Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Relationship between adhering to dietary guidelines and the risk of obesity in Korean children

  • Yu, Soo Hyun (Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine) ;
  • Song, YoonJu (Major of Food and Nutrition, School of Human Ecology, the Catholic University of Korea) ;
  • Park, Mijung (Department of Pediatrics, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Shin Hye (Department of Pediatrics, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Shin, Sangah (Institute of Health and Environment, Seoul National University) ;
  • Joung, Hyojee (Institute of Health and Environment, Seoul National University)
  • Received : 2014.01.21
  • Accepted : 2014.08.06
  • Published : 2014.12.01
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Abstract

BACKGROUND/OBJECTIVES: Dietary guidelines for Korean children were released in 2009. The goal of the present study was to examine diet quality in terms of adherence to these dietary guidelines as well as explore the association between guideline adherence and risk of obesity in Korean children. SUBJECTS/METHODS: Children aged 5-11 years (mean age = 8.9 years old, n = 191, 80.6% girls) were recruited from a university hospital in Seoul, Korea. Adherence to dietary guidelines for Korean children was calculated using the Likert scale (1-5), and children were then categorized into low, moderate, and high groups based on adherence scores. Obesity or being overweight was determined based on an age- and gender-specific percentile for body mass index (BMI) of the 2007 Korean National Growth Charts. Diet quality was evaluated from 3 days of dietary intake data. RESULTS: Children in the high adherence group were characterized by significantly lower BMI percentiles and paternal BMIs as well as higher percentages of fathers with a high level of education and higher household incomes compared to those in the low or moderate group. Children in the high adherence group consumed significantly higher amounts of milk and dairy products, were less likely to consume lower than the EAR of phosphorus and iron, and had higher NARs for calcium, phosphorus, iron, zinc, and MAR than those in low groups. The ORs for obesity ($BMI{\geq}95^{th}$ percentile) or being overweight including obesity ($BMI{\geq}85^{th}$ percentile) were significantly lower in the high adherence group compared to the low adherence group (OR: 0.33, 95% CI = 0.13-0.82, P for trend = 0.019; OR: 0.26, 95% CI: 0.11-0.61 P for trend = 0.002). CONCLUSIONS: Korean children who adhered to dietary guidelines displayed better diet quality and a reduced risk of obesity.

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References

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