DOI QR코드

DOI QR Code

Health-Related Habits, Exercise Habits, and the Korean Healthy Eating Index according to Obesity in Youth -Analysis of the 2020~2021 Korean National Health and Nutrition Examination Survey-

청년의 비만에 따른 건강 관련 습관, 신체활동 및 식생활평가지수 -2020~2021 국민건강영양조사 자료 분석-

  • Kyung-Ae Park (Dept. of Food Service and Nutrition, Kaya University)
  • 박경애 (가야대학교 외식조리영양학부)
  • Received : 2024.10.02
  • Accepted : 2024.10.21
  • Published : 2024.11.02

Abstract

This study examined the sociodemographic and anthropometric data, health-related habits, physical activity, and scores of the Korean Healthy Eating Index according to the obesity of youths aged 19~39 years. Among the subjects of the 2020~2021 Korean National Health and Examination Survey, 2,954 were analyzed. Statistical analyses were used for complex samples using the SPSS software package. The marital status (P<0.001) and economic activity status (P<0.01) of male youth (MY) and the household income level (P<0.01), education level (P<0.01), and economic activity status (P<0.05) of female youth (FY) showed significant differences according to obesity. In MY and FY, age (P<0.001), perceived health status (P<0.001), self-recognized body image (P<0.001), weight change (P<0.001), and weight control (P<0.001) showed significant differences according to the obesity. The prevalence of hypertension (P<0.001), diabetes (P<0.001), hypertriglyceridemia (P<0.001), and hypercholesterolemia (MY P<0.05, FY P<0.001) in MY and FY showed significant differences according to obesity. In MY, the obese group performed higher leisure-related medium-intensity physical activity (P<0.05) than the control group. In FY, the obese group had more stress (P<0.01), lower scores of total fruit intake (P<0.01), fresh fruit intake (P<0.01), and milk and milk products intake (P<0.05) and higher scores of percentages of energy from saturated fatty acid (P<0.05) and total sugar (P<0.05) than the control group. Therefore, the factors associated with obesity in youth differ according to sex, and health promotion programs specified by sex are needed to prevent youth obesity effectively.

Keywords

References

  1. Boo S (2014): Misperception of body weight and associated factors. Nurs Health Sci 16(4):468-475
  2. Byeon H (2015): Association between weight misperception patterns and depressive symptoms in Korean young adolescents: national cross-sectional study. PLoS One 10(8): e0131322
  3. Byun HM, Yun EK, Choi NH, Choi JS, Kim JH, Chang AK, Jeong ES (2018): An exploratory study for health ecosystem development for young adults living alone. KSDR 19(4): 83-98
  4. Choi M (2020): Obesity prevalence and related factors by gender and socioeconomic level in Busan, Korea - comparison on the methods of measurement. Korean J Health Commun 15(1):1-9
  5. Dombrowski SU, Sniehotta FF, Avenell A, Johnston M, MacLennan G, Araujo-Soares V (2012): Identifying active ingredients in complex behavioural interventions for obese adults with obesity-related co-morbidities or additional risk factors for co-morbidities: a systematic review. Health Psychol Rev 6(1):7-32
  6. Eun YJ, Choi SP, Soh MG, Song YK, Lim HH (2006): A comparative study of body image, eating attitudes and obesity degree in Incheon university students. J Korean Med Obes Res 6(1):93-105
  7. Fruh SM (2017): Obesity: risk factors, complications, and strategies for sustainable long-term weight management. J Am Assoc Nurse Pract 29(Suppl 1):S3-S14
  8. GBD 2019 Risk Factors Collaborators (2020): Global burden of 87 risk factors in 204 Countries and Territories, 1990-2019: a systematic analysis for the global burden of disease study 2019. Lancet 396(10258):1223-1249
  9. Jakicic JM, Otto AD (2005): Physical activity recommendations in the treatment of obesity. Psychiatr Clin North Am 28(1):141-150, ix
  10. Jeffers AJ, Cotter EW, Snipes DJ, Benotsch EG (2013): BMI and depressive symptoms: the role of media pressures. Eat Behav 14(4):468-471
  11. Jeong KY, Lee SU, Min HS (2022): A study on the heterogeneity and homogeneity of youth by policy area according to population, socio-economic factors. J Gov Stud 17(2): 73-103
  12. Jo E, Shim JE, Ryou HJ, Kim K, Song SJ, Kim HJ, Ahn JS, Kwon KI, Lee HY, Park S (2022): Using service design tools in community nutrition research: a case study in developing dietary guidelines for young adults. Korean J Community Nutr 27(3):177-191
  13. Kang J, Kim K, Jung IK (2023): Analysis of comparisons of metabolically healthy status, physical activity and Korean Healthy Eating Index among middle-aged men according to obesity status: based on the Korean National Health and Nutrition Examination Survey (2016-2018). AJPESS 11(6): 119-129
  14. Kaufman CC, Thurston IB, Maclin-Akinyemi C, Hardin RN, Decker KM, Kamody RC (2020): Risk and protective factors associated with depressive symptoms in young adults with overweight and obesity. J Am Coll Health 68(2): 148-154
  15. Kim DI (2015): Relationships between walking, body mass index, and risk factors of metabolic syndrome among Korean adults: data from the fifth Korea National Health and Nutrition Examination Survey (2010-2012). Korean J Obes 24(2):108-115
  16. Kim SH, Kim NY, Yea IS (2005): A study on the dietary habit and nutritional state to obesity index of adults living in Daejeon. J East Asian Soc Dietary Life 15(2):152-157
  17. Korea Disease Control and Prevention Agency (2023). Guidelines for analysis of the raw data for the 8th Korean National Health and Nutrition Examination Survey (KNHANES VIII). Available from: https://knhanes.kdca.go.kr/knhanes/sub03/sub03_02_05.do Accessed February 1, 2024
  18. Korea Disease Control and Prevention Agency (2024): Trends in prevalence of aerobic physical activity, 2014-2022. PHWR 17(11):452-453
  19. Korean Society for the Study of Obesity (2023). 2023 obesity fact sheet. Available from: https://eng.kosso.or.kr/resources/factsheets_detail.php?idx=77&field=&keyword=&bbs_code=info2&v_sect=&s_cate_code=&pageNo=1 Accessed March 7, 2024
  20. Lanoye A, Brown KL, LaRose JG (2017): The transition into young adulthood: a critical period for weight control. Curr Diab Rep 17(11):114
  21. Lascar N, Brown J, Pattison H, Barnett AH, Bailey CJ, Bellary S (2018): Type 2 diabetes in adolescents and young adults. Lancet Diabetes Endocrinol 6(1):69-80
  22. Lee CH, Lee KA (2023): Dietary habits and nutrient intake status of university students according to obesity risk based on body mass index and percent body fat. J Nutr Health 56(6):714-729
  23. Lee H, Chung W, Lim S, Han E (2018): Association of a combination between actual body mass index status and perceived body image with anxiety and depressive condition in Korean men and women: the fifth and sixth Korea National Health and Nutrition Examination Survey (2010-2014). Health Policy Manag 28(1):3-14
  24. Lee J, Jung IK (2022): Relationships among handgrip strength, physical activity, metabolically healthy status, and Korean Healthy Eating Index: based on the Korean National Health and Nutrition Examination Survey(2016~2018). AJPESS 10(1):117-133
  25. Lee J, Lim S, Lee YM (2023): Health characteristics, nutrient intake, and associated risk factors according to the metabolic health and obesity status in Korean adults : based on the Korea National Health and Nutrition Examination Survey 2015. KJHE 32(6):845-856
  26. Lee K (2021): The associated factors of obesity and severe obesity in young adults with a focus on health habits, mental health and chronic diseases: data from Community Health Survey, 2019. J Korea Converg Soc 12(9):351-360
  27. Lee SJ, Lee HJ, Huh Y, Sunwoo S (2022): Relationship between abdominal obesity and prevalence of other chronic diseases in Korean adults: based on the Korea National Health and Nutrition Examination Survey 2016 to 2020. Korean J Health Promot 22(4):194-200
  28. Lee Y (2022): Changes in depressive symptoms of young adults before and during the COVID-19 pandemic: variations by employment status and gender. J Korea Contents Assoc 22(12):731-743
  29. Lee YS, Jeon YK (2020): Comparison in exercise habit, subjective health status, and nutritional status according to gender in adult obesity - 2017 Korea National Health and Nutrition Examination Survey -. KSW 15(1):379-387
  30. Lim S (2022): Association between obesity and COVID-19. J Korean Med Assoc 65(7):423-429
  31. Munsch S (2014): Study protocol: psychological and physiological consequences of exposure to mass media in young women - an experimental cross-sectional and longitudinal study and the role of moderators. BMC Psychol 2(1):37
  32. Nam GE, Kim YH, Han K, Jung JH, Rhee EJ, Lee SS, Kim DJ, Lee KW, Lee WY; Korean Society for the Study of Obesity (2020): Obesity fact sheet in Korea, 2019: prevalence of obesity and abdominal obesity from 2009 to 2018 and social factors. J Obes Metab Syndr 29(2):124-132
  33. Park E (2020): The obesity and the metabolic syndrome among Korean adults: based on national representative survey. Korean J Health Promot 20(4):144-150
  34. Park MY, Chung NN (2020): Comparison of physical activity and nutrient intake according to abdominal obesity in their 20s and 30s in Korean men: data from the seventh Korea National Health and Nutrition Examination Survey VII (2016-2018). Korean J Sports Sci 29(4):1113-1125
  35. Rozjabek H, Fastenau J, LaPrade A, Sternbach N (2020): Adult obesity and health-related quality of life, patient activation, work productivity, and weight loss behaviors in the United States. Diabetes Metab Syndr Obes 13:2049-2055
  36. Scuteri A, Sanna S, Chen WM, Uda M, Albai G, Strait J, Najjar S, Nagaraja R, Orru M, Usala G, Dei M, Lai S, Maschio A, Busonero F, Mulas A, Ehret GB, Fink AA, Weder AB, Cooper RS, Galan P, Chakravarti A, Schlessinger D, Cao A, Lakatta E, Abecasis GR (2007): Genome-wide association scan shows genetic variants in the FTO gene are associated with obesity-related traits. PLoS Genet 3(7):e115
  37. Shin YA (2022): The association among the level of obesity, stress, depression, and telomere length in male young adults. KSW 17(3):225-232
  38. Sinha R, Jastreboff AM (2013): Stress as a common risk factor for obesity and addiction. Biol Psychiatry 73(9):827-835
  39. Statistics Korea (2024). Prevalence of obesity. Available from: https://www.index.go.kr/unity/potal/main/EachDtlPageDetail.do?idx_cd=2705 Accessed March 7, 2024
  40. World Health Organization (2000). The Asia-Pacific perspective : redefining obesity and its treatment. Available from: https://iris.who.int/handle/10665/206936 Accessed January 5, 2024
  41. Yi YH, Kim YJ, Lee SY, Lee JG, Jeong DW, Cho YH, Tak YJ, Choi EJ, Hwang HL, Lee SH (2015): The correlation of meal frequency and nutrition with mental health status in women aged 20-39 years: the 5th Korea National Health and Nutrition Examination Survey, 2010-2012. Korean J Obes 24(2):101-107
  42. Yook SM, Park S, Moon HK, Kim K, Shim JE, Hwang JY (2015): Development of Korean Healthy Eating Index for adults using the Korea National Health and Nutrition Examination Survey data. J Nutr Health 48(5):419-428
  43. Yoon J, Shin D (2024): Association between Korean Healthy Eating Index and abdominal obesity in Korean adults: the mediating effect of high-sensitivity C-reactive protein. J Nutr Health 57(1):88-104
  44. Yun S, Oh K (2018): Development and status of Korean Healthy Eating Index for adults based on the Korea National Health and Nutrition Examination Survey. PHWR 11(52): 1764-1772
  45. Yun S, Park S, Yook SM, Kim K, Shim JE, Hwang JY, Oh K (2022): Development of the Korean Healthy Eating Index for adults, based on the Korea National Health and Nutrition Examination Survey. Nutr Res Pract 16(2):233-247