• The Journal of Pediatrics of Korean Medicine
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• v.21 no.3
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• pp.157-176
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• 2007

Objectives The relationships between adolescent depression and obesity, life style has been reported, but usually study results were not consistent with the study before. This study was designed to evaluate clear relationship between obesity and depressive trends, life styles in middle school students. Methods The study participants were the 1th, 2th grade students from one middle school in Kang dong Gu, Seoul(479 Students). The participants were measured their height and weight, and they were also surveyed by questionnaire. We diagnosed the students as depressives when they scored 10 points or above on Children's Depression Inventory(CDI) of Kovacs and Beck. Results The mean depression score in the obese group was significantly higher than that of the normal body weight group, and the more severely obese the group was, the higher the depression scores for this group were. The depression score of the boys obese group was higher than the girls obese group. The depression score was significantly higher in the obese group of people who hate to do exercising, like computer games and like watching TV instead, than in the group of people who like to do exercising and don't play computer games. Conclusions This study showed that depressive mood during adolescent was related to obesity and obesity-related lifestyles.

• Journal of Nutrition and Health
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• v.37 no.2
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• pp.123-131
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• 2004

This study was carried out to identify dietary risk factors for childhood obesity. The study subjects were male children, aged 2-6years, who were enrolled in nursery schools and kindergartens. We obtained anthropometric measurements from 949 boys and dietary questionnaires from 253 boys. The subjects were classified into two groups using the BMI criteria, normal (n=200) group with the BMI below 85th percentile and the obese group with the BMI at 85th percentile and above (n=53). The logistic regression analysis showed that the odds ratios (OR) for obesity were, birth weight greater than 4.0㎏ (3.27) , increased meal speed (4.98) , the frequency of overeating more than twice a week (2.63), the consumption of cooked rice more than one bowl per meal (2.77), the consumption of milk and dairy products less than 5 times a week (2.81), and increased maternal meal speed (1.98). Stepwise multiple logistic regression analyses showed that the variables which contribute to obesity significantly were birth weight greater than 4.0 ㎏ (OR 5.19), the frequency of overeating more than twice a week (OR 2.51) , the consumption of cooked rice more than one bowl per meal (OR 2.74), and the consumption of milk and dairy products less than 5 times a week (OR 4.43) (p＜0.0001) . The results of this study indicate that dietary habits of both children and of their mothers as well as child's birth weight are important variables that contribute to childhood obesity. (Korean J Nutrition 37(2): 123-131, 2004)

• Korean Journal of Community Nutrition
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• v.2 no.2
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• pp.197-205
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• 1997

This study was conducted to investigate adolescents' body size and their concerns and perceptions about body image. Group means of heights and weights were 171.5cm and 60.3kg for boys and 159.3cm and 52.3Kg for girls. Body Mass Index(BMI) of the subjects were 20.5 for boys and 20.6 for girls. Only 11.5$\%$ of subjects were overweight or obese, however 42.5% of subjects had experienced weight control, and the main reason for weight control was to lose weight(80.6$\%$). In concern for body image and frequency of eating distrubance ; females had more concern than males, the group who had attempted weight control had more concern than those who had not, and the group who were overweight had more concern than those who were under and normal weight. In perception about body image, using a set of nine figure drawings arranged from very thin to very heavy figures, subjects rated their current figure, considered figure(how they appeared to others), ideal figure, and attractive figure. For boys, the current, ideal, and most attractive figures were almost identical, but for girls, the ideal figure was significantly thinner than current figure and attractive figure was significantly thinner than current figure. The greater the preference for thinner figure as idal and attractive figure, the higher the concern for body image and frequency of eating distrubance. Thus it seems that a distorted perception of ideal body size affects adolescents' concern for body image and eating behaviors.

• Journal of the Korean Dietetic Association
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• v.7 no.4
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• pp.331-348
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• 2001

The purpose of this study was to obtain basic data for nutrition education of the children in a health promoting elementry school. The data was collected by a questionaire of food habits, and anthropometric measurement and biochemical test in comparison with obesity index. The study subjects were boys and girls aged 10 to 12 years who participated in the “99 Children Nutrition Camp”. The average obesity index was 1.7$\pm$21.6% in boys and -11.4$\pm$12.6% in girls. After school, major leisure items were significnatly different by gender but both boys and girls played mainly computer game. In concern for body image and eating habits, girls had more concern and girls had attempted weight control more than boys. 80.2% of subjects had prejudice for special food, especially, all subjects in the severely underweight group had prejudice. But this tendency was significantly decreased with the increasing obesity index. The lowest preferency was for vegetables(64.4%). The tendency of prejudice of subjects was higher whose mother are thirties than those of subjects whose mother are in fourties. The serum GOT and GPT values were significantly higher in overweight and obese group than the other groups. The only serum T-chol was significantly higher in boys than in girls. The number of risk factors related to coronary heart disease(CHD) based on coresponding criteria of TG, T-chol, HDL-chol, and LDL-chol was not increased significantly with the degree of obesity index. The results indicated the need of nutritional management for the children. At a point of view, to educate children early who are able to change food habits and life-styles means to help heathy growth and to deliver up heathy adults. Active nutrition education for both children and mothers will be recommended with joint participation of nutritionists in community public health center and elementary school.

• Journal of the Korean Society of Food Culture
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• v.34 no.3
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• pp.316-324
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• 2019

The purpose of this study was to investigate dietary behavior and nutritional knowledge related to sodium intake in high school students. A questionnaire survey was conducted in 400 high school students (200 boys) in Incheon, Korea. Survey data were analyzed according to gender and degree of obesity. The distribution of the degree of obesity was the highest in 231 normal weight individuals (57.8%), followed by 89 underweight (22.3%), 41 overweight (10.3%), and 39 obese (9.8%). The sodium-related undesirable dietary behavior score was 2.9 points out of 5 points. The detailed dietary behavior scores of 'I eat kimchi when I eat instant noodles or noodles' and 'I like dried fish with salt' were significantly higher in boys than in girls (p<0.05). It was found that boys consumed more frequently high sodium foods, such as pizza, hamburger, and hotdog than girls. According to the degree of obesity, the underweight group consumed more kimchi fried rice and potato chips frequently than the other groups (p<0.05). Preference for salty taste was not significantly different among the groups by gender and degree of obesity. Sodium-related nutritional knowledge score was 5.3 points out of 10 and which was significantly higher in girls or normal weight group than in boys or obesity group. These results suggest that nutritional education on sodium intake is needed because the nutritional knowledge of adolescents is relatively low. Moreover, intensive nutritional guidance is required, especially in boys or adolescents with undesirable degree of obesity.

• Journal of Nutrition and Health
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• v.35 no.1
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• pp.60-68
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• 2002

Purpose of this study was to compare serum phospholipid fatty acid composition of obese children with that of normal weight children reside in Kangnung area. Subjects were consisted of 56(41 boys and 15 girls) moderately or severely obese elementary school children, and age and sex-matched normal weight children as a control group. Level of serum phospholipid fatty acids was measured by thin layer chromatography(TLC) followed by gas chromatography(GLC). for male subjects, serum triglyceride(121 $\pm$ 4.7mg/dl) and total cholesterol(180 $\pm$ 37.1mg/dl) concentrations were significantly(p < 0.05) higher in obese group than those for control group(81.5 $\pm$ 2.5mg/dl and 161 $\pm$ 32.0mg/dl, respectively). Obese group showed significantly higher percentage of serum phospholipid myristic acid(C14:0) than the value for control group in both male and female subjects. Obese male subjects had significantly higher percentages of palmitoleic acid(16 : 1), oleic acid(18 : 1), dihomo-${\gamma}$-linoleic acid(20 : 3, $\omega$6) and docosatetraenoic acid(22 : 4, $\omega$6), and lower percentages of eicosenoic acid(20 : 1, $\omega$6), docosapentaenoic acid(22 : 5, $\omega$6), EPA(22 : 5, $\omega$3) and DHA (22 : 6, $\omega$3) compared to values for control male subjects. For male subjects, obese group showed significantly higher ratios of 16 : 1($\omega$9)/16 : 0 and 18 : 1($\omega$9)/18 : 0, and significantly lower ratios of 22 : 5($\omega$6)/22 4($\omega$6), and 22 : 6($\omega$3)/22 : 5($\omega$3) compacted to values for the control group. But there was not significant differences in elongation and desaturation indices of serum phospholipids fatty acid metabolism between obese and control group in female subjects. Most of anthropometric measurements related to obesity were negatively correlated with the percentages of PUFA, $\omega$3 fatty acids or DHA(22 : 6, $\omega$3), and positively correlated with the percentage of myristic acid(14 : 0) or $\omega$6/$\omega$3 ratio in serum phospholipids. Serum triglyceride concentration was negatively correlated with the percentage of PUFA or $\omega$3 fatty acids, and positively correlated with $\omega$6/$\omega$3 ratio in serum phospholipids. These results indicate that obesity related changes in blood lipid levels and metabolism are more significant in male subjects than in female subjects. Also changes in serum phospholipid fatty acid composition observed in obese children appear to demonstrate the increased susceptibility of these children to cardiovascular disease and other related chronic diseases.

• Korean Journal of Community Nutrition
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• v.6 no.1
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• pp.16-27
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• 2001

The purpose of this study is to determine the prevalence of obesity and to examine the eating habits of elementary school students in Iksan dity. The study was carried out on 292 students(male: 151, female : 141)in May of 1997. The average height and weight of the subjects were 141 cm and 37kg in males and 142 cm and 36kg in females, which were similar to the average of Chonbuk. A Weight/Length Index(WLI), Broca Index, Rohrer Index(RI), Body Mass Index(BMI) and Waist Hip Ratio(WHR) were used as an obesity index to classify degree of obesity. WLI, Broca Index and RI were proper for judging child obesity and strict judgments were conducted in the order of RI, WLI and Brcoa Index. The subjects were classified as 30.8% underweight, 43.5% normal, 8.2% overweight and 17.5% obese by WLI and there were significant differences between height(p＜0.05) and weight(p＜0.01) according to obesity degree among the four groups. 50.3% of the boys and 55.3% of the girls are regularly, and the main reason they didn＇t ate regularly, and the maim reason they didn＇t eat breakfast(78.4%) was due to lack of time. The frequency of snacks were 1-2 times a week(40.4%), fruits(40.4%) from market and supermarket(68.2%). According to the survey 84.6%, 77.45, 78.1%, 69.9%, 59.9% and 86.6% of subjects didn＇t eat meat, fish, soysauce, instant food, sugar and seaweed respectively. Seaweed, meat, and soysauce showed low preferences. 69.5% and 74.75 of the subjects drink milk and ate kimchi respectively. By analyzing eating habits according to the degree of obesity, the rate of skipping breakfast(p＜0.01), and eating meat or fish(p＜0.05) were high in the overweight and obese groups of girls. In the boys case, the rate of not eating food in sugar(p＜0.05) was high in the obese group. Obese children need to correct their eating habit. This reasserts the importance of nutrition education in children though teachers, parents, and dietitions. The findings of this study may be applied to nutrition education to ensure better physical fitness for children.

• The Journal of the Korea Contents Association
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• v.13 no.3
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• pp.218-228
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• 2013

The objective of this study was to investigate the prevalence rate and correlates of weight control behaviors among adolescents in Korea. We analyzed data on 37,472 adolescents aged 12-18 years from the 2011 7th Korea Youth Risk Behavior web-based Survey. The results of this study was as following. First, the prevalence rate of healthy, unhealthy and extreme weight control behaviors was significantly higher in girls than in boys. Second, in both genders, healthy and unhealthy weight control behaviors were more common among obese adolescents than non-obese adolescents. But, use of diet pills were not prescription by doctor was more common in underweight boys and obese girls than others. Third, gender, school, family affluence scale, mother's education level, body shape perception(BSP), weight status predicted prevalence rate of healthy weight control behaviors. Gender, school, region, father's education level, BSP predicted prevalence rate of unhealthy weight control behaviors. Gender, school, BSP, weight status predicted prevalence rate of extreme weight control behaviors. These findings suggest the needs to design appropriate prevention program that can induce healthy weight control behaviors.

• The Korean Journal of Emergency Medical Services
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• v.12 no.1
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• pp.53-67
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• 2008

Purpose : This study is descriptive correlation research to provide basic materials for developing program which can give practical assistance in preventing and managing obesity through more comprehensive approaches of influential factors on obesity found in existing literatures. Methods : Data were collected from the 4th, 5th and 6th graders at 2 elementary schools in Gwangju Metropolitan City and 4 elementary schools in Jeollanamdo province using questionnaire and students' physical examination results from June 15 to July 27, 2006 and data obtained from 1,866 students were used for analysis. Data collected were analyzed with technical statistics and correlation analysis using SPSS/PC(version 12.0). Results : 1. Obesity level of elementary school students was examined as follows; 33.2% had low weight, 44.3% normal, 10.8% overweight and 11.7% obese. 14.8% of boys and 8.6% of girls, 13.5% of the 4th graders, 12.1% of the 5th graders and 9.2% of the 6th graders, and 13.7% of urban students and 9.6% of rural students were obese. 2. According to general characteristics and obesity of the subjects, there were significant differences by sex(${\chi}^2=29.55$, p= .000), grade(${\chi}^2=12.84$, p= .046), region(${\chi}^2=41.96$, p= .000) and pocket money(${\chi}^2=33.43$, p= .001). 3. As genetic factors, all variables including sibling's obesity r= .128(p= .000), mother's obesity r= .098(p= .000) and father's obesity r= .081(p= .001) had influence on children's obesity. 4. Concerning environmental factors, there was positive correlation between eating habits r=- .052(p= .02) and school record r=- .048(p= .04) and there was negative correlation between internet using time r= .050(p= .03) and conflict with parents r= .048(p= .04). 5. Self-respect as psychological factor had negative correlation as r=- .048(p= .04). Conclusion : Consequently, the influential factors on obesity of elementary school students were as follows. Obesity was higher in boys than in girls, in urban areas than in rural areas, in lower grade than in higher grade, in children with obese siblings, obese father and mother, irregular and wrong eating habits, frequent internet uses, parents in conflict and lower school record and self-respect. Therefore, since it was found that these variables were more exact causes to increase children's obesity, development of various obesity mediation programs considering these variables at home, school and society is urgently required.

• Journal of Korean Home Economics Education Association
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• v.21 no.2
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• pp.1-22
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• 2009

This study was to investigate of body perception, attitude on weight-control and self-esteem according to the weight group of high school students. Using the questionnaires taken by 777 first grade students in six high schools in Daegu, this study was conducted from August 20th to September 10th in 2007. Statistical data analysis were completed using the SPSS 12.0 program. The results of this study were as follows : First, girls are more interested in weight-control than boys, especially about obesity. As a result, they try to control their weight to lose weight in high school days with the right perception of weight. They also have good knowledge about weight-control and cut down the food intake. We need to study more about the reason why the self-esteem of girls' obesity group is high. Second, most of the boys controled weight for their health and they did exercise to lose weight and they are more satisfied with the result of weight-control and self-esteem than girls. About the body type, boys got affected by friends, and girls by TV. In boys' case, as the BMI is low and the difference between their present weight and ideal weight is small, they are more satisfied with the result of weight-control and prefer physical activities. In girls' case, as the BMI is low and their satisfaction with the weight-control result is high, they have good eating habit and high self-esteem. Third, compared with the weight group and their self-esteem, in boys' case, low-weight boys are high when they do physical activities more than 20 minutes, whereas when the normal-weights and over-weights are satisfied with their weight-control result, and the obese have good eating habit, it is high. In girls' case, the self-esteem is high when the normal-weights are satisfied with their weight-control result and over-weights prefer physical activities and the obese are interested in weight-control. Especially, the obese girls group show high self-esteem when they have interest in weight-control.