• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권5호
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• pp.483-491
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• 2021

Purpose: Obesity has become a very significant health problem in childhood. Fructose taken in an uncontrolled manner and consumed in excessive amounts is rapidly metabolized in the body and gets converted into fatty acids. This single center prospective case-control study aims to investigate the relationship between fructose consumption and obesity and the role of fructose consumption in development of atherosclerotic diseases. Methods: A total of 40 obese and 40 healthy children who were of similar ages (between 8 and 18 years) and sexes were included in the study. In the patient and control groups, the urine fructose levels, as well as the levels of oxidized low-density lipoprotein (LDL), small dense LDL, Apolipoprotein A and Apolipoprotein B values, which have been shown to play a role in development of atherosclerotic diseases, were measured. Results: The levels of oxidized LDL and small dense LDL and the ratio of Apolipoprotein A/Apolipoprotein B were found to be significantly higher in the patient group. Conclusion: We found that urinary fructose levels were higher in the obese children than the healthy children. Our results suggest that overconsumption of fructose in children triggers atherogenic diseases by increasing the levels of small dense LDL and oxidized LDL and the ratio of Apolipoprotein B/Apolipoprotein A.

• Nutrition Research and Practice
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• 제10권5호
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• pp.555-562
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• 2016

BACKGROUND/OBJECTIVES: Childhood obesity has become a global epidemic. Development of effective and sustainable programs to promote healthy behaviors from a young age is important. This study developed and tested an intervention program designed to promote healthy eating and physical activity among young children in South Korea by adaptation of the US National Aeronautics and Space Administration (NASA) Mission X (MX) Program. SUBJECTS/METHODS: The intervention program consisted of 4 weeks of fitness and 2 weeks of nutrition education. A sample of 104 subjects completed pre- and post- surveys on the Children's Nutrition Acknowledgement Test (NAT). Parents were asked for their children's characteristics and two 24-hour dietary records, the Nutrition Quotient (NQ) at baseline and a 6-week follow-up. Child weight status was assessed using Korean body mass index (BMI) percentiles. RESULTS: At baseline, 16.4% (boy: 15.4%; girl: 19.2%) of subjects were overweight or obese (based on $BMI{\geq}85%tile$). Fat consumption significantly decreased in normal BMI children ($48.6{\pm}16.8g$ at baseline to $41.9{\pm}18.1g$ after intervention, P < 0.05); total NQ score significantly increased from 66.4 to 67.9 (P < 0.05); total NAT score significantly improved in normal BMI children (74.3 at baseline to 81.9 after the program), children being underweight (from 71.0 to 77.0), and overweight children (77.1 at baseline vs. 88.2 after intervention, P < 0.001). CONCLUSIONS: The 6-week South Korean NASA MX project is feasible and shows favorable changes in eating behaviors and nutritional knowledge among young children.

• Child Health Nursing Research
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• 제19권2호
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• pp.140-148
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• 2013

목적 연구의 목적은 빈곤가정아동의 문제행동과 비만도의 발생양상을 밝히고 그 관계를 규명하는 것이다. 방법 인천지역 22개의 지역아동센터의 차상위계층과 기초생활수급자 가정의 초등학교 4-6학년 아동 197명을 대상으로 신체검진과, 아동이 직접 아동문제행동검사(K-BASC2)를 수행하였으며, 자료분석은 SPSS17.0을 이용하여 빈도분석과, Mann-Whitney test, Kruskal-Wallis test를 실시하였다. 결과 신체계측결과 중등도이상비만이 9.6%이었다. 문제행동에서는 내면화문제의 위험군이상은 8.6%, 주의력결핍/과잉행동문제 위험군 이상은 22.8%, 학교문제의 위험군은 33.8%, 적응기술에서 49%가 위험군 이상이었다. 이는 2012년 교육과학기술부에서 우리나라 전국초등학생을 대상으로 실시한 정서행동선별검사보다 매우 높은 비율이었다. 성별에 따른 문제행동의 결과는 모든 영역에서 남학생에서 높은 비율이었다. 비만도에 따른 문제행동의 결과는 학교문제와 정서지표에서 비만도 그룹간 차이가 유의한 결과를 보였다. 결론 빈곤가정아동을 대상으로 현재의 학교 체계 안에서 이루어지는 검진시스템보다 더 자주, 주기적으로 점검되어야 하며, 특히 정신, 행동문제의 조기발견과 심각한 질환으로 발전하기 전에 아동 일대일 맞춤치료와 지속적인 상담, 간호중재가 절실히 필요하다. 특히 빈곤가정의 비만한 아동은 정신건강의 스트레스를 많이 받는 만큼, 이 아동들을 질병발생의 위험군으로 선정하고 조기발견, 예방중재, 치료적 상담의 시스템을 아동에게 적용해야 할 필요가 있다.

• Child Health Nursing Research
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• 제13권1호
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• pp.13-20
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• 2007

Purpose: This investigation examined a model to predict body mass index in order to prevent later development of obesity among adolescents. The hypothesized model was developed based on the principle of Social Cognitive Theory that social influences predict perceptions of cognition as well as behavior. Method: The 5,770 adolescents, aged 14-18 who participated in this study came from 11 separate school districts in Busan and Kyungnam province of South Korea. The adolescent surveys were administered in a group setting at the participating school. Of the 5770 surveys, adolescents with more than 10 percent missing data in the entire survey were excluded. The final sample contained 4,527 cases. The adolescents were included 2,250 (49.7%) males and 2,277 (50.3%) females. Data was analyzed Pearson correlation coefficients using SPSS 12 program and structural equation model (SEM) using Maximum Likelihood estimation was employed using Amos 5.0. Results: Social support directly affects cognitive determinants. Cognitive determinants directly affect behavior determinants which directly affect BMI. Cognitive and behavioral factors mediated the relationship between social support and BMI (GFI= 0.984, CFI= 0.974, RMSEA=0.031). Conclusion: Social levels should be supportive to help adolescents have healthier behaviors. This support can be accomplished by providing frequent support to establish positive cognitive factors as the foundation of the solution to prevent overweight and obesity.

• Child Health Nursing Research
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• 제11권3호
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• pp.282-289
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• 2005

Purpose: The purpose of this study is to identify the relationship between BMI, eating disorders, physical symptoms and self-esteem. Methods: The research design was a descriptive correlation study. Data collection was done by using a constructive self-report questionnaire, a total 231 elementary school girls were measured. The instrument was a constructive questionnaire that consisted 115 items. Data analysis was done by SPSS WIN 10.0 using descriptive statistics, ANOVA, Pearson correlation coefncient. Results: The score of eating disorders differed significantly by the BMI : the score was highest in the group of obesity(F=4.53, p=.023). The score of physical symptoms differed significantly by the BMI : the score was highest in the group of obesity(F=3.16, p=.045). There was positive correlation between BMI and eating disorders(r=.247, p<.01), and BMI and physical symptoms(r=.186, p<.01). And there was positive correlation between eating disorders and physical symptoms(r=.253, p<.01). Conclusions: These results indicated that elementary school girls need more education and counseling on dietary. Also, to promote their normal growth development, the systematic efforts to reestablish the social standard of the beauty should be taken.

• Child Health Nursing Research
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• 제23권1호
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• pp.117-125
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• 2017

Purpose: Little is known about the dieting experiences of obese adolescent boys, as the majority of studies on obesity in children and adolescents have included only girls. This qualitative study was designed to explore the ways in which male middle school boys attach subjective meanings to their obese bodies, and experience dieting practices in their everyday lives. Methods: Fifteen obese boys aged 14 to 16 were interviewed via in-depth, face-to-face interviews. All interview data were audiotaped, transcribed, and analyzed using thematic analysis. Results: Having a large build and increased strength that prevented bullying by peers had positive meanings participants attributed to their obese bodies. However, negative meanings existed as well, including feeling heavy and having no physical endurance, having a clammy and odorous body, and being bullied and vulnerable to disease. With respect to dieting experiences, multiple positive and negative subthemes were identified. Conclusion: The findings of this study show the intersection between adolescence and everyday life challenges for obese middle school boys in the Korean culture. Further, recommendations for healthcare professionals include a gender-specific approaches when intervening and planning programs for obese adolescents.

• 대한영양사협회학술지
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• 제4권2호
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• pp.145-151
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• 1998

The purpose of this study was to investigate the related factors to child overweight through investigation of children aged 6-12. Data on physical examinations, family history and dietary habits were obtained. Children were classified into normal(98 persons) and overweight(118 persons) group using the combination of height for age, weight for age and weight for height standard by the World Health Organization. Children's height, weight and BMI exhibited a significant difference between groups except children aged 8 for height. Unbalanced diet was a risk factors for overweight(Odd ratio : 1.765, 95% CI : 1.022~3.048). Number of brothers showed negative significance especially in two brothers compared to that of one(Odd ratio : 0.456, 95% CI : 0.209~0.995). But Birth weight, feeding practice, overeating, taking nutrition pills, sleeping time, mother's education level and employmental status didn't have any difference. We found out there were different risk factors between obese and overweight group. They should be divided into different groups in studying risk factors. And we should pay much attention to overweight children in order to prevent improving to obesity.

• 한국컴퓨터정보학회논문지
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• 제21권8호
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• pp.95-103
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• 2016

Food habit forming the basis for a lifetime of food and nutrient intake is established in early childhood and has an effect to the child's growth, sociality, and obesity. A variety of nutrition screening tools exists for assessing the health and nutrition status of children such as the Growth Curve, for determining if growth is appropriate. Body mass index(BMI) as a more reliable index of overweight to prevent childhood obesity, and Nutrition Quotient(NQ) and eating behaviors questionnaire for young children and parents to estimate their nutrient intake adequate or not. Such tools are mainly used by health practitioners, such as doctor and dietitian to provide nutrition intervention services to children at risk, especially and are not easy to use for general parents, who need assessment at any time and at any place. We propose Growth Assistance System for infants and children, which is possible to assess their physical condition, nutritional status, and eating behavior integrated. To be convenient and portable, it is implemented over the smartphone as an application. The system offers the growth charts, the BMI curves, NQ and eating behavior questionnaire to take a monitoring and the functionalities operate well. We hereby expect this system support the normal growth and development of infants and young children. And also support for the health practitioner (dietitians and nutritionists) to take a role in providing nutrition counseling and education to children needing nutrition services.

• Child Health Nursing Research
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• 제19권4호
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• pp.247-251
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• 2013

Children from low income families are vulnerable to physical problems including obesity, asthma, hypertension and psychological problems including depression, anxiety. This study was done to identify trends in welfare policy for children from low-income families and future direction for solving health disparity problems. Dream Start is a government-sponsored project that offers services for vulnerable children, ages 0 (include pregnant woman) to 12 years and their families. The Korean Government has made an effort to alleviate health disparity through the 'Health Plan' by establishing health objectives. However, in spite of these efforts by the Korean government, health disparity has worsened in Korea. In order to strengthen family function as well as promote growth and development for vulnerable children, experts in child care need to be significantly involved in identifying neglected children in the community.

• 운동영양학회지
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• 제14권2호
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• pp.81-86
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• 2010

The purpose of this study was to identify the factors associated with child's Body Mass Index (BMI) and physical activity. The participants (n = 133) were Korean juveniles (3^rd and 4^th graders) and their parents. They completed a questionnaire packet including the SPARK (Sports, Play, and Active Recreation for Kids) survey and the parent equivalent survey. Correlation, multiple linear regression and binary logistic regression analyses were applied to identify the association between child's BMI and 10 factors of SPARK as predict or variables. 25.6% of the participants were classified as overweight (21.1%) or obesity (4.5%). 3 parental factors including mother's BMI and frequency of mother's and father's physical activity were identified as significant predictors of children's BMI. The 10 variables accounted for 28% of the variance (p<.01) in the linear regression model. These results provide insight into parental factors which are related to a child's BMI and physical activity. Parental role modeling which refers to parents' efforts to model an active lifestyle for children plays an important role.