Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Factors related to adolescent obesity and changes: a cross-sectional study based on the Korea Youth Risk Behavior Survey

청소년의 비만과 관련된 요인 분석 및 관련 요인의 변화에 대한 단면조사연구 -청소년건강행태조사를 이용하여-

  • Bora Lee (Graduate School of Education, Pusan National University) ;
  • Ho Kyung Ryu (Department of Food Science and Nutrition, College of Human Ecology, Pusan National University)
  • 이보라 (부산대학교 교육대학원 영양교육전공) ;
  • 류호경 (부산대학교 생활과학대학 식품영양학과)
  • Received : 2023.07.10
  • Accepted : 2023.10.17
  • Published : 2023.10.31
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Abstract

Objectives: The objective of this study was to identify factors associated with adolescent obesity, as well as any new factors that correlated with a change in the rate of obesity over time. Methods: The study used 5-yearly data collected by the Korea Youth Risk Behavior Survey starting from the year 2006 up until 2021 (data from 2nd, 7th, 11th, and 17th surveys were analyzed). Factors such as demographics, dietary factors, health behavioral factors, and mental health factors were studied. All data were analyzed using IBM SPSS 27.0, employing chi-square tests and multiple logistic regression analysis. Results: This study included data from a total of 255,200 participants. Factors contributing to obesity varied with time. Over the survey duration of 15 years, low academic achievement, parents with low levels of education, low frequency of fruit consumption, low frequency of fast food intake, long periods of being seated, and high levels of stress were significantly associated with a high rate of obesity. Factors that showed a new correlation with an increase in obesity rates included living with single parents, low frequency of muscle strengthening exercises, and experiencing intense sadness and despair in the past year. Factors that were correlated with a change in obesity rates over time included household economic status, frequency of carbonated beverage consumption, frequency of intense physical activity, and frequency of alcohol consumption. Breakfast intake and smoking were not significantly associated with obesity rates in the 15-year period. Conclusions: While several factors associated with obesity remained consistent over time, several new factors have emerged in response to social, economic, and environmental changes contributed to a change in obesity rate over time. Therefore, to prevent and manage adolescent obesity, continuous research into the new emergent factors contributing to obesity is needed.

Keywords

References

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