Korean Journal of Family Medicine (가정의학회지)

The Korean Academy of Family Medicine (대한가정의학회)
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Lifestyle Habits Related to Abdominal Obesity in Korean Adolescents

한국 청소년의 복부비만과 관련된 생활습관

  • Chung, Won-Chin (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Cho, Young-Gyu (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kang, Jae-Heon (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Park, Hyun-Ah (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kim, Kyoung-Woo (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kang, Joo-Ho (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kim, Nu-Ri (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kim, Hye-Jin (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kim, Ok-Hyun (Institute of Clinical Nutrition, Inje University)
  • 정원진 (인제대학교 의과대학 서울백병원 가정의학교실) ;
  • 조영규 (인제대학교 의과대학 서울백병원 가정의학교실) ;
  • 강재헌 (인제대학교 의과대학 서울백병원 가정의학교실) ;
  • 박현아 (인제대학교 의과대학 서울백병원 가정의학교실) ;
  • 김경우 (인제대학교 의과대학 서울백병원 가정의학교실) ;
  • 강주호 (인제대학교 의과대학 서울백병원 가정의학교실) ;
  • 김누리 (인제대학교 의과대학 서울백병원 가정의학교실) ;
  • 김혜진 (인제대학교 의과대학 서울백병원 가정의학교실) ;
  • 김옥현 (인제대학교 임상영양연구소)
  • Received : 2009.08.31
  • Accepted : 2010.06.08
  • Published : 2010.07.20
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Abstract

Background: It has been reported that the abdominal obesity can cause various metabolic abnormalities not only in adults but also in adolescents. This study was conducted to investigate lifestyle habits related to abdominal obesity in Korean adolescents. Methods: This study is a cross-sectional study on 561 adolescents (305 boys and 256 girls) aged 12-18 years from the Korean National Health and Nutrition Examination Survey 2005. The abdominal obesity was defined as waist circumference at or above the 90th percentile for each age and gender based on the 2007 growth chart for Korean children. The frequency of physical activity, screen time, and the intake amount of energy and macronutrients were investigated as lifestyle habits. Results: The prevalence of abdominal obesity in Korean adolescents aged 12-18 years was 9.1% (Boys, 9.4%; Girls, 8.7%). The mean of daily screen time was $4.3{\pm}0.1$ hours (Boys, $4.4{\pm}0.2$ hours; Girls, $4.2{\pm}0.2$ hours). The subjects with daily screen time ${\geq}$ 5 hours had a 3.0 times increased risk of abdominal obesity compared to subjects with daily screen time < 3 hours (P-value = 0.004). The adjusted odds ratio of fat intake ${\geq}$ 35% of energy was 2.57 (95% confidence interval, 1.16 to 5.68; P-value = 0.020) with fat intake < 25% of energy as reference. The relationship between long screen time and abdominal obesity was observed in girls and high fat intake was related to abdominal obesity in boys. Conclusion: This study shows that abdominal obesity in Korean adolescents is associated to long screen time and high fat intake.

연구배경: 복부비만은 성인 뿐 아니라 청소년에서도 대사장애의 위험을 증가시키는 것으로 알려졌다. 그러나 청소년의 복부비만의 원인 및 관련 요인에 대한 연구 결과는 거의 보고되지 않았다. 본 연구는 청소년의 복부비만과 관련 있는 생활 습관을 알아보기 위해 수행되었다. 방법: 본 연구는 2005년 국민건강영양조사에 참여한 만 12-18세 청소년 561명(남아, 305명; 여아, 256명)을 대상으로 한 단면연구이다. 2007년 소아 청소년 표준 성장도표를 참조하여, 성별 연령별 허리둘레 90백분위수 이상을 복부비만으로 진단하였고, 청소년의 생활습관으로 신체활동 빈도, screen time, 에너지 및 다량 영양소 섭취량을 조사하였다. 결과: 청소년의 복부비만 유병률은 9.1% (남아, 9.4%; 여아, 8.7%)이었다. 청소년의 하루 평균 screen time은 $4.3{\pm}0.1$시간(남아, $4.4{\pm}0.2$시간; 여아, $4.2{\pm}0.2$시간)이었으며, 단백질, 지방, 탄수화물의 에너지 구성비는 각각 $14.8{\pm}0.2$%, $23.8{\pm}0.4$%, $61.4{\pm}0.5$%이었다. Screen time이 5시간 이상인 청소년은 3시간 미만인 청소년에 비해 복부비만으로 진단될 가능성이 약 3배 높았으며(P-value=0.004), 지방의 에너지 섭취 비율이 35.0% 이상인 청소년은 25.0% 미만인 청소년에 비해 복부비만의 유병률이 약 2.6배 높았다(P-value=0.020). 남아와 여아를 나누어 분석한 결과, 긴 screen time은 여아에서, 지방의 에너지 섭취 비율 증가는 남아에서 복부비만과의 관련성이 컸다. 결론: 본 연구는 청소년의 복부비만이 긴 screen time 및 고지 방식과 관련이 있음을 제시하였다. 향후 효과적인 근거 중심 의 소아비만 관리 프로그램의 실행을 위해서는 본 연구의 결과가 고려되어야 할 것이다.

Keywords

References

  1. Popkin BM, Conde W, Hou N, Monteiro C. Is there a lag globally in overweight trends for children compared with adults? Obesity (Silver Spring) 2006;14:1846-53.
  2. Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, et al. Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr 2008;51:950-5. https://doi.org/10.3345/kjp.2008.51.9.950
  3. Rey-Lopez JP, Vicente-Rodriguez G, Biosca M, Moreno LA. Sedentary behaviour and obesity development in children and adolescents. Nutr Metab Cardiovasc Dis 2008;18:242-51. https://doi.org/10.1016/j.numecd.2007.07.008
  4. Baek S. The effect of physical activity on children's obesity. Korean J Obes 2008;17:55-64.
  5. Berkey CS, Rockett HR, Field AE, Gillman MW, Frazier AL, Camargo CA Jr, et al. Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls. Pediatrics 2000;105:E56. https://doi.org/10.1542/peds.105.4.e56
  6. Snijder MB, van Dam RM, Visser M, Seidell JC. What aspects of body fat are particularly hazardous and how do we measure them? Int J Epidemiol 2006;35:83-92.
  7. Lee SY, Park HS, Kim DJ, Han JH, Kim SM, Cho GJ, et al. Appropriate waist circumference cutoff points for central obesity in Korean adults. Diabetes Res Clin Pract 2007;75:72-80. https://doi.org/10.1016/j.diabres.2006.04.013
  8. International Obesity Task Force. The Asia-Pacic perspective: redening obesity and its treatment. Sydney: Health Communications Australia Pty Ltd.; 2000.
  9. Hirschler V, Aranda C, Calcagno Mde L, Maccalini G, Jadzinsky M. Can waist circumference identify children with the metabolic syndrome? Arch Pediatr Adolesc Med 2005;159:740-4. https://doi.org/10.1001/archpedi.159.8.740
  10. Daniels SR, Morrison JA, Sprecher DL, Khoury P, Kimball TR. Association of body fat distribution and cardiovascular risk factors in children and adolescents. Circulation 1999;99:541-5. https://doi.org/10.1161/01.CIR.99.4.541
  11. Zimmet P, Alberti G, Kaufman F, Tajima N, Silink M, Arslanian S, et al. The metabolic syndrome in children and adolescents. Lancet 2007;369:2059-61. https://doi.org/10.1016/S0140-6736(07)60958-1
  12. 2007 Korean children and adolescent national growth chart: commentary [Internet]. Seoul: Korea Centers for Disease Control and Prevention, The Korean Pediatric Society, The Committee for the Development of Growth Standard for Korean Children and Adolescents; 2007 [cited 2009 Aug 31]. Available from: http://www.cdc.go.kr.
  13. Cho YG, Song HJ, Kang JH. Prevalence of the metabolic syndrome in Korean children and adolescents according to the international diabetes federation denition in children and adolescents. Korean J Fam Med 2009;30:261-8. https://doi.org/10.4082/kjfm.2009.30.4.261
  14. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. J Korean Acad Fam Med 2007;28:532-41.
  15. Laurson KR, Eisenmann JC, Welk GJ, Wickel EE, Gentile DA, Walsh DA. Combined inuence of physical activity and screen time recommendations on childhood overweight. J Pediatr 2008;153:209-14. https://doi.org/10.1016/j.jpeds.2008.02.042
  16. Action plan of Health Plan 2010 [Internet]. Seoul: Management Center for Health Promotion; 2005 [cited 2009 Aug 28]. Available from: http://2010.hp.go.kr/hpPlan/file/health_ 2010_2005_plan.pdf.
  17. Caprio S, Hyman LD, McCarthy S, Lange R, Bronson M, Tamborlane WV. Fat distribution and cardiovascular risk factors in obese adolescent girls: importance of the intraabdominal fat depot. Am J Clin Nutr 1996;64:12-7.
  18. Rodriguez G, Moreno LA, Blay MG, Blay VA, Garagorri JM, Sarria A, et al. Body composition in adolescents: measurements and metabolic aspects. Int J Obes Relat Metab Disord 2004;28 Suppl 3:S54-8. https://doi.org/10.1038/sj.ijo.0802805
  19. Crespo CJ, Smit E, Troiano RP, Bartle SJ, Macera CA, Andersen RE. Television watching, energy intake, and obesity in US children: results from the third National Health and Nutrition Examination Survey, 1988-1994. Arch Pediatr Adolesc Med 2001;155:360-5. https://doi.org/10.1001/archpedi.155.3.360
  20. Biddle SJ, Marshall SJ, Gorely T, Cameron N. Temporal and environmental patterns of sedentary and active behaviors during adolescents' leisure time. Int J Behav Med 2009;16:278-86. https://doi.org/10.1007/s12529-008-9028-y
  21. Graf DL, Pratt LV, Hester CN, Short KR. Playing active video games increases energy expenditure in children. Pediatrics 2009; 124:534-40. https://doi.org/10.1542/peds.2008-2851
  22. Rodriguez G, Moreno LA. Is dietary intake able to explain differences in body fatness in children and adolescents? Nutr Metab Cardiovasc Dis 2006;16:294-301. https://doi.org/10.1016/j.numecd.2005.08.005
  23. Heerstrass DW, Ocke MC, Bueno-de-Mesquita HB, Peeters PH, Seidell JC. Underreporting of energy, protein and potassium intake in relation to body mass index. Int J Epidemiol 1998;27: 186-93. https://doi.org/10.1093/ije/27.2.186
  24. Goris AH, Westerterp-Plantenga MS, Westerterp KR. Undereating and underrecording of habitual food intake in obese men: selective underreporting of fat intake. Am J Clin Nutr 2000;71:130-4.
  25. Rennie KL, Jebb SA, Wright A, Coward WA. Secular trends in under-reporting in young people. Br J Nutr 2005;93:241-7. https://doi.org/10.1079/BJN20041307
  26. Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 2001;357:505-8. https://doi.org/10.1016/S0140-6736(00)04041-1
  27. Healthy weight 2008: Austrailia's future: the national action agenda for children and young people and their families [Internet]. Canberra: National Obesity Taskforce; 2003 [cited 2009 Aug 31]. Available from: http://www.healthyactive.gov. au/internet/healthyactive/Publishing.nsf/Content/healthy_ weight08.pdf/$File/healthy_weight08.pdf.

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