Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Secular trends in height, weight and obesity among Korean children and adolescents in 2006-2015

한국 소아청소년의 10년간(2006-2015년) 신장, 체중, 비만 추이 분석

  • Kwon, Eunjoo (Health Promotion Research Institute, Korea Association of Health Promotion) ;
  • Nah, Eun-Hee (Health Promotion Research Institute, Korea Association of Health Promotion)
  • 권은주 (한국건강관리협회 건강증진연구소) ;
  • 나은희 (한국건강관리협회 건강증진연구소)
  • Received : 2016.04.29
  • Accepted : 2016.06.20
  • Published : 2016.06.30
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Abstract

Objectives: This study was performed to investigate secular trends in height, weight, obesity among Korean children and adolescents in 2006-2015. Methods: The study participants were 1,249,698 children and adolescents 6-17 years in age who participated in health examinations for school students supervised by Korean Ministry of Education and conducted by the Korea Association of Health Promotion in 2006-2015. Height and weight were measured unified procedures at each period. Obesity was defined as being 95th percentile of sex-specific body mass index(BMI) for age in the 2007 Korean National Growth Charts or $BMI{\geq}25$. Results: Between 2006 and 2015, the median of height and weight, BMI of Korean children and adolescents has increased significantly. The overall prevalence of obesity was 10.7%(boys 12.6%, girls 8.7%). In 2012-2015, the prevalence of obesity 12.2%(boys 14.1%, girls 10.2%), compared to 9.1%(boys 10.9%, 7.2%) in 2006-2008. The increase in obesity prevalence was statistically significant(p<0.05). The prevalence was highest in Gyeonggi area, lowest in Chungcheong area when compared to other regions(p<0.001). Conclusions: During the period 2006-2015, growth trends, prevalence of obesity among Korean children and adolescents increased significantly. Health promotion and intervention programs promoting healthy growth and development of Korean children and adolescents were need consider the demographic and regional characteristics.

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References

  1. Aytollahi, S. M., Pourahmad, S., & Shayan, Z. (2006). Trend in physical growth among children in southern Iran, 1988-2003. Annals of Human Biology, 33, 510-514. https://doi.org/10.1080/03014460600838704
  2. Baur, L. A., & O’Connor, J. (2004). Obesity, metabolic syndrome, and cardiovascular disease. Clinics in Dermatology, 22, 338-344. https://doi.org/10.1016/j.clindermatol.2004.01.005
  3. Bellizzi, M. C., & Dietz, W. H. (1999). Workshop on childhood obesity: summary of the discussion. The American Journal of Clinical Nutrition, 70, 173S-175S. https://doi.org/10.1093/ajcn/70.1.173s
  4. Cali, A. M., & Caprio, S. (2008). Obesity in children and adolescents. The Journal of Clinical Endocrinology & Metabolism, 93, S31-S36. https://doi.org/10.1210/jc.2008-1363
  5. Chia, M., Wang, J., Miang, T. S., Jong, J., & Gosian, K. K. (2002). Relationships between Hours of Computer Use, Physical Activity and Physical Fitness among Children and Adolescents. European Journal of Physical Education, 7(2), 136-155. https://doi.org/10.1080/1740898020070206
  6. de Onis, M., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85, 660-667. https://doi.org/10.2471/BLT.07.043497
  7. Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Flint, K. H., Hawkins, J.,... Wechsler, H. (2012). Youth risk behavior surveillance-United States 2011. MMWR. Surveillance summaries : Morbidity and mortality weekly report. Surveillance summaries, 61(4), 1-162.
  8. Falkner, N. H., Neumark-Sztainer, D., Story, M., Jeffery, R. W., Beuhring, T., & Resnick, M. D. (2001). Social, educational, and psychological correlates of weight status in adolescents. Obesity research, 9(1), 32-42. https://doi.org/10.1038/oby.2001.5
  9. Flegal, K. M., Wei, R., & Ogden, C. (2002). Weight-for-stature compared with body mass index-for-age growth charts for the United States from the Centers for Disease Control and Prevention. The American Journal of Clinical Nutrition, 75, 761-766. https://doi.org/10.1093/ajcn/75.4.761
  10. Fujii, K., Nho, H., Kim, S., & Hanai, T. (2008). Confirmation regarding secular trend of physical growth in Korean school students by wavelet interpolation method: analysis from secular trend of age at MPV of height and weight. The Journal of Education and Health Science, 54(2), 129-140. https://doi.org/10.1248/jhs.54.129
  11. Garza, C., & de Onis M. (2004). Rationale for developing a new international growth reference. Food and Nutrition bulletin, 25(1), 5S-14S. https://doi.org/10.1177/15648265040251S102
  12. Juonala, M., Magnussen, C. G., Berenson, G. S., Venn, A., Burns, T. L., Sabin, M. A.,... Raitakari, O. T. (2011). Childhood adiposity, adult adiposity, and cardiovascular risk factors. the New England Journal of Medicine, 365, 1876-1885. https://doi.org/10.1056/NEJMoa1010112
  13. Kang, S., Kim, S., & Lee, J. (2008). Prevalence rates and risk factors of overweight and obesity in children and adolescents: using Korean National Health and Nutrition Examination Survey 2005 Data. Epidemiology and Health, 30(2), 188-197.
  14. Kang, Y. J., Hong, C. H., & Hong, Y. J. (1997). The prevalence of childhood and adolescent obesity over the last 18 years in Seoul area. The Korean Journal of Nutrition, 30(7), 832-839.
  15. Kaur, L., Kaur, G., Mala, D., & Gohlan, D. (2009). Association between BMI & eating pattern: study among adolescents. Nursing and Midwifery Research Journal, 5(1), 38-44.
  16. Kautiainen, S., Rimpela, A., Vikat, A., & Virtanen, S. M. (2002). Secular trends in overweight and obesity among Finnish adolescents in 1977-1999. International Journal of Obesity, 26, 544-552. https://doi.org/10.1038/sj.ijo.0801928
  17. Kim, G., & Kim, M. (2011). A study on the dietary behavior of high school students: about regularity of meal and number of meal per day. Journal of the Korean Society of Food Science and Nutrition, 40(2), 183-195. https://doi.org/10.3746/jkfn.2011.40.2.183
  18. Kim, D. U., & Rie, K. C. (1967). Studies on height, sitting height and relative sitting height of Korean primary school children in urban areas. Korean Journal of Pediatrics, 10, 585-598.
  19. Kim, E. Y., Rho, Y. I., Yang, E. S., Park, S. K., Park, Y. B., Moon, K. Y., & Lee, C. G. (2001). Six year follow-up of childhood obesity. Korean Journal of Pediatrics, 44, 1295-1300.
  20. Kim, H., & Lee, K. (2015). A comparision of body image and dietary behavior in middle and high school girls in Gyeongbuk area. Korean Journal of Food and Cookery Science, 31(4), 497-504. https://doi.org/10.9724/kfcs.2015.31.4.497
  21. Kim, S., & So, W. (2014). Prevalence and sociodemographic trends of weight misperception in Korean adolescents. BMC Public Health, 14, 452. https://doi.org/10.1186/1471-2458-14-452
  22. Koo, K., Hong, Y., Fujii, K., & Ito, M. (2012). Verification regarding secular trend of physical growth in Korean female youth. The Korean Journal of Growth and Development, 20(3), 141-147.
  23. Komlos, J., & Lauderdale, B. E. (2007). The mysterious trend in American heights in the 20th century. Annals of Human Biology, 34, 206-215. https://doi.org/10.1080/03014460601116803
  24. Korean Ministry of Education. (2016). The results of anthropometric measurement, health examination among primary, middle, high school students. Sejong: MOE.
  25. Korean Ministry of Health & Welfare. (2015). The Results form the Korean National Health and Nutrition Examination Survey 2014.
  26. Sejong: MOHW. Kuczmarski, R. J., Ogden, C. L., Guo, S. S., Grummer-Strawn, L. M., Flegal, K. M., Mei, Z.,...Johnson, C. L. (2000). CDC growth charts for the United States: methods and development. National Center for Health Statistics. Vital and Health Statistics Series 11, 246, 1-190.
  27. Lee, D. H., Hong, Y. M., Lee, K. Y., The Committee for Public Health Statistics, & The Committee for Nutrition. (1999). 1998 Korean National Growth Charts. Seoul: The Korean Pediatric Society.
  28. Leitao, R. B., Rodrigues, L. P., Neves, L., & Carvalho, G. S. (2013). Development of adiposity, obesity and age at menarche: an 8 year follow-up study in Portuguese schoolgirls. The International Journal of Adolescent Medicine and Health, 25, 55-63.
  29. Lu, R., Zeng, X., Duan, J., Gao, T., Huo, D., Zhou, T.,... Guo, X. (2015). Secular growth trends among children in Beijing (1955-2010). Economics and human biology, 12(21), 210-220.
  30. Marshall, W. A., & Tanner, J. M. (1968). Growth and physiological development during adolescents. Annual Review of Medicine, 19, 283-300. https://doi.org/10.1146/annurev.me.19.020168.001435
  31. Moon, H. R., & Yon, D. J. (1978). Height and wight of children in Korea 1975. Korean Journal of Pediatrics, 21, 183-197.
  32. Moon, J. S., Lee, S. Y., Nam, C. M., Choi, J., Choe, H., Seo, J. W., ... Lee, C. G. (2008). 2007 Korean national growth charts: review of developmental process and an outlook. Korean Journal of Pediatrics, 51(1), 1-25. https://doi.org/10.3345/kjp.2008.51.1.1
  33. National Center for Health Statistics. (2012). Health, United States, 2011: with special features on socioeconomic status and health. Washington, D. C.: U.S. Department of Health and Human Services.
  34. Nho, H. N., Kim, C. R., Uhm, J. H., Kim, J. T., Jin, S. M., Seo, J. Y.,... Shon, K. C. (2009). The prevalence of obesity and metabolic abnormalities in Korean pediatric population. Korean Journal of Pediatric Gastroenterology and Nutrition, 12(2), 207-214.
  35. Oh, K., Jang, M. J., Lee, N. Y., Moon, J. S., Lee, C. G., Yoo, M. H., & Kim, Y. T. (2008). Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean Journal of Pediatrics, 51(9), 950-955. https://doi.org/10.3345/kjp.2008.51.9.950
  36. Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the United States, 2011-2012. Journal of the American Medical Association, 311(8), 806-814. https://doi.org/10.1001/jama.2014.732
  37. Park, S., Park, H., Jeon, S., Jeong, S., Tserendejid, Z., Seo, J.,... Lee, Y. (2012). Awareness and practice of dietary action guide for adolescence among middle and high school students in Korea. Korean Journal of Community Nutrition, 17(2), 133-145. https://doi.org/10.5720/kjcn.2012.17.2.133
  38. Roche, A. F., Sievogel, R. M., Chumlea, W. C., & Webb, P. (1981). Grading body fatness from limited anthropometric data. The American Journal of Clinical Nutrition, 34(12), 2831-2838. https://doi.org/10.1093/ajcn/34.12.2831
  39. Sawyer, S. M., Afifi, R. A., Bearinger, L. H., Blakemore, S. J., Dick, B., Ezeh, A. C., & Patton, G. C. (2012). Adolescence: a foundation for future health. Lancet, 379, 1630-1640. https://doi.org/10.1016/S0140-6736(12)60072-5
  40. Shim, T. S., & Ko, K. W. (1986). Physical growth of chldren in Korea, 1985. Korean Journal of Pediatrics, 29, 233-253.
  41. Sidik, S. M., & Ahmad, R. (2004). Childhood obesity: contributing factors, consequences and intervention. Malaysian Journal of Nutrition, 10(1), 13-22.
  42. Soliman, A., De Sanctis, V., & Elalaily, R. (2014). Nutrition and pubertal development. Indian Journal of Endocrinology and Metabolism, 18(7), 39-47. https://doi.org/10.4103/2230-8210.145073
  43. Song, Y., Wang, H., Ma, J., & Wang, Z. (2013). Secular trends of obesity prevalence in urban Chinese children from 1985 to 2010: gender disparity. PLOS ONE, 8(1), e53069. https://doi.org/10.1371/journal.pone.0053069
  44. Storey, M. L., Forshee, R. A., Weaver, A. R., & Sansalone, W., R. (2003). Demographic and lifestyle factors associated with body mass index among children and adolescents. International Journal of Food Sciences and Nutrition, 54(6), 491-503. https://doi.org/10.1080/09637480310001622350
  45. Sweeting, H. N. (2008). Gendered dimensions of obesity in childhood and adolescence. Nutrition Journal, 7, 1-14. https://doi.org/10.1186/1475-2891-7-1
  46. Tanner, J. M. (1973). Trend towards earlier manache in London, Oslo, Copenhagen, the Netherlands and Hungary. Nature, 243, 95-96. https://doi.org/10.1038/243095a0
  47. The International Obesity Task Force. (2005). EU platform on diet, physical activity and health. Brussels: IOTF.
  48. Whincup, P. H., Gilg, J. A., Odoki, K., Taylor, S. J., & Cook, D. G. (2001). Age of menarche in contemporary British teenagers: survey of girls born between 1982 and 1986. British Medical Journal, 332, 1095-1096.
  49. World Health Organization. (2000). Obesity: preventing and managing the global epidemic. In: World Health Organization Obesity Technical Report Series 894. Geneva, Switzerland: WHO.
  50. Wu, Y. (2006). Overweight and obesity in China. British Medical Journal, 333(7564), 362-363. https://doi.org/10.1136/bmj.333.7564.362
  51. Zong, X., & Li, H. (2012). Secular trends in prevalence and risk factors of obesity in infants and preschool children in 9 Chinese cities, 1986-2006. PLOS ONE, 7(10), e46942. https://doi.org/10.1371/journal.pone.0046942

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