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Changes of Obesity Indices, Body Satisfaction and Self-Esteem of Obese Children on Weight Control Program  

Kim, Kyung-Hee (Food & Nutrition, College of Liberal Arts, Duksung Women's University)
Publication Information
Korean Journal of Community Nutrition / v.12, no.4, 2007 , pp. 449-461 More about this Journal
Abstract
This study was conducted to investigate the changes of physical and psychological factors of obese children, obesity indices and blood serum levels, food habits and body and self-esteem after a weight control program. The results from this study were as follows: Participants of the study involved 20 boys (48.8%) and 21 girls (51.2%) totaling 41 children. Children's weight control experiences were 90.2% and parents' were 59.5%. Among methods of weight control, children and parents both used exercise and reduced amounts of meals. Sixty-one percent of the children had breakfast almost everyday. The reasons of skipping breakfast were having no time to eat by 44.4% and 50% of children watched TV while having a meal and they considered taste (55.3%) and nutrition value (21.1%) when choosing food. After the weight control program, the children's body fat percent (%) significantly decreased from 40.3% to 35.4% (p < 0.01). There was significant difference of boys and girls' hip circumferences (92.9 cm, 91.4 cm, p < 0.01) after the program but there was only a slight change in their WHR (0.91, 0.92). Girls' waist circumferences significantly decreased from 75.0 cm to 73.0 cm (p < 0.05) and there was a significant increase in HDL-cholesterol, 50.0 (mg/dL) to 55.2 (mg/dL), (p < 0.05). Knowledge levels of obesity significantly increased from 2.5 to 5.1 in the girls' cases (p < 0.001). Nonetheless, attitudes of weight control and food habits score had not changed a lot. After the program, both the boys and girls' body-esteem had significantly increased (p < 0.01) but self-esteem had not changed. These results suggest that a body weight control program must be included in nutrition education, exercise and psychotherapy to improve body and self-esteem of obese children.
Keywords
weight control program; obesity; food habit; body satisfaction; self-esteem;
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1 Brooke OG, Abernethy E (2003): Obesity in children, human nutrition. Applied nutrition guideline of obesity treatment. Korean Society Study of Obesity
2 Goldfield GS, Raynor HA, Epstein LH (2002): Treatment of pediatric obesity. In TA Wadden & AJ Stunkard (Eds.), Handbook of obesity treatment (pp. 532-555). New York: Guiford Press
3 Jung BM, Choi IS (2003) : A study on obesity and food habits of adolescents in Yeosu, Jeonnam area. Korean J Comm Nutr 8(2): 129-137
4 Kim KH (2002): The effects of parent's nutritional education for body weight control of obese children. Korean J Dietary Culture 17(2): 185-196
5 Kim KH (2003): Changes of obesity and depression level of obese children on body weight control program. Korean J Dietary Culture 18(4): 396-405
6 Kim KH (2004): Changes of food habits and anxiety level of obese children on body weight control program. Korean J Dietary Culture 19(3): 326-335
7 Lee EJ, Kim OR, Shin YH (2003): Study on the stress & self esteem to obese degree of primary school children. J Gimcheon Sci College 29: 115-167
8 Lee HW (1998): Treatment and prevention of childhood obesity. J Child Educ 7(1): 253-269
9 Martin S, Housley K, Nccoy H, Greenhouse P, Stigger F, Kenny MA, Soffner S Fu V, Korslund M, Ercanli-Huffinan FG (1998): Self-esteem of adolescent girl as related to weight. Perceptual and Motor Skills 67(3): 876-884
10 Park HH, Hong SO (1996): The comparison and analysis of physical self-efficacy, self-esteem, and a trait between the girls of obesity and the girls of standard weight in a girls high school, Growth and Development
11 Phanner P, Marcheschi M (1992): Psychological aspects of childhood obesity, In : Giorgi PL, Suskind RM, Catassi C ed, The Obese Child. pp. 149-154 Karger
12 Sin C (1992): A Comparative study on the features of character and self-concept between normal children and fat children. Yonsei University Graduate School of Education Master's thesis
13 Stunkard AJ, Wadden TA (1992): Psychological Aspects of Severe Obesity. Am J Clin Nutr 55: 524-532   DOI
14 Baek SH, Yeo JH (2006): Comparison of weight control behavior and self-esteem between healthy weight and obese children. Korean J Comm Nutr 11(5): 562-574   과학기술학회마을
15 Kim SL, Park HR (1995): The relationship of obesity and related behaviors among 4th, and 5th grade-primary school children. Korean J Dietary Culture 10(1): 19-28
16 Lee MS, Sung CH, SUng MK, Choi MK, Lee YS, Cho KO (2000): A comparative study on food habits and nutrition intakes among high school students with different obesity indexes residing in Seoul and Kyunggi-do. Korean J Comm Nutr 5(2): 141-151
17 Epstein LH, Wing RR, Valoski A (1985): Childhood obesity. Pediatr Clin North Am 32(2): 363-379   DOI
18 Kim KH, Kim HK, Lee DS, Park JH (1995): An investigation of child obesity and living environment : A suggestion for developing norms to measure obesity. Korean J Phys Educ 34(2): 259-276
19 Kim SH (1999): Children's growth and school performance in relation to breakfast. Korean J Diet Assoc 5(2): 215-224
20 Kwon ER, Choi HJ, Lee SR, Paik ES, Lee KY, Park TJ (2002): Parental perception on childhood obesity according to weight status in children of elementary schools in Busan. J Korean Acad Fam Med 23(1): 68-79
21 Lee JS (2000): Childhood obesity and prevention strategies. Korean J Phys Educ 4(2): 297-311
22 Perce JW, Wardle J (1997): Cause and effect beliefs and self-esteem of overweight children. J Child Psyc Psychiatry 38(6): 645-650   DOI   ScienceOn
23 Lee HS, Choi JS, Kim WY (2005): Effect of nutrition education for weight control on the dietary behavior, anthropometry, body composition, and the serum level of adipocytokines in the elementary obese children. Korean J food Culture 20(3): 323-330
24 Hare BR (1985): Hare self-esteem scale. In K. Cocoran & J. Fischer (Eds.) Measures for clinical practice: A Sourcebook, p. 550-551, New York: Free Press
25 Jang SC, Song MH (2004): Relationship between high school students' appearance satisfaction and self-esteem and school-related adjustment. Korean J Youth Studies 11(3): 115-113
26 Park HS (1997): Adolescent obesity and body weight control. J Korean Acad Fam Med 18(11): 1171-1182
27 Park JK, Ahn HS, Lee DW (2001): Effects of step by step Diet control program in obese children. Korean J Obes 10(2): 165-173
28 Chung YJ, Han JI (2000): Prevalence of obesity, living habits and parent's characteristics of 5th grade elementary school boys in Taejoncity. Korean J Nutr 33(4):421-428
29 Kim HG, Nam HK (1998): A survey of life style habits of obese school children. J Korean Soc School Health 11(1): 99-110
30 Kim KH (2005): Effects of eating habits and control of overeating of obese children on body weight control program. Korean J Dietary Culture 20(4): 476-486
31 Wadden TA (1993): The treatment of obesity: an overview obesity theory and theraphy. 2nd ed, New York. Raven Press
32 Nir Z, Neumann L (1995): Relationship among sel-esteem, internal-external locus of control, and weight change after participation in a weight reduction program. J Clini Psyc 51(4): 482-489   DOI
33 Kang YJ, Hong CH, Hong YJ (1997): The prevalence of childhood and adolescent obesity over the last 18 years in Seoul area. Korean J Nutr 30(7): 832-839
34 Kaplan KM, Wadden TA (1986): Childhood obesity and self-esteem. J Pediatr 109(2): 367-370   DOI
35 Lee HJ, Baek SHm Baek YK (1997): Development of a childhood obesity control program. J Korean Soc Study Obes 6(2): 99-121
36 Lee AR, Moon HK, Kim EK (2000): A study on dietary habits, dietary behaviors and body image recogrutlon of nutrition knowledge after nutrition education for obese children in Seoul. J Korean Diet Assoc 6(2): 171-178
37 Cho SH (1989): A study on the relationship between health locus of control (HLC) and self-esteem of obese children. The graduate school of Sookmyung Women's University
38 Cho WK, Park HO, Kim SM (2002): A study on breakfast patterns and preference of elementary school children in Inchon area. Korean J Food & Nutr 15(1): 50-57
39 Fridewald WT, Levy RI, Fedreicesson DS (1979): Estimation of concentration of low density lipoprotein cholesterol in plasma, without use of the preparative alter centrifuge. Clin Chem 18: 499 39A: 304-314,1985
40 Joo EJ, Park ES (1998): Effect of sex and obese index on breakfast and snack intake in elementary school students. Korean J Dietary Culture 13(5): 487-496
41 Kim KH (2001): The effects of body weight control program for obese children. Korean J Dietary Culture 16(2): 89-98
42 Chung MY, Woo KJ (1997): The effect of food habits in the obesity of middle school girls in Inchon area. J East Asian Dietary Life 7(1): 71-86