DOI QR코드

DOI QR Code

Dietary intake based on physical activity level in Korean elementary school students

  • Kim, Yeon-Soo (School of Human Ecology, Nutrition and Dietetics Program, Louisiana Tech University) ;
  • Kim, Hyun-A (Nutrition Education major, Graduate School of Education, Kyung Hee University) ;
  • Kim, Jung-Hyun (Department of Home Economics Education, Chung-Ang University) ;
  • Kim, Yu-Ri (Department of Nutritional Sciences and Food Management, Ewha Womans University) ;
  • Lim, Yun-Sook (Nutrition Education major, Graduate School of Education, Kyung Hee University)
  • Received : 2010.03.12
  • Accepted : 2010.06.02
  • Published : 2010.08.30

Abstract

Prevalence of childhood obesity is increasing significantly worldwide due to energy imbalance perhaps stemming from undesirable dietary behavior and physical activity level. The objective of the study was to examine the effects of physical activity level on nutritional status in elementary school students. The subjects were comprised of 287 elementary school students between 4th and 6th grades in Seoul, Korea. The level of physical activity was scored with a modified Godin leisure-time exercise questionnaire and was categorized as active, moderately active, and sedentary. Dietary intakes were obtained using a 24-hour food recall method. An analysis of variance (ANOVA) was conducted to test for global significant differences of nutrient intakes by physical activity level. Boys were more active than girls. Daily intakes of energy in moderately active boys were significantly higher than in the sedentary group, but intakes of calcium and iron in moderately active boys were lower than active boys. For girls, physical activity level did not affect nutrient density at all. Intakes of calcium, vitamin C, and folate for both boys and girls were below 50% of recommended intake. Physical activity did not affect nutrient density and our participants were exposed to nutritional imbalance. Therefore, the results suggest that nutrition education regarding balanced diet and optimum physical activity is required for children's health and growth.

Keywords

References

  1. Institute of Medicine, The National Academics [Internet]. Focus on childhood obesity; [cited 2009 July 3]. Available from: http://www.iom.edu/CMS/22593.aspx.
  2. Kim HM, Park J, Kim HS, Kim DH, Park SH. Obesity and cardiovascular risk factors in Korean children and adolescents aged 10-18 years from the Korean National Health and Nutrition Examination Survey, 1998 and 2001. Am J Epidemiol 2006;164: 787-93. https://doi.org/10.1093/aje/kwj251
  3. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 1999;103: 1175-82. https://doi.org/10.1542/peds.103.6.1175
  4. Berenson GS, Srinivasan SR, Bao W, Newman WP 3rd, Tracy RE, Wattigney WA. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The Bogalusa Heart Study. N Engl J Med 1998;338:1650-6. https://doi.org/10.1056/NEJM199806043382302
  5. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long-tenn morbidity and mortality of overweight adolescents: a follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med 1992;327:1350-5. https://doi.org/10.1056/NEJM199211053271904
  6. Gunnell DJ, Frankel SJ, Nanchahal K, Peters TJ, Davey Smith G. Childhood obesity and adult cardiovascular mortality: a 57-y follow-up study based on the Boyd Orr cohort. Am J Clin Nutr 1998;67:1111-8.
  7. Rolls BJ. The Supersizing of America: Portion Size and the Obesity Epidemic. Nutr Today 2003;38:42-53. https://doi.org/10.1097/00017285-200303000-00004
  8. Young LR, Nestle M. The contribution of expanding portion sizes to the US obesity epidemic. Am J Public Health 2002;92: 246-9. https://doi.org/10.2105/AJPH.92.2.246
  9. Rolls BJ, Morris EL, Roe LS. Portion size of food affects energy intake in normal-weight and overweight men and women. Am J Clin Nutr 2002;76:1207-13.
  10. Diliberti N, Bordi PL, Conklin MT, Roe LS, Rolls BR. Increased portion size leads to increased energy intake in a restaurant meal. Obes Res 2004;12:562-8. https://doi.org/10.1038/oby.2004.64
  11. Wansink B. Can package size accelerate consumption volume? J Mark 1996;60:1-14.
  12. Robinson TN, Killen JD. Ethnic and gender differences in the relationships between television viewing and obesity, physical activity, and dietary fat intake. J Health Educ 1995;26:91-8.
  13. Moon JS. Application of 2007 Korean national growth charts: Growth curves and tables. Korean Journal of Pediatric Gastroenterology and Nutrition 2009;12:1-5
  14. Godin G, Shephard RJ. Godin leisure time exercise questionnaire. Med Sci Sports Exerc 1997;29:36-8.
  15. Lytle LA, Nichaman MZ, Obarzanek E, Glovsky E, Montgomery D, Nicklas T, Zive M, Feldman H. Validation of 24-hour recalls assisted by food records in third-grade children. The CATCH Collaborative Group. J Am Diet Assoc 1993;93:1431-6. https://doi.org/10.1016/0002-8223(93)92247-U
  16. Dietary reference intakes for Koreans [Internet]. [cited 2008 November 10]. Available from: http://www.kns.or.kr/board_read. asp?catalogid=kns2008&language=ko&no=22142&boardcode=su b07_ 01 &go=&field=&keyword=&page= 1.
  17. Jang HS. The perception of body image and nutrient intakes of middle school students according to exercise practice. Korean Journal of Exercise Nutrition 2005;9:143-50.
  18. Kim SA, Lee BH. Relationships between the nutrient intake status, dietary habits, academic stress and academic achievement in the elementary school children in Bucheon-si. The Korean Journal of Nutrition 2008;41:786-96.
  19. Wang SG. Prevalence of obesity, food habits, and daily nutrient intake of $4^{th}$ grade elementaIy school students in Daejeon. Korean Journal of Human Ecology 2007;16:631-42. https://doi.org/10.5934/KJHE.2007.16.3.631
  20. Vadiveloo M, Zhu L, Quatromoni PA. Diet and physical activity patterns of school-aged children. J Am Diet Assoc 2009;109: 145-51. https://doi.org/10.1016/j.jada.2008.10.012
  21. American Dietetic Association; Dietitians of Canada; American College of Sports Medicine, Rodriguez NR, Di Marco NM, Langley S. American College of Sports Medicine position stand. Nutrition and athletic performance. Med Sci Sports Exerc 2009;41:709-31. https://doi.org/10.1249/MSS.0b013e31890eb86
  22. Gropper SS, Smith JL, Groff JL. Advanced nutrition and human metabolism. $5^{th}$ ed. Belmont, CA: Wadsworth; 2009.
  23. Pate RR, Freedson PS, Sallis JF, Taylor WC, Sirard J, Trost SG, Dowda M. Compliance with physical activity guidelines: Prevalence in a population of children and youth. Ann Epidemiol 2002;12:303-8. https://doi.org/10.1016/S1047-2797(01)00263-0
  24. US Department of Health and Human Services. [Internet]. Physical activity and health: a report of the surgeon general. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; [cited 2009 June 20]. Available from: http://www.cdc.gov/nccdphp/ sgr/sgr.
  25. Centers for Disease Control and Prevention. Youth risk behavior surveillance-united states, 1999. MMWR 2000;49:1-95.
  26. Sallis JF. Epidemiology of physical activity in children and adolescents. Crit Rev Food Sci Nutr 1993;33:403-8. https://doi.org/10.1080/10408399309527639
  27. Jang HY. Identification of the nutrient intakes, energy expenditure according to exercise levels of middle school students. Korean Journal of Exercise Nutrition 2003;7:217-22.
  28. Kim YO. Identification of the dietary intake patterns of Korean adults according to their exercise levels. Korean Journal of Community Nutrition 2002;7:769-80.
  29. Choi IS, Hwang HS, Oh SH. The prevalence of obesity and nutrition status in regular exercising men. Journal of the Korean Society of Food Science and Nutrition 1995;24:550-5.
  30. Beitz R, Mensink GBM, Henschel Y, Fischer B, Erbersdobler HF. Dietary behavior of German adults differing in levels of sport activity. Public Health Nutr 2004;7:45-52.
  31. Mensink GB, Loose N, Oomen CM. Physical activity and its association with other lifestyle factors. Eur J Epidemiol 1997;13: 771-8. https://doi.org/10.1023/A:1007474220830
  32. Gillman MW, Pinto BM, Tennstedt S, Glanz K, Marcus B, Friedman RH. Relationship of physical activity with dietary behaviors among adults. Prev Med 2001;32:295-301. https://doi.org/10.1006/pmed.2000.0812
  33. Simoes EJ, Byers T, Coates RJ, Serdula MK, Mokdad AH, Heath GW. The association between leisure-time physical activity and dietary fat in American adults. Am J Public Health 1995;85: 240-4. https://doi.org/10.2105/AJPH.85.2.240
  34. Eaton CB, McPhillips JB, Gans KM, Garber CE, Assaf AR, Lasaster TM, Carleton RA. Cross-sectional relationship between diet and physical activity in two southeastern New England communities. Am J Prev Med 1995;11:238-44.
  35. Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics 1998;101 :539-49.
  36. Driskell MM, Dyment S, Mauriello L, Castle P, Sherman K. Relationships among multiple behaviors for childhood and adolescent obesity prevention. Prev Med 2008;46:209-15. https://doi.org/10.1016/j.ypmed.2007.07.028
  37. Nelson NC, Neumark-Stzainer D, Harman PJ, Sirard JR, Story M. Longitudinal and secular trends in physical activity and sedentary behavior during adolescence. Pediatrics 2006;118: 1627-34. https://doi.org/10.1542/peds.2006-0926

Cited by

  1. Dietary Pattern and Nutrient Intake of Korean Children with Atopic Dermatitis vol.26, pp.5, 2014, https://doi.org/10.5021/ad.2014.26.5.570
  2. Prospective Associations Between Leisure-Time Physical Activity and Cognitive Performance Among Older Adults Across an 11-Year Period vol.22, pp.3, 2010, https://doi.org/10.2188/jea.je20110084
  3. Physical Activity and Depressive Symptoms in Older Adults : 11-Year Follow-Up vol.42, pp.4, 2010, https://doi.org/10.1016/j.amepre.2011.11.010