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http://dx.doi.org/10.3345/kjp.2009.52.12.1311

Obesity in children and adolescents  

Seo, Jeong Wan (Department of Pediatrics School of Medicine, Ewha Womans University)
Publication Information
Clinical and Experimental Pediatrics / v.52, no.12, 2009 , pp. 1311-1320 More about this Journal
Abstract
Childhood obesity has rapidly increased in Korea during the past 20-30 years. Approximately 1 of 10 children and adolescents is obese. Appropriate prevention and intervention measures urgently need. Obesity prevention starts early in life, i.e., obesity prevention and education begins during the period of fetal development in utero. Behavioral changes are the most positively reflected during pregnancy. Infants should be fed breast milk, and inculcated with healthy eating and behavioral habits during infancy to ultimately establish a healthy lifestyle in children. For achieving a lifestyle and behavior that successfully allow children to overcome obesity, although individual motivation is important, active support of parents and family members is also imperative. Health care providers should also make an effort to actively prevent obesity and take necessary intervention actions. Although the efforts of individuals, family, and healthy care providers are important to prevent the rapid increase in obesity, primary prevention should be encouraged at a higher level. Schools should specifically aim at improving nutrition and physical activity by allocating times for healthy eating, playing, and physical education. Moreover, local communities should provide support by funding for safe recreational environments, such as playgrounds and walking tracks. Public health strategies in community and national policies, such as city planning, food marketing, and advertisements, are required for primary prevention of obesity.
Keywords
Prevention; Intervention; Obesity; Children; Adolescents;
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Times Cited By KSCI : 5  (Citation Analysis)
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1 World Health Organisation. Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors. WHO: Geneva, 2004
2 Yom HW, Shin JS, Lee HJ, Park SE, Jo SJ, Seo JW. The metabolic syndrome in obese children. Korean J Pediatr Gastroenterol Nutr 2004;7:228-38
3 World Health Organization. WHO child growth standards. Acta Paediatrica 2006;95(450 suppl ):1-96
4 Wang J, Thornton JC, Bari S, Williamson B, Gallagher D, Heymsfield SB, et al. Comparisons of waist circumferences measured at 4 sites. Am J Clin Nutr 2003;77:379-84   DOI   PUBMED   ScienceOn
5 Taveras EM, Rifas-Shiman SL, Oken E, Gunderson EP, Gillman MW. Short sleep duration in infancy and risk of childhood overweight. Arch Pediatr Adolesc Med 2008;162:305- 11   DOI   ScienceOn
6 Park SE, Yom HW, Seo JW, Lee HJ, Park HS. Revision of a Questionnaire to Assess Health Behaviors in Obese Children. Korean J Pediatr Gastroenterol Nutr 2004;7:215-27
7 V\acute{a}mosi M, Heitmann BL, Kyvik KO. The relation between an adverse psychological and social environment in childhood and the development of adult obesity: a systematic literature review. Obes Rev 2009 Jul 30. [Epub ahead of print]   DOI   ScienceOn
8 Spear BA, Barlow SE, Ervin C, Ludwig DS, Saelens BE, Schetzina KE, et al. Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics 2007;120(4 Suppl):254S-88S   DOI   ScienceOn
9 Waker WA. Eat, play, be healthy. New york; Mcgraw-Hill Co, 2005;109-32
10 Ebbeling CB, Leidig MM, Sinclair KB, Hangen JP, Ludwig DS. A reduced-glycemic load diet in the treatment of adolescent obesity. Arch Pediatr Adolesc Med 2003;157:773-9   DOI   ScienceOn
11 Ohkawara K, Tanaka S, Miyachi M, Ishikawa-Takata K, and Tabata I. A dose-response relation between aerobic exercise and visceral fat reduction: systematic review of clinical trials. Int J Obes (Lond) 2007;31:1786–97   DOI   ScienceOn
12 Gonzalez-Suarez C, Worley A, Grimmer-Somers K, Dones V. School-based interventions on childhood obesity: a meta- analysis. Am J Prev Med 2009;37:418-27   DOI   PUBMED   ScienceOn
13 Chen X, Beydoun MA, and Wang Y. Is sleep duration associated with childhood obesity? A systematic review and meta- analysis. Obesity (Silver Spring) 2008;16:265–74   DOI   ScienceOn
14 Centers for Disease Control and Prevention. NHANES 2003- 2004 public data release file documentation. Available at: www.cdc.gov/nchs/about/major/nhanes/nhanes2003-2004/nhanes03_04.htm. Accessed December 15, 2005
15 Hassink SG, Pediatric Expert Panel. Weighing risk: the expert committee's recommendations in practice. Semin Pediatr Surg 2009;18:159-67   DOI   PUBMED   ScienceOn
16 Silventoinen K, Rokholm B, Kaprio J, Sørensen TI. The genetic and environmental influences on childhood obesity: a systematic review of twin and adoption studies. Int J Obes (Lond) 2009 Sep 15. [Epub ahead of print]   DOI   ScienceOn
17 Olstad DL, McCargar L. Prevention of overweight and obesity in children under the age of 6 years. Appl Physiol Nutr Metab 2009;34:551-70   DOI   ScienceOn
18 Wing YK, Li SX, Li AM, Zhang J, Kong AP. The effect of weekend and holiday sleep compensation on childhood overweight and obesity. Pediatrics 2009;124:e994-e1000. Epub 2009 Oct 26   DOI   PUBMED   ScienceOn
19 Seo JW. Management of nutrition and eating behavior in Obese Children adolescents. Korean J Pediatr Gastroenterol Nutr 2008;11 Suppl 1:S93-101
20 Duncan JS, Duncan EK, Schofield G. Accuracy of body mass index (BMI) thresholds for predicting excess body fat in girls from five ethnicities. Asia Pac J Clin Nutr 2009;18:404-11   PUBMED   ScienceOn
21 Gruber KJ, Haldeman LA. Using the Family to Combat Childhood and Adult Obesity. Prev Chronic Dis 2009;6:3. Epub 2009 Jun 15
22 Daniels SR, Jacobson MS, McCrindle BW, Eckel RH, Sanner BM. American Heart Association Childhood Obesity Research Summit: executive summary. Circulation 2009;119:2114-23. Epub 2009 Mar 30   DOI   ScienceOn
23 Park YS, Lee DH, Choi JM, Kang YJ, Kim CH. Trend of obesity in school age children in seoul over the past 23 years. Korean J Pediatr 2004;47:247-57
24 Bennett B, Sothern MS. Diet, exercise, behavior: the promise and limits of lifestyle change. Semin Pediatr Surg 2009;18: 152-8   DOI   ScienceOn
25 Singhal A and Lucas A. Early origins of cardiovascular disease: is there a unifying hypothesis?. Lancet 2004;363:1642–5   DOI   ScienceOn
26 Deitel M. Overweight and obesity worldwide now estimated to involve 1.7 billion people. Obes Surg 2003;13:329–30   DOI   PUBMED   ScienceOn
27 Skinner AC, Mayer ML, Flower K, Perrin EM, Weinberger M. Using BMI to Determine Cardiovascular Risk in Childhood: How Do the BMI Cutoffs Fare? Pediatrics. 2009;124:e905- 12. Epub 2009 Oct 26   DOI   PUBMED   ScienceOn
28 Barker DJP. Fetal origins of coronary heart disease. BMJ 1995;311:171–4   DOI   ScienceOn
29 Kim Y, Lee S. Physical activity and abdominal obesity in youth. Appl Physiol Nutr Metab 2009;34:571-81   DOI   ScienceOn
30 Epstein LH, McCurley J, Wing RR, Valoski A. Five-year follow-up of family-based behavioral treatments for childhood obesity. J Consult Clin Psychol 1990;58:661-4   DOI   ScienceOn
31 Gardner DSL, Hosking J, Metcalf BS, Jeffery A, Voss L, Wilkin T. Contribution of early weight gain to childhood overweight and metabolic health: a longitudinal study (EarlyBird 36). Pediatrics 2009;123:e67–e73   DOI   PUBMED   ScienceOn
32 De Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Healthv Organ 2007;85:660-7   DOI   ScienceOn
33 Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 1997 25;337:869-73
34 Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ 2007;335:194-202   DOI   ScienceOn
35 Taylor RW, McAuley KA, Barbezat W, Strong A, Williams SM, and Mann JI. APPLE project: 2-y findings of a community-based obesity prevention program in primary school- age children. Am J Clin Nutr 2007;86:735–42   ScienceOn
36 Hakanen M, Lagstr$\ddot{o}$m H, Kaitosaari T, Niinikoski H, N$\ddot{a}$nt$\ddot{o}$- Salonen K, Jokinen E, et al. Development of overweight in an atherosclerosis prevention trial starting in early childhood. The STRIP study. Int J Obes 2006;30:618-26   DOI
37 Eliakim A, Nemet D, Balakirski Y, and Epstein Y. The effects of nutritional-physical activity school-based intervention J Pediatr Endocrinol Metab 2007;20:711-8
38 Lim IS, Yun KW. Relationship between the Body Fat Mass Measured by Bioelectrical Impedance Analysis (BIA) and Dual Energy X-ray Absorptiometry (DEXA), and by the Indices of Insulin Sensitivity. Korean J Pediatr 2005;48:857-64
39 Wolfenden L, Wiggers J, Tursan d'Espaignet E, Bell AC. How useful are systematic reviews of child obesity interventions? Obes Rev 2009 Jun 1. [Epub ahead of print]   DOI   ScienceOn
40 Cho KY, Park H, Seo JW. The Relationship between Lifestyle and Metabolic Syndrome in Obese Children and Adolescents. Korean J Pediatr Gastroenterol Nutr 2008;11:150-9
41 Ong KK. Catch-up growth in small for gestational age babies: good or bad? Curr Opin Endocrinol Diabetes Obes 2007;14: 30–4   DOI   ScienceOn
42 Cousins JH, Rubovits DS, Dunn JK, Reeves RS, Ramirez AG, Foreyt JP. Family versus individually oriented intervention for weight loss in Mexican American women. Public Health Rep 1992;107:549-55   ScienceOn
43 Robinson TN. Behavioural treatment of childhood and adolescent obesity. Int J Obes 1999;23(Suppl 2):S52-7   DOI
44 Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, et al. Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr 2008;51: 950-5   DOI   ScienceOn
45 Barlow SE; Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics 2007;120 Suppl 4:S164-92   DOI   ScienceOn
46 Seo JW, Jung JA, Park HS, Ko JS, Kim YJ, Kim JY et al. Assessment of modifiable lifestyle factors for obese children and adolescents through questionnaires. Korean J Pediatr 2008;51:576-83   DOI   ScienceOn
47 Seo SJ, Lee HY, Lee SW. The prevalence of the metabolic syndrome in Korean children and adolescents: comparisons of the criteria of Cook et al., Cruz and Goran, and ferranti et al. Yonsei Med J 2008;49:563-72   DOI   ScienceOn
48 Quak SH, Furnes R, Lavine J, Baur LA; Obesity Working Group. Obesity in Children and Adolescents. J Pediatr Gastroenterol Nutr 2008;47:254-9   DOI   ScienceOn
49 Li C, Ford ES, Mokdad AH, Cook S. Recent trends in waist circumference and waist-height ratio among US children and adolescents. Pediatrics 2006;118:e1390-8   DOI   PUBMED
50 Reilly JJ, Armstrong J, Dorosty AR, Emmett PM, Ness A, Rogers I, et al. A. Early life risk factors for obesity in childhood: cohort study. BMJ 2005;330:1357   DOI   ScienceOn
51 Moon JS, Lee SY, Nam CM, Choi JM, Choe BK, Seo JW, et al. 2007 Korean National Growth Charts: review of developmental process and an outlook. Korean J Pediatr 2008;51:1-25   DOI   ScienceOn
52 Seo JW. Nutrition in Childhood for Lifelong Health. J Korean Med Assoc 2009;52:233-43   DOI   ScienceOn
53 Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Evidence based physical activity for school-age youth. J Pediatr 2005;14:732–7   DOI   ScienceOn
54 Wrotniak BH, Epstein LH, Paluch RA, Roemmich JN. Parent weight change as a predictor of child weight change in family- based behavioral obesity treatment. Arch Pediatr Adolesc Med 2004;158:342-7   DOI   ScienceOn
55 Committee on Nutrition, Korean Pediatric Society. Obesity in children and adolescent. 1st ed. Seoul: Kwangmun Publishing Co, 2006:3-75