adolesc 15: 461-474. https://doi.org/10.1007/BF02146088
  6. Emmons L (1994) Predisposing factors differentiating adolescent dieter and nondieters. J Am Diet Assoc 94: 725-731. https://doi.org/10.1016/0002-8223(94)91937-2
  7. Her ES, Kang HJ, Lee KH (2003) The factor associated with weight control experience among adolescences. Korean J Community Nutr 8: 658-666.
  8. Hoey H (2014) Management of obesity in children differs from that of adults. Proc Nutr Soc 13: 1-7.
  9. Jeong KY, Lee YS, Kim SM (2005) The study of dietary behavior, BMI and nutrient intake status in middle school students of Daegu area. J East Asian Soc Dietary Life 15: 1-10.
  10. Jwa HJ, Chae IS (2008) Body shape satisfaction, nutrition knowledge, dietary habits, and weight control attitude Korean high school students. Korean J Food Culture 23: 820-833.
  11. Kang HW, Lee SS (2006) A study on weight control and dietary life among middle school students: Nutrition knowledge, dietary behavior and food frequency. Korean J Nutr 39: 817-831.
  12. Kang HW, Lee SS (2006) Obesity and weight control prevalence of middle school students in Seoul, Gyeonggi area. Korean J Nutr 39: 674-683.
  13. Kang MH, Choue RW (2010) Relationships of body image, body stress and eating attitude, and dietary quality in middle school girls based on their BMI. Korean J Nutr 43: 285-293. https://doi.org/10.4163/kjn.2010.43.3.285
  14. Kapka-Skrzypczak L, Bergier B, Diatczyk J, Niedzwiecka J, Bilinski P, Wojtyla A (2012) Dietary habits and body image perception among Polish adolescents and young adults - a population based study. Ann Agric Environ Med 19: 299-308.
  15. Kim JE, Min HS (2008) Weight-related perceptions, practices and eating behaviors of middle school students: Associations with BMI. Korean J Community Nutr 13: 13-23.
  16. Kim JY, Son SJ, Lee JE, Kim JH, Jung IK (2009) The effects of body image satisfaction on obesity stress, weight control attitudes, and eating disorders among female junior high school students. J Korean Home Econ Assoc 47: 49-59.
  17. Kim SY, Lee HM, Song KH (2007) Body image recognition and dietary behaviors of college students according to the body mass index. Korean J Community Nutr 12: 3-12.
  18. Lee ES, Kim EJ, Kim MH, Choi MK (2012) Study on recognition, attitudes and preference of meal purchases by middle school students residing in Gyeonggi-do. J East Asian Soc Dietary Life 22: 440-451.
  19. Lee HO, Oh SI, Cho HK, Choi MK, Kim MH (2011) Nutrition through the Life Cycle. Kyomunsa, Gyeonggi, Korea. p 190.
  20. Ministry of Health and Welfare & Korea Center for Disease Control and Prevention (2013) Korea health statistics 2012: Korea national health and nutrition examination survey. Ministry of Health and Welfare, Seoul, Korea. pp 548-551.
  21. Moses N, Banilivy MM, Lifshitz F (1989) Fear of obesity among adolescent girls. Pediatrics 83: 393-398.
  22. Shay CM, Van Horn L, Stamler J, Dyer AR, Brown IJ, Chan Q, Miura K Zhao L, Okuda N, Daviglus ML, Elliott P; INTERMAP Research Group (2012) Food and nutrient intakes and their associations with lower BMI in middle-aged US adults: The International Studt of Macro-/Micronutrients and Blood Pressure (INTERMAP). Am J Clin Nutr 96: 483-491. https://doi.org/10.3945/ajcn.111.025056
  23. Song HJ, Moon HK (2014) Body image, risk of disturbed eating attitudes and weight control of female junior high school students by the body mass index in Seoul. Korean J Community Nutr 19: 111-121. https://doi.org/10.5720/kjcn.2014.19.2.111
  24. Strauss RS (1999) Self-reported weight status and dieting in a crosssectional sample of young adolescents: National health and nutrition examination suvey III. Arch Pediatr Adolesc Med 153: 741-747. https://doi.org/10.1001/archpedi.153.7.741
  25. Tang J, Yu Y, Du Y, Ma Y, Zhu H, Liu Z (2010) Association between actual weight status, perceived weight and depressive, anxious symptoms in Chinese adolescents: A crosssectional study. BMC Public Health 10: 594. https://doi.org/10.1186/1471-2458-10-594
  26. The Korean Nutrition Society (2010) Dietary Reference Intakes for Koreans. Hanareum, Seoul, Korea.
  27. WHO Western Pacific Region (2000). The Asia-pacific perspective: Redefining obesity and its treatment. World Health Organization, Geneva, Switzerland.
  28. World Health Organization (1997). Obesity: Preventing and managing the global epidemic - report of a WHO consultation on obesity. 3-5 June 1997, Geneva: WHO/NUT/NCD/98.1.
  29. Yim KS (2010) Effects of obesity, body image dissatisfaction and dietary habits on the risk of disturbed eating attitudes among high school students in Gyunggi province Korea. Korean J Community Nutr 15: 656-669.