• 보건교육건강증진학회지
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• 제18권2호
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• pp.83-95
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• 2001

The purpose of this study is to describe Eating Behavior for High school boys who are obesity using three factors(dietary restraint, disinhibition, hunger). The subjects were 200 high school boys. The convenience sample is consist of 101 normal weight boys and 99 obeses weight boys. Data were collected between Mat 1 and June 20 in 2000 and analyzed using the SAS package. The results are as follows: 1. The first hypothesis was not supported that is, the normal weight boys much more doing dietary restraint than the obese boys. 2. The second hypothesis was supported that is, the obese boys more experience disinhibition than the normal weight boys. 3. The third hypothesis was supported that is, the obese boys more experience hunger than the normal weight boys. The eating behavior of obese boys is different that of normal weight boys, The obese boys more experience disinhibition and hunger than the normal weight boys, but dietary restraint was more done the normal weight boys than the obese boys.

• Nutritional Sciences
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• 제5권4호
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• pp.234-244
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• 2002

This study was conducted to compare the rates of hyperlipidemia, hypertension, high blood glucose, and liver dysfunction, between 64 obese children (24 boys and 11 girls who were moderately obese, and 21 boys and 8 girls who were severely obese) and 45 normal weight children (31 boys and 14 girls) from 13 elementary schools in Kangnung city. Among the boys with severe obesity, the levels of serum triglycerides and LDL-cholesterol (133.60 $\pm$ 49.99 mg/dl and 105.00 $\pm$ 41.12 mg/dl( respectively) were significantly higher compared to the normal Weight group (81.16 $\pm$ 23.59 mg/dl and 87.74 $\pm$ 32.095 mg/dl, respectively) of moderately obese group (102.30 $\pm$ 36.03 mg/dl, 89.99 $\pm$ 32.10 mg/이, respectively). In girls, only serum triglycerides were significantly higher in the severely obese group (154.30 $\pm$ 46.84 mg/dl), compared with the normal weight group (80.00 $\pm$ 25.31 mg/dl) or moderately obese group (106.40 $\pm$ 41.73 mg/dl). In boys, blood pressure in the severely obese group (systolic: 120.5 $\pm$ 9.74 mmHg; diastolic: 80.95 $\pm$ 10.44 mmHg) was significantly higher compared with the groups of normal weight or moderately obese children. The rate of hypertriglyceridemia was significantly different among normal weight, moderately obese, and severely obese boys (9.7%, 41.7%, and 76.2%, respectively). The proportion of boys who had an Atherogenic Index(AI) higher than 3 was found to be significantly higher in the severely obese group (28.6%), compared to 6.5% in the normal weight group and 4.1% in the moderately obese group. Among boys, a significantly higher rate of hypertension was found in the severely obese group, which showed high systolic blood pressure and high diastolic pressure (81.0% and 81.0%), compared with the normal weight group (16.1% and 22.6%) and moderately obese group (33.3% and 33.3%). In conclusion, the diagnosis and management of obese children needs to be tailored to gender and the degree of obesity. Furthermore, a systematic management program needs to be developed for early screening and detection of obesity in order to minimize the risk of hyperlipidemia and hypertension, especially in severely obese children.

• 보건교육건강증진학회지
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• 제19권4호
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• pp.19-31
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• 2002

Purpose : This study examines the differences in self-efficacy and health promoting behavior between obese students and normal weight students by gender; it tries to obtain basic data for the health guidance of obese students. Methods : Data were collected from 360 students (90 normal weight males, 90 obese males, 90 normal weight females, 90 obese females) using questionnaires about general characteristics, self-efficacy, and health promoting behavior. There were analyzed with descriptive statistics (frequency, percentage, mean, standard deviation), and a x$^2$ test, ANCOVA, and a Pearson's correlation of coefficient at the 0.05 significance level by using the SAS (version 8.01) Win Program. Results : The score of self-efficacy appears that in the case of boys, obese students are significantly lower than their normal weight counterparts (F=25.85, p=<.0001), while in the case of girls there is no significant difference between the two groups (F=.01, p=.9118). The score of health promoting behavior appears that in the case of boys, obese students are significantly lower than their normal weight counterparts (F=28.61, p=<.0001), while in the case of girls there is no significant difference between the two groups (F=1.25, p=.2643). The relation of self-efficacy and health promoting behavior shows a statistically significant correlation in all cases: obese boys (r=.69, p=<.0001), normal weight boys (r=.51, p=<.0001), obese girls (r=.67, p=<.0001), and normal weight girls (r=.49, p=<.0001). Conclusions : An evaluation study needs to see whether a program to encourage the self-efficacy of obese boys can be effective in health promoting behavior or weight control in the long run. As in this study more than half of the obese girls have mild-level obesity, a follow-up study should be conducted to examine the self-efficacy and health promoting behavior between middle or highly obese students and normal weight students.

• Child Health Nursing Research
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• 제23권1호
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• pp.117-125
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• 2017

Purpose: Little is known about the dieting experiences of obese adolescent boys, as the majority of studies on obesity in children and adolescents have included only girls. This qualitative study was designed to explore the ways in which male middle school boys attach subjective meanings to their obese bodies, and experience dieting practices in their everyday lives. Methods: Fifteen obese boys aged 14 to 16 were interviewed via in-depth, face-to-face interviews. All interview data were audiotaped, transcribed, and analyzed using thematic analysis. Results: Having a large build and increased strength that prevented bullying by peers had positive meanings participants attributed to their obese bodies. However, negative meanings existed as well, including feeling heavy and having no physical endurance, having a clammy and odorous body, and being bullied and vulnerable to disease. With respect to dieting experiences, multiple positive and negative subthemes were identified. Conclusion: The findings of this study show the intersection between adolescence and everyday life challenges for obese middle school boys in the Korean culture. Further, recommendations for healthcare professionals include a gender-specific approaches when intervening and planning programs for obese adolescents.

• Child Health Nursing Research
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• 제3권2호
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• pp.219-227
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• 1997

The purpose of this study was to investigate gender differences in behavioral characteristics and their awareness of obese school children. The results were as follows 1. In comparison with eating habits and food preference, the girls had more irregular breakfast and were likely to have vegetables / fruits than the boys. 2. In characteristics related to exercise and activities, boys did more exercise than girls. Particularly, in lunch free time, boys participated in playing various active excercise with friends, but girls participated in more non-active behaviors (such as, chattering, reading, or playing jack-stones). 3. In comparison with their awareness related to obese persons, about a half of boys had positive opinions (e. grong, healthy.), but about only 20% of girls had positive opinions.

• 보건교육건강증진학회지
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• 제15권1호
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• pp.115-131
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• 1998

Understanding average abnormal obese high school students' health awareness and attitude, We analyzed problems affect on this to provide basic data for the school health education in the near future. From March, 1997, covering a month period, We investigated 300 average obese students from each 3 school, both boys and girls, around Taegu area. Followings are the summary. 1) Grouping obesity, 86.6% of boys were abdominal type and 54.0% of girls were lump types. 2) IN physical check-up and serum lipid lab., there were a lot of abnormal students for blood pressure, serum glucose, total cholesterol, high density lipoprotein(HDL), low density lipoprotein(LDL), neutral lipid, the rate of lipid in the body, atherosclerosis index and electrocardiogram (ECG).; Especially, for the rate of Lipid in the body, 100.0% were in the abnormal range. 3) The main reasons of stress were on the physique and grade. Over 50.0% of students get rid of their stress by singing and dancing. 4) 46.7% of boys and 56.0% of girls were satisfied with their desks and 51.3% of boys and 48.0% of girls were satisfied with their chairs.; 70.0% of boys and 78.7% of girls usually felt uncomfortable for their desks and chairs. 5) 100.0% of boys and 98.0% of girls have been educated for obesity.; 53.3% of boys and 50.7% of girls were not interested in whether joining in or not, if ‘Obese school’ is open. 60.7% of boys get information about weight loss from television, while 41.3% of girls get it from all sorts of publications.; Both sexes said eating convenience food is the main reason to be obese. Most frequent disease is high blood pressure.; 30.0% of boys and 31.3% of girls were hypertensives. 6) 84.7% of boys and 78.0% of girls are awake to the seriousness of obesity from their families. 58.7% of boys and 66.0% of girls sometimes have meals with their families. For the boys, 30.0% of them eat fruit and 29.3% eat cookies while 37.3% of girls eat cookies for their snacks. Both 57.3% of boys and 40.0% of girls have a snack once a day and they drink soft drinks frequently. Both 32.0% of boys and 46.7% of girls have midnight meals 1-2times a week. 7) Both 45.3% of boys and 50.0% of girls suddenly gained their weight in the elementary school times. 30.0% of boys exercise 1 hour for a week, while 48.0% of girls don't exercise. For the exercise hour, both 53.3% of boys and 42.0% of girls exercise for 10-30 minutes a time. 59.7% of boys and 82.0% of girls strongly don't trust in the informations on weight loss. Both 74.0% of boys and 75.3% of girls think physical therapy is the most suitable way for obesity care.

• Clinical and Experimental Pediatrics
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• 제54권7호
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• pp.292-297
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• 2011

Purpose: Our study aimed to evaluated sex differences in clinical features of obese high school students. Methods: One hundred three obese high school students (body mass index [BMI]${\geq}$85th percentile) and 51 control students (BMI<85th percentile) were enrolled in this study. Anthropometric measurements were performed. Fasting serum glucose, insulin, aspartate aminotransferase, alanine aminotransferase, total cholesterol, triglyceride, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and high-sensitive C-reactive protein were measured. Abdominal fat thickness, degree of fatty liver, and carotid intima-media thickness were measured by ultrasound. Results: In control and obese groups, waist circumference was significantly longer in boys but body fat mass was Significantly higher in girls. In the control group, total cholesterol and LDL-C were higher in girls. In the obese group, however, aspartate aminotransferase, alanine aminotransferase and triglyceride were higher and HDL-C was lower in boys. Preperitoneal fat thickness was significantly higher in obese girls. In obese group, the degree of fatty liver was significantly higher in boys. Carotid intima-media thickness was not significantly different between boys and girls. Conclusion: Obese adolescents had distinguishable sex differences in body measurements, metabolic abnormalities, abdominal fat thickness and fatty liver. We can infer that these characteristics may extend into adult obesity.

• 대한영양사협회학술지
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• 제17권4호
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• pp.349-363
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• 2011

The purpose of this study was to investigate the nutrient intakes, nutritional knowledge, food habits, and lifestyle behaviors of moderately or severely obese children living in the Kyonggi-do area. The subjects in this study were 37 obese children with an obesity index higher than 130% in the forth to sixth grades of elementary school. Anthropometric measurements, 24-hour recall of dietary intakes, and a survey on nutritional knowledge, food habits, and lifestyles behavior were conducted in the 37 obese children (25 boys and 12 girls). The average age, body weight, BMI, and R$\ddot{o}$hrer Index were 12.4 years, 68.6 kg, $29.6kg/m^2$, and 194.9 in boys and 12.7 years, 65.7 kg, $29.8kg/m^2$, and 201.8 in girls, respectively. The percentage of correct answers on nutritional knowledge and nutritional attitude score/max score were 85.8% and 23.0/50 in boys and 87.0% and 17.5/50 in girls, respectively. Except for calcium (85.3%) in girls and calcium (62.7%) and folic acid (83.3%) in boys, the average daily nutrient intakes percentages of nutrients were greater than the DRIs values (107.9~327.3% in boys and 103.0~416.0% in girls). This study showed the existence of some problems associated with obesity, such as higher frequency of skipping breakfast, irregular meal times, unbalanced diet, lack of intake of some nutrients, low nutritional attitude, lack of physical activity, and time management in obese children. These results suggest that a systematic education program including nutritional education on balanced diet, good eating habits and behaviors, and importance of eating breakfast and meal regularity must be emphasized to improve nutrient intakes and food habits in obese children. Obese children also require a more concentrated program that includes physical activity, weight reduction, and weight maintenance strategies to improve their life habits.

• 대한가정학회지
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• 제46권9호
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• pp.99-112
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• 2008

The increasing rate of obesity in school aged children has become a conspicuous social phenomenon in Korea. This has been linked to greater economic growth, increasingly westernized dietary habits, and a consumer driven society. Given that obesity can lead to social exclusion or unfavorable attention by other students in a school setting, the design of plus-size garments have become important for effective appearance management skills. This research aimed to establish a somatotype database for obese school boys, aged 10 to 12, in order to develop a sizing system for plus-size upper garments. In order to measure somatotype of average and obese school boys, five categories were recorded; height, obesity, length of trunk, thickness of neck and chest. For obese boys, subcutaneous fat thickness and position of B.P/shoulder point factors were recorded. Obesity factor was subdivided into overall and specific ones, and while the deviation of obese body types was severe compared to the average type. Obese body type showed significantly higher measurements in width, girth, thickness. This is linked to the fact that the frequency ratio of obesity increases with age. Stature and chest were chosen as control dimensions for boys' wear. As crosstabulation of stature(5cm interval) and chest girth(2, 3 and 4cm), and stature(5cm interval)/chest girth(3cm interval) sizing system showed, the most effective cover ratio and adaptability to the data distribution $25{\sim}75$ quartile. Based on the findings, 10 sizes were formulated for average body type, while 18 sizes were formulated for obese type, whose size cover ratios were 48% and 62.9%, respectively. The primary ranges of stature were $145cm{\sim}150cm$, while those of chest girth were $79{\sim}82cm$. Each size was declared as "chest-somatotype{A(average)/O(obesity)-stature". This study proposed a plus-size upper garment sizing systems for obese boys, accompanied with reference measurements for suit, casual wear and underwear. The finding showed that the two systems were totally separate and not overlapping, meaning that plus-size sizing system is essential for obese school boys. The obesity type system had more size and wider range specs.

• 지역사회간호학회지
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• 제19권4호
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• pp.587-599
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• 2008

Purpose: The purpose of this study is to compare the differences between obese and non-obese students in sedentary leisure-time activities. Methods: The survey was performed with 725 students from 3 different middle schools in Kyeonggi-do. In order to measure the degree of obesity. used are BMI and "2007 Korea Children and Adolescents' Average Scale". With regard to the leisure activities. YRBS and "youth Behavior Risk Factor Surveillance" were referred. Results: The rate of boys' overweight was 18.0% and that of girls was 11.8%. Students watching TV 3hours+/day were 16.6% for boys and 30.6% for girls during weekday. Respective values for weekend were 56.8% and 71.4%. Students using computer 3hours+/day were both 14.5% for boys and girls during weekday. and 53.7% for boys and 36.7% for girls during weekend. 14.9% of boys and 21.2% of girls didn't participate in vigorous physical activities and 5.9% for boys and 11.2% for girls didn't participate in moderate physical activities. The differences between obese and non-obese students in sedentary activities were not significant. However. the difference in leisure-time activity was significant. Conclusion: The programs for prevention and management of adolescents' obesity have to be focused on reducing their sedentary activities and improving physical activities.