• Journal of the Korean Society of School Health
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• v.32 no.1
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• pp.1-9
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• 2019

Purpose: The purpose of this study was to identify the prevalence, subtypes and risk factors of Irritable Bowel Syndrome (IBS) among male adolescents. Methods: The survey was conducted on male adolescents (n=441) attending a high school. Rome IV criteria was used to diagnose IBS. Data on health promoting behaviors, psychological distress, sleep hygiene practices were collected using self-administered structured questionnaires. Results: The prevalence of IBS was 11.1% and the subtypes were mixed (77.5%), unclassified (10.2%), diarrhea-predominant (8.2%), and constipation-predominant (4.1%). Risk factors influencing IBS were sleeping time (Odds Ratio [OR]=1.00, 95% Confidence Interval [CI]: 0.99~1.00), anxiety, a subfactor under psychological distress (OR=1.12, 95% CI: 1.02~1.22), and arousal-related behaviors, a subfactor under sleep hygiene practices (OR=1.10, 95% CI: 1.03~1.17). Conclusion: Our findings indicated that IBS is a common problem in male adolescents. It is necessary to develop school-based intervention strategies addressing sleeping time, anxiety and arousal-related behaviors in order to prevent and improve IBS in male adolescents.

• Journal of the Korean Society of School Health
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• v.32 no.1
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• pp.50-58
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• 2019

Purpose: The purpose of this study was to examine the mediating effect of self-perception on the relationship between body image and depressive symptoms in middle school adolescents. Methods: This study performed a pathway analysis with a sample of 284 adolescents recruited from three middle schools. Self-reported questionnaires consisted of items regarding body image, self-perception, and depressive symptoms. Results: Body image, self-perception, and depressive symptoms showed a significant correlation. Self-perception was directly affected by body image and depressive symptoms were not affected by body image. The mediating effect of self-perception on body image's impact on depressive symptoms was confirmed. Self-perception had a significant indirect effect on depressive symptoms, which means that self-perception has a full mediating effect on body image's impact on depressive symptoms. Conclusion: The effect of body image on depressive symptoms was fully mediated by self-perception in early adolescents. It suggests that self-perception needs to be considered when providing nursing interventions for adolescents.

• The Journal of Korean Society for School & Community Health Education
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• v.20 no.2
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• pp.93-107
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• 2019

Objectives: The purpose of this study is to provide basic data on the developement of oral health programs to maintain correct oral health in adolescence by identifying the relevance of health-related behavior and symptom experience to adolescents. Methods: Using the 14th(2018) online survey of youth health behavior, this study was conducted on students in grades1 middle school to grade5 high school in Korea and 30,463 boys, 29,577 girls were selected as the final analysis targets. Results: During the oral disease symptom experience, there was a statistically significant difference in smoking experience with teeth pain controlled general characteristics during eating. Conclusions: It is expected that it will be used as basic dat for the development of oral health programs to maintain the correct oral health status of adolescents by identifying the effects of health-related behaviors and related variables on oral diseases in Korea.

• The Korean Journal of Health Service Management
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• v.12 no.2
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• pp.101-112
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• 2018

Objectives : This study examined the influence of socio-demographic, health-related, and oral health-related characteristics on adolescent DMFTs. Methods : The subjects in this study were 1,129 adolescents selected from the 6th national health and nutrition examination survey data. To determine the factors influencing dental caries, a regression analysis using a complex-sample generalized linear model was conducted after adjusting for confounding factors. Results : DMFTs were smaller among boys than girls, and smaller in the "13-15 age group" than in the "16-18 age group." In terms of household income, DMFTs were larger in the "lower," "lower-middle," and "upper-middle" income brackets than in the "upper" income bracket. DMFTs were smaller among adolescents with a history of smoking than those who had never smoked. Conclusions : In order to improve the oral health of adolescents, oral health-promotion programs should be provided for girls, high school students, students from low-income families, smokers, and those who consider themselves to have poor oral health.

• Nutrition Research and Practice
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• v.10 no.5
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• pp.537-545
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• 2016

BACKGROUND/OBJECTIVES: Dietary sugar intake, particularly added sugar and sugar-sweetened beverages, has received worldwide attention recently. Investigation of dietary behaviors may facilitate understanding of dietary sugar intakes of children and adolescents. However, the relationship between dietary sugar intake and dietary behaviors in the Korean population has not been investigated. Thus, this study aimed to estimate dietary sugar intake and food sources according to sex as well as examine the relationship of dietary sugar intake with frequent snacking and dietary patterns among Korean children and adolescents. SUBJECTS/METHODS: We pooled data from five studies involving Korean children and adolescents conducted from 2002 to 2011. A total of 2,599 subjects aged 9-14 years were included in this study. Each subject completed more than 3 days of dietary records. RESULTS: Mean daily total sugar intake was 46.6 g for boys and 54.3 g for girls. Compared with boys, girls showed higher sugar intakes from fruits (7.5 g for boys and 8.8 g for girls; P = 0.0081) and processed foods (27.9 g for boys and 34.9 g for girls; P < 0.0001). On average, 95.4% of boys and 98.8% of girls consumed snacks during the study period, and total sugar intake showed a significantly increasing trend with increasing energy intake from snacks (P < 0.0001 for both sexes). Two dietary patterns were identified by cluster analysis: Traditional and Westernized patterns. Total sugar intake was higher in the Westernized pattern (56.2 g for boys and 57.2 g for girls) than in the Traditional pattern (46.5 g for boys and 46.3 g for girls). CONCLUSIONS: These results suggest that multilateral and practical development of a nutrition education and intervention program that considers dietary behaviors as well as absolute sugar intake is required to prevent excessive sugar intake in Korean children and adolescents.

• Journal of Korean society of Dental Hygiene
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• v.16 no.3
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• pp.417-426
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• 2016

Objectives: The objective of the study was to investigate the related factors of preventive behavior experience toward dental caries and periodontal disease in Korean adolescents. Methods: The study subjects were 72,060 adolescents in 800 schools who completed 2014 Korean Youth Risk Behavior Web-based survey. Dependent variables included general characteristics of the subjects, oral health behavior, and oral disease experience. The experience rate of sealant and scaling showed the prevention behavior of dental caries and periodontal disease. Data were analyzed by IBM SPSS statistics 20.0. Results: The experience rate of sealant accounted for 26.9%. The experience of sealant was related with gender, school, maternal education level, economic status, vigorous physical activity, smoking, usual stress, fruit consumption, milk consumption, soda consumption, snack consumption, tooth brushing, oral health education experience, periodontal bleeding and pain, mucosal disorders, and bad breath. The experience rate of scaling was 22.6%. The experience of scaling was related with gender, school, city division, learning achievement, maternal education level, economic status, residential type, vigorous physical activity, usual stress, fruit consumption, milk consumption, tooth brushing, oral health education experience, periodontal bleeding and pain, mucosal disorders, and bad breath. Conclusions: To expand preventive oral health behavior in the adolescents, it is necessary to support the systematic policy making and monetary establishment in the future.

• Journal of the Korean Society of School Health
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• v.25 no.1
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• pp.51-58
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• 2012

Purpose: This study aims to discover the relation between the sleep duration and quality of adolescents and their body mass index. Methods: The study used data obtained through the 2009 online survey on adolescents health behaviors, targeting a total of 75,066 middle and high school students (39,612 of male students and 35,454 of female students). We first performed t-test, ANOVA and Scheffe's test and then the potential variables which was possibly related to the body mass index are determined from the tests. Using the potential variable, we performed the multiple regression analysis to finally identify the relation between the duration and quality of sleep. Results: As a result, the 39.8% of male students and the 46.5% of female students most frequently respond that the sleep duration was less than 6 hours, and 36.4% of male students and the 45.3% of female students respond that the quality of sleep was not good enough. The body mass index of both the male and the female students portionally decreases to their sleep duration, but the better quality of sleep makes their body mass index higher. Conclusion: In conclusion, the body mass index has some notable relationship with the sleep duration and quality for adolescents. It is advised to consider the sleep duration and quality in the business plans for adolescents in order for the prevention of their body mass index.

• Journal of Korean Public Health Nursing
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• v.33 no.3
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• pp.364-378
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• 2019

Purpose: This study examined the distribution of the body mass index (BMI) according to gender and age among Korean children and adolescents to compare the distributions of being underweight, normal, overweight, and obese using both Korean and international criteria. Methods: This secondary data analysis utilized the data of the 2016 Korean National Health Examination for School Students Height, weight, and BMI distributions among children and adolescents were analyzed using descriptive statistics, and the differences in BMI distribution according to gender and age were analyzed using chi-square tests. Differences in the mean BMI according to the Korean Centers for Disease Control (KCDC), the World Health Organization (WHO), and the International Obesity Task Force (IOTF) criteria were analyzed using ANOVA. Results: Using the IOTF criteria, the prevalence of underweight, overweight, and obesity among grades 1-12 students was 6.7%, 20.8%, and 7.1%, respectively; 1.6%, 21.3%, and 11.8%, respectively, according to the WHO criteria; and 5.8%, 10.1%, and 13.0%, respectively, according to the KCDC criteria. Conclusion: It is recommended to use the IOTF criteria for health promotion programs to target underweight children and adolescents while the WHO and KCDC criteria should be used for health programs for treating obese people.

• The Journal of Korean Society for School & Community Health Education
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• v.17 no.2
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• pp.1-16
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• 2016

Objectives: The objective of this study is to evaluate the correlates of depression and perception gap of adolescents' Health-Related Quality of Life (HRQOL) between Parents and Children. Methods: Research targets are all students and their parents who are enrolled in from 1st~3rd grade of middle school to $1^{st}$ grade of high school which was selected intentionally. The survey was conducted from May $16^{th}$ to June $9^{th}$ in 2014 by research staffs equipped with structured questionnaire. $PedsQL^{TM}4.0$ Generic Core Scales and Korean form of the Kovacs' Children's Depression Inventory were the main tool for measuring the HRQOL and depression. Data of 985 respondents, both of parents and children, was used for analysis of this study. Results: In terms of gender difference of depression, 5.8% of adolescents, 3.2% of male and 8.5% of female (p<0.001), are shown depression symptom. Depression rate of the low level students of academic achievement was 11.0% which is the lowest rate to compare to 4.3% of middle level and 2.6% of high level students (p<0.001). The case that parents overestimated their children's overall HRQOL is 3.699 times more likely to have depression symptom than the case which is in concurrence between parents and children. Especially the overestimation in social, emotional, and academic area of HRQOL promote depression 3.918 times, 3.371 times, and 2.258 times more than the agreement occurred of each areas. In contrast underestimation in physical area of HRQOL reduce depression 0.266 times less than the agreement occurred of the area. Conclusion: The perception gap of adolescents' HRQOL between parents and children is the most influential factor to adolescents' depression among all variables which was evaluated in this study.

• Nutrition Research and Practice
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• v.16 no.2
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• pp.272-283
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• 2022

BACKGROUND/OBJECTIVES: Most child and adolescent food literacy measurement tools focus on nutrition and food safety. However, the importance of aspects related to the food system such as food distribution and food waste and their effects on environmental sustainability is growing. We therefore developed and validated a two-dimensional tool for children (8-12 years old) and adolescents (13-18 years old) that can comprehensively measure food literacy. The association of food literacy with diet quality and self-reported health was assessed. SUBJECTS/METHODS: First, we developed a food literacy conceptual framework that contains food system and literacy dimensions through a literature review, focus group interviews, and expert review. After a face validity study, we conducted the main survey (n = 200) to validate the questionnaire. Construct validity and reliability were assessed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and Cronbach's alpha. RESULTS: As a result of the Delphi study, content validity was confirmed for the remaining 30 items after two items were excluded (content validity ratio = 0.86). Eleven items were excluded from the EFA results, while the CFA results indicated appropriate fit indices for the proposed model (comparative fit index = 0.904, root mean square error of approximation = 0.068). The final food literacy questionnaire consisted of 19 questions and comprised 5 factors: production, distribution, selection, preparation and cooking, and intake. Food literacy was positively associated with diet quality, as assessed by the Nutrition Quotient score, in both children and adolescents and with self-reported health in adolescents.