비만아의 식생활습관과 혈중 Leptin 농도 연구 - 식습관 .식행동, 체형에 대한 자가인식과 혈중 Leptin 농도 관계 -

A Study of Dietary Behavior and Serum Leptin Levels in Obese Children - The Relationship between the Obesity Index and the Serum Leptin Levels Based on Eating Habits and Eating Behaviors -

  • 손수진 (대구카톨릭대학교 식품영양학과) ;
  • 이희자 (경북대학교 식품영양학과) ;
  • 이인규 (계명대학교 의과대학 내과) ;
  • 최봉순 (대구대학교 식품영양학과) ;
  • 박명희 (대구대학교 식품영양학과) ;
  • 이은주 (대구가톨릭대학교 식품영양학과) ;
  • 서주영 (대구가톨릭대학교 식품영양학과)
  • 발행 : 2002.08.01

초록

The purpose of this study was to investigate the relationship among eating habits, eating behaviors, obesity indices and serum leptin levels of 97 school children in the Daegu and Kyungpuk areas. The subjects consisted of 42 boys and 55 girls from the 4th and 5th grades. The prevalence rate of obesity was 63.6% in the males and 36.4% in the females. The nutritional status of the subjects was assessed using 24-hour dietary recalls and blood analyses. The mean serum leptin levels of the obese group (12.84 $\pm$ 6.97 ng/ml) were significantly higher than those of the non-obese group (2.43 $\pm$ 1.53 ng/ml) (p < 0.001) . The mean eating behavior scores and MAR were significantly different in the two groups. Nutrient intakes were low and fell short of the RDA. Serum leptin levels showed a significant negative correlation with eating habit (r= -0.24) and eating behavior scores (r= -0.40) (p < 0.05, p < 0.001). It was speculated that nutritional intervention and education about the appropriate nutrient intake requirements of developing children might be necessary.

키워드

참고문헌

  1. Cho IE, Kim JH, Song KH (1994): A Study on the Relationship between Dietary Intakes and the Obesity of Middle School Students in Seoul. J Korean Soc Food Nutr 23 (1): 55-61
  2. Cho WJ, Kim GY (1980): A Study on the Physical Growth and Food Habits of Obese Children. Kor J Nutr 13 (1): 1-7
  3. Ha KA, Kim IR, Park MJ, Kong JH, Chung CY (1998): Serum Leptin Levels in Obese Children. J Kor Pediatr Soc 41 (7): 953-959
  4. Kang YR, Paik HY (1988): A Study on the Etiology of Childhood Obesity. Kor J Nutr 21 (5): 283-294
  5. Kim HY (1994): Study on the Snack Intakes and Content of Body Fat of Middle School Students in Chungju. Korean Public Health Assoc 20(2): 125-139
  6. Kim SL, Park HR (1995): The Relationship of Obesity and Related Behaviors among 4th, and 5th grade-primary school children. Kor J Diet Cult 10 (1): 19-28
  7. Kim WG, Lee YN, Kim JH (1992): Obesity, blood lipids and eating behavior of high socioeconomic school children. Kor J Geoscience 2(1): 52-64
  8. Lee BC, Song MY, Suh BK (1998): Serum leptin levels in children with obesity. J Kor Pediatr Soc 41 (6): 785-790
  9. Lee YN, Yim KS, Lee SK, Mo SM, Choi HM (1996): Diet-related factors of overweight adolescent girls. Kor J Comm Nutr 1(3): 354-365
  10. Moon HN, Hong SJ, Suh SJ (1992): The Prevalence of Obesity in Children and Adolescents. Kor J Nutr 25 (5): 413-419
  11. Park HS, Kang YJ, Shin ES (1994): Serum lipid profiles and diet patterns in obese children in Seoul. J Kor Soc Stu Obes 3 (1): 47-54
  12. Seo YK, Lee SK (1992): A Study on the Life-Style of Obese Children. Kor J Soc School Health 5 (1): 84-92
  13. Son SM, Lee JH (1997): Obesity, serum lipid and related eating behaviors of school children. Kor J Comm Nutr 2(2): 141-150
  14. Barbara S, Jane P, Michael JB (1991): Body Fatness, Television Viewing and Calorie-Intake of a Sample of Pennsylvania Six Grade Children. J Nutr Edu 23: 262-268
  15. Buskirk ER (1974): Obesity a brief overview with emphasis on exercise. Fed Proc 33: 1948
  16. Charlotle AP (1994): Adolescent Obesity: A Call for Mutivariate Longitudinal Research on African-American Youth. J Nutr Edu 26(2): 107-109
  17. Dietz WH, Bellizzi MC (1999): Introduction: the use of body mass index to assess obesity in children. Am J Clin Nutr 70: S123-125
  18. Epstein LH, Wing RR, Valoski A (1985): Childhod obesity. Pediatr Clin North Am 32: 363-379
  19. Frisancho AR, Flegel PN (1982): Relative merits of old and new indices body mass with reference to skinfold thickness. Am J Clin Nutr 36: 697-699
  20. Garrow JS (1988): Obesity and related disease, Churchill Livingstone, NY
  21. Golden MP (1979): An approach to the management of obesity in chilehood. Pediatr Clin North Am 26 (1): 187-197
  22. Guillaume M (1999): Defining obesity in childhood: current practice. Am J Clin Nutr 70: S126-130
  23. Hansen RG, Wyse BW (1980): Expression of nutrition allowances per 1,000 kilocalores. J Am Diet Assoc 76: 223-227
  24. Hassink SG, Sheslow DV, de Lancey E, Opentanova I, Considine RV, Caro JF (1996): Serum leptin in children with obesity: Relationship to gender and development. Pediatrics 98: 201-203
  25. Hinton MA, Eppright ES, Chadderdon H, Wolins L (1962): Eating behavior and dietary intake of girls 12 to 14 years old. J Am Diet Assoc 43: 227-228
  26. Huenemann RL, Hampton MC, Shapiro LR & Behnke AR (1965): Adolescent food paractices associated with obesity, intersociety symposium on adolescent obesity. 49th annual meeting of Fed of Am Soc for Exper Biol 25: 4-10
  27. Kolaczynski JW, Nyce MR, Considine RV, Boden G, Nolan JJ, Henry R (1996): Acute and chronic effects of insulin on leptin production in humans: studies in vivo and in vitro. Diabetes 45: 699-701
  28. Leung AC, Robson WM (1989): Childhood obesity. Postgraduate Medicine 87 (4): 123-133
  29. Lohman TG (1992): Advances in body composition assessment, current issues in exercise science series, Human kinetics publishers, Champaiggn IL
  30. Malstrom R, Taskinen MR, Karonen SL, Yki-Jar Vinen H (1996): Insulin increases plasma leptin concentrations in normal subjects and patients with NIDDM. Diabetologia 39: 993-996
  31. Nagay TR, Gower BA, Trowbridge CA, Dezenberg C, Shewchuk RM, Goran MI (1997): Effect of gender, ethnicity, body composition, and fat distribution on serum leptin concentrations in children. J Clin Endocrinol Metab 82: 2148-2152
  32. Power C, Lake JK, Cole TJ (1997): Measurement and long-term health risks of child and adolescent fatness. Int J Obese Relat Metab Disord 21: 507-526
  33. Revicki Da, Israel RG (1986): Relationship between body mass indices and measures of body adiposity. Am] Public Health 76: 992-994
  34. Tuominen JA, Ebeling P, Laquier FW, Heiman ML, Stephens T, Koivisto VA (1997): Serum leptin concentration and fuel homeostasis in healthy man. Eur J Clin Invest 27: 206-211
  35. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH (1997): Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 337: 869-873