• Child Health Nursing Research
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• 제11권2호
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• pp.240-245
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• 2005

The problem of childhood obesity is accelerating throughout the world. Korea is no longer an exception to this problem. The following topics are discussed in this review article: 1) the linkage between childhood obesity and adult obesity, which is often associated with metabolic diseases such as type2 diabetes, hypertension, cardiovascular diseases, and certain cancers; 2) characteristics of childhood obesity; 3) measurement of obesity and its unique problem; 4) recent trends in interventions for childhood obesity. Lastly, the author points out that nurses are best suited for carrying out interventions to prevent obesity in childhood. As childhood obesity is a risk factor for persistence of obesity into adulthood, the need to consider the priority of prevention of obesity during childhood is emphasized in this review.

• Clinical and Experimental Pediatrics
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• 제63권12호
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• pp.477-482
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• 2020

The childhood obesity pandemic has emerged as an important public health problem in many countries. Obese children are likely to become obese adults, and adult obesity is associated with an increased risk of morbidity. Therefore, controlling the childhood obesity epidemic has become a top public health priority worldwide. The current coronavirus disease 2019 (COVID-19) pandemic may significantly impede this important mission and constitute an unprecedented tragedy in the global battle against childhood obesity. This manuscript presents evidence that the COVID-19 pandemic will aggravate the childhood obesity epidemic and lead to significant weight gain in school children by creating an unprecedented obesogenic environment. Within the last few months, many countries took uncompromising measures in response to the COVID-19 pandemic, including school closures and quarantine. While these steps are often necessary to ensure infection control, they may have a significant negative effect on children's mental and physical health. Physical, nutritional, and psychosocial factors that promote obesity in children during this special situation complementarily contribute to an unprecedented obesogenic environment. Large-scale quarantine and home confinement will impose new and unfamiliar stressors on children, thereby worsening the childhood obesity epidemic. Most importantly, adverse childhood events resulting from a predicted increase in domestic violence within the next few months will significantly contribute to this concern. The scenario presented in this review is of paramount public health importance and must be considered during future pandemic planning. Involved stakeholders, including governments, schools, and families, must make all possible efforts to minimize the impact of the COVID-19 epidemic on childhood obesity.

• 한방비만학회지
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• 제10권1호
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• pp.17-28
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• 2010

Objectives It is significant to determine the validation of a self-administered somatotype drawing for the simple assessment of childhood obesity in elementary school and clinical practice. Methods The subjects were 202 children(112 boys and 90 girls) who answered a questionnaire for somatotype drawing and weremeasured for body components with bioelectrical impedance. The somatotype drawing of children was analysed according to the three criteria of childhood obesity - BMI percentile, obesity index and percent body fat, respectively. Results BMI, waist-hip ratio, skeletal musclemass and proteinmass had significant differences(p<.05) between boys and girls. Somatotype drawing had the highest correlation with BMI in both boys and girls, and also showed a high correlation with BMI percentile, obesity index and percent body fat.According to these criteria of childhood obesity, the somatotype drawing was the best consistent with the obesity index, next turn was the percent body fat and then the BMI percentile. Conclusions The validation of somatotype drawing for the assessment of childhood obesity was analysed according to BMI percentile, obesity index and percent body fat, and the somatotype drawing was the best consistent with obesity index in both boys and girls.

• Annals of Pediatric Endocrinology and Metabolism
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• 제23권4호
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• pp.182-195
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• 2018

Increasing prevalence of childhood obesity poses threats to the global health burden. Because this rising prevalence cannot be fully explained by traditional risk factors such as unhealthy diet and physical inactivity, early-life exposure to endocrine disrupting chemicals (EDCs) is recognized as emerging novel risk factors for childhood obesity. EDCs can disrupt the hormone-mediated metabolic pathways, affect children's growth and mediate the development of childhood obesity. Many organic pollutants are recently classified to be EDCs. In this review, we summarized the epidemiological and laboratory evidence related to EDCs and childhood obesity, and discussed the possible mechanisms underpinning childhood obesity and early-life exposure to non-persistent organic pollutants (phthalates, bisphenol A, triclosan) and persistent organic pollutants (dichlorodip henyltrichloroethane, polychlorinated biphenyls, polybrominated diphenyl ethers, per- and polyfluoroalkyl substances). Understanding the relationship between EDCs and childhood obesity helps to raise public awareness and formulate public health policy to protect the youth from exposure to the harmful effects of EDCs.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제12권sup1호
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• pp.118-126
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• 2009

The incidence of childhood obesity has increased dramatically. Childhood obesity is an increasing health problem because of its strong associations with chronic health problems in children and adults. These health problems significantly contribute to the development of common chronic diseases in later life, including hypertension, type2 diabetes, hyperinsulinemia, coronary heart disease, and other psychological disorders. So it is an important issue to prevent and treat obesity during childhood and adolescent. Diet and exercise are the cornerstones of treatment for obesity and related complications. For obese children, some clinical trials have shown improvement with diet, exercise, and /or behavioral interventions. Promising interventions for high-risk individuals, such as bariatric surgery and novel pharmacological agents, also require rigorous assessment with attention to long-term patient important outcomes. There are various pharmacological approaches to the treatment of obesity in the adolescent population some of which have FDA approval. In the article we discuss pharmacological approaches to guide the treatment of obesity in the pediatric population, including risks of treatment, monitoring of potential side effects.

• 대한한방소아과학회지
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• 제18권2호
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• pp.161-177
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• 2004

Objective : There have been many programs to treat childhood obesity, since childhood obesity has shown up as a social problem. The purpose of this study was to find out considerable matters to manage Childhood Obesity Treatment Program (COTP). Methods : This study was made with reference to clinical progress notes of children with obesity, visiting the oriental medicine center, to take COTP from July 30th, 2003 to August 25th, 2004. COTP was consist of abdominal aroma massage, abdominal low frequency acupuncture therapy, auricular acupuncture therapy and behavior modification. Results : 1. Seven children who taken COTP started fat from young age and three started from about ten-year-old ages. 2. Six children have fat fathers, a child has fat parents and three children have no fat family member. 3. The obesity levels of Obesity Index(OI), Body Mass Index(BMI) and Rohler Index(RI) were different, used for evaluating the result of treatment, though they are used for a child. The result of OI reflected more sensitive from changes of weight than those of BMI and RI. 4. We got the better results with numbers of treatment and exercise. Conclusions : More correct standard are needed to estimate degree childhood obesity. And it is necessary to carry out obesity treatment program with behavior modification, for children with obesity. to be healthy adults.

• 한국아동복지학
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• 제59호
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• pp.59-86
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• 2017

본 연구의 목적은 아동의 비만이 학교적응에 미치는 영향을 위축의 매개효과를 중심으로 분석하는 것이다. 이를 위해 한국복지패널 데이터 중 10차 년도의 가구 및 아동부가조사 데이터를 활용하여 아동의 비만이 학교적응에 미치는 직접적인 영향을 살펴보았고, 두 변인간의 관계에서 위축의 매개효과를 검증하기 위해 위계적 회귀분석을 실시하였으며, 또 매개효과가 통계적으로 유의미한지 알아보기 위해 Sobel-test를 실시하였다. 연구의 주요결과는 다음과 같다. 첫째, 아동의 비만은 학교적응에 부적인 영향을 미치는 것으로 나타났다. 둘째, 아동의 비만은 위축에 정적인 영향을 미치는 것으로 나타났다. 셋째, 위축은 학교적응에 부적인 영향을 미치는 것으로 나타났다. 넷째, 아동의 비만이 학교적응에 영향을 미치는데 있어서 위축의 부분 매개효과가 검증되었다. 이러한 결과를 토대로 아동 비만의 예방과 개입 및 비만의 부정적 영향을 감소시킬 수 있는 실천적 방안에 대해 논의하였다.

• 대한한방소아과학회지
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• 제30권3호
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• pp.108-120
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• 2016

Objectives The purpose of this study is to investigate Korean clinical studies on treatment of childhood obesity and to propose for better treatment options for childhood obesity. Methods Based on RISS, KISS, OASIS, KMbase with the keyword 'childhood obesity', 'child obesity', 'obese child', 'overweight child', total of 21 randomized controlled trials (RCTs), 11 single clinical studies, 3 chart reviews and 3 case reports have been found, and were analyzed. Results and Conclusion 1. Some study subjects were classified based on their sex - only men or women in a group or sometimes both. Another way of classify the study subjects were based on their age - preschooler, primary school students, middle school students, and high school students. The diagnostic criteria of the subjects were BMI (body mass index), Body fat percentage, Obesity index, Weight and unknown criteria. 2. The treatments used in 38 studies were exercise alone, education alone, both exercise and education or herbal therapy. The 7 studies that used herbal therapy as part of their study intervention had a study group with herbal intervention only and the other 2 study group with herbal treatment in addition to exercise and education. 3. 9 studies included herb medicines, electroacupuncture, auricular acupuncture, cupping, aroma massage, infrared light, and abdomen pad. Herb medications used in 5 studies included Chegameuiin-tang 2 kinds, Sobieum, Biman-tnag, and I-razin. 4. The methods of assessment used in 38 studies were classified by 7 categories and anthropometry parameters which is the basic methods are used in all studies 5. Almost studies (29 studies in all 38 studies) were using anthropometric parameters results on significantly effectiveness of childhood obesity. 6. More studies are needed to prove true effectives from various treatments, especially herbal therapy for childhood obesity.

• 대한한의학방제학회지
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• 제29권1호
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• pp.9-17
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• 2021

Childhood obesity leads to adult obesity in case of failure of obesity treatment in childhood. It has been reported recently that the various risk factors that cause childhood obesity may lead to diabetes and arteriosclerotic cardiovascular disease in adulthood, thus the treatment of childhood obesity is more important. Sasang Typology advocated by the Korean traditional medical doctor in the late Joseon Dynasty, Je-Ma Lee (李濟馬), separated into four types of human constitution. It is known that Tae-Eum type (太陰人) is likely to be obese compared with other constitutions. This study examined the effects that influence on indicators related obesity and metabolic diseases through conducting aquatic application program at Tae-Eum type children who are severely obese (BMI > 30) during 12 weeks. Moreover, this study investigated the herbal prescriptions for obesity of Tae-Eum type (太陰人).

• 보건교육건강증진학회지
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• 제28권3호
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• pp.43-55
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• 2011

Objectives: The objectives of this study were to describe population-based prevention strategies for childhood obesity and to discuss its application in a city in Korea. Methods: Literature review and empirical findings for ongoing programs were performed to develop population-based prevention strategies for childhood obesity with the framework and principles of WHO population-based prevention strategies for childhood obesity. Results: The developed framework had five key strategies (supportive policies, supportive environment, supportive program, strategic development & leadership, and monitoring & evaluation) under hierarchic objectives (long-term, middle-term and short-term) with the vision of healthy growth and development of all children and youth. Each strategy included evidence-based action plans with WHO principles. Conclusions: The developed strategies have advanced the existing strategies for childhood obesity prevention by providing the sustainable and systematic framework and action plans based on ecological approach. Further, the feasibility for operating the strategies needs to be verified.