Do Obese Children Exhibit Distinguishable Behaviours from Normal Weight Children?-Based on Literature Review

비만어린이와 정상체중 어린이의 행동 특성에 관한 문헌적 고찰

  • Baek, Seol-Hyang (Department of Nursing, College of Medicine, Dongguk University)
  • 백설향 (동국대학교 의과대학 간호학과)
  • Published : 2008.06.30

Abstract

Since obesity has been a crucial issue regarding children's health in Korea, numerous studies have been conducted. However, it is difficult to locate studies that can help researchers and/or medical professionals who want to study behavioral differences between obese and normal weight (non-obese) children. The collected literature about obese childrens behaviors were accumulated by performing 'key word' searches from several web engines: 'obesity' 'children obesity' 'behavior' 'habit' 'eating behavior or habit' 'exercise' 'physical activity' and 'daily behavior'. The information was extracted and the behaviors were reviewed utilizing 30 papers that revealed any differences from normal weight children with at least p .05 level of significance. According to those studies, the obese children tended to skip meals more often as a method of losing weight. They also have an increased appetite, eat larger portions and rarely leave food on their plates. The obese children prefer to eat high fat, high calorie foods and eat faster than their normal weight counterparts. Also, the children usually eat alone and eat at irregular meal times. Beside the behaviors related to the standard three meals a day, obese children have high preferences for snacking. The children reported that with pocket money they usually eat certain types of snacks without parent approval. The children stated that they exercise more on a regular basis. However, when asked about their participation they were not likely to engage actively. Meanwhile, they tend to spend free time doing sedentary activities such as watching TV or playing on the computer. Since these studies used self -reported questionnaires with a small sample, size there may be difficulty in forming a basis about obese children's behaviors. Nevertheless, these findings are in accordance with other studies conducted in local as well as western countries. In conclusion, obese children have different daily behaviors or routines from normal weight children. It is recommended that altering these behavioral patterns to match those of normal weight children should be encouraged.

Keywords

References

  1. Bae YJ, Kim EY, Cho HK, Kim MH, Choi MK, Sung MK, Sung CH (2006): Relation among dietary habits, nutrient intakes and bone mineral density in Korean normal and obese elementary students. Korean J Community Nutr 11(1): 14-24
  2. Baek SH, Yeo JH (2006): Comparison of weight control behavior and self-esteem between healthy weight and obese children. Korean J Community Nutr 11(5): 562-574
  3. Berkey CS, Rockett HRH, Gillman MW, Colditz GA (2003): One-year changes in activity and in inactivity among 10- to 15-year-old boys and girls: relationship to change in body mass index. Pediatrics 111(4): 836-843 https://doi.org/10.1542/peds.111.4.836
  4. Chang HS, Kim MR (2003): A study on the anthropo metry and health-related lifestyle habits of women college student in Kunsan. Korean J Community Nutr 8(4): 526-537
  5. Cho WS, Kim SM (1994): A study on relationships between body index and dietary habit, and weight control of female college student in Incheon & Seoul Area. Kyungki Junior College Incheon, Korea 21: 137-150
  6. Choi HY, Seo JS (2003): Nutrient intake and obesity- related factors of obese children and the effect of nutrition education program. Korean J Community Nutr 8(4): 447-484
  7. Chung MY, Woo KJ (1997): The effect of food habits in the obesity of middle school girls in Inchon area. J East Asian Soc Dietary Life 7(1): 71-86
  8. Coon KA, Goldberg J, Rogers BL, Tucker KL (2001): Relationships between use of television during meals and children's food consumption patterns. Pediatrios 107(1): E7 https://doi.org/10.1542/peds.107.1.e7
  9. Delany JP, Bray GA, Harsha DW, Volaufova J (2002): Energy expenditure in preadolescent African American and white boys and girls; the Baton Rouge children's study. Am J Clin Nutr 75(4): 705-713 https://doi.org/10.1093/ajcn/75.4.705
  10. Eisenmann JC, Bartee RT, Wang MQ (2002): Physical activity, TV viewing, and weight in U.S. youth; 1999 youth risk behavior survey. Obesity Res 10(5): 379-385 https://doi.org/10.1038/oby.2002.52
  11. Ekelund U, Aman J, Yngve A, Renman C, Westerterp K, Sjostrom M (2002): Physical activity but not energy expenditure is reduced in obese adolescents: a case-control study. Am J Clin Nutr 76(5): 935-941 https://doi.org/10.1093/ajcn/76.5.935
  12. Ferguson KJ, Brink PJ, Wood M, Koop PM (1992): Characteristics of successful dieters as measured by guided interview responses and restraint scale scores. J Am Diet Assoc 92(9): 1119-1121
  13. Gortmaker SL, Must A, Sobol AM, Peterson K, Colditz GA, Deitz WH (1996): Television viewing as a cause of increasing obesity among children in the United States, 1986-1990. Arch Pediatr Adolesc Med 150(4): 356-362 https://doi.org/10.1001/archpedi.1996.02170290022003
  14. Hancox RJ, Milne BJ, Poulton R (2004): Association between child and adolescent television viewing and adult health; a longitudinal birth cohort study. Lancet 364(9430): 257-262 https://doi.org/10.1016/S0140-6736(04)16675-0
  15. Heo YH, Choi MJ (2006): A study on the weight control and food habit in obese and normal-weight elementary children. J East Asian Soc Dietary Life 16(3): 272-280
  16. Hyun WJ, Lee JW, Kwak CS, Song KH (1998): Energy value of breakfast and its relation to total daily nutrient intake and serum lipid in Korean urban adults. Korean J Community Nutr 3(3): 368-379
  17. Jeon HJ, Chung HJ (2003): A study on the necessity of school education for child obesity part 1-A basic investigation for guideline of nutritional, physical education. Korean J Food & Nutr 16(3): 197-202
  18. Jung MK, Kim YN (2001): Body mass index and dietary factor of middle school student in Seoul. J Korean Home Econ Edu Assoc 13(2): 101-111
  19. Kayman S, Bruvold W, Stern JS (1990): Maintenance and relapse after weight loss in women; behavioral aspects. Am J Clin Nutr 52(5): 800-807 https://doi.org/10.1093/ajcn/52.5.800
  20. Keim N L, Van Loan MD, Horn W F, Barbieri MF, Mayclin PL (1997): Weight loss is greater with consumption of large morning meals and fat-free mass is preserved with large evening meals in women on a controlled weight reduction regimen. J Nutr 127(1): 75-82 https://doi.org/10.1093/jn/127.1.75
  21. Kim EK, Park TS, Kim MK (2001): A study on the obesity and stress of elementary school children in Kangnung area. Korean J Community Nutr 6(5): 715-725
  22. Kim HG, Nam HK (1998): A survey of life style habits of obese school children. J Korean Soc School Health 11(1): 99-110
  23. Kim JA (1999): A study on the obese child's body image, food habit and food attitude. J Korean Soc Matern Child Health 3(1): 89-104
  24. Kim JY, Kim JS (1997): A survey of life style habits in obese children. J Korean Soc School Health 10(1): 99-111
  25. Kim MY, Lee SW, Park HS (1994): Diet and eating behavior in obese patients. J Korean Acad Fam Med 15(6): 353-362
  26. Kim SH, Lee SH, Kang JH, Park HA, Kim MJ, Kim YH, Cho YG, Chun JY, Song JH, Jung MH (2007): Relationship between physical activity, dietary habits and overweight of 7-year-old Korean children. J Korean Acad Fam Med 28(3): 195-203
  27. Kim YE, Kim YN (2002): A study on body mass index and associated factors of the middle aged women in small city. Korean J Comm Nutr 7(4): 506-515
  28. Kwon ER, Choi HJ, Lee SR, Paik ES, Lee KY, Park TJ (2002): Parental perception on childhood obesity according to weight status in children of elementary schools in Busan. J Korean Acad Fam Med 23(1): 68-79
  29. Kwon SJ (2001): Effect of obesity on the satisfaction with school lunches and the behavior of leaving lunch food in elementary school children. Korean J Community Nutr 6(2): 139-149
  30. Lee DH (2005): A study on eating behavior, recognition of body image, weight control method nutrition status, and blood parameters of obese children in Iksan city. J East Asian Soc Dietary Life 15(6): 663-674
  31. Lee JB, Lee JO, Kim SW, Kang JH, Yang YJ (2000): The prevalence and risk factors of childhood obesity in elementary students in Seoul. J Korean Acad Fam Med 21(7): 866-875
  32. Lee KH, Hwang KJ, Her ES (2001): A study on body lmage recognition, food habits, food behaviors and nutrient intake according to the obesity index of elementary children in Changwon. Korean J Community Nutr 6(4): 577-591
  33. Lee KY, Kim JK, Lee NS, Han JH, Park TJ, Jeon HN (2003): The factors associated with change in percent obesity after obesity treatment among obese children and adolescents. J Korean Acad Fam Med 24(1): 64-71
  34. Lee YJ, Cang KJ (1999): A comparative study of obese children and normal children on dietary Intake and environmental factors at an elementary school in Inchon. Korean J Community Nutr 4(4): 504-511
  35. Lee YN, Yim KS, Lee SK, Mo S, Choi H (1996): Diet-related factors of overweight adolescent girls. Korean J Community Nutr 1(3): 354-365
  36. Ogden (2000): Correlates of long-term weight loss; a group comparison study of obesity. Int J Obes 24(8): 1018-1025 https://doi.org/10.1038/sj.ijo.0801354
  37. Oh JH, Kwak IK, Yang S, Hwang IT, Jung JA, Lee, HR (2003): A study of the relationship between childhood obesity and beverage intake. J Korean Pediatr Soc 46(11): 1061-1066
  38. Park HS (1997): Adolescent obesity and weight control. J Korea Acad Fam Med 18(11): 1771-1182
  39. Park HO, Kim EK, Chi KA, Kwak TK (2000): Comparison of the nutrition knowledge, food habits and life styles of obese children and normal children in elementary school in Kyeong-gi province. Korean J Community Nutr 5(4): 5686-5970
  40. Park JB, Choi TI, Kim JS, Jung DS, Kim KN, Lee SY, Kang JH (2006): The prevalence of childhood obesity, risk factors, and obesity related disease in elementary students. J Korean Acad Fam Med 27(2): 104-112
  41. Park KW, Lee KL, Park TJ, Kwon ER, Ha SJ, Moon HJ, Kim JK (2003): The factors associated with becoming obese children: in 6Th grade children of elementary schools in Busan. J Korean Acad Fam Med 24(8): 739-745
  42. Park MA, Moon HK, Lee KH, Suh SJ (1998): A study on related risk factors of obesity for primary school children-difference between normal and obese group. Korean J Nutr 31(7): 1158-1164
  43. Park SJ, Kim AJ (2000): A retrospective study on the status of obesity and eating and weight control behaviors of elementary school children in Inchon. J Korean Diet Assoc 6(1): 44-52
  44. Park YS, Park HR (1995): Elementary school children's growth pattern and related food habits. J Korean Public Health Assoc 21(1): 105-118
  45. Raitakari OT, Porkka KVK, Taimela S, Telama R, Rasanen L, Vlikari JS (1994): Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults. Am J Epidemiol 140(3): 195-205 https://doi.org/10.1093/oxfordjournals.aje.a117239
  46. Salbe AD, Weyer C, Harper I, Lindsay RS, Ravussin E, Tataranni PA (2002): Assessing risk factors for obesity between childhood and adolescence: II. energy metabolism and physical activity. Pediatrics 110(2): 307-314 https://doi.org/10.1542/peds.110.2.307
  47. Sanchez-Villegas A, Martinez-Gonzalez MA, Toledo E, de Irala-Estevez J, Martinez JA (2002): Relative role of physical in activity and snacking between meals in weight gain. Medicina Clinica 119(2): 46-52 https://doi.org/10.1016/S0025-7753(02)73311-3
  48. Schlundt DC, Hill JO, Sbrocco T, Pope-cordle J, Sharp T (1992): The role of breakfast in the treatment of obesity. Am J Clin Nutr 55(3): 645-654 https://doi.org/10.1093/ajcn/55.3.645
  49. Seo YK, Lee SK (1992): A study on the life -style of obese children. J Korean Soc School Health 5(1): 84-91
  50. Son SJ, Lee HJ, Lee IK, Choi BS, Park MH, Lee EJ, Seo JY (2002): A study of dietary behavior and serum leptin level in obese children. Korean J Community Nutr 7(4): 475-483
  51. Son SM, Lee JH (1997): Obesity, serum lipid and related eating behaviors of school children. Korean J Community Nutr 2(2): 141-150
  52. Suh YS, Kim DH, Shin DH (2000): Relation between body weight and physical activity in preschool children. J Korean Soc Study Obes 9(2): 146-152
  53. Sung RYT, Yu CCW, Choi KC, McManus A, Li AMC, Xu SLY, Chan D, Lo AFC, Chan JCN, Fok TF (2007): Waist circumference and body mass index in Chinese children: cutoff values for predicting cardiovascular risk factors. Int J Obes 31(3): 550-558 https://doi.org/10.1038/sj.ijo.0803452
  54. U.S. National Library of Medicine (2007): PubMed MeSH Browser, http://www.nlm.nih.gov/mesh/MBrowser.html
  55. Vandewater EA, Shim MS, Caplovitz AG. (2004): Linking obesity and activity level with children's television and video game use. J Adolesc 27(1): 71-85 https://doi.org/10.1016/j.adolescence.2003.10.003
  56. Westenhoefer J (2001): The therapeutic challenge; behavioral changes f or long-term weight maintenance. Int J Obes 25(Suppl 1): S85-S88
  57. You JS, Choi YJ, Kim IS, Chang KJ, Chyun JH (1997): A study on prevalence of obesity, eating habits and life styles of 5th grade students in Inchon. Korean J Community Nutr 2(1): 13-22
  58. Yoo SM, Yoon SJ (2001): Measuring the status of obesity prevalence and food habit of children in Asan-city. J Korean Acad Fam Med 22(1): 78-86