• Child Health Nursing Research
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• v.26 no.4
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• pp.445-453
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• 2020

Purpose: Community child centers (CCCs) were introduced to provide after-school activities and care, including meal services to children from low-income families. The assistant cooks, who have the main responsibility for making and serving food at CCCs, are a major factor influencing the eating habits of children using CCCs. In this study, we tried to identify and understand who the assistant cooks are, what their job responsibilities are, and what they need in order to be able to provide children with healthy meals. Methods: Three focus group interviews were held with 17 workfare program participants who worked as assistant cooks at CCCs, and content analysis methods were applied using the NVivo 12 qualitative data analysis software. Results: The assistant cooks reflected on their perceptions of the children's health at the CCCs, their own cooking style, and their role at the CCCs. Additionally, barriers to the optimal provision of their services were pointed out, and improvements were suggested. Conclusion: The results of this study can be used as a fundamental resource for the development of tailored interventions that consider a child's unique environment to address health disparities, specifically with respect to childhood obesity.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.15 no.4
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• pp.475-484
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• 2008

Purpose: The purpose of this study was to identify effects of an obesity control program including rhythmical dance exercise, on body composition, knowledge about obesity, life habits and self-esteem among obese elementary school children. This program included obesity related health education and counseling based on behavior modification once a week, 1 hour-rhythmical dance class once a week and 40-minute jump rope classes twice a week for 8 weeks. Method: There were 29 students with obesity in the experimental and 28 in the control group. Participated was voluntary. The data were collected from April 16 to July 6 2007. $x^2$-test, Fisher's exact test, paired t-test and t-test were used to analyze the data. Results: Students in the experimental group showed significantly lower fat mass (t=-2.16, p=.036) and percent body fat (t=-2.93, p=.005) and significantly higher muscle mass (t=2.05, p=.045) and lean body mass (t=2.71, p=.009) than those in the control group. Knowledge of obesity increased significantly and eating habits changed significantly. But difference in exercise habits and self-esteem were not significant. Conclusion: This study provides evidence that an 8 week-obesity control program including rhythmical dance exercise is effective in decreasing body fat, increasing muscle mass and increasing knowledge of obesity in children who are obese.

• Journal of the Korean Society of Food Culture
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• v.19 no.1
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• pp.106-117
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• 2004

The factors of obesity related with food habits were assessed to provide information for nutrition education database. The subjects in this study were 234 primary school children in Busan. Children were classified into normal and obese groups(mildly obese, moderately obese and severely obese) by obesity index. In self-recognition of body image, only 28.6% of MI group considered themselves as 'overweight or obese'. 87.2% of the subjects controlled their weight method with exercise. With regard to meal speed, 64.5% of the subjects ate $fast({\leq}15\;min.)$. The study also found that 79.8% of the subjects ate breakfast, 56.4% of the subjects them were moderate by obese, 40.8% of the subjects ate snacks after dinner. Eating speed, meal volume and snacks money per day were significantly different in obesity. Preference for eating out was Korean Chinese, Western and Japanese food, in order. Favorite food for snack, such as ddukbokki, fruits, milk. fried foods and candy and caramel were significantly different in obesity(p<0.05). However hamberger, pizza and chocolate were not significantly different in obesity. The most preference snack for all the subjects were fruits and ice cream. In food preference, potato, dduk, meats, fishes, cheese, milk, ice cream were significantly different in obesity. The distasteful food for subjects were patbab, vegetables, shellfishes and salt-fermented foods. From above results, obesity of children was related to meal speed, meal volume and snacks motley per day. Therefore, these results suggest that continuous and practical nutrition education to change food habits art necessary to avoid child obesity.

• Journal of the Korean Applied Science and Technology
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• v.35 no.1
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• pp.223-234
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• 2018

The purpose of this study was to analyze the parent-related factors affecting obesity and overweight in school-aged children. The subjects of this study were 408 students of 4th~6th grade and their parents and examined the degree of obesity, obesity-related characteristics, eating habits and exercise habits of children and their parents. The data were analyzed using $x^2-test$, t-test, ANOVA and multiple logistic regression analysis. The results of this study were as follows: father's BMI OR=1.265(95% CI: 1.133-1.412, p<.001), mother's BMI OR=1.214(95% CI: 1.077-1.368, CI: 1.113-1.725, p= .001), the child's eating habit OR=0.953(95% CI: .909- .998, p= .042), the TV watching time OR=1.385(95% CI: 1.113-1.725, p= .004), the economic state OR=0.132(95% CI: .026- .676, p= .015) were factors related affecting obesity and overweight in school-aged children. Children's obesity was influenced by parent's genetic factors, eating habits and living environment factors. Therefore, it is important to motivate the children as well as the their parents and induce the active participation of the program in order to manage the child's obesity.

• Korean Journal of Health Education and Promotion
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• v.21 no.2
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• pp.35-54
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• 2004

This study was intended to provide basic data of nutrition education to a prevention of obesity and living patterns of elementary school students. Through the measurment of the actual obesity rate of children for students who were in the fifth and sixth grades of elementary school as well as their mothers, and by analyzing obesity-related factors. Children have started to have the characteristics obesity and obesity problems. 1. There were total 234 children including 133 boys (56.8％) and 101 girls (43.2％) for the study. There were 80 children in the fifth grade (34.2％) and 154 children in the sixth grade (65.8％). 2. Among the subjects 20.1％ were obese. By gender, the obesity rate of boys (27.1％) was higher than that of girls (l0.9％)(p＜0.01). By grade, children in the fifth grade (26.3％) had higher obesity rate than children in the sixth grade (l6.9％)(p＜0.05). 3. In terms of the educational level of parents, the obesity rate of children of parents who received university and／or higher education was 27.5％ (p＜0.05). 44.1％ of parents answered ‘I almost never give snack’s’(p＜0.01). 4. There was 32.8％ for an irregular quantity of meal. There was no obese child who under-ate (p＜0.05). In terms of impulse eating, ‘I eat.’ and ‘I don't eat.’ were 24.4％ and 25.9％ respectively. The obesity rate of the case of ‘I eat only food I like.’ was 10.6％ (p＜0.05). In terms of the obesity rate based on the daily average meal frequency, there was the highest rate of 26.1％ for I average meal frequency per day, 13.0％ for 2 daily average meal frequency, and 7.4％ for over 3 average meal frequency per day (p＜0.05). For a degree of a physical activity, the group of active physical activity (p＜0.05) and the group which liked the physical exercise showed a lower obesity rate (p＜0.001). The obesity rate of children who had regular exercise was 11.8％. It was lower than the obesity rate (24.8％) of children who didn't exercise (p＜0.01). The higher exercise frequency per week was, the lower the obesity rate was(p＜0.01). In terms of the exercise time, there was 8.3％ for over 60 minutes and 28.9％ for less 15 minutes. The group which had the long exercise time showed a lower obesity rate(p＜0.05). As the result, the education for obesity must enable students to recognize the warning signs for obesity and control their own weight with proper living patterns, by modifying behaviors considering the degree of obesity. Obesity must be controlled by the prevention and education connected with the family for all students as one of the school health programs. There must be also the development of a program through individual consultation considering the degree of obesity.

• Child Health Nursing Research
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• v.19 no.4
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• pp.262-269
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• 2013

Purpose: The aims of this study is to analysis the effects of obesity management programs for children and to measure the differences in the effects by type and dependent variables in order to analyze the structures of the programs. Methods: Sixty-one peer-reviewed journals including child obesity and intervention studies published between 2000 and 2010 were included for meta-analysis. Effect size and statistics of homogeneity were by STAT 10.0. Results: A total of 61 studies were used in the analysis, and the effect size of the independent studies was determined to be -0.23 (95% CI, -0.32 ~ -0.15). Serum Leptin and Insulin were the big effect size among the studies that used dependent variables. The theses used in the research did not display publishing bias. Conclusion: Obesity management programs that have been confirmed to be effective need to be developed into regional protocols. A continuous control of obese children and research for effective intervention program are in need.

• Proceedings of the KSCN Conference
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• 2005.04a
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• pp.111-111
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• 2005

• Child Health Nursing Research
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• v.10 no.2
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• pp.173-179
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• 2004

Purpose: The purpose of this study was to offer basic data concerning the prevention of obesity for obese children to identify the relationship between their self-efficacy and the degree of performance on health promoting lifestyle profile. Method: The subjects were 148 fourth to sixth grade elementary school students in Gwang-ju, Korea during the period from September 10 to September 25, 2001. The collected data were analyzed by mean, standard deviation, t-test, ANOVA, Pearson's Correlation Coefficient and Stepwise Multiple Regression by using the SPSS program. Result: The relationship between general characteristics of subjects and self-efficacy were significant differences according to eating time(F=5.338, p=.006). The relationship between general characteristics of subjects and health promoting lifestyle profile were significant differences according to grade(F=5.615, p=.005), eating time(F=8.591, p=.000), concern about weight control(F=3.915, p=.022), experience of weight control(t=7.632, p=.006). Health promoting lifestyle profile was showed significant positive correlations with self-efficacy(r=.537, p=.000). Self-efficacy(27.6％) was the highest factor predictor health promoting lifestyle profile of obesity students. In addition to eating time, concern about weight control, explained for 33.3％ in health promoting lifestyle profile. Conclusion: Results of this study point to self-dfficiency as a major factor in the health promoting behavior of childhood obesity. According to the results of this study, There is a reason to develop a health program to promote self-efficiency.

• Korean Journal of Community Nutrition
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• v.5 no.3
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• pp.502-512
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• 2000

A survey was conducted on 222 students in two elementary schools in rural areas, one was a rural small city and the other was in the countryside. By measuring their skin-foldness in 4 spots by caliper, the body fatness of 5 grades(BFGr) of the subjects was resulted as follows ; 28.0% of boys and 6.7% of girls were classified as obese the and 34.1% of boys and 31.1% of girls as overweight. Comparing by region, children in the small city seemed to be fatter than the ones in the countryside(21.7% vs. 17.2% as obesity). Comparing by gender, boys were fatter than girls(28.0% vs. 6.7% as obesity). When recategorizing body fatness from 5 grades(BFGr) into 3 groups(BFGp) as overweight group(obesity+overweight), normal and underweight group(underweight+severe-underweight), we observed no significant difference in childrens dietary habits and food intake frequencies by BFGp. Overweight and underweight groups enjoyed snacking before dinner more frequently than the normal group(42.1-59.3% vs. 31.5%). The subjects showed poor nutrition knowledge score with relatively high attitude score about weight control and dietary behavior score was a little lower than the attitude score. Nutrition education programs, like camps, should stress on childrens nutrition knowledge. BFGp related to obesity attitude positive, a very low level and the latter related to diet, exercise and fasting attitudes at positive levels. Therefore overweight children seemed to be motivated easily. Also the higher the in exercise-value score, the more increased was shown in exercise attitude at positive, very low level. Emphasizing exercise-value in camp programs might make childrens exercise attitude more positive. As strategies for a rural obesity camp program are being developed by obese and non-obese children. The camp would be held over summer vacation for 3 days(2 nights) at the participants expence not exceeding 50,000 won. Contents of the program cover nutrition knowledge, and exercise-value as well as cooking lessons, exercise practice, and self-esteem enhencement.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.22 no.1
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• pp.1-27
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• 2019

The Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition newly developed the first Korean Guideline on the Diagnosis and Treatment of Obesity in Children and Adolescents to deliver an evidence-based systematic approach to childhood obesity in South Korea. The following areas were systematically reviewed, especially on the basis of all available references published in South Korea and worldwide, and new guidelines were established in each area with the strength of recommendations based on the levels of evidence: 1) definition and diagnosis of overweight and obesity in children and adolescents; 2) principles of treatment of pediatric obesity; 3) behavioral interventions for children and adolescents with obesity, including diet, exercise, lifestyle, and mental health; 4) pharmacotherapy; and 5) bariatric surgery.