Trend of Obesity in School Age Children in Seoul Over the Past 23 Years

23년간 서울 지역 초․중․고등학생의 비만 추이

Park, Yeong-Sin;Lee, Dong-Hwan;Choe, Jung-Myeong;Gang, Yun-Ju;Kim, Jong-Hui
박영신;이동환;최중명;강윤주;김종희

  • Published : 20040000

Abstract

Purpose:The aim of this study was to evaluate the change in prevalence and the epidemiology of obesity in school age children of Seoul, Korea during the last 23 years with coherency and under the same standards. Methods:We used the new 1998 standard weight for height to calculate obesity on the personal data from five years and produced a coefficient of correlation that could be applied to previous obesity prevalence results. Results:From age six to 17, the average body mass index increased 5.7 in boys and 6.2 in girls. The prevalence of obesity according to age peaked around age 11 and age 13-14, and increased again at 16-17 in boys. In girls, there was a peak at the age of 10 and a second peak which was at age 16 in 1979, but the age of the second peak gradually came down to a younger age, to age 13, in 2002. Obesity in girls increased steadily after the second peak. In 1979 and 1981, there were many more underweight children than obese. In boys, obesity had risen to 11.0% by 1997 and rose abruptly to 17.9% by 2002 and in girls, to 9.0% by 1997 and 10.9% by 2002. Mild, moderate, and severe obesity also increased with the increase of obesity. Conclusion:As Korea became developed, obesity became more frequent than underweight. Obesity increased rapidly and the increase rate accelerated in boys, whereas though it increased, the increase rate slowly decreased in girls. (Korean J Pediatr 2004;47:247-257)

Keywords

References

  1. Epstein LH, Wing RR, Valoski A. Childhood obesity. Pediatr Clin North Am 1985;32:363-79
  2. Charney E, Goodman HC, McBride M, Lyon B, Pratt R. Childhood antecedents of adult obesity. Do chubby infants become obese adults? N Engl J Med 1976;295:6-9
  3. Bandura A, Mischel W. Modification of self-imposed delay of reward through exposure to live and symbolic models. J Pers Soc Psychol 1965;2:698-705
  4. Berenson GS, Frank GC, Hunter SM, Srinivasan SR, Voors AW, Webber LS. Cardiovascular risk factors in children. Should they concern the pediatrician? Am J Dis Child 1982;136:855-62
  5. Lee DW, Lee CK, Lee C, Hwang YS, Cha SH, Choi Y. The incidence of complications in severely obese children. J Korean Pediatr Soc 1991;34:445-53
  6. Dietz WH Jr. Prevention of childhood obesity. Pediatr Clin North Am 1986;33:823-33
  7. Lee DH. Increasing trend of childhood obesity. Med Drug Information 1995;237:34-40
  8. Wales JK, Wit JM, Rogol AD. Pediatric Endocrinology and Growth. 2nd ed. Philadelphia(PA):Saunders 2003:115-30
  9. Hammer LD, Kraemer HC, Wilson DM, Ritter PL, Dornbusch SM. Standardized percentile curves of body mass index for children and adolescents. Am J Dis Child 1991;145:259-63
  10. Lohman TG. Research progress in validation of laboratory methods of assessing body composition. Med Sci Sports Exerc 1984;16:596-605
  11. Kim MJ, Kang JS, Koh JW, Hong YJ, Ahn DH, Baek DM, et al. The percentiles of body mass index and trend of obesity in schoolage children in Seoul. J Korean Pediatr Soc 1999;42:756-64
  12. Hong YM, Moon KR, Suh JW, Lee DW, Park JO, Yang SW, et al. Guideline of diagnosis and treatment in childhood obesity. J Korean Pediatr Soc 1999;42:1338-65
  13. Lee DW. The symptoms and diagnosis of childhood obesity. 1992;1:40-7
  14. Jung MS, Roh YI, Jung EK, Moon KR, Park SK, Park YB, et al. Prevelance and associated factors of childhood obesity on the elementary students in Kwangju city. J Korean Pediatr Soc 1995;38:1547-57
  15. Dietz WH Jr, Gortmaker SL. Factors within the physical environment associated with childhood obesity. Am J Clin Nutr 1984;39:619-24
  16. Wang Y. Cross-national comparison of childhood obesity: the epidemic and the relationship between obesity and socioeconomic status. Int J Epidemiol 2001;30:1129-36
  17. Garn SM, Clark DC. Trends in fatness and the origins of obesity Ad Hoc Committee to Review the Ten-state Nutrition Survey. Pediatrics 1976;57:443-56
  18. Borjeson M. The aetiology of obesity in children. A study of 101 twin pairs. Acta Paediatr Scand 1976;65:279-87
  19. Jacoby A, Altman DG, Cook J, Holland WW, Elliott A. Influence of some social and environmental factors on the nutrient intake and nutritional status of school children. Br J Prev Soc Med 1975;29:116-20
  20. Brook CG, Hindmarsh PC. Clinical Pediatric Endocrinology. 4th ed. London:Blackwell Science. 2001:132-9
  21. Sperling MA. Pediatric Endocrinology. 2nd ed. Philadelphia (PA):Saunders. 2002:701-16
  22. Park WK, Hong CH, Kim DH. Physical growth according to sexual maturation of Korean adolescents. J Korean Pediatr Soc 1994;37:1187-94
  23. Cron K CE, Roche AF. Race- and sex-specific reference data for triceps and subscapular skinfold and weight/stature2. Am J Clin Nutr 1982;35:347-54
  24. Dietz WH Jr, Gortmaker SL. Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Pediatrics 1985;75:807-12
  25. Kaufman L. Prime-time nutrition. J Commun 1980;30:37-46
  26. Mossberg HO. Obesity in Children; a clinical prognostical investigation. Acta Paediatr 1948;35 Suppl 2
  27. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med 1992;327:1350-5
  28. Choi YH, Park KY, Hah IS, Jung HI, Choi Y, Kim JK. A Statistical study on obesity, blood pressure, serum total cholesterol, serum apolipoprotein B and urine sodium and potassium in Middle School Children. J Korean Pediatr Soc 1992;35:1546-58
  29. Gill TP. Cardiovascular risk in the Asia-Pacific region from a nutrition and metabolic point of view:abdominal obesity. Asia Pac J Clin Nutr 2001;10:85-9
  30. Yu HS, Nah CS. Obesity in school-age children. J Korean Pediatr Soc 1985;28:631-6
  31. Kim HS, Lee IH. The prevalence of obesity and it's related factors of high school girls in the large cities. Korean J Nutr 1993;26:182-8
  32. Cho KB, Bahn SB, Park SC, Lee DW, Lee SJ, Suh SJ. The prevalence and trend of obeslty in children and adolescents. J Korean Pediatr Soc 1989;32:597-605
  33. Lee JY, Kim BT, Pyun BY, Lee DW, Shin SM, Lee SJ. A Study on the prevalence of obesity in children over the past 2 years. Proceeding of the 42nd Annual Meeting of the Korean Pediatric Society:1992 Oct 17-18:Seoul. Seoul:The Korean Pediatric Society, 1992
  34. Ravussin E, Swinburn BA. Pathophysiology of obesity. Lancet 1992;340:404-8
  35. Miller W. How effective are traditional dietary and exercise interventions for weight loss? Med Sci Sports Exerc 1999;31:1129-34
  36. Togashi K, Masuda H, Rankinen T, Tanaka S, Bouchard C, Kamiya H. A 12-year follow-up study of treated obese children in Japan. Int J Obes Relat Metab Disord 2002;26:770-7
  37. Barlow S, Dietz W. Obesity evaluation and treatment: Expert Committee recommendations. Pediatrics 1998;102:1-11