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http://dx.doi.org/10.3345/kjp.2008.51.12.1310

Prevalence of obesity, hypertension, and hyperlipidemia in Gunpo children of low economic status  

Yi, Kyung Hee (Department of Pediatrics, Sanbon Medical Center, Wonkwang University)
Publication Information
Clinical and Experimental Pediatrics / v.51, no.12, 2008 , pp. 1310-1314 More about this Journal
Abstract
Purpose : This study aimed to assess the prevalence of obesity, hypertension, and hyperlipidemia in children from low-income families in Gunpo and to evaluate whether economic status affects the prevalence of obesity. Methods : Between October 2007 and March 2008, 341 children (167 girls and 174 boys; age, 6 to 13 years) were enrolled in this study. All these children came from families who earned minimum wages and who were supported by government. We measured height, weight, and blood pressure and performed laboratory examinations, including total cholesterol, high-density lipoprotein cholesterol, and triglycerides. Body mass index (BMI) was calculated using weight and height. We compared the prevalence of obesity, hypertension, and hyperlipidemia in children from low-income families with the prevalence of these maladies found in other studies. Results : Prevalence of obesity ($BMI{\geq}95^{th}$) was 7.1%. Prevalence of hypertension and hyperlipidemia was 8.2% and 16.7%, respectively. In the obese group, prevalence of hypertension and hyperlipidemia was 25.0% and 45.8%, respectively. Obesity and hyperlipidemia were slightly more frequent in our study than those found in other reports, and the prevalence of hypertension in the obese group was very high compared with statistics from the Korean National Health and Nutrition Examination Survey (25% vs. 19.5%) and those from other reports. Conclusion : Low-income status was associated with an increased incidence of obesity, hyperlipidemia, and hypertension. Hypertension showed an especially strong association with economic status, which seemed to correlate with genetic, environmental, and dietary effects.
Keywords
Low income; Hypertension; Obesity; Hyperlipidemia; Children;
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1 Stark O, Atkins E, Wolff OH, Douqlas JW. Longitudinal study of obesity in the National Survey of Health and Development. Br Med J (Clin Res Ed) 1981;283:13-7   DOI
2 Dietz WH Jr. Childhood obesity; susceptibility, cause, and management. J Pediatr 1983;103:676-86   DOI
3 Kim MJ, Kang JS, Go JW, Hong YJ, Ahn DH, Paek DM, et al. The percentiles of body mass index and trend of obesity in schoolage children in Seoul. J Korean Pediatr Soc 1999; 42:1-9
4 Kim MH, Kim TW, Hong YJ, Son BK, Pai SH, Chang KJ, et al. The prevalence of obesity and underweight in adolescents in Incheon area and the relationship between serum cholesterol level and obesity. J Korean Pediatr Soc 2002;45: 174-82
5 Cho YM, Lee DW, Cha SH, Lee JK, Hong CH, Yang SW. The prevalence of childhood hyperlipidemia in Seoul area. Proceedings of the 44th Annual Meeting of Korean Pediatric Society; 1994 Oct 21-22; Seoul. Seoul :The Korean Pediatric Society, 1994:13-5
6 So DJ. A study on the salt intake amount of children in urban crea. Jeonju: Chonbuk National Univ. 1988
7 Kim HM, Park J, Kim HS, Kim DH. Prevalence of the metabolic syndrome in Korean adolescents aged 12-19 years from the Korean National Health and Nutrition Examination survey 1998 and 2001. Diabetes Res Clin Pract 2007;75:111-14   DOI   ScienceOn
8 Epstein LH, Wing RR, Valoski A. Childhood obesity. Pediatr Clin North Am 1985;32:363-79   DOI
9 Cook S, Weitzman M, Auinger P, Nguyen M, Dietz WH. Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994. Arch Pediatr Adolesc Med 2003;157:821-7   DOI   ScienceOn
10 Lim S, Park KS, Lee HK, Cho SI. Changes in the characteristics of metabolic syndrome in Korea over the period 1998- 2001 as determined by Korean National Health and Nutrition Examination Surveys. Diabetes Care 2005;28:1810-2   DOI   ScienceOn
11 Dietz WH, Bellizzi MC. Introduction : the use of body mass index to assess obesity in children. Am J Clin Nutr 1999;70: 123S-5S   DOI
12 Duncan GE, Li SM, Zhou XH. Prevalence and trends of a metabolic syndrome phenotype among U.S. adolescents, 1999-2000. Diabetes Care 2004;27:2438-43   DOI   ScienceOn
13 Seo JH. The prevalence of childhood and adolescent obesity in Jeju and clinical characteristics according to the degree of obesity. Korean J Pediatr 2004;47:362-7
14 Ahn HS. Hong chang yee textbook of pediatrics. 9th ed. Seongnam : Daehan Printing & Publishing Co, Ltd, 2007: 662-748
15 McLaren L. Socioeconomic status and obesity. Epidemiol Rev 2007;29:29-48   DOI   ScienceOn
16 Dahl LK, Leitl G, Heine M. Influence of dietary potassium and sodium/potassium molar ratios on the development of salt hypertension. J Exp Med 1972;136:318-30   DOI   ScienceOn
17 Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide :International survey. BMJ 2000;320:1240-3   DOI   ScienceOn
18 Burns TL, Moll PP, Lauer RM. Increased familial cardiovascular mortality in obese schoolchildren : The Muscatine Ponderosity Family Study. Pediatrics 1992;89:262-8
19 Cho SJ, Park SJ, Hwang IT, Hong YM. Risk factors for cardiovascular disease in obese children. J Korean Pediatr Soc 2001;44:493-500
20 Moon JS, Lee SY, Nam CM, Choi JM, Choe BK, Seo JW, et al. 2007 Korean National Growth Chart ; review of developmental process and outlook. Korean J Pediatr 2008;51:1-25   DOI   ScienceOn
21 Ni H, Wu C, Prineas R, Shea S, Liu K, Kronmal R, Bild D. comparison of Dianamap PRO-100 and mercury sphygmomanometer blood pressure measurements in a populationbased study. Am J Hypertens 2006;19:353-60   DOI   ScienceOn
22 Task Force on Blood Pressure Control in Children. National Heart, Lung, and Blood Institute, Bethesda, Maryland. Report the second task force on blood pressure control in children---1987. Pediatrics 1987;79:1-25
23 Lee JY, Kim BT, Pyon BY, Lee DH, Shin SM, Lee SJ. The prevalence of childhood and adolescent obesity over the last 2 years in Seoul area. Proceedings of the 42th Annual Meeting of Korean Pediatric Society;1992 Oct 16-17; Seoul. Seoul : Korean Pediatric Society Korea 1992:208
24 Fernald LC. Socio-economic status and body mass index in low-income Mexican adults. Soc Sci Med 2007;64:2030-42   DOI   ScienceOn