Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005

한국 소아청소년의 비만 유병률 추이: 1997년과 2005년 비교

  • Oh, Kyungwon (Division of Chronic Disease Surveillance, Korea Centers for Disease Control and Prevention) ;
  • Jang, Myoung Jin (Division of Chronic Disease Surveillance, Korea Centers for Disease Control and Prevention) ;
  • Lee, Na Yeoun (Division of Chronic Disease Surveillance, Korea Centers for Disease Control and Prevention) ;
  • Moon, Jin Soo (Department of Pediatrics, Inje University Ilsan Paik Hospital) ;
  • Lee, Chong Guk (Department of Pediatrics, Inje University Ilsan Paik Hospital) ;
  • Yoo, Myung Hwan (Division of Chronic Disease Surveillance, Korea Centers for Disease Control and Prevention) ;
  • Kim, Young Taek (Division of Chronic Disease Surveillance, Korea Centers for Disease Control and Prevention)
  • 오경원 (질병관리본부 만성병조사팀) ;
  • 장명진 (질병관리본부 만성병조사팀) ;
  • 이나연 (질병관리본부 만성병조사팀) ;
  • 문진수 (인제의대 일산백병원 소아과학교실) ;
  • 이종국 (인제의대 일산백병원 소아과학교실) ;
  • 유명환 (질병관리본부 만성병조사팀) ;
  • 김영택 (질병관리본부 만성병조사팀)
  • Received : 2008.04.25
  • Accepted : 2008.08.05
  • Published : 2008.09.15
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Abstract

Purpose : The objective of this study was to provide current estimates of the prevalence and examine trends of overweight and obesity in children and adolescents. Methods : Height and weight measurements from 183,159 (112,974 in 1997, 70,185 in 2005) children and adolescents aged 2 to 18 years were obtained via the 1997 and 2005 National Growth Survey. Obesity among children and adolescents was defined as being at or above the 95th percentile of the gender-specific body mass index (BMI) for age in the 2007 Korean National Growth Charts or a BMI of 25 or higher; overweight was defined as being at or above the 85th percentile to less than the 95th percentile BMI. Results : In 2005, 9.7% (11.3% for boys, 8.0% for girls) of South Korean children and adolescents were obese; 19.0% (19.7% for boys, 18.2% for girls) were overweight or obese. The overall prevalence of obesity increased from 5.8% in 1997 to 9.7% in 2005 (from 6.1% in 1997 to 11.3% in 2005 for boys and from 5.5% in 1997 to 8.0% in 2005 for girls); the increasing trend was most evident in boys, especially those aged 13-18 years. Conclusion : The prevalence of obesity among children and adolescents increased significantly during the eight-year period from 1997 to 2005. This study suggests that we need to make a priority of developing strategies to control obesity in children and adolescents; the potential health effects of increases in obesity are of considerable public health importance.

목 적 : 새로 제정되어 발표된 '2007 소아청소년 성장도표'의 비만기준에 따라 우리나라 소아청소년의 과체중 및 비만 유병 현황과 추세를 분석하였다. 방 법 : '2005년도 소아청소년 신체발육 및 혈압표준치 제정사업'과 '1997년 소아청소년 발육표준치 측정조사' 자료를 이용하여 '2007년 한국 소아청소년 성장도표'의 연령별 체질량지수 95백분위수 이상이거나 성인의 비만 기준인 체질량지수 $25kg/m^2$ 이상인 경우는 백분위수와 무관하게 비만으로 정의하였다. 과체중은 연령별 체질량지수가 85백분위수 이상에서 95백분위수 미만인 경우로 정의하였다. 결 과 : 소아청소년(2-18세)의 비만 유병률은 전체 9.7%, 남아 11.3%, 여아 8.0%로 남아의 유병률이 더 높았다. 1997년에 비해 전체 1.7배(1997년 5.8%에서 9.7%) 증가하였으며 이러한 경향은 여아(1.5배, 1997년 5.5%에서 2005년 8.0%)보다 남아(1.9배, 1997년 6.1%에서 2005년 11.3%)에서 뚜렷하였다. 과체중 및 비만 유병률은 전체 19.0%, 남아 19.7%, 여아 18.2%였으며, 1997년과 비교 시 전체 1.5배(1997년 13.0%에서 2005년 19.0%), 남아 1.6배(1997년 12.4%에서 2005년 19.7%), 여아 1.3배(1997년 13.8%에서 2005년 18.2%) 증가하였다. 결 론 : 소아청소년의 과체중 및 비만은 지속적으로 증가하는 추세이며 특히 남아는 중.고등학교, 여아는 초.중학교 재학연령에서 뚜렷하였다. 이 시기의 소아청소년의 과체중 및 비만 유병 증가와 관련된 요인에 관한 후속연구가 수행되고, 이 결과에 근거하여 비만 예방 및 관리를 위한 방안을 마련하는 것이 필요하다.

Keywords

Acknowledgement

Supported by : Korea Centers for Disease Control and Prevention

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