Patterns and Interrelationships for Meeting Guidelines of Physical Activity, Sedentary, and Dietary Behavior in Korean Adolescents

한국 청소년의 신체활동, 좌식행동, 식이행동에 대한 가이드라인 실천 패턴 및 상호관련성

  • Kim, Jae-Woo (Dept. of Physical Education, Seoul National University) ;
  • Kong, Sung-A (Dept. of Physical Education, Seoul National University) ;
  • Lee, On (Dept. of Physical Education, Seoul National University) ;
  • Kim, Yeon-Soo (Dept. of Physical Education, Seoul National University) ;
  • Yun, E-Hwa (Risk Appraisal and Prevention Branch, National Cancer Control Research Institute, National Cancer Center) ;
  • Kim, Shin-Ah (Dept. of Preventive Medicine, Hanyang University College of Medicine) ;
  • Choi, Bo-Youl (Dept. of Preventive Medicine, Hanyang University College of Medicine)
  • 김재우 (서울대학교 체육교육과) ;
  • 공성아 (서울대학교 체육교육과) ;
  • 이온 (서울대학교 체육교육과) ;
  • 김연수 (서울대학교 체육교육과) ;
  • 윤이화 (국립암센터 암예방과) ;
  • 김신아 (한양대학교 의과대학 예방의학교실) ;
  • 최보율 (한양대학교 의과대학 예방의학교실)
  • Published : 2009.09.30

Abstract

The purpose of this study was to analyze the patterns and the interrelationships for meeting guidelines of three health behaviors including physical activity(PA), sedentary behavior(SB), and dietary behavior(DB) for Korean adolescents using 2007 KYRBS(Korea Youth Risk Behavior Survey) data. A cross-sectional design was used to assess 73392 middle-high school students. PA(moderate physical activity${\geqq}$5times/week, or vigorous ${\geqq}$3times/week), SB(watching TV, computer, DVD, video, etc. < 3 hr/day), and DB(servings of fruits ${\geqq}$1 times/day, or vegetables ${\geqq}$ 3 times/day) were categorized into two levels (meeting guidelines or not). Chi-squared tests were conducted to compare the prevalence of students not meeting these three health behaviors between boys and girls, and logistic linear regression was used to determine the interrelationships of three health behaviors. Students meeting guidelines for PA, SB, and DB were 31.0%(boys 42.6%, girls 18.0%), 74.7%(boys 75.4%, girls 74.0%), and 38.5%(boys 38.6%, girls 38.4%), respectively. In addition, there were significant differences between both genders for PA and SB (PA; $x^2(1)$=35175.11, p<.0001, SB; $x^2(1)$=19.44, p<.0001). Only 10.9% of students met all three guidelines and 12.4% did not meet all three. Pattern that simultaneously did not meet PA and DB were high in both boys(27.1%) and girls(37.2%). Students who did not meet DB were at greater risk of not meeting PA(Boys; OR 1.49, 95% CI 1.43 to 1.55, Girls; OR 1.42, 95% CI 1.34 to 1.50), and not meeting SB(Boys; OR 1.41, 95% CI 1.34 to 1.48, Girls; OR 1.36, 95% CI 1.29 to 1.43) compared with students who met DB. The findings of this study supported further evidence for the need of a multiple behavior approach considering gender and interrelationships among three behaviors.

Keywords

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