DOI QR코드

DOI QR Code

Combined effects of sugar-sweetened beverage consumption, screen-based sedentary behavior, and sleep duration on South Korean adolescent obesity: a cross-sectional study

  • 투고 : 2023.11.22
  • 심사 : 2024.01.09
  • 발행 : 2024.04.30

초록

Purpose: This study examined the combined effects of sugar-sweetened beverage (SSB) consumption, screen-based sedentary behaviors, and sleep duration on adolescent obesity. Methods: It followed a cross-sectional study design and conducted secondary analysis on data from 20,497 high school students who participated in the 17th (2021) Korea Youth Risk Behavior Web-based Survey. This study underwent logistic regression analysis in complex sampling analysis. Results: The combinations of low and medium consumption of SSBs, excessive screen-based sedentary behaviors, and short sleep durations were associated with a 1.18 and 1.12 fold increased likelihood of obesity (95% confidence interval [CI]=1.03-1.35) and (95% CI=1.02-1.22), respectively. The combination of high SSB consumption, appropriate screen-based sedentary behaviors, and short sleep duration (adjusted odds ratio [aOR]=1.15, 95% CI=1.01-1.31) and high SSB consumption, excessive screen-based sedentary behaviors, and short sleep duration (aOR=1.40, 95% CI=1.16-1.69) were associated with obesity. Conclusion: Integrated and tailored programs considering combination patterns of SSB consumption, screen-based sedentary behaviors, and short sleep duration need to be developed for preventing adolescent obesity.

키워드

과제정보

This study was supported by a National Research Foundation of Korea (NRF) grant funded by the Korean government (No. 2021R1A2C100682811).

참고문헌

  1. Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. Journal of Family Medicine and Primary Care. 2015;4(2):187-192. https://doi.org/10.4103/2249-4863.154628
  2. Lobstein T, Brinsden H. Atlas of childhood obesity. World Obesity Federation; 2019. p. 7.
  3. Park E, Ko Y. Trends in Obesity and Obesity-Related Risk Factors among Adolescents in Korea from 2009 to 2019. International Journal of Environmental Research and Public Health. 2022;19(9):5672. https://doi.org/10.3390/ijerph19095672
  4. Nicolucci A, Maffeis C. The adolescent with obesity: what perspectives for treatment? Italian Journal of Pediatrics. 2022;48(1):9. https://doi.org/10.1186/s13052-022-01205-w
  5. Cabral ET, Coelho P, Rodrigues F. Obesity in childhood and adolescence. European Chemical Bulletin. 2023;12(Special Issue 6): 517-521.
  6. Gan WY, Mohamed SF, Law LS. Unhealthy lifestyle associated with higher intake of sugar-sweetened beverages among Malaysian school-aged adolescents. International Journal of Environmental Research and Public Health. 2019;16(15):2785. https://doi.org/10.3390/ijerph16152785
  7. Southerland JL, Dula TM, Slawson DL. Barriers to healthy eating among high school youth in rural southern Appalachia. Journal of Appalachian Health. 2019;1(2):31-43. https://doi.org/10.13023/jah.0102.04
  8. Ra JS, Park M. Sex-based differences in factors associated with sugar-sweetened beverage consumption among Korean high school students. Frontiers in Nutrition. 2022;9:907922. https://doi.org/10.3389/fnut.2022.907922
  9. Haghjoo P, Siri G, Soleimani E, Farhangi MA, Alesaeidi S. Screen time increases overweight and obesity risk among adolescents: a systematic review and dose-response meta-analysis. BMC Primary Care. 2022;23(1):161. https://doi.org/10.1186/s12875-022-01761-4
  10. American Academy of Pediatrics. Committee on Public Education. American Academy of Pediatrics: children, adolescents, and television. Pediatrics. 2001;107(2):423-426. https://doi.org/10.1542/peds.107.2.423
  11. Kim KM, Lee I, Kim JW, Choi JW. Dietary patterns and smartphone use in adolescents in Korea: a nationally representative cross-sectional study. Asia Pacific Journal of Clinical Nutrition. 2021;30(1):163-173. https://doi.org/10.6133/apjcn.202103_30(1).0019
  12. Wheaton AG, Claussen AH. Short sleep duration among infants, children, and adolescents aged 4 months-17 years - United States, 2016-2018. MMWR Morbidity and Mortality Weekly Report. 2021;70(38):1315-1321. https://doi.org/10.15585/mmwr.mm7038a1
  13. Park GR, Kim J. Short sleep duration and adolescent health: does weekend catch-up sleep work and for whom? Public Health. 2023;214:91-95. https://doi.org/10.1016/j.puhe.2022.11.008
  14. Kang S, Seo MY, Kim SH, Park MJ. Changes in lifestyle and obesity during the COVID-19 pandemic in Korean adolescents: based on the Korea Youth Risk Behavior Survey 2019 and 2020. Annals of Pediatric Endocrinology & Metabolism. 2022;27(4): 281-288. https://doi.org/10.6065/apem.2142228.114
  15. Friel CP, Duran AT, Shechter A, Diaz KM. U.S. children meeting physical activity, screen time, and sleep guidelines. American Journal of Preventive Medicine. 2020;59(4):513-521. https://doi.org/10.1016/j.amepre.2020.05.007
  16. Shahdadian F, Boozari B, Saneei P. Association between short sleep duration and intake of sugar and sugar-sweetened beverages: a systematic review and meta-analysis of observational studies. Sleep Health. 2023;9(2):159-176. https://doi.org/10.1016/j.sleh.2022.07.006
  17. Li W, Wu M, Yuan F, Zhang H. Sugary beverage consumption mediates the relationship between late chronotype, sleep duration, and weight increase among undergraduates: a cross-sectional study. Environmental Health and Preventive Medicine. 2018;23(1):63. https://doi.org/10.1186/s12199-018-0754-8
  18. Williams EP, Mesidor M, Winters K, Dubbert PM, Wyatt SB. Overweight and obesity: prevalence, consequences, and causes of a growing public health problem. Current Obesity Report. 2015;4(3):363-370. https://doi.org/10.1007/s13679-015-0169-4
  19. Hoffman MA, Driscoll JM. Health promotion and disease prevention: a concentric biopsychosocial model of health status. In: Brown SD, Lent RW, editors. Handbook of Counseling Psychology. 3rd ed. John Wiley & Sons Inc; 2000. p. 532-567.
  20. Koo HY, Lee EK. Factors associated with obesity among Korean adolescents based on the Seventh Korea National Health and Nutrition Examination Survey (2016). Child Health Nursing Research. 2019;25(1):28-37. https://doi.org/10.4094/chnr.2019.25.1.28
  21. Mireku MO, Rodriguez A. Family income gradients in adolescent obesity, overweight and adiposity persist in extremely deprived and extremely affluent neighbourhoods but not in middle-class neighbourhoods: evidence from the UK millennium cohort study. International Journal of Environmental Research and Public Health. 2020;17(2):418. https://doi.org/10.3390/ijerph17020418
  22. Quek YH, Tam WWS, Zhang MWB, Ho RCM. Exploring the association between childhood and adolescent obesity and depression: a meta-analysis. Obesity Reviews. 2017;18(7):742-754. https://doi.org/10.1111/obr.12535
  23. van der Valk ES, Savas M, van Rossum EFC. Stress and obesity: are there more susceptible individuals? Current Obesity Reports. 2018;7(2):193-203. https://doi.org/10.1007/s13679-018-0306-y
  24. Escriva D, Moreno-Latorre E, Caplliure-Llopis J, Benet I, Barrios C. Relationship of overweight and obesity with body self-image dissatisfaction in urban mediterranean adolescents. International Journal of Environmental Research and Public Health. 2021;18(15):7770. https://doi.org/10.3390/ijerph18157770
  25. Chen S, Zhang X, Du W, Fan L, Zhang F. Association of insufficient sleep and skipping breakfast with overweight/obesity in children and adolescents: findings from a cross-sectional provincial surveillance project in Jiangsu. Pediatric Obesity. 2022;17(11):e12950. https://doi.org/10.1111/ijpo.12950
  26. Mohammadbeigi A, Asgarian A, Moshir E, Heidari H, Afrashteh S, Khazaei S, et al. Fast food consumption and overweight/obesity prevalence in students and its association with general and abdominal obesity. Journal of Preventive Medicine and Hygiene. 2018;59(3):E236-E240. https://doi.org/10.15167/2421-4248/jpmh2018.59.3.830
  27. Nepal G, Tuladhar ET, Dahal S, Ahamad ST, Adhikari S, Kandel A. Lifestyle practices and obesity in Nepalese youth: a cross-sectional study. Cureus. 2018;10(2):e2209. https://doi.org/10.7759/cureus.2209
  28. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC; Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Medicine. 2007;4(10):e296. https://doi.org/10.1371/journal.pmed.0040296
  29. Kim JH, Yun S, Hwang SS, Shim JO, Chae HW, Lee YJ, et al. The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects. Korean Journal of Pediatrics. 2018;61(5):135-149. https://doi.org/10.3345/kjp.2018.61.5.135
  30. Ra JS. Consumption of sugar-sweetened beverages and fast foods deteriorates adolescents' mental health. Frontiers in Nutrition. 2022;9:1058190. https://doi.org/10.3389/fnut.2022.1058190
  31. Paruthi S, Brooks LJ, D'Ambrosio C, Hall WA, Kotagal S, Lloyd RM, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. Journal of Clinical Sleep Medicine. 2016;12(6): 785-786. https://doi.org/10.5664/jcsm.5866
  32. Yang YJ. An overview of current physical activity recommendations in primary care. Korean Journal of Family Medicine. 2019;40(3):135-142. https://doi.org/10.4082/kjfm.19.0038
  33. Magriplis E, Michas G, Petridi E, Chrousos GP, Roma E, Benetou V, et al. Dietary sugar intake and its association with obesity in children and adolescents. Children (Basel). 2021;8(8):676. https://doi.org/10.3390/children8080676
  34. Arango-Angarita A. Mendez-Gomez-Humaran I, Guerrero-Lopez CM, Shamah-Levy T. Is store density associated with sugar-sweetened beverages consumption and overweight or obesity in Mexican adolescents? Pediatric Obesity. 2022;17(1):e12838. https://doi.org/10.1111/ijpo.12838
  35. Sampasa-Kanyinga H, Hamilton HA, Chaput JP. Sleep duration and consumption of sugar-sweetened beverages and energy drinks among adolescents. Nutrition. 2018;48:77-81. https://doi.org/10.1016/j.nut.2017.11.013
  36. Carson V, Faulkner G, Sabiston CM, Tremblay MS, Leatherdale ST. Patterns of movement behaviors and their association with overweight and obesity in youth. International Journal of Public Health. 2015;60(5):551-559. https://doi.org/10.1007/s00038-015-0685-8
  37. Park HK, Lim JS. Change of obesity prevalence and lifestyle patterns before and during COVID-19 among Korean adolescents. Annals of Pediatric Endocrinology & Metabolism. 2022;27(3):183-191. https://doi.org/10.6065/apem.2244116.058
  38. Kim BY, Kang SM, Kang JH, Kang SY, Kim KK, Kim KB, et al. 2020 Korean Society for the study of obesity guidelines for the management of obesity in Korea. Journal of Obesity & Metabolic Syndrome. 2021;30(2):81-92. https://doi.org/10.7570/jomes21022