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A Study on the Necessity of School Curriculum Development for Obesity Prevention in Students of Mountainous Region in the United States

미국 산악지역에 거주하는 학생들의 비만예방을 위한 학교교육과정 개발의 필요성

  • Cho, Ki-Bum (Division of Sport Science, Hanyang University) ;
  • Kim, Seung-Yong (Major in Physical Education, Graduate School of Education, Donga University)
  • 조기범 (한양대학교 스포츠과학부) ;
  • 김승용 (동아대학교 교육대학원 체육교육전공)
  • Received : 2018.03.06
  • Accepted : 2018.04.20
  • Published : 2018.04.28

Abstract

The purpose was to examine the association between healthy weight and physical activity, screen time, and nutrition based on community characteristics in mountainous region. The sample consisted 1,620 middle school students in West Virginia, the United States. A logistic regression and in-depth interview were conducted. Moderate to Vigorous Physical Activity and consumption of vegetables and fruits were associated with healthy weight, while screen time was not associated with healthy weight. Regional limitations may cause that students had too much exposure to screen time and should be minimized by using school facilities during weekend. In particular, schools need to provide regular health seminars and parents education to overcome regional isolation and slow internet speed. Therefore, it suggests the cooperation between schools and parents may be required in order for students to be healthy in mountainous region.

본 연구의 목적은 산악지역에 거주하는 중학생들의 신체활동, 화면시청시간, 영양섭취가 건강 체중에 영향을 미치는 지를 지역적 특성을 바탕으로 분석하기 위한 것이다. 참여자는 미국 애팔래치아 산악지역 1,620명의 중학생들이며 로지스틱 회귀분석 결과에 따라 5명을 대상으로 심층면담이 실시되었다. 연구 결과 신체활동과 영양섭취는 건강 체중에 유의한 영향을 끼쳤으나 화면시청시간은 유의한 결과가 나타나지 않았다. 이는 지역적 특징으로 인해 건강한 학생 또한 화면 시청에 자주 노출되어 있기 때문이었다. 지역적 특징을 고려했을 때 학교시설물의 주말이용이 필요하며 특히 지역적 고립과 느린 인터넷으로 인해 정보공유가 원활히 되지 않는 점을 보완하기 위하여 학교의 정기적인 건강관련 세미나 및 부모 교육을 정규 교육과정으로 포함시키는 방안도 고려할 필요가 있다. 그러므로 비만해결을 위한 학생들의 올바른 행동변화를 위해서는 학교 및 가정의 협력체계가 동시에 이루어져야 할 것이다.

Keywords

References

  1. K. M. Flegal, M. D. Carroll, B. K. Kit, & C. L. Ogden. (2012). Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. The Journal of American Medical Association, 307(5), 491-497. https://doi.org/10.1001/jama.2012.39
  2. C. L. Ogden, M. D. Carroll, L. R. Curtin, M. M. Lamb, & K. M. Flegal. (2010). Prevalence of high body mass index in US children and adolescents, 2007-2008. Journal of the American Medical Association, 303(3), 242-249. https://doi.org/10.1001/jama.2009.2012
  3. M. N. Lutfiyya, M. S. Lipsky, J. Wisdom‐Behounek, & M. Inpanbutr-Martinkus. (2007). Is rural residency a risk factor for overweight and obesity for US children?. Obesity, 15(9), 2348-2356. https://doi.org/10.1038/oby.2007.278
  4. D. B. Reed, P. J. Patterson, & N. Wasserman. (2011). Obesity in rural youth: Looking beyond nutrition and physical activity. Journal of Nutrition Education and Behavior, 43(5), 401-408. https://doi.org/10.1016/j.jneb.2010.12.005
  5. G. D. Park & H. M. Cho. (2010). The holistic educational implications of the open field day. Journal of Holistic Education, 14(2), 109-125.
  6. S. H. Cho, C. J. Kim, B. K. Kim, C. Y. Kim, & H. J. Kim. (2001). The effects of a portfolio system on elementary school students' socio-psychological classroom environment. Journal of the Korean Association for Science Education, 21(3), 529-536.
  7. R. R. Pate, R. Ross, M. Dowda, S. G. Trost, & J. R. Sirard. (2003). Validation of a 3-day physical activity recall instrument in female youth. Pediatric Exercise Science, 15(3), 257. https://doi.org/10.1123/pes.15.3.257
  8. Physical Activity Guidelines Advisory Committee. (2008). Physical activity guidelines for Americans. Office of Disease Prevention and Health Promotion. https://health.gov/paguidelines/pdf/paguide.pdf
  9. V. W. Rogers, P. H. Hart, E. Motyka, E. N. Rines, J. Vine, & D. A. Deatrick. (2013). Impact of let's go! 5-2-1-0: A community-based, multisetting childhood obesity prevention program. Journal of Pediatric Psychology, 38(9), 1010-1020. https://doi.org/10.1093/jpepsy/jst057
  10. D. M. Hoelscher, R. S. Day, S. H. Kelder, & J. L. Ward. (2003). Reproducibility and validity of the secondary level school-based nutrition monitoring student questionnaire. Journal of the American Dietetic Association, 103(2), 186-194. https://doi.org/10.1053/jada.2003.50031
  11. U.S. Department of Agriculture and U.S. Department of Health and Human Services. (2010). Dietary guidelines for Americans 2010. Washington, DC: Government Printing Office.
  12. Centers for Disease Control and Prevention (CDC). (2015). About child & teen BMI. CDC. http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html
  13. J. F. Sallis, M. F. Floyd, D. A. Rodríguez, & B. E. Saelens. (2012). Role of built environments in physical activity, obesity, and cardiovascular disease. Circulation, 125(5), 729-737. https://doi.org/10.1161/CIRCULATIONAHA.110.969022
  14. D. Sloane, L. Nascimento, G. Flynn, L. Lewis, J. J. Guinyard, L. Galloway-Gilliam, A. L. Diamant, & A. K. Yancey. (2006). Assessing resource environments to target prevention interventions in community chronic disease control. Journal of Health Care for the Poor and Underserved, 17(2), 146-158. https://doi.org/10.1353/hpu.2006.0094
  15. S. Strover & S. H. Mun. (2006). Wireless broadband, communities, and the shape of things to come. Government Information Quarterly, 23(3), 348-358. https://doi.org/10.1016/j.giq.2006.09.002
  16. T. M. Kruger, M. Swanson, R. E. Davis, S. Wright, K. Dollarhide, & N. E. Schoenberg. (2012). Formative research conducted in rural Appalachia to inform a community physical activity intervention. American Journal of Health Promotion, 26(3), 143-151. https://doi.org/10.4278/ajhp.091223-QUAL-399
  17. J. E. Fulton, X. Wang, M. M. Yore, S. A. Carlson, D. A. Galuska, & C. J. Caspersen. (2009). Television viewing, computer use, and BMI among US children and adolescents. Journal of Physical Activity & Health, 6(1), S28. https://doi.org/10.1123/jpah.6.s1.s28
  18. S. B. Sisson, T. S. Church, C. K. Martin, C. Tudor-Locke, S. R. Smith, C. Bouchard, C. P. Earnest, T, Rankinen, R. L. Newton JR, & P. T. Katzmarzyk. (2009). Profiles of sedentary behavior in children and adolescents: the US National Health and Nutrition Examination Survey, 2001-2006. International Journal of Pediatric Obesity, 4(4), 353-359. https://doi.org/10.3109/17477160902934777
  19. Centers for Disease Control and Prevention (CDC). (2012). West Virginia state nutrition, physical activity, and obesity profile. CDC. http://www.cdc.gov/obesity/
  20. J. L. Brown & T. R. Wenrich. (2012). Intra-family role expectations and reluctance to change identified as key barriers to expanding vegetable consumption patterns during interactive family-based program for Appalachian low-income food preparers. Journal of the Academy of Nutrition and Dietetics, 112(8), 1188-1200. https://doi.org/10.1016/j.jand.2012.05.003
  21. S. A. Quandt, J. B. Popyach, & K. M. DeWalt. (1994). Home gardening and food preservation practices of the elderly in rural Kentucky. Ecology of Food and Nutrition, 31(3-4), 183-199. https://doi.org/10.1080/03670244.1994.9991360