비만아동과 그 부모에 대한 영양교육 효과의 평가(I)-신체 계측치와 혈액 생화학치를 중심으로-

Effect of Nutrition Education Program in Obese Children and Their Parents(I) - Focus on Anthropometric Values and Serum Biochemical Index -

  • 신은경 (경북대학교 식품영양학과) ;
  • 이혜성 (경북대학교 식품영양학과) ;
  • 이연경 (경북대학교 식품영양학과)
  • 발행 : 2004.10.01

초록

The present study was conducted to investigate the effect of nutrition education program on anthropometric values and boichemical index in obese children who live in Gumi city. The subjects were 16 obese boys, 20 obese girls with obesity index over 130 and 36 of their parents. The nutrition education was carried out by the professional personnel such as doctors, professors, and dietitians. The children were provided with well-balanced lunch meals and had 40min-lectures on the reasonable weight management, 40 min-games and also had regular exercises (stretching, swimming) for 90 mins everyday during 2weeks of the program. The parents had 90 min-lectures on childhood obesity, diet therapy, behavior modification, and exercise for 6times. After the program, obesity index, BMI, % body fat were significantly decreased (p < 0.05) in boys and obese index, BMI, % body fat and WHR were significantly decreased (p < 0.05) in girls. Blood cholesterol and TG levels of girls were significantly decreased (p < 0.05). These findings show that the well-designed nutrition education program for obese children can be an effective approach to help them to improve their anthropometric values and biochemical index.

키워드

참고문헌

  1. Atkinson RL, Fuchs A, Pastors JG, Saunders JT (1992): Combination of very-low calorie diet and behavior modification in the treatment of obesity. Am J Clin Nutr 56(1 Suppl): 199s-202s https://doi.org/10.1093/ajcn/56.1.199S
  2. Blaak EE, Westererp KR, Bar-Or O, Wouters LJM, Saris WHM (1992): Total energy expenditure and spontaneous activity in relation to training in odese boys. Am J Clin Nutr 55(4): 777-782 https://doi.org/10.1093/ajcn/55.4.777
  3. Chang UJ, Lim KA, Han YB (1999): Effect of nutrition education on weight control program. Korean J Food & Nutr 12(2): 170-177
  4. Chaung SK, Kim JA (2002): The study of the blood pressure, blood sugar and bool cholesterol in obese children. J Korea Community Health Nursing Academic Society 16(2): 436-444
  5. Choue RW, Hong JY, Lee HY, Lee SL (1995): Effect of nutrition education in weight management program. J Korean Society for the Study of Obesity 4: 23-32
  6. Chung MS, Rho YI, Jung EG, Moon KR, Park SG, Park YB, Ryu SY, Park J(1995): Prevelance and associated factors of children obesity on the elementary students. Korean J Pediatrics 38(11): 1547-1557
  7. Dale DV, Saris WHM (1989): Repetive weight loss and weight regain: effects on weight reduction, esting metabolic rate, and lipolytic activity before and after exercise and/or siet treatment. Am J Clin Nutr 49(3): 409-416 https://doi.org/10.1093/ajcn/49.3.409
  8. Dietz WH (1986): Prevention of childhood obesity. Pediatncs Clin North Am 33(4): 823-833
  9. Epstein LH, Kuller LH, Wing RR, Valoski A, McCurley J (1989): The effect of weight control on lipid changes in obese children. Am J Dis Child 143(4): 554-547
  10. Freedman DS (2002): Clustering of coronary heart disease risk factors among obese children. J Pediatr Endocrinol Metab 15(8): 108-1099
  11. Freedman DS, Burke GL, Harsha DW (1985): Relationship of changes in obesity to serum lipid and lipoprotein changes in childhood and adolescence. JAMA 254(4): 515-520 https://doi.org/10.1001/jama.254.4.515
  12. Han JS, Rhee SH (1996): The Relationship between serum cholesterol level and dietary intake in obese children. J Korean Soc Food Nutr 25(3): 433-440
  13. Her ES, Lee KH, Jang DS, Lee KY, Lee JH, Ju J, Yoon SY (1999): A study food habits, food behaviors and nutrition knowledge among obese children in changwon (I). J Korean Diet Assoc 5(2): 153-163
  14. Hill JO, Schlundt DG, Sbrocco T, Sharp J, Pope-Cordle J, Stetson B, Kaler M, Heim C (1989): Evaluation of an alternating-calorie diet with and without exercise in the treatment of obesity. Am J Clin Nutr 50(2): 248-254 https://doi.org/10.1093/ajcn/50.2.248
  15. James PT, Leach R, Kalamara E, Shayeghi M (2001): The wordwide obesity epidemic. Obes Res 9(4): 228S-233S
  16. Ju HA (1998): Development of a weight control program for obese children. Doctor Thesis, Pusan National University
  17. Kang YJ, Hong CH, Hong YJ (1997): The prevalence of childhood and adolescent obesity over the last 18 Years in School Area. Kor J Nutr 30(7): 832-839
  18. Kim EK, Chi KA, Chung EJ, Um YS, Park TS (2002): Fatty acid composition of serum phospholipids in obese children compared with age and sex-matched normal weight children. Korean J Nutr 35(1): 60-68
  19. Kim EK, Choi JH, Kim MK (1998a): A study on serum lipid levels and dietary fat and fatty acid intakes in primary school children. Korean J Nutr 31(2): 166-178
  20. Kim EK, Choi YS, Cho UH, Chi KA (2001a): Childhood obesity of elementary school students in Kangnung and Seoul areas - Effects of area and parental socio. economic status-. Korean J Nutr 34(2): 198-212
  21. Kim EK, Lee AR, Kim JJ, KIm MH, Kim JS, Moon HK (2000): The difference of biochemical status, dietary habits and dietary behaviours according to obesity degree among obese children. J Korean Diet Assoc 6(2): 161-170
  22. Kim HA (2000): Influences of the parents’ food habits and health beliefs on child obesity. Master Thesis, Seoul National University
  23. Kim HA, Kim EK (1994): Prevalences of hypertension and obesity of children in Kangnung. Korean J Nutr 27(5): 460-472
  24. Kim HA, Kim EK (1996): A study on effects of weight control program in obese children. Korean J Nutr 29(3): 307-320
  25. Kim HG, Nam HK (1998): A survey of life style habits of obese school children. J Korean Soc School Health 11(1): 99-110
  26. Kim HK, Lee DS, Yoo SM, Cheong YS, Park EW (2001b): The prevalence of childhood obesity and risk factors associated with obesity in Asan-city. J Korean Acad Fam Med 22(10): 1484-1493
  27. Kim JA (1999): A study on the obesity child’s body image, food habit and food attitude. J Korean Soc Maternal and Child Health 3(1): 89-104
  28. Kim KA, Kim IS, Kwon CS (2001c): Potential relationship between children obesity and risk for coronary heart disease in Kyungbuk area. Korean J Nutr 34(6): 664-670
  29. Kim KH (2001a): The effects of body weight control program for obesity children. Korean J Dietary Culture 16(2): 89-98
  30. Kim KH (2002): The effects of parent’s nutritional education for body weight control of obese children. Korean J Dietary Culture 17(2): 185-196
  31. Kim MO (2001b): Evaluation of the nutrition education for obese children. Master Thesis, Dankook University
  32. Kim SH, Kim GE, Kim SY (1998b): A study on relations of obesity to the serum lipid and insulin concentrations in the elementary school children. Korean J Nutr 31(2): 159-165
  33. Korean Society for the Study of Obesity (1995): 임상비만학, Korea, Korea medical Book, pp.199
  34. Kwon ER, Choi HJ, Lee SR, Paik ES, Lee KY, Park TJ (2002): Parental perception on children obesity according to weight status in children of elementary schools in Busan. J Korean Acad Fam Med 23(1): 68-79
  35. Latner JD, Stunkard AJ (2003): Getting worse: the stigmatization of obese children. Obes Res 11(3): 452-456
  36. Lee AR, Moon HK, Kim EK (2000a): A study on dietary habits, dietary behaviors and body image recognition of nutrition knowlege after nutrition education for obese children in Seoul. J Korean Diet Assoc 9(2): 171-178
  37. Lee CY, Kim WH (1994): Survey on the risk factors of childhood obesity and the characteristics of the family with obese child. J Korean Soc Study of Obesity 3(1): 55-63
  38. Lee DH (1992): Diagnosis & clinical manifestations in childhood obesity. J Korean Society for the Study of Obesity 1(1): 40-47
  39. Lee DH (1996): Assessment and treatment of children. Korean J Pediatrics 39(8): 1055-1065
  40. Lee HO (2000): A study of dietary intake and biochemical status of obese children in Anyang. Korean J Food & Nutr 13(3): 273-280
  41. Lee JB, Lee JO, Kim SY, Kang JH, Yang YJ (2000b): The prevalence and risk factors of childhood obesity in elementary students in Seoul. J Korean Acad Fam Med 21(7): 866-875
  42. Lee JH (2001): The change of obesity indices, lipids profile, insulin and leptin of obese children according to exercise program type. Master Thesis, Korea University
  43. Lee JS (2002): 소아비만 관리의 실제적 접근. J Korean Society for the Study of Obesity 11(1): 35-45
  44. Lee YN (1995): Effect of nutrition education program on body fat and blood lipids of obese young adolescent girls. Doctor Thesis, Seoul National University
  45. Lim HS, Lee JI (1993): Relationships of obesity in childhood to plasma lipids, blood pressure and blood glucose. J Korean Soc Food Nutr 22(6): 724-733
  46. Magarey AM, Daniels LA, Boulton TJ, Cockington RA (2003): Predicting obesity in early adulthood frim childhood and parental obesity. International J Obesity 27(4): 505-513
  47. Muratova VN, Demerath EW, Spangler E, Ogershok P, Elliott E, Minor VE, Neal WA (2002): The relation of obesity to cardivascular risk factors among children: the CARDIAC project. W V Med J 98(6): 263-267
  48. Nishina M, Kikuchi T, Yamazaki H, Kameda K, Hiura M, Uchiyama M (2003): Relationship among systolic blood pressure, serum insulin and leptin, and visceral fat accumulation in obese children. Hypertens Res 26(4): 281-8
  49. Ogden CL, Flegal KM, Carroll MD, Johnson CL (2002): Prevalence and trends in overweight among US children and adolescents, 1999-2000. JAMA 288(14): 1728-1732
  50. Park HS, Kang YJ, Shin ES (1994a): Serum lipids profiles and diet patterns in obese children in Seoul. J Korean Society for the Study of Obesity 3(1): 47-54
  51. Park HY, Kim SL, Ha AW (1996): A longitudinal study on the prevalence and the change in degree of obesity among private elementary school children. J Natural Science 13: 130-136
  52. Park J, Yoo SY, Lee CG, An HA, Park YB, Park SG, Moon KL, Yang ES, No YI, Bae HY (1998): The associated factors with obesity in primary school children - 2 years follow-up study-. J Korean Society for the Study of Obesity 7(2): 134-141
  53. Park JK, Ahn HS, Lee DH (2001): Effects of step by step diet control program in obese children, J Korean Society for the Study of Obesity 10(2): 165-173
  54. Park JK, Ahn HS, Lee DH, Kin MJ, Lee JH, Lee YJ (1994b): Effectiveness of nutrition education program for obese children. Korean J Nutr 27(1): 90-99
  55. Park JK, An HS, Lee DH (1995): Nutrition intake and eating behavior in mid and severely obese children. J Korean Society for the Study of Obesity 4(1): 43-50
  56. Togashi K, Masuda H, Rankinen T, Tanaka S, Bouchard C, Kamiya H (2002): A 12-year follow-up study of treated obese children in Japan. International J Obesity 26(6): 770-777
  57. Wang Z, Patterson CM, Hills AP (2002): Association between overweight or obesity and household income and parental body mass index in Australian youth: analysis of the Australian national nutrition survey, 1995. Asia Pac J Clin Nutr 11(3): 200-205