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Assessment of dietary quality and nutrient intake of obese children in Changwon area

  • Ji-Sook, Park (Department of Food and Nutrition, Changwon National University) ;
  • Ha-Neul, Choi (Department of Food and Nutrition, Changwon National University) ;
  • Jae-Young, Kim (Department of Pediatrics, Gyeongsang National University Changwon Hospital) ;
  • Sang-Hyuk, Ma (Department of Pediatrics, Changwon Fatima Hospital) ;
  • Jung-Eun, Yim (Department of Food and Nutrition, Changwon National University)
  • 투고 : 2022.10.05
  • 심사 : 2022.12.08
  • 발행 : 2022.12.31

초록

Purpose: In this study, we assessed the intake of nutrients and food groups and analyzed the nutrition quotient of obese children in South Korea. The hypothesis was that dietary quality and nutrient intake are related to the body mass index (BMI) of obese children. Methods: The participants included 48 children (20 boys and 28 girls). Based on the guidelines for the age-for-body mass index provided by the Korean National Growth Charts for children and adolescents, the participants were divided into 3 groups: overweight, BMI ≥ 85th percentile; obese, BMI ≥ 95th percentile; severely obese, BMI ≥ 99th percentile. Results: The energy distribution showed that the carbohydrate ratio was significantly higher in the overweight group (p < 0.01), whereas the fat ratio was significantly higher in the obese and severely obese groups (p < 0.05). Thus, in the overweight and obese groups, the percent body fat was negatively associated with the carbohydrate ratio (p < 0.05) but was positively associated with the fat ratio (p < 0.05). The Dietary Reference Intakes (DRI) data revealed that the intake levels of protein, vitamin B1, vitamin B12, and sodium were higher in all groups. Intakes of fiber, calcium, potassium, and magnesium were insufficient in all groups, and the DRI percent for protein was significantly higher in the obese and severely obese groups than in the overweight group. No significant differences were obtained in food group patterns or Nutrition Quotient (NQ) scores among the 3 groups. According to the evaluation results by food record and NQ, a significant difference was obtained in the dietary quality of obese children. Conclusion: We conclude that a higher intake of fat enhances weight gain. Based on the study results, we propose that the guidelines should consider the energy distribution of carbohydrate and fat intake to prevent and control obesity among Korean children.

키워드

과제정보

This research was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (NRF 2019R1F1A1059750)].

참고문헌

  1. World Health Organization (WHO). World Health statistics 2016: monitoring health for the SDGs, sustainable development goals. Geneva: WHO; 2016 [cited 2016 May 19]. Available from: https://www. who.int/publications/i/item/9789241565264. 
  2. Lobstein T, Jackson-Leach R. Planning for the worst: estimates of obesity and comorbidities in school-age children in 2025. Pediatr Obes 2016; 11(5): 321-325.  https://doi.org/10.1111/ijpo.12185
  3. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1). Cheongju: Korea Centers for Disease Control and Prevention; 2019.
  4. Cho IS, Ryu HS. The effect of community based participatory obesity management program in obese school children. J Korean Appl Sci Technol 2017; 34: 737-745. 
  5. Kim HS, Park J, Ma Y, Ham OK. Factors influencing health-related quality of life of overweight and obese children in South Korea. J Sch Nurs 2013; 29(5): 361-369. https://doi.org/10.1177/1059840513475363
  6. Wang G, Dietz WH. Economic burden of obesity in youths aged 6 to 17 years: 1979-1999. Pediatrics 2002; 109(5): E81-E1.  https://doi.org/10.1542/peds.109.5.e81
  7. Vander Wal JS, Mitchell ER. Psychological complications of pediatric obesity. Pediatr Clin North Am 2011; 58(6): 1393-401.  https://doi.org/10.1016/j.pcl.2011.09.008
  8. Ogden CL, Yanovski SZ, Carroll MD, Flegal KM. The epidemiology of obesity. Gastroenterology 2007; 132(6): 2087-2102.  https://doi.org/10.1053/j.gastro.2007.03.052
  9. Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev 2012; 70(1): 3-21.  https://doi.org/10.1111/j.1753-4887.2011.00456.x
  10. Agostoni C, Baselli L, Mazzoni MB. Early nutrition patterns and diseases of adulthood: a plausible link? Eur J Intern Med 2013; 24(1): 5-10.  https://doi.org/10.1016/j.ejim.2012.08.011
  11. Choi ES, Shin NR, Jung EI, Park HR, Lee HM, Song KH. A study on nutrition knowledge and dietary behavior of elementary school children in Seoul. Nutr Res Pract 2008; 2(4): 308-316.  https://doi.org/10.4162/nrp.2008.2.4.308
  12. Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry PL, Finegood DT, et al. Changing the future of obesity: science, policy, and action. Lancet 2011; 378(9793): 838-847.  https://doi.org/10.1016/S0140-6736(11)60815-5
  13. Jeong NY, Kim KW. Nutrition knowledge and eating behaviors of elementary school children in Seoul. Korean J Community Nutr 2009; 14: 55-66.
  14. Kang MH, Lee JS, Kim HY, Kwon S, Choi YS, Chung HR, et al. Selecting items of a food behavior checklist for the development of Nutrition Quotient (NQ) for children. Korean Journal of Nutrition 2012; 45(4): 372-389.  https://doi.org/10.4163/kjn.2012.45.4.372
  15. Huang YC, Kim HY. Assessment of dietary behavior of Chinese children using Nutrition Quotient for children. J Nutr Health 2014; 47(5): 342-350.  https://doi.org/10.4163/jnh.2014.47.5.342
  16. Yoo JS, Choi YS. Evaluation of items for the food behavior checklist and Nutrition Quotient score on children in rural areas of Gyeongbuk. J Nutr Health 2013; 46(5): 427-439.  https://doi.org/10.4163/jnh.2013.46.5.427
  17. Bae JM, Kang MH. Age difference in association between obesity and Nutrition Quotient scores of preschoolers and school children. J Nutr Health 2016; 49(6): 447-458.  https://doi.org/10.4163/jnh.2016.49.6.447
  18. Choi SN, Kim HJ, Chung NY. Nutrient intakes, nutritional knowledge, food habits, and lifestyle behaviors of obese children. J Korean Diet Assoc 2011; 17: 349-363.  https://doi.org/10.14373/JKDA.2011.17.4.349
  19. Johns DJ, Lindroos AK, Jebb SA, Sjostrom L, Carlsson LM, Ambrosini GL. Dietary patterns, cardiometabolic risk factors, and the incidence of cardiovascular disease in severe obesity. Obesity (Silver Spring) 2015; 23(5): 1063-1070.  https://doi.org/10.1002/oby.20920
  20. Kant AK, Schatzkin A, Harris TB, Ziegler RG, Block G. Dietary diversity and subsequent mortality in the first national health and nutrition examination survey epidemiologic follow-up study. Am J Clin Nutr 1993; 57(3): 434-440.  https://doi.org/10.1093/ajcn/57.3.434
  21. Kim JH, Kim EK. The relationship among insulin resistance, blood profiles and nutrient intake in overweight or obese children and adolescents. Korean J Community Nutr 2012; 17(5): 530-542.  https://doi.org/10.5720/kjcn.2012.17.5.530
  22. Alexy U, Sichert-Hellert W, Kersting M, Schultze-Pawlitschko V. Pattern of long-term fat intake and BMI during childhood and adolescence--results of the DONALD Study. Int J Obes 2004; 28(10): 1203-1209.  https://doi.org/10.1038/sj.ijo.0802708
  23. Bilsborough SA, Crowe TC. Low-carbohydrate diets: what are the potential short- and long-term health implications? Asia Pac J Clin Nutr 2003; 12(4): 396-404. 
  24. Dunlap BS, Bailes JR Jr, James R. Unlimited energy, restricted carbohydrate diet improves lipid parameters in obese children. Metab Syndr Relat Disord 2008; 6(1): 32-36. https://doi.org/10.1089/met.2007.0023
  25. Jefferson ME, Nicklas BJ, Chmelo EA, Crotts CI, Shaltout HA, Diz DI, et al. Effects of resistance training with and without caloric restriction on arterial stiffness in overweight and obese older adults. Am J Hypertens 2016; 29(4): 494-500.  https://doi.org/10.1093/ajh/hpv139
  26. Kirk S, Brehm B, Saelens BE, Woo JG, Kissel E, D'Alessio D, et al. Role of carbohydrate modification in weight management among obese children: a randomized clinical trial. J Pediatr 2012; 161(2): 320-327.e1.  https://doi.org/10.1016/j.jpeds.2012.01.041
  27. Han Y, Kwon SO, Lee SA. Distribution and exposure prevalence of carbohydrate-based food intake among obese Korean adults based on the health examinees (HEXA) study. Korean J Community Nutr 2017; 22(2): 159-170.  https://doi.org/10.5720/kjcn.2017.22.2.159
  28. Chan TF, Lin WT, Huang HL, Lee CY, Wu PW, Chiu YW, et al. Consumption of sugar-sweetened beverages is associated with components of the metabolic syndrome in adolescents. Nutrients 2014; 6(5): 2088-2103.  https://doi.org/10.3390/nu6052088
  29. Ha K, Chung S, Lee HS, Kim CI, Joung H, Paik HY, et al. Association of dietary sugars and sugarsweetened beverage intake with obesity in Korean children and adolescents. Nutrients 2016; 8(1): 31.  https://doi.org/10.3390/nu8010031
  30. Anderson PM, Butcher KE. Childhood obesity: trends and potential causes. Future Child 2006; 16(1): 19-45.  https://doi.org/10.1353/foc.2006.0001
  31. Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 2006; 84(2): 274-288.  https://doi.org/10.1093/ajcn/84.2.274
  32. Gibson S, Neate D. Sugar intake, soft drink consumption and body weight among British children: further analysis of National Diet and Nutrition Survey data with adjustment for under-reporting and physical activity. Int J Food Sci Nutr 2007; 58(6): 445-460.  https://doi.org/10.1080/09637480701288363
  33. Ko YS, Kim EM, Lee HS. A study of dietary intake of total sugars by elementary students in Jeju Province. J Nutr Health 2015; 48(1): 81-93.  https://doi.org/10.4163/jnh.2015.48.1.81
  34. Rennie KL, Livingstone MB. Associations between dietary added sugar intake and micronutrient intake: a systematic review. Br J Nutr 2007; 97(5): 832-841.  https://doi.org/10.1017/S0007114507617206
  35. Lee SJ, Kim Y. Evaluation of the diet and nutritional states of elementary and middle school students in the Daegu area by using Nutrition Quotient for children. J Nutr Health 2013; 46(5): 440-446.  https://doi.org/10.4163/jnh.2013.46.5.440
  36. Lim JY, Kim JH, Min SH, Lee MH, Lee MJ. Evaluation of dietary behavior among elementary school students in Seoul area using Nutrition Quotient for children. Korean J Food Cookery Sci 2016; 32(1): 84-95.  https://doi.org/10.9724/kfcs.2016.32.1.84
  37. Jo H, Kim KY, Yun JM. Evaluation of the nutritional status of high-grade elementary school students in Gwangju using Nutrition Quotient. J Korean Soc Food Cult 2020; 35(4): 371-381.  https://doi.org/10.7318/KJFC/2020.35.4.371
  38. Boo MN, Cho SK, Park K. Evaluation of dietary behavior and nutritional status of elementary school students in Jeju using Nutrition Quotient. J Nutr Health 2015; 48(4): 335-343.  https://doi.org/10.4163/jnh.2015.48.4.335
  39. Kim WK, Kang MH, Kim SH. Survey on nutritional status and dietary behaviors of middle school students in Korea using the Nutrient Quotient (NQ) of children for dietary education. J Korean Soc Food Sci Nutr 2019; 48(4): 456-468.  https://doi.org/10.3746/jkfn.2019.48.4.456
  40. Fernandez San Juan PM. Dietary habits and nutritional status of school aged children in Spain. Nutr Hosp 2006; 21(3): 374-378.