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The Association between Socioeconomic Status and Obesity in Korean Children: An Analysis of the Fifth Korea National Health and Nutrition Examination Survey (2010-2012)

  • Lee, Hae Jeong (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Sung Hoon (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Choi, Seo Heui (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Ju Suk (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
  • Received : 2017.02.07
  • Accepted : 2017.03.02
  • Published : 2017.09.30

Abstract

Purpose: Obesity is one of the most common health problems among children and its prevalence has increased in recent decades. Socioeconomic status (SES) is a well-known risk factor for childhood obesity although the associations were different across countries. Previous studies in other countries have reported a positive association between childhood obesity and SES in developing countries, and inverse correlation has been reported in developed countries. For this reason, we wanted to investigate the relationship between SES and obesity in Korean children. Methods: Data were acquired 3,095 boys and girls who participated in the fifth Korea National Health and Nutrition Examination Survey, which was conducted from 2010 to 2012. Body mass index was calculated from measured anthropometric data using the 2007 Korean National Growth Charts. Results: Upon univariate analysis, we did not find any statistically significant differences in the parental employment status, monthly family income between children with and without obesity. Multiple logistic regression analysis showed childhood obesity was positively associated with maternal overweight (OR, 1.889; 95% CI, 1.079-3.309), maternal obesity (OR, 3.409; 95% CI, 2.228-5.215) and paternal obesity (OR, 2.135; 95% CI, 1.257-3.627). Conclusion: The present study showed that socioeconomic status might not an important risk factor for obesity in Korean children. These results warrant further studies to clarify the association between SES and obesity in Korean children.

Keywords

References

  1. Bundred P, Kitchiner D, Buchan I. Prevalence of overweight and obese children between 1989 and 1998: population based series of cross sectional studies. BMJ 2001;322:326-8. https://doi.org/10.1136/bmj.322.7282.326
  2. Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL. Overweight prevalence and trends for children and adolescents. The national health and nutrition examination surveys, 1963 to 1991. Arch Pediatr Adolesc Med 1995;149:1085-91. https://doi.org/10.1001/archpedi.1995.02170230039005
  3. Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, et al. Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr 2008;51:950-5. https://doi.org/10.3345/kjp.2008.51.9.950
  4. Ramachandrappa S, Farooqi IS. Genetic approaches to understanding human obesity. J Clin Invest 2011; 121:2080-6. https://doi.org/10.1172/JCI46044
  5. Freedman DS, Khan LK, Serdula MK, Ogden CL, Dietz WH. Racial and ethnic differences in secular trends for childhood BMI, weight, and height. Obesity (Silver Spring) 2006;14:301-8. https://doi.org/10.1038/oby.2006.39
  6. Janssen I. Active play: an important physical activity strategy in the fight against childhood obesity. Can J Public Health 2014;105:e22-7. https://doi.org/10.17269/cjph.105.4154
  7. Moreno LA, Rodriguez G. Dietary risk factors for development of childhood obesity. Curr Opin Clin Nutr Metab Care 2007;10:336-41. https://doi.org/10.1097/MCO.0b013e3280a94f59
  8. Al Mamun A, Lawlor DA, Cramb S, O'Callaghan M, Williams G, Najman J. Do childhood sleeping problems predict obesity in young adulthood? Evidence from a prospective birth cohort study. Am J Epidemiol 2007; 166:1368-73. https://doi.org/10.1093/aje/kwm224
  9. Nogueira H, Gama A, Mourao I, Marques V, Ferrao M, Padez C. The associations of SES, obesity, sport activity, and perceived neighborhood environments: is there a model of environmental injustice penalizing Portuguese children? Am J Hum Biol 2013;25:434-6. https://doi.org/10.1002/ajhb.22384
  10. Thibault H, Carriere C, Langevin C, Kossi Deti E, Barberger-Gateau P, Maurice S. Prevalence and factors associated with overweight and obesity in French primary-school children. Public Health Nutr 2013;16: 193-201. https://doi.org/10.1017/S136898001200359X
  11. Dinsa GD, Goryakin Y, Fumagalli E, Suhrcke M. Obesity and socioeconomic status in developing countries: a systematic review. Obes Rev 2012;13:1067-79. https://doi.org/10.1111/j.1467-789X.2012.01017.x
  12. Wang Y. Cross-national comparison of childhood obesity: the epidemic and the relationship between obesity and socioeconomic status. Int J Epidemiol 2001;30: 1129-36. https://doi.org/10.1093/ije/30.5.1129
  13. Lee HS, Duffey KJ, Kim CI, Popkin BM. The relationship between family and child weight status by household structure in South Korea: 2007-2010. Nutr Diabetes 2013;3:e73. https://doi.org/10.1038/nutd.2013.16
  14. Nam SY, Lee SK. The associations between socioeconomic status and obesity in Korean children from 1998 to 2009. Health 2013;5:1899-904. https://doi.org/10.4236/health.2013.511256
  15. Noh JW, Kim YE, Oh IH, Kwon YD. Influences of socioeconomic factors on childhood and adolescent overweight by gender in Korea: cross-sectional analysis of nationally representative sample. BMC Public Health 2014;14:324. https://doi.org/10.1186/1471-2458-14-324
  16. 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;51:1-25. https://doi.org/10.3345/kjp.2008.51.1.1
  17. James PT. Obesity: the worldwide epidemic. Clin Dermatol 2004;22:276-80. https://doi.org/10.1016/j.clindermatol.2004.01.010
  18. Svensson V, Jacobsson JA, Fredriksson R, Danielsson P, Sobko T, Schioth HB, et al. Associations between severity of obesity in childhood and adolescence, obesity onset and parental BMI: a longitudinal cohort study. Int J Obes (Lond) 2011;35:46-52. https://doi.org/10.1038/ijo.2010.189
  19. Li P, Tiwari HK, Lin WY, Allison DB, Chung WK, Leibel RL, et al. Genetic association analysis of 30 genes related to obesity in a European American population. Int J Obes (Lond) 2014;38:724-9. https://doi.org/10.1038/ijo.2013.140
  20. Herrera BM, Keildson S, Lindgren CM. Genetics and epigenetics of obesity. Maturitas 2011;69:41-9. https://doi.org/10.1016/j.maturitas.2011.02.018
  21. Halaas JL, Boozer C, Blair-West J, Fidahusein N, Denton DA, Friedman JM. Physiological response to long-term peripheral and central leptin infusion in lean and obese mice. Proc Natl Acad Sci U S A 1997;94: 8878-83. https://doi.org/10.1073/pnas.94.16.8878
  22. Obici S, Feng Z, Karkanias G, Baskin DG, Rossetti L. Decreasing hypothalamic insulin receptors causes hyperphagia and insulin resistance in rats. Nat Neurosci 2002;5:566-72. https://doi.org/10.1038/nn0602-861
  23. Nakazato M, Murakami N, Date Y, Kojima M, Matsuo H, Kangawa K, et al. A role for ghrelin in the central regulation of feeding. Nature 2001;409:194-8. https://doi.org/10.1038/35051587
  24. Sung-Chan P, Sung YW, Zhao X, Brownson RC. Family-based models for childhood-obesity intervention: a systematic review of randomized controlled trials. Obes Rev 2013;14:265-78. https://doi.org/10.1111/obr.12000
  25. Kral TV, Rauh EM. Eating behaviors of children in the context of their family environment. Physiol Behav 2010;100:567-73. https://doi.org/10.1016/j.physbeh.2010.04.031
  26. Linabery AM, Nahhas RW, Johnson W, Choh AC, Towne B, Odegaard AO, et al. Stronger influence of maternal than paternal obesity on infant and early childhood body mass index: the Fels longitudinal study. Pediatr Obes 2013;8:159-69. https://doi.org/10.1111/j.2047-6310.2012.00100.x
  27. Oliveria SA, Ellison RC, Moore LL, Gillman MW, Garrahie EJ, Singer MR. Parent-child relationships in nutrient intake: the Framingham children's study. Am J Clin Nutr 1992;56:593-8. https://doi.org/10.1093/ajcn/56.3.593
  28. Greve J. New results on the effect of maternal work hours on children's overweight status: does the quality of child care matter? Labour Econ 2011;18:579-90. https://doi.org/10.1016/j.labeco.2011.03.003
  29. Anderson PM, Butcher KF, Levine PB. Maternal employment and overweight children. J Health Econ 2003;22:477-504. https://doi.org/10.1016/S0167-6296(03)00022-5
  30. Durmus B, Kruithof CJ, Gillman MH, Willemsen SP, Hofman A, Raat H, et al. Parental smoking during pregnancy, early growth, and risk of obesity in preschool children: the generation R study. Am J Clin Nutr 2011;94:164-71. https://doi.org/10.3945/ajcn.110.009225
  31. von Kries R, Bolte G, Baghi L, Toschke AM; GME Study Group. Parental smoking and childhood obesity--is maternal smoking in pregnancy the critical exposure? Int J Epidemiol 2008;37:210-6. https://doi.org/10.1093/ije/dym239
  32. Sharma AJ, Cogswell ME, Li R. Dose-response associations between maternal smoking during pregnancy and subsequent childhood obesity: effect modification by maternal race/ethnicity in a low-income US cohort. Am J Epidemiol 2008;168:995-1007. https://doi.org/10.1093/aje/kwn223
  33. Salois MJ. The built environment and obesity among low-income preschool children. Health Place 2012;18: 520-7. https://doi.org/10.1016/j.healthplace.2012.02.002
  34. Davis AM, Bennett KJ, Befort C, Nollen N. Obesity and related health behaviors among urban and rural children in the United States: data from the national health and nutrition examination survey 2003-2004 and 2005-2006. J Pediatr Psychol 2011;36:669-76. https://doi.org/10.1093/jpepsy/jsq117
  35. Morandi A, Meyre D, Lobbens S, Kleinman K, Kaakinen M, Rifas-Shiman SL, et al. Estimation of newborn risk for child or adolescent obesity: lessons from longitudinal birth cohorts. PLoS One 2012;7:e49919. https://doi.org/10.1371/journal.pone.0049919

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