• Korean Journal of Community Nutrition
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• v.23 no.4
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• pp.302-318
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• 2018

Objectives: This study examined the differences in dietary life and health related factors, such as drinking behavior, exercise and leisure activities, mental health, and subjective perception for oneself according to obesity in poor urban Peruvian adolescents. Methods: A total of 1,532 Peruvian adolescents were selected from six schools in poor regions using stratified random sampling. The subjects were classified into two groups based on their BMI: 'normal weight group (NW group=980)' or 'overweight and obese group (OWOB group=293)'. The differences in the general characteristics, dietary life, drinking behavior, physical activity and leisure, mental health and subjective perception of oneself in the two groups were compared. ${\chi}^2$ analysis and independent sample t-test were performed using the SPSS program ver. 24. Results: For the total and male students, the frequency of breakfast and dinner were significantly lower in the OWOB group than in the NW group (all p<0.001). For total and female students, the percentage of subjects who received nutrition education was significantly higher in the OWOB group than in the NW group (all p<0.05). For total students, the percentage of subject who exercised more than five days/week was lower in the OWOB group than in the NW group (p<0.05). For the total and female students, the subjective health status was worse in the OWOB group than in the NW group (all p<0.05). The subjective body image was significantly different between the OWOB group and NW group in the total, male and female subjects (all p<0.001). Conclusions: The frequency of meals and exercise, and the subjective perceptions of the health status and body image differed according to obesity in poor urban Peruvian adolescents. Therefore, a school-based intervention program focused on regular meal and exercise, and adequate subjective perceptions for health status and body image need to be developed to prevent adolescent obesity.

• Journal of Korean Public Health Nursing
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• v.27 no.1
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• pp.102-112
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• 2013

Purpose: The purpose of this study was to determine the effects of a weight loss program administered through a smart phone application on body composition and obesity in adolescents. Methods: This study applied a 6-week weight loss program with dietary education, exercise therapy, and behavior modification therapy from 4 June 2012 to 20 July 2012. The collected data were analyzed by descriptive statistics and the Wilcoxon signed rank test using the SPSS WIN 18.0 program. Results: After the 6-week program, the average weight of the subjects was reduced from 75.96kg to 74.41kg (Z=$-3.994^p$, p<.001), while the body mass index (BMI) decreased from 29.23 to 28.60 (Z=$-3.980^p$, p<.001), and the obesity index decreased from 38.45% to 35.59% (Z=$-3.977^p$, p<.001). The percentage of body fat decreased from 32.45 to 31.92 (Z=$-3.947^p$, p<.001), and the rate of skeletal muscle growth increased from 26.06% to 26.58% (Z=$-3.822^p$, p<.001). Conclusion: A weight loss program using a SNS (social network service) application, with dietary education, exercise therapy, and behavior modification therapy can reduce obesity and impact body composition in a short-term. Therefore, the utilization of the SNS application can be used to effectively enhance the management of adolescent obesity.

• Journal of Preventive Medicine and Public Health
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• v.43 no.5
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• pp.396-402
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• 2010

Objectives: Self-reported anthropometric values, such as height and weight, are used to calculate body mass index (BMI) and assess the prevalence of obesity among adolescents. The aim of this study was to evaluate the validity of selfreported height, weight, and BMI of the Korea Youth Risk Behavior Web-based Survey questionnaire. Methods: A convenience sample of 137 middle school students and 242 high school students completed a selfadministered questionnaire in 2008. Body height and weight were directly measured after self-reported values were obtained from the questionnaire survey. Sensitivity, specificity, and kappa statistics were computed in order to evaluate the validity of the prevalence of obesity (BMI $\geq$ 95th percentile or $\geq$ $25;kg/$m^2$) based on self-reported data. Results: Self-reported weight and BMI tended to be underestimated. Self-reported height tended to be overestimated among middle school females and high school males. Obese adolescents tended to underestimate their weight and BMI and overestimate their height more than non-obese adolescents. The prevalence estimate of obesity based on selfreported data (10.6%) was lower than that based on directly measured data (15.3%). The estimated sensitivity of obesity based on self-reported data was 69.0% and the specificity was 100.0%. The value of kappa was 0.79 (95% confidence interval, 0.70 - 0.88). Conclusions: This study demonstrated that self-reported height and weight may lead to the underestimation of BMI and consequently the prevalence of obesity. These biases should be taken into account when self-reported data are used for monitoring the prevalence and trends of obesity among adolescents nationwide.

• Korean Journal of Human Ecology
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• v.16 no.5
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• pp.1041-1050
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• 2007

The purpose of this study was to investigate the variables which had effects on deit behavior of male and female high school students. The proposed variables are their body-related variables(body satisfaction, weight control experience, the degree of diet interest, and obesity) and self-esteem. The sample group used for the study consisted of 359 high school students(male=168, female=191). Measurement scales used for the study were those of body-related variables, self esteem and eating disorder behavior, and data analysis was performed using $X^2$, t-test, Pearson's correlation, regression analysis. The results are as follows. First, there is a significant difference between male and female high school students regarding their obesity perceived by themselves, body satisfaction, the degree of diet interest, weight control experience, and deit behavior. Second, In male students, diet behavior shows a positive correlation with the degree of diet interest, weight control experience, and body satisfaction, but shows a negative correlation with body satisfaction. In female students, diet behavior is positively correlated with the degree of diet interest, weight control experience, and obesity, but negatively correlated with body satisfaction and self-esteem. Third, in male students, the variables that showed a influence on diet behavior as an eating disorder are weight control experience, body satisfaction and obesity, in that the explanatory power of the variables is 51.7% with the highest mark on obesity. In female, the variables that showed a influence on diet behavior as an eating disorder are the degree of diet interest, weight control experience, body satisfaction and obesity, in that the explanatory power of the variables is 66.0%.

• Journal of the Korea Convergence Society
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• v.10 no.6
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• pp.347-353
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• 2019

This study was a descriptive research to investigate the difference of obesity, smoking, drinking affected allergy disease in Korean adolescents using the raw data of $6^{th}$ Korea National Health and Nutrition Survey(2015). Study data on 535 Korean adolescents classified 12 to 18 years and Rao-Scott Chi-square test and logistic regression were used for analysis. The results of the study showed that the prevalence of asthma, atopic dermatitis, allergic rhinitis were 5.4%, 15.5%, 22.8% and not shown differences according obesity, smoking, drinking. But, the risk factor of asthma was related obesity, atopic dermatitis was related smoking. Based of this study's findings, It is necessary to develop the Heath Promotion Intervention Program according of obesity, drinking, smoking for the quality of life in adolescents diagnosed Allergy disease.

• Clinical and Experimental Pediatrics
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• v.62 no.8
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• pp.317-323
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• 2019

Purpose: Investigating the prevalence of hyperuricemia and its association with metabolic syndrome (MetS) and cardiometabolic risk factors (CMRFs) in Korean children and adolescents. Methods: This cross-sectional survey used data from the 7th Korea National Health and Nutrition Examination Survey (2016-2017); 1,256 males and females aged 10-18 years were included. Hyperuricemia was defined as serum uric acid levels were >6.6 mg/dL at 10-11 years of age (both sexes), >7.7 mg/dL for males at 12-18 years of age and >5.7 mg/dL for females at 12-18 years of age. MetS was defined by the International Diabetes Federation criteria. Logistic regression analysis was used to analyze hyperuricemia-associated risk factors. Results: The prevalence of hyperuricemia was 9.4% (male, 8.4%; female, 10.5%) (P<0.281). After adjusting for sociodemographic factors and health behaviors in multivariate analysis (model 1), the odds ratio (OR) for hyperuricemia of MetS was 3.05 (95% confidence interval [CI], 1.17-7.92; P=0.022). After adjusting for the same variables in model 1 plus obesity and all MetS components (model 2), only abdominal obesity was significant, and the OR for hyperuricemia was 3.38 (95% CI, 1.72-6.63; P<0.001) After adjusting for the same variables in model 1 plus body mass index (BMI) z scores and all MetS components except abdominal obesity (model 3), only BMI z scores was significant, and the OR for hyperuricemia was 1.59 (95% CI, 1.34-1.89; P<0.001). Conclusion: MetS, abdominal obesity, and BMI z scores were CMRFs significantly associated with hyperuricemia in Korean children and adolescents. Therefore, attention should be paid to hyperuricemia in patients with obesity or MetS.

• Clinical and Experimental Pediatrics
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• v.52 no.12
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• pp.1327-1336
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• 2009

Increasing numbers of children and adolescents prefer undertaking physical exercise to overcome overweight or obesity. Children and adolescents are in the growth stage and require adequate nutrient supply. More calories and nutrients are required especially when they are engaged in physical exercise. Exercise is the only means to increase lean body mass and decrease body fat, but adequate nutrient supply is also essential. Lack of adequate nutrient supply causes muscle mass loss, menstruation irregularity, reduced bone density, fatigue, or frequent injury in children undertaking physical exercise. Here, I have introduced some guidelines on the nutrient requirement for child and adolescent athletes.

• Clinical and Experimental Pediatrics
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• v.59 no.9
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• pp.355-361
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• 2016

The menarcheal age of Korean women has been rapidly decreasing for the last 50 years, and the average menarcheal age of women born in the 1990s is approaching 12.6 years. In addition, interest in early puberty has been increasing recently owing to the rapid increase in precocious puberty. Generally, out of concern for short stature and early menarche, idiopathic central precocious puberty in female adolescents is treated with gonadotropin-releasing hormone analogs. Studies to date have described the association between early menarche and psychosocial problems such as delinquency and risky sexual behavior, as well as physical health problems such as obesity, diabetes, cardiovascular diseases, and breast cancer throughout the lifespan of women. However, the pathophysiological mechanism underlying this association has not been clarified thus far. In this article, we review and discuss the existing literature to describe the current understanding of the effects of early menarche on the physical and psychosocial health of adolescent girls and adult women.

• Journal of Korean Academy of Nursing
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• v.44 no.2
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• pp.179-188
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• 2014

Purpose: This study was done to construct and test a structural model to explain health risk behavior of late adolescents. Methods: Data for this study were secondary data from the 2010 Korea Adolescent Health Survey based and 3,675 high school students who participated. Data were analyzed using SPSS 18.0 and AMOS 19.0 programs. Results: After 7 lines were removed, fitness statistics for the hypothetical model were appropriate (${\chi}^2$=559.13, p<.001, GFI=.98, SRMR=.03, RMSEA=.04, NFI=.88, IFI=.90, CFI=.90, TLI=.86, AIC=671.13). The result showed that drinking-smoking is directly affected by 5 variables (32.5%), obesity is directly affected by 2 variables (0.7%), lack of physical activity is directly affected by 5 variables (22.2%), skipping of breakfast is directly affected by 3 variables (11.9%), improper sleep is directly affected by 3 variables (7.5%), and psychological adaptation is directly affected by 4 variables (26.8%). Conclusion: The results of this study, indicate that late adolescents' health risk behavior is affected by many factors with complicate correlations suggesting further study compare youth health risk behaviors in a variety of environments.

• Journal of Korean Academy of Nursing
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• v.40 no.1
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• pp.14-23
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• 2010

Purpose: This study was done to compare health risk behavior prevalence for youth living in metropolitan, medium sized and small cities or rural area, in order to enhance understanding regional differences. Methods: For this study, data from the 2006 Youth Health Risk Behavior Online Survey collected by the Korean Center for Disease Control were analyzed using SPSS. Results: In the metropolitan areas, prevalence for disease and perceived obesity were higher than in other areas. Lack of intense or moderate physical activity, obesity, fast food intake, and insufficient sleep showed higher prevalence than in rural areas. Prevalence of lifetime smoking, lifetime alcohol consumption, present alcohol use, fruit intake less than once a day, and not wearing a seat belt were higher in rural areas than in urban areas. Gender, smoking, and alcohol use were correlated. Spearman correlation between living with parent and skipping breakfast were significant. Smoking, alcohol use, and sexual behavior were correlated. Conclusion: As significant differences in prevalence of youth health risk behaviors exist between regional areas, health education and health promotion programs considering these differences have to be developed and implemented for adolescents. Programs for prevention of smoking and alcohol use, programs for improvement of fruit intake and safety are suggested for adolescents in rural areas, whereas programs to enhance physical activity and obesity management are suggested for adolescents in metropolitan areas.