Browse > Article
http://dx.doi.org/10.9799/ksfan.2013.26.3.535

The Relationship between Obesity Degree and Psychological Factors, Dietary Behaviors and Health-Related Quality of Life in Adult Women in their Twenties in Seoul and Kyungin Area  

Kim, Sang-Yeon (Dept. of Food and Nutrition, Hanyang Women's University)
Publication Information
The Korean Journal of Food And Nutrition / v.26, no.3, 2013 , pp. 535-546 More about this Journal
Abstract
This study was carried out to analyze the relationship between body mass index (BMI) and general characteristics, psychological factors, eating habits, dietary behaviors, and health related quality of life using survey of 335 women aged 20 to 29 years in the Seoul and Kyungin areas. The 335 study subjects were divided into 4 groups by BMI ($kg/m^2$) levels; normal group($18.5{\leq}BMI{\leq}22.9$), overweight group($23.0{\leq}BMI{\leq}24.9$), mild obesity group($25.0{\leq}BMI{\leq}29.9$), and heavy obesity group ($BMI{\geq}30$) by Asian-Pacific obesity index criteria. The family income of the heavy obesity group was significantly (p<0.05) less than that of the normal weight group. Psychological factors, such as stress and depression of the normal weight group tended to be higher than those of overweight and obesity groups. The higher BMI level had the lower self-efficacy(p<0.05) among all subjects. As the BMI level increased, the preference for sweet, salty, and hot taste was significantly high. We found that normal weight women had healthier eating habits and dietary behaviors and a higher level of health-related quality of life than did those who were overweight, mildly obese, and heavily obese women. Overweight and mildly and heavily obese women were strongly associated with decreased physical and mental health related quality of life. Therefore, weight loss is desirable, and is likely to be beneficial for health-related quality of life in obese adult women. In conclusion, this study contains evidence to suggest that obesity management programs including different strategies according to obesity are required to determine the types of programs that are suitable for adult women, prior to their initiation of a program. The findings are helpful to inform researchers and practitioners who are seeking to implement appropriate strategies to create positive changes in the health behaviors of obese adult women.
Keywords
BMI; psychological factors; dietary behaviors; health-related quality of life;
Citations & Related Records
Times Cited By KSCI : 12  (Citation Analysis)
연도 인용수 순위
1 Park HA, Cho JJ. 2011. Economic activities and socioeconomic status of morbidly obese Korean adults. Korean Acad Fam Med 20:210-218
2 Park YW, Shin H, Kim C. 2000. Health-related quality of life in people with overweight and large waist circumference. J Korean Acad Fam Med 21:753-761
3 Read JL. 1993. The New Area of Quality of Life Assessment. pp.3-10. Kluwer Acad Publishers
4 Kim JY, Kim SY, Jung KA, Jang Y. 2007. Effects of very low calorie diet using meal replacements on psychological factors and quality of life in the obese women aged twenties. Korean J Nutr 40:639-649   과학기술학회마을
5 Kim KN, Kim YH. 2004. Factor related to eating disorder behavior in university students. J Korea Home Economic Assoc 42:83-87
6 Kim SY, Lee HM, Song KH. 2007. Body image recognition and dietary behaviors of college students according to the body mass index. Korean J Community Nutr 12:3-12   과학기술학회마을
7 Kolotkin RL, Crosby RD, Williams GR. 2002. Health-related quality of life varies among obese subgroups. Obes Res 10:748-756   DOI   ScienceOn
8 Koo JO, Park S. 2011. Analysis of BMI, body composition, weight control, dietary behaviors of adult women. Korean J Community Nutr 16:454-465   과학기술학회마을   DOI
9 Korean Medical Association of Prevention. 1993. Standard study for data collection and survey of health statistical data. 1-145
10 Korean Society for Study of Obesity. 1998. Obesity treatmentbehavior therapy. J Kor Soc Study Obes 7:103-123
11 Latner JD. 2001. Self-help in the long-term treatment of obesity. Obesity Review 2:87-97   DOI   ScienceOn
12 Rhee MK. 2007. The development of a healthy diet program for weight control in the obese. Korean J Healthy Psychology 12:59-75   DOI
13 Rodin J. 1981. Current status of the internal-external hypothesis for obesity. Am Psycho 36:361-372   DOI   ScienceOn
14 Sach TH, Barton GR, Doherty M. 2007. The relationship between body mass index and health-related quality of life. Int J Obesity 31:189-196   DOI
15 Sarlio-Lathteenkorva S, Lahelma E. 1999. The association of body mass index with social and economic disadvantage in women and men. Int J Epidemiol 28:445-449   DOI
16 Sohn A, Hong I, Kim J. 2010. Health-related quality of life assessment by health behavior and BMI among Seoul citizens. Korean Pub Health Res 36:19-25
17 Sohn SK, Lee MH, Song MS. 2001. Relationship between body image and self-esteem in patients with chronic renal failure. J Korean Fund Nurs 8:160-171
18 Van Strien T, Frijters JER, Bergers GPA, Defares PB. 1986. The Dutch eating behavior questionnaire (DEBQ) for assessment of restrained, emotional and external eating behavior. Int J Eat Dis 5:295-315   DOI
19 Vanessa F, Charlene CP, Sebastien G. 2012. Impact of eating disorders and psychological distress on the quality of life of obese people. Nutrition 28:e7-e13   DOI   ScienceOn
20 Velicer WF. 1998. Smoking sessation and stress management: Applications of the transtheoretical model of behavior change. Homeostasis 38:216-233
21 Wadden T, Phelan S. 2002. Assessment of quality of life in obese individuals. Obes Res 10 Suppl 1:50-57   DOI
22 Garcia VJ Quintanna-Domeque C. 2009. Income and body mass index in Europe. Econ Hum Biol 7:73-83   DOI   ScienceOn
23 Lee HJ, Choi MR, Koo JO. 2005. A study of body image, weight control and dietary habits with different BMI in female high school students. Korean J Community Nutr 10:805-813   과학기술학회마을
24 Lee J, Kim J, An Y, Jung I. 2006. Study of the eating habits and food preferences by obesity in Korean adults. Korean Home Econom Assoc 44:67-77   과학기술학회마을
25 Lee JE, Park HR. 2003. Body-related attitude, self-esteem and eating attitude in undergraduate students. J Korean Acad Psych Mental Health Nurs 12:602-611
26 Garner DM, Wooley SC. 1991. Confronting the failure of behavioral and dietary treatments for obesity. Clin Psychol Rev 11:729-780   DOI   ScienceOn
27 Ha A, Yi S, Kang N. 2009. The patterns of purchasing diet/low calorie food and obesity related eating behavior in normal and obese female college students in Seoul area. Korean J Food & Nutr 22:650-661   과학기술학회마을
28 Han HM, Aum TH, Sin YW. 1986. Beck depression inventory (Korean edition). J Nervous Medical Science 25:487-520
29 Hong M, Pak H, Sohn C. 2011. A study on food behaviors and nutrient intakes according to body mass index and body image recognition in female university students from Incheon. Korean J Food & Nutr 24:386-395   과학기술학회마을   DOI   ScienceOn
30 Hong MR. 1995. A model of weight control and self adjustment on obesity. Ph.D. Thesis, Kyunghee Uni. Seoul
31 Drewnowski A. 1997. Taste preferences and food intake. Annu Rev Nutr 17:237-253   DOI   ScienceOn
32 Chaung S, Kim C. 2007. Obesity-related quality of life in overweight and obese female college students. J Korean Academy Community Health Nursing 18:543-551   과학기술학회마을
33 Chung WY. 2011. Self-discrepancies about body image perception of women's students participating cultural physical education class in university with the viewpoint of social-culture. J Sport Leisure Studies 45:459-466
34 Cox DN, Perry L, Moore PB, Vallis L. 1999. Sensory and hedonic associations with macronutrient and energy intakes of lean and obese consumers. Int J Obes Relat Metab Disord 23: 403-410   DOI   ScienceOn
35 Fontaine KR, Barofsky I. 2001. Obesity and health-related quality of life. Obe Rev 2:173-182   DOI   ScienceOn
36 Fontaine KR, Cheskin LJ, Barofsky I. 1996. I. Health-related quality of life in obese persons seeking treatment. J Fam Pract 43:265-270
37 Ford ES, Moriarty DG, Zack MM, Mokdad AH, Chapman DP. 2001. Self-reported body mass index and health-related quality of life findings from the behavioral risk factor surveillance system. Obes Res 9:21-31   DOI   ScienceOn
38 Lee JS, Han HG. 2007. The effects of university women students' recognition on their image and satisfaction of their physical bodies. Fashion Business 11:145-154
39 Wardle J, Griffith J. 2001. Socioeconomic status and weight control practieces in Brish adults. J Epidemiol Commun Health 55:185-190   DOI   ScienceOn
40 Ware JE, Sherbourne CD. 1992. The MOS 36 item short form health survey (SF-36). I. Conceptual framework and item selection. Medical Care 30:473-483   DOI   ScienceOn
41 Lee KA, Cho EJ, Yoon HS. 2010. A study of consumption of convenience foods of university students by residing types in Changwon and Masan area. J Korean Diet Assoc 16:279-290   과학기술학회마을
42 Lee KE, Kim NS. 1998. The relationship between eating disorder, physical symptoms and mood status among college women. Korean J Women Health Nurs 4:388-401   과학기술학회마을
43 Lee SY, Choi SJ, Na YH. 2001. A study on the health-related quality of life. Korean J Gastrointestinal Motility 7:6-17
44 Lee Y, Cho W, Oh Y. 2012. Comparison of eating behavior between commensality and solo-eating of university students by BMI. Korean J Community Nutr 17:280-289   과학기술학회마을   DOI
45 Legido A, Sarria A, Bueno M, Garagorri J, Fleta J. 2008. Relationship of body fat distribution to metabolic complications in obese prepubertal boys. gender related differences. Acta Paediatrica 78:440-446
46 Ministry of Health & Welfare. 2010. Major chronic disease management business information. Available from http://www. kwdi.re.kr (cited 2011 Jun 1)
47 Ministry of Health & Welfare. 2011. The National Health Plan 2020. pp.1-121
48 Jensen MD. 2008. Role of body fat distribution and the metabolic complications of obesity. J Clin Endocrinol Metab 93:s57-s63   DOI   ScienceOn
49 Hwang ID, Jo YM, Kim KK. 2009. The usefulness of waist to hip ratio estimated by bioelectric impedance analysis in diagnosing metaboli syndrome based on NCEP-ATP III guideline. Korean J Obes 18:79-86
50 Hwang RH, Shin HS. 2000. A study on eating disorder, body image and self-esteem of high school girls. Korean J Women Health Nurs 6:129-141   과학기술학회마을
51 Jung DJ. 2006. Influence of weight control behavior, body image, self-esteem, health promotion behavior and mental health promotion behavior in university female students by BMI. Exercise Sci 15:365-376
52 Kim HJ, LEE IS, Kim JH. 1996. A study of the relaibility and validity of the Korean version of the eating behavior questionnaire. Korean J Clinical Psychology 15:141-150
53 Beck AT. 1967. Depression. Clinical, Experimental and Theoretical Aspects. pp.1-20. New York, Harper & Row Publishers
54 Bae YJ, Lee JC, Kim MH. 2007. Nutritional status and dietary quality of college students by residing types in Samcheok. J Korean Diet Assoc 13:311-330   과학기술학회마을
55 Barofsky I, Fontaine KR, Cheskin LJ. 1998. Pain in the obese: impact on health-related quality of life. Ann Behav Med 19:408-410
56 Chang HS. 2010. A study on weight control behavior, eating habits and health-related life habits according to obesity degree by body fat percentage among middle-aged women in Gunsan city. Korean J Community Nutr 15:506-515   과학기술학회마을
57 Yoon YS. 2004. Obesity of women: Background of epidemiology. Proceeding of 2004 Spring Scientific Conference of the Korean Society for the Study of Obesity. pp.211-224
58 Ware JE. 1987. Standards for validating health measures : definition & content. J Chron Dis 40:473-480   DOI   ScienceOn
59 Whing RR, Jeffery RW. 1999 Benefits of recruiting participants with friends and increasing social support for weight loss and maintenance. J Consult Clin Psychol 67:132-138   DOI   ScienceOn
60 WHO. 1993. WHOQOL Study Protocol. pp.1-200
61 Ziegler O, Filipecki J, Girod I, Guillemin F. 2005. Development and validation of French obesity-specific quality of life questionnaire: Quality of life, obesity and dietetics rating scale. Diabetes Metab 31:273-283   DOI   ScienceOn