Journal of Preventive Medicine and Public Health

  • 제44권4호
  • /
  • Pages.167-175
  • /
  • 2011
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지
DOI QR코드

DOI QR Code

Trends in Body Mass Index and Associations With Physical Activity Among Career Soldiers in South Korea

  • Bae, Kyoung-Ki (School of Military Medicine, the Armed Forces) ;
  • Kim, Ho (School of Public Health, Seoul National University) ;
  • Cho, Sung-Il (School of Public Health, Seoul National University)
  • 투고 : 2010.12.20
  • 심사 : 2011.04.19
  • 발행 : 2011.07.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: This study was designed to describe the trends in body mass index (BMI) during 6 years (2002-2008) and to identify associations between these trends and the amount of physical activity of South Korean career soldiers. Method: This study targeted the 40 993 (38 857 men and 2136 women) of the 58 657 career soldiers who had undergone four (2002, 2004, 2006, and 2008) biennial medical examinations conducted by the National Health Insurance Corporation; 17 664 soldiers with missing data on height, weight, and physical activity were excluded. A linear mixedregression model was used to categorize changes in BMI due to age versus those due to amount of physical activity. Results: Career soldiers experienced significant increases in BMI compared with baseline data gathered in 2002. The increases in each age group were as follows: men aged 20-29: 1.16, men aged 30-39: 0.61, men aged 40-49: 0.05, women aged 20-29: 0.35, women aged 30-39: 0.30, women aged 40 -49: 0.26, and women aged 50-59: 0.21. However, men aged 50 or older showed significant decreases (as high as 0.5) in BMI compared with baseline data obtained in 2002. They also experienced significant decreases in BMI compared with those who reported no physical activity. The differences between baseline and final BMIs were: 0.02 for men exercising 1-2 times per week, -0.07 for men exercising 3-4 times per week, -0.19 for men exercising 5-6 times per week, -0.21 for men exercising seven times per week, -0.05 for women exercising 1-2 times per week, -0.19 for women exercising 3-4 times per week, -0.30 for women exercising 5-6 times per week, and -0.30 for women exercising seven times per week. Conclusions: Obesity in South Korean career soldiers increased markedly between 2002 and 2008, and our data showed that the amount of physical activity was inversely related to increases in BMI. Policies to prevent obesity are needed to reduce this trend.

키워드

참고문헌

  1. Korea Centers for Disease Control and Prevention. The Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV), 2008. Seoul: Ministry for Health, Welfare and Family Affairs; 2009. (Korean)
  2. Ahn BC, Joung H. Socioeconomic cost of obesity in Korea. Korean J Nutr 2005; 38(9): 786-792. (Korean)
  3. Song YM, Sung J. Body mass index and mortality: a twelve-year prospective study in Korea. Epidemiology 2001; 12(2): 173-179. https://doi.org/10.1097/00001648-200103000-00008
  4. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008. JAMA 2010; 303(3): 235-241. https://doi.org/10.1001/jama.2009.2014
  5. Bae NK, Kwon IS, Cho YC. Ten year change of body mass index in Korean: 1997-2007. Korean J Obes 2009; 18(1): 24-30. (Korean)
  6. Lee JH. A study on the influence factors affecting the health practices of military officers and NCOs [dissertation]. Seoul: Yonsei University; 2001. (Korean)
  7. Ministry of National Defense Public Health and Policy Team. 2006 analysis of army executives' health exam results. Seoul: Public Health and Policy Team; 2006. (Korean)
  8. Military Health System. Department of defense survey of health related behaviors among active duty military personnel 2008 survey summary as Q & A [cited 2010 Dec 15]. Availale from:http://www.health.mil/Content/docs/Health%20Behaviors%20Survey%20QAs.pdf.
  9. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007; 116(9): 1081-1093. https://doi.org/10.1161/CIRCULATIONAHA.107.185649
  10. Slentz CA, Dushca BD, Johnson JL, Ketchum K, Aiken LB, Samsa GP, et al. Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE-a randomized controlled study. Arch Intern Med 2004; 164(1): 31-39. https://doi.org/10.1001/archinte.164.1.31
  11. Lindquist CH, Bray RM. Trends in overweight and physical activity among U.S. military personnel, 1995-1998. Prev Med 2001; 32(1): 57-65. https://doi.org/10.1006/pmed.2000.0771
  12. Ministry of National Defense Public Health and Policy Team. Cooperation in increasing number of health examination times of army executive. Seoul: Public Health and Policy Team; 2007. (Korean)
  13. National Health Insurance Corporation. 2002 National health insurance statistical yearbook. Seoul: National Health Insurance Corporation; 2003. (Korean)
  14. National Health Insurance Corporation. 2004 National health insurance statistical yearbook. Seoul: National Health Insurance Corporation; 2005. (Korean)
  15. National Health Insurance Corporation. 2006 National health insurance statistical yearbook. Seoul: National Health Insurance Corporation; 2007. (Korean)
  16. National Health Insurance Corporation. 2008 National health insurance statistical yearbook. Seoul: National Health Insurance Corporation; 2009. (Korean)
  17. Bassett J; International Diabetes Institute; World Health Organization, Regional Office for the Western Pacific; International Association for the Study of Obesity; International Obesity Task Force. The Asia-Pacific perspective: redefining obesity and its treatment. Australia; Health Communications Australia; 2000.
  18. Littell RC, Henry PR, Ammerman CB. Statistical analysis of repeated measures data using SAS procedures. J Anim Sci 1998; 76(4): 1216-1231. https://doi.org/10.2527/1998.7641216x
  19. Moser, EB. Repeated Measures modeling with PROC mixed. Proceedings of the 29th SAS Users Group International Conference; 2004 May 9-12; Montreal, Cary, NC: SAS Institute Inc.; 2004.
  20. Lim CY. Research on the methods of improvement in the status guarantee of the military personnel [dissertation]. Seoul: Kyung Hee University; 2006. (Korean)
  21. Lovejoy JC. The influence of sex hormones on obesity across the female life span. J Womens Health 1998; 7(10): 1247-1256. https://doi.org/10.1089/jwh.1998.7.1247
  22. Rona RJ, Sundin J, Wood P, Fear NT. Agreement between body mass index, waist circumference and skin-fold thickness in the United Kingdom Army. Ann Hum Biol 2011; 38(3): 257-264. https://doi.org/10.3109/03014460.2010.517566
  23. Bray GA. Overweight is risking fate: definition, classification, prevalence, and risks. Ann N Y Acad Sci 1987; 499: 14-28.
  24. United States, Dept. of Health and Human Service. 2008 physical activity guidelines for Americans; be active, health, and happy! Washington, DC: United States, Dept. of Health and Human Services; 2008.
  25. Knapik J, Zoltick J, Rottner HC, Phillips J, Bielenda C, Jones B, et al. Relationships between self-reported physical activity and physical fitness in active men. Am J Prev Med 1993; 9(4): 203-208.
  26. Jette M, Sidney K, Quenneville J. Association between an excessive body mass index and coronary heart disease risk factors in military personnel. Mil Med 1993; 158(7): 489-493.
  27. Napradit P, Pantaewan P, Nimit-arnun N, Souvannakitti D, Rangsin R. Prevalence of overweight and obesity in Royal Thai Army personnel. J Med Assoc Thai 2007; 90(2): 335-340.
  28. Vogel JA. Obesity and its relation to physical fitness in the U.S. military. Armed Forces Soc 1992; 18(4): 497-513. https://doi.org/10.1177/0095327X9201800404
  29. Headquarters, Department of the Army. The army weight control program. [cited 2010 Dec 15]. Available from: http://www.apd.army.mil/pdffiles/r600_9.pdf.
  30. RTI International. 2005 department of defense survey of health related behaviors among active duty military personnel. [cited 2010 Dec 15]. Available from: http://books.google.co.kr/books?hl=ko&lr=&id=1H0ecGGnQdQC&oi=fnd&pg=PP1&dq=2005+department+of+defense+survey+of&ots=EWMV7EL0cl&sig=Q03rMULqb_3lhr78lk-9oM7JyiM#v=onepage&q=2005%20department%20of%20defense%20survey%20of&f=false.
  31. United States, Dept. of Health and Human Services. Healthy People 2010: understanding and improving health. 2nd ed. Washington, DC: United States, Dept. of Health and Human Services; 2000.
  32. National Health Insurance Corporation. Construction of health examination cohort. Seoul: National Health Insurance Corporation; 2010. (Korean)

피인용 문헌

  1. Association Between Diet, Physical Activity and Body Mass Index, Fat Mass Index and Bone Mineral Density of Soldiers of the Polish Air Cavalry Units vol.12, pp.1, 2011, https://doi.org/10.3390/nu12010242