• 가정과삶의질연구
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• 제26권5호
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• pp.155-163
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• 2008

This study examined the relationships between children's stress about obsesity and depression. In order to expand the study on the relationships, special attention was given to the possible moderator effects of child's ego-resiliency. The subjects were 494 4th and 6th graders residing in Seoul. It was found that 6th grade children's stress about obesity and depression was higher more than 4th graders in every boys and girls. Otherwise, 4th grade children's ego resiliency more higher in girls, 6th grade children's ego resiliency more higher in boysn. Children's stress about obesity was significantly related with the levels of childre's depression. The results indicated that children's higher obesity stress was related to higher levels of children's depression. Children's ego resiliency were found to be a significant moderator of relationship between children's obesity stress and depression. These findings indicated that children's ego resiliency could fuction as a protecting factor for children who perceive obesity stress.

• The Journal of Korean Physical Therapy
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• 제14권2호
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• pp.199-218
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• 2002

This study was conducted to examine obese children's self-efficiency feeling and health promotion behavior in order to provide basic information on prevention of children obesity. Data were collected in June, 2001 from 349 normal weight children and 351 obese children, who were fifth or sixth graders at 14 primary schools located in Seoul, Busan, Daegu, Gwangju, Ansan, chungju, and Gumi. The data were analyzed through using Chronbach's $\alpha$, frequency analysis, $X^2-test$, ANOVA, and Pearson correlation. The results of this study can be summarized as follow. 1. The factor of children obesity was significantly different in the variables of sex, parents obesity, brother or sister obesity, father's occupation, level of living, health condition, and satisfaction level with their bodies. On the other hand, it was not significantly different in the variables of father's education level, mother's education level, mother's occupation, level of father's concern about health, and level of the children's concern about health. 2. In the case of normal weight children, dietary efficiency feeling was significantly different in the variables of level of father's concern about health and level of children's concern about health. In th case of obese children, the dietary efficiency feeling was significantly different in the variables of mother obesity, parents' education level, father's occupation, and the children's satisfaction level with their bodies. In the case of normal weight children, exercise efficiency feeling was significantly different in the variables of sex, level of parents's concern about health, and level of the children's concern about health. In the case of obese children, the exercise efficiency feeling was significantly different in the variables of grade, brother and sister obesity, parents' education level, father's occupation, and the children's satisfaction level with their bodies. In the case of normal weight children, social efficiency feeling was significantly different in the variables of brother and sister obesity, parents' education level, level of parents' concern about health, and level of the children's concern about health. In the case of obese children, the social efficiency feeling was significantly different in the variables of parents' education level, father's occupation, level of living, the children's health condition, and the children's satisfaction level with their bodies. 3. In the case of normal weight children, personal hygiene was significantly different in the variables of sex, level of parents's concern about health, and level of the children's concern about health. In the case of obese children, the personal hygiene was significantly different in the variables of parents' education level, father's occupation, mother's occupation, level of living, and level of parents' concern about health. In the case of normal weight children, dietary habit was significantly different in the variables of sex, level of parents's concern about health, and level of the children's concern about health. In the case of obese children, the dietary habit was significantly different in the variables of father's education level, mother's education level, level of living, and the children's satisfaction level with their bodies. In the case of normal weight children, exercise habit was significantly different in the variables of grade, sex, father's education level, mother's education level, and level of children's concern about health. In the case of obese children, the exercise habit was significantly different in the variables of grade, mother obesity, parents' education level, father's occupation, level of parent' concern about health, the children's health condition, and the children's satisfaction level with their bodies. In the case of normal weight children, prevention of infectious diseases was significantly different in the variables of sex, father's occupation, level of parents' concern about health, and level of the children's concern about health. In the case of obese children, the prevention of infectious diseases was significantly different in the variables of mother's education level and father's occupation. In the case of normal weight children, prevention of accident was significantly different in the variables of mother's education level, level of parents' concern about health, and level of the children's concern about health. In the case of obese children, the prevention of accident was significantly different in the variables of brother and sister obesity and mother's occupation. In the case of normal weight children, mental health was significantly different in the variables of father obesity, brother and sister obesity, parents' education level, and level of the children's concern about health. In the case of obese children, the mental health was significantly different in the variables of parents' educational level, father's occupation, mother's occupation, level of living, and the children's health condition. 4. According to the correlation between self-efficiency feeling and health promotion behavior, the higher the self-efficiency feeling was, the higher the level of health promotion behavior was. 5. The children obesity was influenced by the factors of level of living, level of parents' concern about health, the children's health condition, level of the children's concern about health, the children's satisfaction level with their bodies, dietary efficiency feeling, exercise efficiency feeling, social efficiency feeling, personal hygiene, dietary habit, exercise habit, prevention of infectious diseases, prevention of accident, and mental health. From the results of this study, it is clear that obese children's self-efficiency feeling is closely related with health promotion behavior. Therefore, it is necessary to strengthen children's self-efficiency feeling in order to make children control efficiently obesity for themselves.

• Journal of Nutrition and Health
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• 제37권6호
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• pp.464-478
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• 2004

This study investigated the effects of mothers' nutritional attitudes and knowledge on their children's obesity inducing factors： eating habits, food preferences, food frequencies, and physical activities. The subjects were 774 mothers and their elementary school children (774) in Busan. About thirty percent of the children had a tendency toward obesity as a result of their eating habits, food preferences, food frequencies, and physical activities, but their mothers' nutritional attitudes and knowledge had little affect on their children's obesity inducing factors. Though the children were interested in their body weight changes, they chose not to practice appropriate eating habits. Thus, education about good eating habits and appropriate physical activities should be promoted for children's health and growth. Because the mothers' nutritional attitudes and knowledge had little affect on their children in this study, nutrition education in school needs to be enhanced. However, because mothers play many roles in their children's habit and health, they also need to be educated in order that their nutritional attitudes and knowledge help their children's health and growth directly. And school and home should be more closely connected.

• 여성건강간호학회지
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• 제10권4호
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• pp.368-372
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• 2004

Purpose: This study was performed to investigate the correlation between mother's characteristics and obesity index, percentage of body fat, total cholesterol, and serum leptin levels in obese children. Method: Sixty two students in 4th, 5th, and 6th grades were selected from two elementary schools located in the suburbs of Seoul. Mother's characteristics were collected by questionnaires. Biophysical indexes were as follows; obesity indexes were calculated by height and weight, percentages of body fat were measured by a bioelectrical impedence fatness analyzer, total cholesterol levels were measured by a Hitachi automatic analyzer, and serum leptin levels were measured by the immunoradiometric assay method. Result: The degree of mother's concern for their children's obesity showed a statistically significant positive correlation with biophysical indexes such as obesity index and serum leptin level in obese children. However, there were no significant correlations between mother's economic state, education level, occupation and biophysical indexes. Also, there were no significant correlations between mother's concern for their children's obesity and percentage of body fat, and serum cholesterol levels. Conclusion: These results indicate that mother's concern for their children's obesity is one of the most important factors in child obesity.

• 한국학교보건학회지
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• 제18권2호
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• pp.27-43
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• 2005

Purpose： The purpose of this study was to estimate obesity rate among mentally disabled children in six public schools in Korea. Furthermore, this study identified several factors that correlated with these children's obesity. The results of this study can help identify mentally disabled children who are at an increased risk for obesity and can be used to promote good health in this population. Methods： 1,102 subjectsfrom six public special schools were classified 4 groups who assessed for BMI for age-gender specific reference chart(1998) based on our previous data. Moreover, 207 parents were surveyed to identify predisposing factors for children's obesity, including characteristics of the children and parents, socioeconomic factors, children's eating habits, and children's exercise habits. Results： The prevalence of obesity among the 1,102 mentally disabled children was 17.3%. There was a statistically significant correlation between obesity and factors, such as age, maternal education, parents' perceptions about their child's obesity, frequency of breakfast, and exercise habits. Each of these factors was determined to have a statistically significant influence on obesity when all other factors were controlled in a multivariate analysis with multiple logistic regression analysis. Conclusions： Parental perceptions had an especially strong impact on the weight of their mentally disabled child. This is presumably due to the great influence that parents have on the lifestyles of their children, including dietary habits and frequency of exercise. Furthermore, the rate of obesity was directly proportional to the age of the child. The results of this study strongly indicate the need for preemptive health education programs that stress weight management for mentally disabled elementary school students.

• 한국보건간호학회지
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• 제33권2호
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• pp.175-187
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• 2019

Purpose: The purpose of this study was to identify the potential risk factors - children's factors, parental factors, and familial-environmental factors - with respect to overweight and obesity in Korean preschool children. Methods: This study used a descriptive cross-sectional design and involved 264 pairs of mothers and preschool children aged 3-5 years (121 boys, 143 girls) attending daycare centers in C city. Multiple logistic regression analyses were used to identify significant risk factors for overweight and obesity in preschool children. Results: According to the multivariate logistic regression, family history of diabetes mellitus as children's factors, overweight or obesity of both parents as parental factors were significantly associated with an increased likelihood of overweight and obesity in preschool children. In addition, lack of community space for physical activity as familial-environmental factors was significantly associated with increased likelihood of overweight and obesity. Conclusions: Health care providers should concerned with the risk of overweight and obesity in children with high risk familial factors, such as family history of obesity and diabetes mellitus. Moreover, policies should be set in place to make sure communities include space that foster physical activity in young children.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권3호
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• pp.199-206
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• 2016

Purpose: To analyze the associations among the degrees of nonalcoholic fatty liver disease (NAFLD) by ultrasonography and metabolic syndrome, degrees of obesity in children, and degrees of parental obesity. Methods: A total of 198 children with obesity who visited a pediatric obesity clinic were prospectively enrolled in this study. The severity of NAFLD based on ultrasonography was classified into no, mild, moderate, or severe NAFLD group. The degree of obesity based on the percentage over standard weight for height per sex was classified into mild, moderate, or severe. Results: Of 132 patients evaluated for the degree of NAFLD and metabolic syndrome, the p-value of correlation between the two factors was 0.009. Therefore, metabolic syndrome might significantly affect the degree of NAFLD. Of 158 patients evaluated for the degree of NAFLD and the degree of obesity, the p-value of correlation between the two factors was 0.122. Of 154 patients evaluated for the degree of obesity and father's obesity, the p-value was 0.076. Of 159 patients evaluated for the degree of obesity and mother's obesity, the p-value was 0.000, indicating that mother's obesity could significantly affect the degree of obesity in children. Of 142 patients evaluated for the degree of obesity and metabolic syndrome, the p-value was 0.288. Conclusion: Metabolic syndrome might significantly affect the degree of nonalcoholic fatty liver in children. In addition, mother's obesity might be a significant factor that affects the degree of obesity in children.

• Journal of Nutrition and Health
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• 제31권7호
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• pp.1158-1164
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• 1998

This study was carried out to provide information on the related factors for child obesity through investigation of children aged 6-12. Data was obtained on family history, dietary habits and physical examinations. Children were classified into normal(98 persons) and obese (108 persons) groups using combinations of the height f3r age, weight fir age, and weight fir height standards used by the World Health Organization. Children's height, weight and BMI showed significant differences between groups except children aged 8 for height. Birth weight, breast feeding and unbalanced diet were not associated with obesity. Overeating was a risk factor in the obese group(Odd ratio : 3.417, 95% CI 1.879-6.212). Taking nutrition pills was correlated to obesity. Odd ratio for taking nutrition pills was 0.109(95% CI : 0.024-0.492) between normal and obese group. Number of brothers didn't have any correlation to obesity. Obesity was not correlated to mother's education level or employmental status. As the result of this study, children's obesity was related to overeating and taking nutrition pills. Therefore, these results suggest that systematic dietary education and continuous parental supervision are necessary to avoid child obesity. (Korean J Nutrition 31(7) : 1158-1164, 1998)

• Child Health Nursing Research
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• 제13권3호
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• pp.257-264
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• 2007

Purpose: The purpose of this study was to develop an effective obesity management program for elementary school children, based on the motivation theory. Method: This study was a methodological study. A child obesity management program, based on the motivation theory was developed, a web site was made and children with obesity participated in the internet program. After the children finished the program, they evaluated the clinical validity of the program. The clinical validity was tested from Jun 12 to 16, 2006. The participants were 6 students. The evaluation tool was Keller's IMMS(Instructional Material Motivation Survey). Data were evaluated using $means{\pm}SD$ for four major components A,R,C,S (Attention, Relevance, Confidence, Satisfaction), based on ARCS in the motivation theory. Results: The program developed in this study was named 'ARCS children obesity escape', and the URL is 'http://www.119kid.co.kr'. Regarding the four components of ARCS, the overall reaction of participants showed that they were very highly motivated by this program. Conclusion: Utilizing the ARCS motivation strategies for solving obesity problems for children is an effective method to motivate the management of obesity, and can increase achievement motivation, attention, relevance, confidence, and satisfaction with the management of obesity. Thus, the program developed in this study is expected to reduce obesity in children, and become an important guide for obesity management and health improvement for children.

• Nutrition Research and Practice
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• 제1권3호
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• pp.212-217
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• 2007

This study compared obese children's food group intakes with the new Dietary References Intakes for Koreans (KDRIs) food guides for 5th-6th grade school children. This study also determined the extent of sedentary life styles related with obesity in this area of children. This is it cross-sectional study of 799 school children. The dietitian sent a survey form describing the project and a questionnaire to the subject's family. The questionnaire included child demographics, family history of chronic diseases, the daily servings of five food groups, such as grains, meat and beans, dairy products, fruits, and vegetables. The daily or weekly hours of physical activity, television viewing, and computer usage were also surveyed. Obesity index (%) of the subjects was calculated, and children with an obesity index (%) equal to or greater than 20 were classified as the obese. Among the 799 participants, 50.7% were female. The percentages of the normal and the obese were 691 (86.5%) and 108 (13.5%) respectively. Obese children reported eating less vegetables (p<0.05), more high sugar snacks (p<0.05), and high fat snacks (p<0.05) than normal children. No significant differences in food servings of grains, meats and beans, and fruits, and dairy products between the normal and the obese were shown. Obese children reported fewer hours of physical activities (p<0.05) and more hours of computer usage (p<0.05) than normal children. Girls showed less likelihood of being obese (odds ratio, 0.575, CI (0.38, 0.87), p<0.05). More hours of physical activity significantly decreased the likelihood of being obese (odds ratio, 0.572, CI (0.35, 0.92), p<0.05). Family history of obesity almost doubled the likelihood of obesity in children (odds ratio, 2.653, CI (1.660, 4.241), p<0.05). In conclusion, frequent snacking, inadequate vegetable consumption, and sedentary lifestyle increased significantly the likelihood of obesity in children, which suggest that obesity intervention in this age group should focuse more on those variables.