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Identifying the Prevalence of Thinness, Overweight, Obesity among Adolescents: A Comparison of National and International Growth References

국내외 기준에 따른 소아청소년의 저체중, 과체중, 비만 유병률 분석

  • Han, Chang Sook (School of Nursing and Research Institute of Nursing Science, Hallym University) ;
  • Kim, Suhee (School of Nursing and Research Institute of Nursing Science, Hallym University) ;
  • Kim, Hyo Kyung (School of Nursing and Research Institute of Nursing Science, Hallym University)
  • Received : 2019.11.09
  • Accepted : 2019.12.20
  • Published : 2019.12.25

Abstract

Purpose: This study examined the distribution of the body mass index (BMI) according to gender and age among Korean children and adolescents to compare the distributions of being underweight, normal, overweight, and obese using both Korean and international criteria. Methods: This secondary data analysis utilized the data of the 2016 Korean National Health Examination for School Students Height, weight, and BMI distributions among children and adolescents were analyzed using descriptive statistics, and the differences in BMI distribution according to gender and age were analyzed using chi-square tests. Differences in the mean BMI according to the Korean Centers for Disease Control (KCDC), the World Health Organization (WHO), and the International Obesity Task Force (IOTF) criteria were analyzed using ANOVA. Results: Using the IOTF criteria, the prevalence of underweight, overweight, and obesity among grades 1-12 students was 6.7%, 20.8%, and 7.1%, respectively; 1.6%, 21.3%, and 11.8%, respectively, according to the WHO criteria; and 5.8%, 10.1%, and 13.0%, respectively, according to the KCDC criteria. Conclusion: It is recommended to use the IOTF criteria for health promotion programs to target underweight children and adolescents while the WHO and KCDC criteria should be used for health programs for treating obese people.

Keywords

References

  1. Ahn, Y., Choi, S., & Sohn, M. (2013). Adiposity of Korean school‐age children measured by national and international growth charts. Research in Nursing & Health, 36(1), 16-25. DOI:10.1002/nur.21510
  2. Baya Botti, A. M., Perez Cueto Eulert, A., Monllor, V., & Kolsteren, P. (2010). International BMI-for-age references underestimate thinness and overestimate overweigth and obesity in Bolivian adolescents. Nutricion Hospitalaria, 25(3), 428-436. DOI:10.3305/nh.2010.25.3.4364
  3. Bovet, P., Kizirian, N., Madeleine, G., Blossner, M., & Chiolero, A. (2011). Prevalence of thinness in children and adolescents in the Seychelles: Comparison of two international growth references. Nutrition Journal, 10(1), 65. https://doi.org/10.1186/1475-2891-10-65
  4. Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ, 320(7244), 1240. https://doi.org/10.1136/bmj.320.7244.1240
  5. Cole, T. J., Flegal, K. M., Nicholls, D., & Jackson, A. A. (2007). Body mass index cut offs to define thinness in children and adolescents: International survey. BMJ, 335(7612), 194. https://doi.org/10.1136/bmj.39238.399444.55
  6. Heo, G. J., Nam, S. Y., Lee, S. K., Chung, S. J., Yoon, J. h. (2012). The relationship between high energy/low nutrient food consumption and obesity among Korean children and adolescents. Korean Journal of Community Nutrition, 17(2), 226-242. http://dx.doi.org/doi:10.5720/kjcn.2012.17.2.226
  7. Im, Y. J., Oh, W. O., Suk, M. H. (2017). Adolescent health behaviors according to body mass index. Child Health Nursing Research, 23(1), 1-9. https://doi.org/10.4094/chnr.2017.23.1.1
  8. Jang, M. N., Oh, S. M., Kim, H. S., Shin, H. A. (2019). The Relationship between quality of sleep and body mass index of adolescents: Focusing on mediating effect of physical activity, dietary habit, and academic stress and moderating effect of gender. Journal of Korean Public Health Nursing, 33(1), 85-97. https://doi.org/10.5932/JKPHN.2019.33.1.85
  9. Jee, Y. J., Kim, Y. H. (2013). Factors influencing obesity among adolescent: Analysis of 2011 Korean youth risk behavior survey. Korean Journal of Obesity, 22(1), 39-49. http://dx.doi.org/10.7570/kjo.2013.22.1.39
  10. Kang, S. K., Kim, S. D., Lee, J. S. (2008). Prevalence rates and risk factors of overweight and obesity in children and adolescents- Using Korean national health and examination survey 2005 date. Korean Journal of Epidermiology, 30(2), 188-197. https://doi.org/10.4178/kje.2008.30.2.188
  11. Khang, Y. H., & Park, M. J. (2011). Trends in obesity among Korean children using four different criteria. International Journal of Pediatric Obesity, 6(3-4), 206-214. DOI: 10.3109/17477166.2010.490270
  12. Kim, J. H., Yun, S., Hwang, S. S., Shim, J. O., Chae, H. W., Lee, Y. J., & Oh, K. (2018). The 2017 Korean national growth charts for children and adolescents: Development, improvement, and prospects. Korean Journal of Pediatrics, 61(5), 135. doi: 10.3345/kjp.2018.61.5.135
  13. Kim, K. E., Kim, S. H., Park, S., Khang, Y. H., & Park, M. J. (2012). Changes in prevalence of obesity and underweight among Korean children and adolescents: 1998-2008. Korean Journal of Obesity, 21(4), 228. http://dx.doi.org/10.7570/kjo.2012.21.4.228
  14. Kwon, E. J., Nah, E. H. (2016). Secular trends in height, weight and obesity among Korean children and adolescents in 2006-2015. Korean Journal of Health Education and Promotion, 33(2), 1-13. https://doi.org/10.14367/kjhep.2016.33.2.1
  15. Lee, B. I. (2015). Association between sleep duration and body mass index among South Korean adolescents. Korean Journal of Health Promotion, 15(1), 16-23. http://dx.doi.org/10.15384/kjhp.2015.15.1.16
  16. Lee, J. Y. (2019). Influencing factors on low body weight in Korean Adolescents. Journal of the Korea Academia-Industrial Cooperation Society, 20(7), 562-570. http://dx.doi.org/10.7570/kjo.2013.22.1.39
  17. Li, K., Haynie, D., Palla, H., Lipsky, L., Iannotti, R. J., & Simons-Morton, B. (2016). Assessment of adolescent weight status: Similarities and differences between CDC, IOTF, and WHO references. Preventive medicine, 87, 151-154. https://doi.org/10.1016/j.ypmed.2016.02.035
  18. Montazerifar, F., Karajibani, M., Rakhshani, F., & Hashemi, M. (2009). Prevalence of underweight, overweight and obesity among high-school girls in Sistan va Baluchistan. EMHJ - Eastern Mediterranean Health Journal, 15(5), 1293-1300. https://apps.who.int/iris/handle/10665/117762
  19. Moon, S. S., Lee, Y. S.(2009). Comparison of dietary habits, exercise, recognized body shapes and weight control between obesity and underweight of adolescents. Korean Association of Human Ecology, 18(6), 1337-1348. https://doi.org/10.5934/KJHE.2009.18.6.1337
  20. Oh, K. W., Jang, M. J., Lee, N. Y., Moon, J. S., Lee, C. G., Yoo, M. H., Kim, Y. T. (2008). Prevalence and trends in obesity among Korean children and adolescent in 1997 and 2005. Korean Journal of Pediatrics, 51(9). DOI: 10.3345/kjp.2008.51.9.950
  21. Onis, M. d., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World health Organization, 85(9), 660-667. doi: 10.2471/BLT.07.043497
  22. Park, M. H., Song, H. Y. (2019). Relationship among the Korean adolescents obesity, health behavior and smart phone usage. Journal of Korean Public Health Nursing, 33(1), 47-58. https://doi.org/10.5932/JKPHN.2019.33.1.47
  23. Ra, J. S., Jeong, Y. H. (2019). Risk factors for overweight and obesity of Korean preschool children: Based on the ecological model. Journal of Korean Public Health Nursing, 33(2), 175-187. https://doi.org/10.5932/JKPHN.2019.33.2.175
  24. Rosati, P., Triunfo, S., Zucchetti, F., Gorca, C., Chini, R., & Campana, R. (2014). Screening of obesity, overweight and thinness in a children population in Rome, Italy. Minerva Pediatrica, 66(3), 201-207.
  25. Sabhaney, V., Boutis, K., Yang, G., Barra, L., Tripathi, R., Tran, T. T., & Doan, Q. (2014). Bone fractures in children: Is there an association with obesity?. The Journal of Pediatrics, 165(2), 313-318. https://doi.org/10.1016/j.jpeds.2014.04.006.
  26. Schonbeck, Y., Van Dommelen, P., HiraSing, R. A., & van Buuren, S. (2015). Thinness in the era of obesity: Trends in children and adolescents in The Netherlands since 1980. The European Journal of Public Health, 25(2), 268-273. doi:10.1093/eurpub/cku130
  27. Shields, M., & Tremblay, M. S. (2010). Canadian childhood obesity estimates based on WHO, IOTF and CDC cut-points. International Journal of Pediatric Obesity, 5(3), 265-273. https://doi.org/10.3109/17477160903268282
  28. World Health Organization. (2014). Obesity. Retrieved from http://www.who.int/topics/obesity/en/ DOI: 10.3109/17477160903268282
  29. Schienkiewitz, A., Damerow, S., & Schaffrath Rosario, A. (2018). Prevalence of underweight, overweight and obesity among children and adolescents in Germany. KiGGS Wave 2 results according to international reference systems. Journal of Health Monitoring, 3(3), 56-69. DOI: 10.17886/RKI-GBE-2018-087