Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Assessment of dietary quality and nutrient intake of obese children in Changwon area

  • Ji-Sook, Park (Department of Food and Nutrition, Changwon National University) ;
  • Ha-Neul, Choi (Department of Food and Nutrition, Changwon National University) ;
  • Jae-Young, Kim (Department of Pediatrics, Gyeongsang National University Changwon Hospital) ;
  • Sang-Hyuk, Ma (Department of Pediatrics, Changwon Fatima Hospital) ;
  • Jung-Eun, Yim (Department of Food and Nutrition, Changwon National University)
  • Received : 2022.10.05
  • Accepted : 2022.12.08
  • Published : 2022.12.31
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Abstract

Purpose: In this study, we assessed the intake of nutrients and food groups and analyzed the nutrition quotient of obese children in South Korea. The hypothesis was that dietary quality and nutrient intake are related to the body mass index (BMI) of obese children. Methods: The participants included 48 children (20 boys and 28 girls). Based on the guidelines for the age-for-body mass index provided by the Korean National Growth Charts for children and adolescents, the participants were divided into 3 groups: overweight, BMI ≥ 85th percentile; obese, BMI ≥ 95th percentile; severely obese, BMI ≥ 99th percentile. Results: The energy distribution showed that the carbohydrate ratio was significantly higher in the overweight group (p < 0.01), whereas the fat ratio was significantly higher in the obese and severely obese groups (p < 0.05). Thus, in the overweight and obese groups, the percent body fat was negatively associated with the carbohydrate ratio (p < 0.05) but was positively associated with the fat ratio (p < 0.05). The Dietary Reference Intakes (DRI) data revealed that the intake levels of protein, vitamin B1, vitamin B12, and sodium were higher in all groups. Intakes of fiber, calcium, potassium, and magnesium were insufficient in all groups, and the DRI percent for protein was significantly higher in the obese and severely obese groups than in the overweight group. No significant differences were obtained in food group patterns or Nutrition Quotient (NQ) scores among the 3 groups. According to the evaluation results by food record and NQ, a significant difference was obtained in the dietary quality of obese children. Conclusion: We conclude that a higher intake of fat enhances weight gain. Based on the study results, we propose that the guidelines should consider the energy distribution of carbohydrate and fat intake to prevent and control obesity among Korean children.

Keywords

Acknowledgement

This research was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (NRF 2019R1F1A1059750)].

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