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Dietary and Lifestyle Factors Associated with Weight Status among Korean Adolescents from Multicultural Families: Using Data from the 2017-2018 Korea Youth Risk Behavior Surveys

우리나라 다문화가족 청소년의 체중 상태와 관련한 식생활 및 생활습관 요인 분석: 2017-2018년 청소년건강행태조사 자료를 활용하여

  • Song, SuJin (Department of Food and Nutrition, Hannam University) ;
  • Song, Hyojune (Department of Multicultural Education, Hanyang University)
  • 송수진 (한남대학교 식품영양학과) ;
  • 송효준 (한양대학교 다문화교육학과)
  • Received : 2019.10.16
  • Accepted : 2019.11.06
  • Published : 2019.12.20

Abstract

Objectives: This study investigated dietary and lifestyle factors associated with the weight status among Korean adolescents in multicultural families. Methods: This cross-sectional study analyzed 1,751 multicultural families' adolescents who participated in the 2017-2018 Korea Youth Risk Behavior Surveys. Information on dietary and lifestyle factors was self-reported using a web-based questionnaire and this information included breakfast and foods consumption, perceived health status, alcohol drinking, smoking, physical activity, and weight control efforts. Body mass index (BMI) was calculated based on the self-reported height and body weight (kg/㎡). Weight status was assessed according to the 2017 Korean National Growth Chart: underweight (weight-for-age <5th percentiles), overweight (85th≤ BMI-for-age <95th percentiles), and obese (BMI-for-age ≥95th percentiles). Multiple logistic regression analysis was performed to examine the dietary and lifestyle factors associated with weight status after adjustment for covariates. Results: Among Korean adolescents from multicultural families, the prevalence of overweight/obesity was 20.9%, whereas about 7% of adolescents were underweight. The weight status did not show differences according to gender, school level, area of residence, and household income. Compared to adolescents who did not have breakfast during the previous week, those who had breakfast 3-4 days/week and ≥5 days/week had a 42% (p=0.021) and a 37% (p=0.009) lower prevalence of overweight/obesity, respectively. The adolescents who frequently consumed carbonated soft drinks (≥5 times/week) showed an odds ratio (OR) of 1.69 (95% CI=1.01-2.83) for overweight/obesity relative to those adolescents who did not consume carbonated soft drinks. The OR of being underweight for adolescents who ate fast food ≥3 times/week was 1.97 (95% CI=1.04-3.71) compared to those adolescents who had not eaten fast food during the previous week. Conclusions: Dietary and lifestyle factors were associated with overweight/obesity as well as underweight among Korean adolescents in multicultural families. Our findings could be used to design and provide nutrition interventions for this specific population.

Keywords

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