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유아의 체질량지수에 영향을 미치는 어머니의 식생활태도 및 영양상태 관련 인자: 2010-2011년 국민건강영양조사 자료 이용

Factors Related to Eating Habits and Nutrition Status of Mother Affecting on Body Mass Index of Children aged 1-5years: Data from the Fifth Korea National Health and Nutrition Examination Survey, 2010-2011

  • 박미연 (경상대학교 식품영양학과) ;
  • 박필숙 (경북대학교 식품영양학과)
  • Park, Miyeon (Department of Food & Nutrition, Gyeongsang National University) ;
  • Park, Pilsook (Department of Food Science & Nutrition, Kyungpook National University)
  • 투고 : 2016.01.11
  • 심사 : 2016.02.22
  • 발행 : 2016.02.28

초록

Objectives: The intention of this study was to find out the impact of mother's body mass index, eating habits, nutrition status and sociodemographic factors on the body mass index of the children. Methods: The study used original data of Korea National Health and Nutrition Examination Survey (2010-2011) and had 957 children in the ages of 1-5 years and 957 mothers of these children, a total 1,914 as subjects. The weights (body mass indexes) of the children, subjects under 5th percentile were classified into a underweight group, 5~84th percentile into a normal weight group, 85-94th percentile into an overweight group and more than 95th percentile into an obesity group based on the 2007 Korean children and adolescents growth chart. Results: We observed that when the body mass index of a mother increased by 1, the possibility that her child would belong to the overweight group increased by 6.5% (95% confidence interval: 1.01~1.13), and the possibility that the child would belong to the obesity group increased by 95% (confidence interval: 1.01~1.18). With regard to the number of deficient nutrients which were ingested according to estimated average requirements (EAR) amid nutrients ingested by the mother increased by 1, the possibility that the child would belong to the obesity group increased by 16.6% (95% confidence interval: 1.01~1.35). In case the birth weight of child increased by 1kg, the odds ratio that the child would belong to the obesity group was 2.022 (95% confidence interval: 1.08~3.77). Conclusions: We conclude that the body mass index, eating habits and nutrition status of the mother had significant effects on the body mass index of the child. Therefore, it is critical to recognize the importance of this observation and provide practical training for eating habits and nutrient intakes in order to achieve healthy growth and prevention of obesity among children.

키워드

참고문헌

  1. Matheson D, Spranger K, Saxe A. Preschool children's perceptions of food and their food experiences. J Nutr Educ Behav 2002; 34(2): 85-92. https://doi.org/10.1016/S1499-4046(06)60073-0
  2. Ministry of Health and Welfare. Korea Health Statistics 2013: Korea National Health and Nutrition Examination Survey [KNHANES VI-1] [internet]. 2014 [cited 2015 Nov 10]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
  3. Gallagher D, Visser M, Sepulveda D, Pierson R, Harris T, Heymsfield SB. How useful is body mass index for comparison of body fatness across age, sex, and ethnic groups? Am J Epidemiol 1996; 143(3): 228-239. https://doi.org/10.1093/oxfordjournals.aje.a008733
  4. Moon JS, Lee SY, Nam CM, Choi JM, Choe BK, Seo JW et al. 2007 Korean National Growth Charts: review of developmental process and an outlook. Korean J Pediatr 2008; 51(1): 1-25. https://doi.org/10.3345/kjp.2008.51.1.1
  5. Garn SM, Clark DC. Trends in fatness and the origins of obesity Ad Hoc Committee to Review the Ten-State Nutrition Survey. Pediatr 1976; 57(4): 443-456.
  6. Koziel S, Kolodziej H. Birth order and BMI in teenage girls. Coll Antropol 2001; 25(2): 555-560.
  7. Aull JL, Rowe DA, Hickner RC, Malinauskas BM, Mahar MT. Energy expenditure of obese, overweight, and normal weight females during lifestyle physical activities. Int J Pediatr Obes 2008; 3(3): 177-185. https://doi.org/10.1080/17477160701874844
  8. Bandini LG, Schoeller DA, Cyr HN, Dietz WH. Validity of reported energy intake in obese and nonobese adolescents. Am J Clin Nutr 1990; 52(3): 421-425. https://doi.org/10.1093/ajcn/52.3.421
  9. Sekine M, Yamagami T, Handa K, Saito T, Nanri S, Kawaminami K et al. A dose-response relationship between short sleeping hours and childhood obesity: results of the Toyama Birth Cohort Study. Child Care Health Dev 2002; 28(2): 163-170. https://doi.org/10.1046/j.1365-2214.2002.00260.x
  10. von Kries R, Toschke AM, Wurmser H, Sauerwald T, Koletzko B. Reduced risk for overweight and obesity in 5-and 6-y-old children by duration of sleep-across-sectional study. Int J Obes 2002; 26(5): 710-716. https://doi.org/10.1038/sj.ijo.0801980
  11. Gallaher MM, Hauck FR, Yang OM, Serdula MK. Obesity among Mescalero preschool children. Association with maternal obesity and birth weight. Am J Dis Child 1991; 145(11): 1262-1265. https://doi.org/10.1001/archpedi.1991.02160110054019
  12. Oken E, Taveras EM, Kleinman KP, Rich-Edwards JW, Gillman MW. Gestational weight gain and child adiposity at age 3 years. Am J Obstet Gynecol 2007; 196(4): 322.
  13. Gillman MW, Rifas-Shiman SL, Camargo CA Jr, Berkey CS, Frazier AL, Rockett HR et al. Risk of overweight among adolescents who were breastfed as infants. JAMA 2001; 285(19): 2461-2467. https://doi.org/10.1001/jama.285.19.2461
  14. Toschke AM, Vignerova J, Lhotska L, Osancova K, Koletzko B, von Kries R. Overweight and obesity in 6- to 14-year-old Czech children in 1991: protective effect of breastfeeding. J Pediatr 2002; 141(6): 764-769. https://doi.org/10.1067/mpd.2002.128890
  15. Li L, Parsons TJ, Power C. Breast feeding and obesity in childhood: cross sectional study. BMJ 2003; 327(7420): 904-905. https://doi.org/10.1136/bmj.327.7420.904
  16. Cutting TM, Fisher JO, Grimm-Thomas K, Birch LL. Like mother, like daughter: familial patterns of overweight are mediated by mothers' dietary disinhibition. Am J Clin Nutr 1999; 69(4): 608-613. https://doi.org/10.1093/ajcn/69.4.608
  17. Brich LL. The role of experience in children's food acceptance patterns. J Am Diet Assoc 1987; 87(9 Suppl): S36-S40.
  18. Wright DE, Radcliffe JD. Parents' perceptions of influences on food behavior development of children attending day care facilities. J Nutr Educ 1992; 24(4): 198-201. https://doi.org/10.1016/S0022-3182(12)81156-3
  19. Auld G, Boushey CJ, Bock MA, Bruhn C, Gabel K, Gustafson D et al. Perspectives on intake of calcium rich foods among Asian, Hispanic and white preadolescent and adolescent females. J Nutr Educ Bhav 2002; 34(5): 242-251. https://doi.org/10.1016/S1499-4046(06)60102-4
  20. Korea Center for Disease Control and Prevention, The Korean Pediatric Society, The Committee for the Development of Growth Standard for Korean Children and Adolescents. 2007 Korean Children and Adolescents Growth Standard [internet]. 2007 [cited 2015 Nov 10]. Available from: http://www.cdc.go.kr/cdc/.
  21. Kim SM, Ko JH, Shim EJ, Lee DH, Cho DJ, Kim DH et al. Serum creatinine, blood urea nitrogen change in low birth weight infants during their first days of life. Korean J Perinatol 2008; 19(2): 181-189.
  22. Wen CP, Cheng TYD, Tsai SP, Chan HT, Hsu HL, Hsu CC et al. Are Asians at greater mortality risks for being overweight than Caucasians? Redefining obesity for Asians. Public Health Nutr 2009; 12(4): 497-506. https://doi.org/10.1017/S1368980008002802
  23. Klesges RC, Klesges LM, Eck LH, Shelton ML. A longitudinal analysis of accelerated weight gain in preschool children. Pediatr 1995; 95(1): 126-130.
  24. Charney E, Goodman HC, McBride M, Lyon B, Pratt R. Childhood antecedents of adult obesity: Do chubby infants become obese adults? N Engl J Med 1976; 295(1): 6-9. https://doi.org/10.1056/NEJM197607012950102
  25. Hashimoto N, Kawasaki T, Kikuchi T, Takahashi H, Uchiyama M. Influence of parental obesity on the physical constitution of preschool children in Japan. Acta Pediatr Jpn 1995; 37(2): 150-153. https://doi.org/10.1111/j.1442-200X.1995.tb03287.x
  26. Kivimaki M, Lawlor DA, Smith GD, Elovainio M, Jokela M, Keltikangas-Jarvinen L et al. Substantial intergenerational increases in body mass index are not explained by the fetal overnutrition hypothesis: the cardiovascular risk in Young Finns study. Am J Clin Nutr 2007; 86(5):1509-1514. https://doi.org/10.1093/ajcn/86.5.1509
  27. Park JK, Ahn HS, Lee DH. Nutrient intake and eating behavior in mid and severely obese children. Korean J Obes 1995; 4(1): 41-50.
  28. Skinner JD, Carruth BR, Bounds W, Ziegler P, Reidy K. Do food-related experiences in the first 2 years of life predict dietary variety in school-aged children? J Nutr Educ Behav 2002; 34(6): 310-315. https://doi.org/10.1016/S1499-4046(06)60113-9
  29. Moon JY, Hahn WH, Shim KS, Chang JY, Bae CW. Changes of maternal age distribution in live births and incidence of low birth weight infants in advanced maternal age group in Korea. Korean J Perinatol 2011; 22(1): 30-36.
  30. Lee JJ. Effect of women's first childbearing age on the risk of low birth weight. Korean J Pediatr 2007; 50(12): 1206-1211. https://doi.org/10.3345/kjp.2007.50.12.1206
  31. Kristensen S, Salihu HM, Keith LG, Kirby RS, Pass MA, Fowler KB. Impact of advanced maternal age on neonatal survival of twin small-for-gestational-age subtypes. J Obstet Gynaecol Res 2007; 33(3): 259-265. https://doi.org/10.1111/j.1447-0756.2007.00521.x
  32. Moon HK, Song BH, Chung HR. Environmental factors affection growht of preschool children in Korea: Analysis with weight-length index. J Korean Public Health Assoc 1992; 18(1): 193-205.
  33. He Q, Ding ZY, Fong DYT, Karlberg J. Risk factors of obesity in preschool children in China: a population -based case-control study. Int J Obes 2000; 24(11): 1528-1536. https://doi.org/10.1038/sj.ijo.0801394

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