Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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Assessment of Diet Quality by Weight Status and Its Association with Obesity in Children and Adolescents

소아청소년 체중상태에 따른 식사의 질 평가 및 비만과의 연관성 분석

  • Yang, See-Won (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Lee, Hyang-Suk (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Kim, JiEun (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Kim, YoonMyung (University College, Yonsei University) ;
  • Seo, Young-Gyun (University College, Yonsei University) ;
  • Park, Kyung Hee (Dept. of Family Medicine, Hallym University Sacred Heart Hospital) ;
  • Jang, Han Byul (Korea National Institute of Health) ;
  • Lee, Hye-Ja (Korea National Institute of Health) ;
  • Park, Sang Ick (Korea National Institute of Health) ;
  • Lim, Hyunjung (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University)
  • 양시원 (경희대학교 동서의학대학원 의학영양학과) ;
  • 이향숙 (경희대학교 동서의학대학원 의학영양학과) ;
  • 김지은 (경희대학교 동서의학대학원 의학영양학과) ;
  • 김윤명 (연세대학교 학부대학) ;
  • 서영균 (연세대학교 학부대학) ;
  • 박경희 (한림대학교 성심병원 가정의학과) ;
  • 장한별 (질병관리본부 대사영양질환과) ;
  • 이혜자 (질병관리본부 대사영양질환과) ;
  • 박상익 (질병관리본부 대사영양질환과) ;
  • 임현정 (경희대학교 동서의학대학원 의학영양학과)
  • Received : 2017.06.14
  • Accepted : 2017.07.14
  • Published : 2017.08.02
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Abstract

Numerous studies have investigated quantifying dietary intake according to the weight status of children and adolescents. However, studies on differences in quality among diets remain scarce. This study compared diet quality by weight status and examined correlations between quality of diet and obesity in children and adolescents. Two hundred fourteen children and adolescents aged between 9 and 18 years participated in this study (Normal weight n=104, Obesity n=110). The data related to food intake were investigated by dietary records, Diet Quality Index-International (DQI-I), and Nutrition Quotient (NQ) and then compared with Dietary Reference Intakes for Korean (KDRIs). In DQI-I, moderation factor (control of unhealthy foods) score was 21.7 in the normal weight group and 19.5 in the obesity group. The normal weight group showed a higher score for moderation factor than the obesity group (P<0.001). Compared with KDRIs, vitamin $B_6$, folate, vitamin C, vitamin E, calcium, potassium, and zinc intakes were insufficient in both groups. Multiple logistic regression analysis revealed that DQI-I moderation was negatively associated with obesity (OR=0.77, 95% CI 0.69-0.87) after adjustment for age, gender, income, and total energy intake. Our results suggest that children and adolescents require nutritional education to understand the importance of vitamin and mineral consumption. Especially, education for children and adolescents with obesity needs to emphasize moderation of nutrient intake that can cause diseases with hyper-ingestion such as sodium and high calorie-low nutrition foods.

Keywords

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