• Journal of the Korean Society of School Health
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• v.14 no.2
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• pp.279-288
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• 2001

This study investigates the effect of adolescent dining habits on their physical development. We selected 200 students from the three high schools in Taejon, and surveyed with a questionnaire and collected data concerning physique from school health records. The results obtained from this study were as follows: 1. A point of intersection of two development trends of male and female students' heights was between sixth grade of elementary school and first grade of middle school. Two development trends of weights didn't have a point of intersection and male students' development trend of weights was a little higher than that of female students. 2. There were significant differences in the weight and BMI of male students. The 'regular dining' group had heavier weight and higher BMI than the other group, and the 'Eating only favorite food' group had lower weight and BMI than the other group. In female, heights of 'three meals a day' group were higher than that of 'two meals a day' group and the more snacks per day, the higher students' height was. 3. The 'regular exercise' group had significantly heavier weight and higher BMI than the other group amount females. 4. 'Regular dining' and 'Eating habits' had a positive linear relationship with male students' weight and BMI. 'Number of times of snacking' has a positive linear relationships with female students' height and a negative linear relationship with female students' BMI. Since dining habits of adolescents have not only an effect on their development but also later adults' health, to develop good habits of health and dining is a critical issue.

• Journal of Preventive Medicine and Public Health
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• v.41 no.5
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• pp.323-330
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• 2008

Objectives : This study was conducted to examine the mediating function of body weight perception (BWP) on the relationship between body mass index (BMI) and unhealthy weight control behaviors (UWCB: e.g., fasting, or taking diet pills or laxatives) and between BMI and depressed mood, and to explore the effect of distorted BWP on UWCB and depressed mood among adult women. Methods : A regionally representative sample of 8,581 women aged 20-64 years residing in Seoul, the capital of Korea, completed the 2001 Seoul Citizens Health Indicator Survey which provides self-reported information about height, weight, BWP, UWCB, depressed mood, demo graphic/socioeconomic characteristics, and health-related behaviors. Data were analyzed using bivariate and multivariate logistic regression. Results : BMI was significantly associated both with UWCB and depressed mood, even controlling for all covariates. However, the magnitude and significance of each association was considerably attenuated when BWP was taken into account, indicating that BWP functioned, in part, as a mediator between BMI and UWCB and between BMI and depressed mood, respectively. Among the combinations of BMI and BWP, women who perceived themselves to be heavier than their actual BMls appeared more likely to use UWCB, whereas women who had a distorted BWP, either underestimation or overestimation as compared with their BMIs, tended to be at greater risk for depressed mood than those who had an undistorted BWP. Conclusions : These findings suggest that how women perceive their body weight may be an important predictor and/or mediator of UWCB and depressed mood among adult Korean women.

• Journal of Korean Public Health Nursing
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• v.28 no.1
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• pp.22-31
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• 2014

Purpose: The purpose of this study was to examine the impact of body mass index (BMI) and waist circumference (WC) for pulmonary function in normal-weight and obese women. Methods: Data from women aged ${\geq}40$ years were obtained from the 2011 Korean National Health and Nutrition Examination Survey. Obesity was measured by BMI and WC and pulmonary function was measured by forced vital capacity (FVC), forced expiratory volume in 1 second ($FEV_1$), and a ratio between forced expiratory volume in 1 second ($FEV_1$/FVC). Multiple linear regression analysis was performed for assessment of the association between FVC, $FEV_1$, $FEV_1$/FVC and obesity variables. Results: BMI showed positive association with FVC, $FEV_1$, $FEV_1$/FVC, and WC showed positive association with $FEV_1$ and $FEV_1$/FVC in normal-weight women. BMI and WC showed negative association with FVC, $FEV_1$ in obese women. A 1 unit increase in BMI showed an association with a 25-mL reduction in FVC and a 19-mL reduction in $FEV_1$. A 1-cm increase in WC showed an association with a 6-mL reduction in FVC and a 4-mL reduction in $FEV_1$. Conclusions: BMI and WC showed negative association with pulmonary function in obese adult women. Therefore, obese women with reduced pulmonary function should be encouraged to lose weight for improvement of their pulmonary function.

• Journal of Nutrition and Health
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• v.34 no.1
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• pp.39-47
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• 2001

The study was conducted to assess the association or physical activity, television watching and energy intake with body fat in 514 adolescents(218 boys, 296 girls) aged 14-17 years. Comparison of the weight status evaluated according to some indicators based on weight and stature was made. The quantitative food frequency was used to determine intakes of total energy and energy from each macronutrient. Television-watching time was used as an index of inactivity and time spent performing extra-curricular physical exercise or playing was used a index of activity, BMI(body mass index) was used as index of body fat. Weight status varied by the indicators used. Using BMI, Broca and Rohrer index, 54-59% of boys and 38-57% of girls were underweight decreased(23% of boys and 26% of girls) and the of overweight increased (9.3% of boys and 7.8% girls), when adolescents whose BMI are<=15th percentiles for age and sex, and >= 85th percentiles of standard growth charts of Korean Children and aldosescents(1998) were classified as underweight and overweight, respectively, Girls tended to get fatter compared to boys who showed greater skeletal development. There were no significant correlations between BMI and total energy intake, energy intakes from macronutrient and physical activity level. These lack of association seems to be related to indication that BMI reflects total body mass rather than fatness. Mpreover, the effect of growth may interact with diet intake or physical activity level. Although BMI was not related to physical activity, television-watching time was negatively correlated with physical activity. Television-watching time was positiviely correlated with energy intake in girls. In adolescents, criteria for weigh status based on weight and stature must be age- and sex-specific in that weight status varied by indicators whether gender and higher were taken into consideration or not. If follows that each hourly increment of television watching may be related to fatness of adolescents, because hours certainly reduce the opportunity to be active and increase th energy intake.(Korean J Nutrition 34(1):39-47, 2001)

• Korean Journal of Biological Psychiatry
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• v.22 no.3
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• pp.128-134
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• 2015

Objectives To examine the relationship between health-related quality of life (HRQoL) and body mass index (BMI) of obese children. Methods This cross-sectional study included 387 children. HRQoL was measured with the PedsQLTM 4.0 Generic Core Scale. BMI was classified according to the World Health Organization Asia-Pacific obesity guidelines. Psychosocial factors (body image, self-esteem, and depression/anxiety) were also measured. Data were analyzed using one-way analysis of variance, Pearson's correlation and Path analysis. Results Obese participants reported lower score for physical evaluation, self-esteem, appearance evaluation component of body image, total HRQoL score, and physical/emotional/social function components of HRQoL ; they reported higher score for depression/anxiety. In addition, results indicated that as BMI increased, appearance evaluation, total HRQoL score, and social function component of HRQoL dropped. Path analysis revealed that BMI did not directly affect HRQoL ; however, BMI directly affects body image and self-esteem, indirectly mediates depression/anxiety, and thereby impacts on an individual's HRQoL. Conclusions Body image and self-esteem, rather than BMI itself, have more influence on HRQoL. This reinforces the importance of therapeutic intervention to enhance body image and self-esteem among obese children.

• Nutrition Research and Practice
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• v.6 no.1
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• pp.78-85
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• 2012

Whether the $FTO$ polymorphisms interact with environmental factors has not yet been evaluated in associations with metabolic syndrome (MS) risk. The present study investigated the association of the $FTO$ rs9939609 genotypes, body mass index (BMI), and lifestyle-related factors including smoking, alcohol drinking, physical activity, and diet with MS incidence. A population-based prospective cohort study comprised 3,504 male and female Koreans aged 40 to 69 years. At the beginning of the study, all individuals were free of MS and known cardiovascular disease. Incident cases of MS were identified by biennial health examinations during a follow-up period from April 17, 2003 to April 15, 2009. Pooled logistic regression analysis was applied to obtain relative odds (RO) of MS with its 95% confidence interval (CI). After controlling for potential MS risk factors, we observed no association between the rs9939609 genotypes and MS incidence. In analysis stratified by BMI, however, carriers with the $FTO$ risk allele whose BMI is $29kg/m^2$ or greater showed an approximately 6-fold higher RO (95% CI: 3.82 to 9.30) compared with non-carriers with BMI less than $25kg/m^2$. In particular, the association between the rs9939609 variants and MS risk was significantly modified by high BMI (P-value for interaction < 0.05). Such significant interaction appeared in associations with central obesity and high blood pressure among the MS components. Because carriers of the $FTO$ risk alleles who had BMI of $29kg/m^2$ or greater are considered a high risk population, we suggest that they may need intensive weight loss regimens to prevent MS development.

• Journal of Nutrition and Health
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• v.33 no.3
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• pp.279-288
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• 2000

The study examined BMIs, physical strength, activities, and the attitudes and behavior toward weight control among 7,968 Korean students{2,435 5th graders from elementary schools(ESs), 2,524 2nd graders from middle schools(MSs), 2,739 2nd graders from high schools(HSs)} nationwide. Compared to the 1987 data, there were increases of height(3-6cm) and weight(3-8kg), but decreases of physical strength and exercise. Lack of 'regular exercise' among girls from MSs and HSs and higher proportion of time spent on watching TV and using a computer for elementary schoolers were particularly noticeable. Proportions of students who were satisfied with their body weight were 49% for ESs, 35% for MSs, and 29% for HSs. There was no relationship between subjective and objective evaluations of body weight. Diet rather than exercise was more frequently chosen as a method of weight control. Compared to boys, girls showed stronger association between the amount of exercise and the subjective body weight in MSs and HSs, however this association was not found for the subjects from HSs. Values for the 50th percentile of BMI of boys and girls were 18.4 and 17.7 for ESs, 19.9 and 20.1for MSs, and 21.4 and 20.6 for HSs. In MSs and HSs, boys with BMI between 15th to 85th percentiles were physically stronger than those whose BMIs were lower than 15th kor higher than 85th percentiles. For the other groups, there was a trend of a positive relationship between BMI and physical strength. Based on the analyses of BMI and physical strength, this study suggests 22 and 21 for upper grades in ESs, 24 and 23 for MSs, and 27 and 25 for HSs as the respective cut off points of BMI for weight control n boys and girls. A need for implementing nutrition education program focused on weight control is also suggested.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.3
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• pp.1972-1980
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• 2015

This study's purpose was to analyze the effect of the SmartCare obesity management pilot project, which was conducted between 09 March 2011 and 03 April 2013 in Korea (South). Of 212 subjects who were enrolled in the study, the final analysis was conducted with 147 subjects who completed their weight self-measurements and SmartCare services until the end of a 6-month service period. The self-measurement group for evaluation was classified into 3 groups (Low, Middle, and High) by evenly dividing the monthly average frequency of measurement for 6 months and the evaluation indices were weight, and BMI (Body Mass Index) transmitted from the SmartCare System. The monthly average weight and BMI were decreased more in the High Group than the Middle Group and Low Group (M5: High>Middle>Low), and they are showing statistically significant differences between groups (p< 0.05). In conclusion, analysis of the weight and BMI improvement effect showed a greater improvement effect when the self-measurement frequency level was higher.

• Journal of Nutrition and Health
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• v.33 no.1
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• pp.49-58
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• 2000

The purpose of this study was to investigate the relationship among urn leptin, nutritional status, and urn lipids, glucose of 99 middle school girls residing in Kyluggi-do, Korea. Subjects were assigned to one of three groups such as underweight(BMI < 20, n=38), normal(20$\leq$BMI<25, n=36) and over weight(BMI$\geq$25, n=25) groups. The nutritional status of the subjects was evaluated by anthropometric measurements, questionnaires, 24-hr dietary recalls and blood anal),sis. The results were as follows : The mean age, body weight, height and BMI were 13.93 years, 55.19kg, 158.40cm and 21.96kg/㎡ respectively. The mean menarche age of the subjects was 12.64 years and the mean daily energy intake was 94.22% off RDA for Koreans. The energy ratio from carbohydrate fat and protein was 63: 24: 13. Underweight group showed the lowest intakes of oils and fats among three groups(p<0.05). The mean serum levels of leptin, glucose, total cholesterol, HDL-cholesterol. LDL-cholesterol and triglyceride were 10.57ng/ml 78.80mg/dl, 12.29mg/dl, 48.07mg/dl, 93.50mg/dl and 78.61mg/d1, respectively. The mean atherogenic index was 2.37. There were significant increases in serum leptin, glucose, LDL-cholesterol, triglyceride and atherogenic index of subjects with increases in their BMIs. Serum leptin showed a significantly positive correlation with BMI(p<0.001), body fat percent(p<0.001). When BMI was adjused, serum leptin showed a significantly positive partial correlations with intakes of animal protein(p<0.05), milks and animal foods(p<0.05), Serum leptin showed a significantly positive correlation with serum glucose(p<0.05) total cholesterol(p<0.01), LDL-cholesterol(p<0.001), triglyceride(p<0.001) and atherogenic index(p<0.001), however, it had significantly negative correlations with HDL-cholesterol(p<0.05). Therefore, these results suggest that the increase of serum levels of leptin may elevate the risk of cardiovascular disease and lipids and some nutrient intakes may be related with serum leptin levels. (Korean J Nutrition 33(1) : 49-58, 2000)

• Journal of Nutrition and Health
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• v.33 no.1
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• pp.59-67
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• 2000

The objective of this study was to investigate nutritional status of middle aged Korean men exhibiting impaired glucose tolerance (IGT) and identify the risk factors related to IGT Data were collected from 163 men with a fasting blood glucose level from 115 to 139mg/dl(high blood glucose group: HBG) and 170 men with a normal fasting blood glucose level(control) aged from 40 to 59 years in both groups. Weight, body mass index(BMI) and percent body fat were significantly higher in high blood glucose(HBG) group than those of control group. Age, weight, BMI, percent body fat were positively related to blood glucose. There were no differences in exercise, smoking and family history of diabetes between two groups. Frequency of fat eating and overeating of HBG were higher than those of control group but frequency of sweet snacks intake of HBG was lower than that of control group. There was no difference in daily total energy intake in two groups. Total and supper energy intakes were positively associated with blood glucose. Percent energy intake of alcohol was significantly higher in HBG group and positively related to blood glucose, however there were no difference in daily intake of nutrients in two groups. Alcohol intake was positively related to BMI, but after adjusting BMI, there was no correlation between alcohol intake and blood glucose. Serum total cholesterol and triglyceride were significantly higher in HBG group than those of control group. Serum total cholesterol i,nd triglyceride were positively related to blood glucose and high density lipoprotein cholesterol was negatively associated with blood glucose. After adjusting BMI, serum triglyceride was positively related to blood glucose. In conclusion, weight, BMI, percent body fat and blood total cholesterol, low density lipoprotein cholesterol and triglyceride levels were positively related to blood glucose level of middle aged Korean men exhibiting impaired glucose tolerance. Their eating habits exhibited higher frequency of overeating, fast eating, high energy intakes of supper. (Korean J Nutrition 33(1) : 59-67, 2000)