DOI QR코드

DOI QR Code

The effect of affecting Dietary Self-Efficacy and Physical Activity Self-Efficacy on Health-Promoting Lifestyle in school-age obese children

학령기 비만아동의 식이자기효능감과 운동자기효능감이 생활습관에 미치는 영향

  • Received : 2021.07.30
  • Accepted : 2021.08.20
  • Published : 2021.08.31

Abstract

This study was conducted to identify the factors affecting the health-promoting lifestyle of the school-age obese children. Method: Data Collection for this study was conducted form July 20 to August 2, 2019 using a structured questionnaire. We analyzed the collected data by frequency, percentage, ANOVA, t-test, Pearson's Correlation Coefficient, and Multiple Regression Analysis. Results: The factors affecting the health-promoting lifestyle of the subjects, multiple regression analysis results showed that Dietary Self-Efficacy(𝛽=.406, p=.001), Physical Activity Self-Efficacy(𝛽=.245, p=.038), Furthermore, the F statistics for the fitness of the estimated regression model were 6.34(p<.001), which was significant. The explanatory power was 24.2%. Conclusion: The results of this study showed that Dietary Self-Efficacy and Physical Activity Self-Efficacy of the school-age obese children was the most influential factor on health-promoting lifestyle. Consequently, the results of this study suggest that it is necessary to find ways to improve Dietary Self-Efficacy and Physical Activity Self-Efficacy in order to improve health-promoting lifestyle of nurses, and it is considered to be useful as basic data for developing intervention programs to improve health-promoting lifestyle.

본 연구는 학령기 비만아동의 생활습관, 식이자기효능감 및 운동자기효능감의 관계와 생활습관에 미치는 영향요인을 확인하기 위한 서술적 조사연구이다. 연구대상자는 G광역시에 소재하는 3개 초등학교의 비만아동 85명이었고 2019년 7월 20일부터 8월 2일까지 자료를 수집하였으며, 구조화된 설문지를 이용하여 조사하였다. 수집된 자료는 SPSS 27.0 프로그램을 이용하여 빈도와 백분율, ANOVA, t-test, Pearson's correlation coefficient, Multiple regression analysis로 분석하였다. 대상자의 생활습관에 미치는 영향요인을 확인하기 위하여 다중회귀분석한 결과, 식이자기효능감(𝛽=.406, p=.001)이 큰 영향을 미치는 변수로 나타났고, 운동자기효능감(𝛽=.245, p=.038)이 그 다음 순서로 나타났다. 또한 추정된 회귀모형의 적합도에 대한 F통계량은 6.34(p<.001)로 유의하였고, 설명력은 24.2%였다. 따라서 비만아동의 생활습관을 향상시키기 위해서는 식이자기효능감과 운동자기효능감을 높일 수 있는 방안을 모색해야 하며, 본 연구는 비만아동 생활습관 향상을 위한 프로그램을 개발하는데 기초자료로 활용될 것으로 사료된다.

Keywords

References

  1. B. R. Jeong, "A study on the factors affecting obesity in pediatric youth", Unpublished master's thesis, Chung-Ang University, Seoul, (2020).
  2. Korea Ministry of Education. Announcement of 2019 samples analysis results of primary.middle.high school students physical development and health examination [Internet]. Sejong: Ministry of Education. [cited Jun., 20, 2021] Available From: https://moe.go.kr/boardCnts/view.do?boardID=294&boardSeq=81310&lev=0&searchType=S&statusYN=W&page=1&s=moe&m=020402&opType=N.
  3. S. R. Lee, J. H. Kim, "The effect of obesity on the adolescent development in Korea", Journal of Youth Welfare, Vol. 13, No. 4, pp. 91-117, (2011).
  4. I. S. Cho, H. S. Ryu, "The effect of community based participatory obesity management program in obese school children", Journal of the Korean Applied Science and Technology, Vol. 32, No. 4, pp. 737-745, (2017).
  5. Medical Guidelines Committee of The Korean Journal of Obesity, "2018 Korean society for the study of obesity guideline for the management of obesity in Korea", The Korean Journal of Obesity, Vol. 28, No. 1, pp. 40-45, (2019).
  6. S. Kuhle, S. F. Kirk, A. Ohinmaa, P. J. Veugelers, "Comparison of ICD code-based diagnosis of obesity with measured obesity in children and the implications for health care cost estimates BMC", Medical Research Methodology, Vol. 11, p. 173, (2011). https://doi.org/10.1186/1471-2288-11-173
  7. D. Sheslow, S. Hassink, W. Wallace, E. Delancey, "The relationship between self-esteem and depression in obesity children", Annals of the New York Academy Sciences, Vol. 699, pp. 289-291, (1993). https://doi.org/10.1111/j.1749-6632.1993.tb18869.x
  8. S. J. Yang, S. H. Jang, S. J. Kim, "Physical activities and health belief of elementary school students for obesity prevention and management among elementary school students", Journal of Korean Public Health Nursing, Vol. 26, No. 2, pp. 227-238, (2012). https://doi.org/10.5932/JKPHN.2012.26.2.227
  9. S. M. Nam, "Effects of club obesity management program for obese children on body composition, self efficacy, and health promotion", Journal of Korean Public Health Nursing, Vol. 27, No. 3, pp. 619-632, (2013). https://doi.org/10.5932/JKPHN.2013.27.3.619
  10. Korean Society for the Study of Obesity, "Management of obesity, 2010 recommendation", Endocrinology and Metabolism, Vol. 25, No. 4, pp. 301-304, (2010). https://doi.org/10.3803/EnM.2010.25.4.301
  11. I. J. Hwang, "Development and evaluation of the program to promote obesity prevention behaviors for pre-schoolers in Korea", Unpublished master's thesis, Seoul National University, Seoul, (2019).
  12. F. Campbell, "Self-determination, self-efficacy and successful self regulation of weight", Unpublished doctoral dissertation, University of Southcarolina, Southcarolina, (1990).
  13. Y. S. Kim, S. S. Lee, S. H. Oh, "Effect of exercise and diet control program for obese children", Journal of Korean Society of Food Science and Nutrition, Vol. 5, No. 2, pp. 214-224, (1996).
  14. A. Bandura, Self efficacy: Social foundation of thought and action. A Social Cognitive Theory, Prentice-Hall Inc., (1987).
  15. C. M. Lee, "The effect of health belief and self-efficacy on weight-control behavior and intention to obesity control among elementary schoolers" Unpublished master's thesis, Daegu Catholic University, Daegu, (2004).
  16. M. H. Kim, "A study on the relations of health proting daily live style and self-efficiency about boy's obesity", Unpublished master's thesis, Chung-Ang University, Seoul, (2000).
  17. Y. J. Park, "Development and effect of childhood obesity management program by applied nudge-based on ecological model-", Unpublished doctoral dissertation, Daejeon University, Daejeon, (2018).
  18. J. J. Martin, The relationships among competitive orientation, short-term psychotherapy, New York: Grune & Strtton, (1991).
  19. Y. H. Jo, "Development of group counseling program based on individual psychology to improve self-efficacy and decrease in body mass index(BMI) of Overweight children", Unpublished master's thesis, Education Korea National University of Education, Chung-Buk, (2016).
  20. J. K. Jeon, J. I. Lee, "Obese children's self-efficiency feeling and health promotion behavior", The Journal of Korean Society of Physical Therapy, Vol. 14, No. 2, pp. 199-218, (2002).
  21. H. G. Moon, "Improvement of physical self-efficacy in obese elementary school students with running program", Unpublished master's thesis, Major of Physical Educational University, Seoul, (2005).
  22. F. Faul, E. Erdfelder, A. Buchner, A. G. Lang, "Statistical Power Analyses Using G*Power 3.1: Tests for Correlation and Regression Analyses", Behavior Research Methods, Vol. 41, pp. 1149-1160, (2009). https://doi.org/10.3758/BRM.41.4.1149
  23. K. S. Park, "Relationship between self-efficacy and health-promoting lifestyle in school-age obese children", Unpublished master's thesis, Chosun University, Gwangju, (2002).
  24. S. J. Choi, "Dietary self-efficacy & physical activity self-efficacy among elementary school children", Unpublished master's thesis, Seoul National University, Seoul, (1998).
  25. Y. A. Kim, Y. K. Chung, K. S. Kim, "A study on the relations of health promoting daily life style and self-efficiency in boys' high", The Journal of the Korean Society of School Health, Vol. 13, No. 2, pp. 241-259, (2000).
  26. E. H. Huh, Y. K. Chung, S. G. Yeoum, "A study on the relations between a health promoting daily life style and self-efficiency in university students", The Journal of The Korean Society of School Health, Vol. 11, No. 2, pp. 203-215, (1998).
  27. I. S. Cho, H. S. Ryu, "Effects of integrated obesity management program on obese elementary school children", Journal of the Korean Applied Science and Technology, Vol. 37, No. 5, pp. 1378-1389, (2020). https://doi.org/10.12925/JKOCS.2020.37.5.1378
  28. M. J. Tak, "The comparison of mental health and life-style between normal-weight and obese children", Unpublished master's thesis, Sunchon National University, Sunchon, (2009).
  29. N. S. Seo, Y. H. Kim, H. Y. 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, Vol. 35, No. 3, pp. 611-620, (2005). https://doi.org/10.4040/jkan.2005.35.3.611
  30. H. S. Ryu, I. S. Cho, "Parent-related factors affecting obesity and overweight in school-aged children, Journal of the Korean Applied Science and Technology, Vol. 35, No. 1, pp. 223-234, (2018).
  31. G. S. Choi, Y. Chung, "Degree of obesity and obesity related factors in school aged children", Korean Business Review, Vol. 1, No. 1, pp. 1-20, (2008).
  32. W. H. Hong, J. M. Kim, "The determinants of health promoting in high school students", The Journal of Korean Community Nursing, Vol. 10, No. 2, pp. 330-346, (1999).
  33. B. J. Woo, H. K. Lee, "Effects of health perception, self-efficacy and social support of college students on the health promotion behaviors", Journal of Korean Applied Science and Technology, Vol. 36, No. 4, pp. 1290-1302, (2019).