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)
The purpose of this study was to investigate the effects of body weight, perception of body shape and satisfaction with body shape on obesity stress and self-esteem among middle school students. The participants in this study were 446 middle school students in K-city. The major results of this study are as follows. First, male students demonstrated higher obesity rates than female students, and female students considered themselves to be fatter and less satisfied with their body shape than male students. Female students had significantly more obesity-related stress than male students. Second, there were significant differences in physical obesity stress according to body weight status among male and female students, and there was statistically significant difference in psychological obesity stress according to body weight status among male students. Male and female students who considered themselves to be fatter and less satisfied with their body shape suffered from high obesity stress. Third, there was no significant difference in self-esteem according to body weight status, but self-esteem was affected by perception and satisfaction of body shape; male and female students who considered themselves to be fatter and less satisfied with their body shape showed low levels of self-esteem. As the result of regression analysis, psychological obesity stress was the strongest factor in explaining self-esteem among all students, and satisfaction of body shape was also found to be a significant variable among female students.
Objectives: This study examined the association between the dietary behavior and weight status of preschool children and their mothers in Daejeon, Korea. Methods: A total of 301 mother-preschool children (aged 3~6 years) dyads were included in this study. The dietary behavior of children and their mothers was assessed using the Nutrition Quotient (NQ) questionnaire for preschoolers and adults, respectively. The NQ questionnaires were completed by the mothers. The overweight/obesity status of children and their mothers was determined using data on height and body weight reported by the mothers. Multiple logistic regression was performed to examine the relationship between the dietary behavior and weight status of children and their mothers. Results: The mean NQ score was 58.9 ± 9.7 in children and 55.6 ± 9.2 in mothers. The NQ score was higher in boys than girls but did not vary by age. The prevalence of overweight/obesity was 27.5% in children and 46.5% in mothers. The physical activity level of mothers and their NQ scores were positively associated with the NQ scores of the children. After adjustment for covariates, the mothers in the highest tertile of NQ scores showed a lower odds ratio (OR) for the unhealthy dietary behavior of children (OR = 0.24, 95% CI = 0.11~0.53, P < 0.001) compared to those in the lowest tertile. The obese mothers showed a higher OR for children's overweight/obesity (OR = 3.38, 95% CI = 1.68~6.80, P = 0.001) compared to normal weight mothers. Conclusions: The dietary behavior and weight status of young children and their mothers were closely linked. Nutrition education programs targeting mothers are necessary for improving maternal and child nutrition. Specifically, these programs need to be tailored to the socioeconomic characteristics or weight status of mothers.
This survey was carried out to investigate the nutritional status of 102 rural pregnant women after the 2nd trimester and the effect of pregnant nutritional status on newborn infant's anthropometric measurements. 102 rural pregant women's age was distributed 20 to 34. Pregnant height and prepregnant weight were 157.7$\pm$3.2cm and 50.7$\pm$5.4kg, respectively, which were similar to Korean standard, and pregnant weight gain per week after the 2nd trimester was 0.35$\pm$0.13kg, which was showed normal weight gain. Pregnant blood pressure were 112.6$\pm$12.7mmHg (systolic pressure) and 71.8$\pm$10.6(diastolic pressure), and energy and protein intake were 83.8$\pm$34.3% and 72.2$\pm$24.2% of RDA, respectively. Hemoglobin and blood protein level of 17 pregnant women who selected among total pregnant women were 11.8$\pm$1.0g / dl, 6.5$\pm$0.9g / dl, respectively. Height, weight, and head circumference of 17 newborn infants who delivered from 17 pregnant women were 50.1$\pm$1.9cm, 3.4$\pm$0.6kg, and 31.4$\pm$1.2cm, respectively, which were similar to Korean standard. Infant height, weight, and head circumference at birth were significantly correlated with pregnant higher than dietary intakes and weight gain per week during midpregnancy.
Kim, Yeon-Yong;Kang, Hee-Jin;Ha, Seongjun;Park, Jong Heon
Journal of Preventive Medicine and Public Health
/
v.52
no.4
/
pp.234-241
/
2019
Objectives: To identify simultaneous behavioral changes in alcohol consumption, smoking, and weight using a fixed-effect model and to characterize their associations with disease status. Methods: This study included 7 000 529 individuals who participated in the national biennial health-screening program every 2 years from 2009 to 2016 and were aged 40 or more. We reconstructed the data into an individual-level panel dataset with 4 waves. We used a fixed-effect model for smoking, heavy alcohol drinking, and overweight. The independent variables were sex, age, lifestyle factors, insurance contribution, employment status, and disease status. Results: Becoming a high-risk drinker and losing weight were associated with initiation or resumption of smoking. Initiation or resumption of smoking and weight gain were associated with non-high-risk drinkers becoming high-risk drinkers. Smoking cessation and becoming a high-risk drinker were associated with normal-weight participants becoming overweight. Participants with newly acquired diabetes mellitus, ischemic heart disease, stroke, and cancer tended to stop smoking, discontinue high-risk drinking, and return to a normal weight. Conclusions: These results obtained using a large-scale population-based database documented interactions among lifestyle factors over time.
The purpose of this study was to evaluate the body composition, health status, and dietary behaviors of middle-aged women in a weight control program at a community health center. The study subjects were 66 middle-aged women who lived in Ansan city, and they participated in the program for 24 weeks. Anthropometries, blood pressure, and serum biochemical indices were measured. These measurements were taken both before and after the weight control program, and the data were analyzed using the SPSS 12.0 program. Weight, fat mass, body fat %, and the waist-hip ratio all decreased. According to the decreases in body fat %, blood pressure, serum biochemical indices and dietary behaviors were improved after the weight control program. Thus, this study demonstrated the desirable changes of a weight control program offered at a community health center, for health conditions and physical fitness.
Objectives Atypical antipsychotics show better treatment efficacy, safety and tolerability than typical antipsychotics. Among the adverse events observed during treatment with antipsychotics, extrapyramidal syndrome (EPS) and negative symptoms has been greatly reduced. But still, weight gain is receiving growing attention. The aim of this study was to investigate the association between therapeutic response to atypical antipsychotics and weight gain in admission status. Methods The study was conducted for Korean inpatients with schizophrenia in a university hospital in Seoul, between Jan 2006 and Dec 2010. Data was collected by reviewing the medical record of 39 consecutively hospitalized patients with Schizophrenia (DSM-IV) at a university hospital. Positive and Negative Symptom Scale (PANSS), Body Mass Index (BMI) and body weights were measured. Results No significant difference was observed for sex, age, illness onset age, family history of schizophrenia, numbers of hospitalization before treatment, educational years, marriage status, occupational status and subtype of schizophrenia between weight gainers and non-weight gainers. Regarding treatment response to atypical antipsychotics, weight gainers show significantly more PANSS decrease than non-weight gainers during admission period. Conclusions Our findings suggest that it appears to be more likely to respond to atypical antipsychotics in weight gainers than non-weight gainers (that weght gainers appear to be more likely to respond to atypical antipsychotics than non-weight gainers). These results show that the antipsychotic-induced body weight gain is associated with therapeutic response of antipsychotics in Korean inpatients with schizophrenia.
This study was designed to examined psychosocial status and nutritional factors(nutrition knowledge, dietary attitudes, eating behavior, dietary intakes) among female university students and to investigate if there were differences in these variables by weight loss attempt. A cross-sectional survey was conducted to 225 female university students in Seoul. Survey instrument was adapted or modified based on literature review, and dietary intakes were assessed using 24-hour recall and CAN-pro. Descriptive statistics, t-test x$^2$-test were used in data analysis. Mean height, weight of subjects were 162.7cm, 51.3kg, and mean BMI was 19.4. One hundred-nine students(48.4%) were grouped into weight loss attempt roup and 116 students were grouped int non-attempt group. According to BMI, 58.7% of weight loss attempt group were underweight, suggesting that unnecessary weight control is common in college women. With respect to psychosocial status, subjects received moderate degree of stress and were slightly satisfied with life. There was no significant difference in stress, social support or self-esteem between the two groups, however, students in non-attempt group were more satisfied with their life(p<0.01) and adapted better in school that students in weight loss attempt group. Subjects scored 14.9${\pm}$2.1 (highest score : 20) on nutritional knowledge, and showed favorable dietary attitudes. Overall, nutritional knowledge and dietary attitudes were not significantly different between the two groups. Common eating problems were irregular meals(71.6%), followed by unbalanced meals and eating-out. Subjects in weight loss attempt group were more likely to change eating habit after entering the university and showed more undesirable eating habit. Dietary intake data indicated hat the energy derived from fat was slightly higher than the recommended level. Most of the nutrient intake was lower than the RDA, particularly, iron and calcium intake was below the 50% of the RDA. Although this study did not reveal significant difference in nutritional knowledge or dietary intake by weight loss attempt, this study showed status of weight control, eating habit and dietary intake in female university students, and provide some information for nutrition education of college women.
This study was conducted to investigate the body weight status (by WLI: Weight-Length Index) and dietary habits and to assess the nutritional status among preschool children in the Daegu area. Dietary habits including dietary attitude and behavior were investigated using questionnaire answered by mothers of 680 subjects aged 4 to 6 years old (508 completed). Also, dietary intake survey using 24-hour recall method was performed by mothers of the children. According to WLI, the underweight, normal, overweight and obesity level of subjects were 9.1, 62.0, 19.5, and 9.4%, respectively. As well, the number of girls was higher than boys in underweight, overweight, and obese group. There were significantly different on overeating, eating fast, and preferring eating-out by body weight status, and overweight group got higher score than underweight or normal-weight group (p < 0.01, p < 0.001). As well, there was significantly different on not moving around during mealtime by body weight status, and underweight group have lower score than obese group (p < 0.001). From the 24-hour recall survey, it was found that intakes of all the nutrients were higher than the %KDRI except energy, calcium and folate. The energy intake of underweight group of 4~5-year old (1338.2 kcal) and 6-year old was lower than Koreans %DRI for those age group. Folate and dietary fiber intakes of obese group were significantly lower than underweight (p < 0.01, p < 0.05). For 4~5-year old, vitamin $B_6$ intakes of obese group were significantly higher than obese group (p < 0.05). For 6-year old, obese group showed that intake of vitamin $B_1$ was significantly higher than the other three groups, and intake of vitamin $B_1$ of overweight group was significantly higher than the other three groups. Taken together, these results indicate that there were significant differences in the nutrient intake level and dietary habits of preschool children by body weight status in Daegu area. Therefore, parents (family) and caregivers should be aware of the prevalence of obesity and nutritional status of preschool children, and start nutrition education as soon as possible.
Purpose: This research was performed to investigate Korean adolescents' body weight perception, appropriate weight change efforts, and factors that influencing these efforts. Methods: The data were obtained from 68,136 adolescents, aged 12~18 years from the 2007 Third Korean Youth' Risk Behavior Web-based Survey. Descriptive statistical analysis and odds ratio were calculated by logistic regression. Results: The distribution of the body mass index differed in boys and girls. The accuracy of body weight perception was shown in the order of the underweight (91.6%), overweigh t (73.3%), normal weight (55.4%), obesity (41.3%) groups. Adolescents with high perceived economic status tended to have a high prevalence of accuracy of body weight perception. The distribution of appropriate weight change efforts according to the actual body mass index showed that girls were trying to lose weight more than boys. The results of a logistic regression analysis regarding appropriate weight change efforts showed differences according to gender, perceived economic status, mother's educational level, and family affluence scale. Conclusion: Appropriate body weight perception and change management plans are needed for Korean adolescents. In addition, active weight change programs have to be established in the adolescents' living environments, such as schools.
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