DOI QR코드

DOI QR Code

Comparison of Adolescents' Subjective Health Status, Physical Activity Index, and Perceived Stress Rate: Propensity Matching Analysis of Obese and Non-obese Groups

  • Eun-Ju Kim (Department of Nursing, Jeonbuk Science College) ;
  • Seong Hui Choi (Department of Nursing, Jeonbuk Science College) ;
  • Sun Young Park (Department of Nursing, Gradute School Doctoral Program of Chung-Ang University)
  • Received : 2024.03.18
  • Accepted : 2024.03.29
  • Published : 2024.03.31

Abstract

Objective: This study aimed to compare the subjective health status, physical activity index, and perceived stress rate of obese children with those of healthy children through propensity matching analysis and to use the results to help manage obese children. Design: Descriptive correlation study. Methods: This study conducted a secondary analysis using raw data from the National Health and Nutrition Examination Survey. Propensity matching (1:2) was conducted between obese and healthy adolescents. Results: The number of days of physical activity was 1.22 days for the obese adolescent group and 1.01 days for the non-obese adolescent group, which was higher in the obese group (p=0.003). The subjective health status was 3.43 and 3.81 in the obese and non-obese adolescent groups, respectively, showing a higher difference in the normal group (p<0.001). No statistical difference was observed in the perceived stress rate (p=0.871) or strength exercises (p=0.190) between the two groups. Conclusion: This study suggests the need for development measures to effectively improve youth physical activity, muscle-strengthening programs, stress management, and subjective health status in obese and normal groups.

Keywords

References

  1. Korea Disease Control and Prevention Agency, Ministry of Education. Annual report of 17th Korea Youth Risk Behavior Survey, 2021 (Korean) [cited 2022 Nov 2]. Available from: https://www.kdca.go.kr/yhs/home.jsp. 
  2. Kim BJ, Sin JE, Lee MH. Physical activity and obesity risk of adolescents : Based on 12th(2016) Korea Youth Risk Behavior Web-based Survey (KYRBS). Journa Sport Leis Studies. 2017;70:635-47  https://doi.org/10.51979/KSSLS.2017.11.70.635
  3. Guo RF, Ward PA. Mediators and regulation of neutrophil accumulation in inflammatory responses in lung: insights from the IgG immune complex model. Free Radical Biology and Medicine. 2002;33(3):303-10.  https://doi.org/10.1016/S0891-5849(02)00823-7
  4. Sung EJ, Shin TS. The effect of overweight to cardiovascular risk factors among Korean adolescents. Korean Journal of Family Medicine. 2003;24(11):1017-25. 
  5. Ha YM, Yang SK. Factors affecting on depressive symptom in overweight or obese children. Journal of Health Informatics and Statistics. 2015;40(3):20-31. 
  6. Kim SK, Choi SG, Kim HK. Multilevel factors associated with adolescents' obesity: Analysis of 2017-2019 Korea Youth Risk Behavior Survey data. Korean Journal of Education and Health Promotion. 2021;38(1):13-24.  https://doi.org/10.14367/kjhep.2021.38.1.13
  7. Latham K, Peek C. W. Self-rated health and morbidity onset among late midlife US adults. Journal of gerontology. Psychological sciences. 2012;68(1):107-16.  https://doi.org/10.1093/geronb/gbs104
  8. Kim JH, Jung IK. Relationships among physical education class, physical activity, and health-related factor in male adolescents. Journal of Korean Association for Learner-Centered Curriculum and Instruction. 2018;18(9):757-79.  https://doi.org/10.22251/jlcci.2018.18.9.757
  9. Zametkin AJ, Zoon CK, Klein HW, Munson S. Psychiatric aspects of child and adolescent obesity: a review of the past 10 years. Journal of the American Academy of Child & Adolescent Psychiatry. 2004;43(4):134-641.  https://doi.org/10.1097/00004583-200402000-00008
  10. Nam SJ, Park JH. Depression and stress related to obesity among normal, obese, and severe obese groups Comparison among normal, obesity, and severe obesity groups. Korean Association of Human Ecology. 2012;21(6):1199-1210.  https://doi.org/10.5934/KJHE.2012.21.6.1199
  11. Ahn JS, Kim HJ. A study on the determinants of children and adolescents' health inequality in Korea. Journal of Applied Reliability. 2013;24(2):205-31. 
  12. Choi JW. The Effects of COVID-19 pandemic on the mental health of the general public and children and adolescents and supporting measures. Journal of Korean Neuropsychiatric Association. 2021;60(1):2-10.  https://doi.org/10.4306/jknpa.2021.60.1.2
  13. World Health Organization, T. Global recommendations on physical activity for health. World Health Organization, 2010. 
  14. Jung SM. Research on analysis of physical activity participation time, physical strength level, and health status of children and adolescents visiting obesity clinics Jeju: Jeju National University; 2016. 
  15. Cho KJ, Koh SM. The effects of aerobic exercise on the body composition and physical activity promotion system(PAPS) in obese children. Journal of Korea Entertainment Industry Association. 2014;8(2):197-203.  https://doi.org/10.21184/jkeia.2014.06.8.2.197
  16. Guinhouya BC, Samouda H, Zitouni D, Vilhelm C, Hubert H. Evidence of the influence of physical activity on the metabolic syndrome and/or on insulin resistance in pediatric populations: A systematic review. International Journal of Pediatric Obesity. 2011;6(56):361-88.  https://doi.org/10.3109/17477166.2011.605896
  17. Ahn S, Fedewa AL. A meta-analysis of the relationship between children's physical activity and mental health. Journal of Pediatric Psychology. 2011;36(4):385-97.  https://doi.org/10.1093/jpepsy/jsq107
  18. Kown M, Lee JH. Physical activity and suicidal thoughts in male and female adolescents. Journal of the Korean Society of School Health. 2017;30(3):325-35.  https://doi.org/10.15434/KSSH.2017.30.3.325
  19. Mark O Goodarzi, Genetics of obesity: what genetic association studies have taught us about the biology of obesity and its complications. Lancet Diabetes Endocrinol. 2018;6(3):223-6.  https://doi.org/10.1016/S2213-8587(17)30200-0
  20. Kim SY, Baek JI. On logistic regression analysis using propensity score matching. Journal of the Applied Reliability. 2016;16(4):323-3 
  21. The Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-2), Korea Centers for Disease Control and Prevention; 2020. 
  22. The Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-2), Korea Centers for Disease Control and Prevention; 2022. 
  23. Rosenbaum PR, Rubin DB. Constructing a control group using multivariate matched sampling methods that incorporate the propensity score. The American Statistician. 1985;39(1):33-8.  https://doi.org/10.1080/00031305.1985.10479383
  24. LIM KB, Kim BJ. Obesity and fitness and their relationships with physical self-concept, intrinsic motivation and stress in physical education. International Journal of Human Movement and Sports Sciences. 2014;53(1):131-42. 
  25. Ahn YD, Shin JH. A study on the life satisfaction according to exercise types in obese women. Journal of Korea Entertainment Industry Association. 2017;17(7):191-200.