• 한국식생활문화학회지
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• 제18권4호
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• pp.396-405
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• 2003

The purpose of this study was to investigate the changes of obesity and depression level of obese children on body weight control program. The body weight control program included nutrition education, psychotherapy and exercise for weekly session during 9 months. The results from this study were as follows. A total of 27 obese children participated in this study. The average age of children was 11.7 years, 70% of children had regular exercise. Average exercise time was 1.2 hours and watching television time was 1.8 hours. Children's serum composition were within normal ranges. Rohrer index(RI) was significantly decreased to 163 from 167(p<0.001) and BMI was significantly decreased to 23.9 from 24.5(p<0.01) after body weight control program. There was not significant difference in depression score after body weight control program and there was not significant correlation between obesity and depression level. The response tendency of depression items indicated obese children had negative depression feelings and couldn't have hopeful mind to the future. But there were significant increase(p<0.05) in depression and hopeful mind in factor analysis. The suggestion and limitations of this study were discussed. These results suggest that body weight control program including nutrition education, exercise and psychotherapy may be effective for helping obese children.

• 한국보건간호학회지
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• 제33권1호
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• pp.73-84
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• 2019

Purpose: This study was conducted to differentiate the factors associated with the BMI group of adolescents between rural and urban areas, and provide baseline data in the development of health education programs considering their personal and environmental characteristics. Methods: Secondary data analysis was performed using the data from an on-line survey of the 9th adolescence behavioral health in 2013. The instruments included general, behavioral, and psychosocial characteristics. This study was a cross-sectional survey conducted with 26,513 adolescents. The data were analyzed using a t-test, two-way ANOVA, and multinomial logistic regression analysis. Results: Significant differences in the prevalence of obesity between urban and rural areas were nated and rural areas exhibited a higher prevalence of obese adolescents (p<0.05). The factors associated with the BMI group were the mothers' education level (low) and lower age of adolescents (middle school) in rural areas, wherase those for urban areas were gender (boys) and the fathers' education level (low) (p<0.05). Conclusion: Because there was a significant difference in the prevalence of obesity between rural and urban areas, it is necessary to develop a tailored education program considering the regional and environmental characteristics that the adolescents belonged to in order to prevent and control adolescent obesity.

• Journal of Community Nutrition
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• 제1권1호
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• pp.10-15
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• 1999

This study was undertaken with 542 fifth-grade elementary school children to investigate the characteristics in lifestyle, eating habits, food preferences of overweight and obese children in the Pocheon area of Korea. Anthropometry was conducted to determine obesity, and data was obtained on lifestyle, eating habits and food preferences by using questionnaires. The prevalence rate of obesity was 19.5% for boys and 8.5% for girls, and 14.3% of boys and 14.4% of girls were overweight. No significant differences was found in the body size and education years of parents, family income and the empolymental status of mother. Boys did not show any significant difference between subgroups in lifestyle, eating habits and food preferences. Obese girls watched TV longer and liked physical education less than normal and overweight groups, suggesting that an inactive lifestyle can be related to girls' obesity in this study. Overweight girls answered that they had significantly lower preferences for empty-calorie foods such as candies/caramels and cookies as well as high-fat foods such as samgyupsal(pork belly) than normal weight girls, implicating the fear of obesity for overweight girls, although more studies should be done including an assessment of actual intake of these foods. The preferences of obese girls for these foods were not higher than those of normal-weight girls, suggesting that the preference for certain foods may not be the characteristic of obese girls in this study. A special program for nutritional education with a different focus should be developed to combat the problems of each subgroup depending on gender and obesity status to improve the physical fitness of the children in this area.

• Preventive Nutrition and Food Science
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• 제14권2호
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• pp.116-122
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• 2009

The principal objective of this study was to assess the weight control behavior, body shape satisfaction, and obesity stress depending on the degree of obesity in college students who applied for a weight control program. The average BMI of the participants was $21.4\;kg/m^2$ which was in the normal range, and 76.3% of the participants were of normal body weight. Ideal BMI in this participant was $18.1\;kg/m^2$, which is in the underweight range. In terms of body perception, participants generally overestimated their body weight. The overweight and normal weight groups were less satisfied with their body shape than was the underweight group. The overweight group also expressed fears of showing their bodies to others. Additionally, the overweight and normal groups exhibited higher obesity stress than the underweight group. 97.0% of participants were interested in weight control as a way to improve their appearance. They usually obtained their weight control information from the internet and mass media. More than 80% of participants had weight control experience, having undergone weight control attempts for duration of less than a month. However, after the discontinuation of weight control efforts, these participants regained the weight. As a consequence, they were generally unsatisfied with the outcomes of weight control programs. This study demonstrated that the college women who had applied for the weight control program were unsatisfied with their body shape owing to distorted notions of the ideal body shape, and these women had generally undertaken frequent efforts to control their body weights. These results underline the importance of educating college-aged women on proper body perception and the maintenance of healthy body weight and shape.

• Nutrition Research and Practice
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• 제7권5호
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• pp.400-408
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• 2013

Obesity may be the consequence of various environmental or genetic factors, which may be highly correlated with each other. We aimed to examine whether grandmaternal and maternal obesity and environmental risk factors are related to obesity in daughters. Daughters (n = 182) recruited from female students, their mothers (n = 147) and their grandmothers (n = 67) were included in this study. Multivariable logistic regression was used to analyze the association between the daughter's obesity and maternal, grandmaternal, and environmental factors. Maternal heights of 161-175cm (OD: 8.48, 95% CI: 3.61-19.93) and 156-160 cm (2.37, 1.14-4.91) showed positive associations with a higher height of daughter, compared to those of 149-155 cm. Mothers receiving a university or a higher education had a significant OR (3.82, 1.27-11.50) for a higher height of daughter compared to those having a low education (elementary school). Mother having the heaviest weight at current time (59-80 kg, 3.78, 1.73-8.28) and the heaviest weight at 20 years of age (51-65 kg, 3.17, 1.53-6.55) had significant associations with a higher height of daughters, compared to those having the lightest weight at the same times. There was no association between the height, weight, and BMI of daughters and the characteristics and education of her grandmothers. In conclusion, although genetic factors appear to influence the daughter's height more than environmental factors, the daughter's weight appears to be more strongly associated with individual factors than the genetic factors.

• 보건교육건강증진학회지
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• 제25권2호
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• pp.61-72
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• 2008

Objectives: This study was conducted to examine the relationships among body image, self-esteem and sociability according to perception of body shape and obesity level. Methods: The subjects in this study were 325 elementary school youngsters in their sixth year. A survey was conducted, and one-way ANOVA, Scheffe test, Pearson's correlation analysis and path analysis were used for data analysis. Results: Normal weight group accounted for 43.4%, under weight group 34.8% and obesity group 21.8%. In underweight group, 53.1% of the subjects perceived their body was normal or fatty while 17% of subjects in normal group perceived their body was fatty. There were significant differences in body image according to the perception of body shape by grade(F=15.90, p=.000) and to the level of obesity(F=6.18, p=.002). There was a significant difference in self-esteem according to the perception of body shape by grade(F=3.17, p=.430). There was a significant difference in sociability according to the level of obesity(F=3.48, p=.032). There was significantly strong positive correlation among their body image, self-esteem and sociability. A structural equation model was tested and fitted the data well. Conclusions: This study suggested that health education is needed to establish the correct body image from the elementary school periods by school health educators. The right body image is more important than anything else to improve self-esteem and sociability.

• 한국식생활문화학회지
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• 제34권3호
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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.

• 대한영양사협회학술지
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• 제29권4호
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• pp.199-210
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• 2023

This study was undertaken to analyze the growth, nutritional, and dietary risk factors of elementary school students belonging to the Busan Metropolitan City Office of Education and provide the basic data needed to develop an underweight and obesity prevention program. In 2021, BMI and Dietary Screening Test (DST) data of 4,046 children surveyed by the Nutrition Education Experience Center's "Diagnosis System" of the Busan Regional Office of Education were analyzed. The DST consists of 36 questions about lifestyle habits, meal quality, meal regularity, snack quality, and eating behavior. Of the children included, 6.8% were underweight, 65.4% were normal weight, 13.4% were overweight, and 14.4% were obese. Children in the obesity group had shorter sleep and meal times (P<0.001), lower vegetable and fruit consumption frequencies (P<0.001), higher fast food consumption frequencies (P<0.001), higher rates of skipping meals (P<0.01) and breakfast (P<0.001), and more frequently used smartphones and watched TV during meals (P<0.001). The underweight group had the highest scores for all eating development factors but more frequently had chewing and swallowing difficulties (P<0.001). The study confirms underweightedness and obesity are present different problems and indicates that nutrition teachers should conduct accurate studies on the eating habits and behaviors of obese and underweight students and provide individually tailored nutritional counseling.

• 한국학교보건학회지
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• 제27권2호
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• pp.80-89
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• 2014

Purpose: The purpose of this study is to analyze the correlation between obesity stress, self-esteem, and adaptation to school life according to body mass index of elementary school students in higher grades and to provide basic data for the development of health education programs. Methods: A convenience sampling method was used to select four elementary schools. Self-reporting questionnaires were distributed to the subjects to collect data, which were then analyzed using the SPSS 18.0 program. Results: The higher the obesity index, the more obesity stress the students experienced. Second, the lower the level of obesity, the higher both self-esteem and the level of adjustment to school life were. There was a meaningful correlation between obesity stress, self-esteem, and adjustment to school life. Conclusion: The study results are expected to be useful in serving as a basic material for the development of programs that can improve students' adjustment to school life and self-esteem while reducing their stress caused by obesity.

• Journal of Preventive Medicine and Public Health
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• 제54권3호
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• pp.208-217
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• 2021

Objectives: In spite of the importance of green space for reducing obesity-related problems, there has been little exploration of whether access to green space (e.g., parks and recreational facilities) influences the obesity rate of adults in the United States. The purpose of the study was to investigate the relationships among accessibility of green space, obesity rates, and socioeconomic and demographic variables among adults living in the State of Indiana, United States. Methods: We conducted a secondary data analysis to investigate the relationships among accessibility to green space, obesity rates, and socio-demographic variables with employing Geographic Information System in order to measure the accessibility of green space. Results: This study found that accessibility of green space served as a strong predictor of reduced obesity rates among adults (β=-2.478; p<0.10). In addition, adults with higher education levels, as well as better access to green space, were found to have even lower obesity rates (β=-0.188; p<0.05). Other control variables such as unemployment rates, food security, and physical inactivity are additional factors that influence obesity rates among adults. Conclusions: Accessibility of green space may play an important role in facilitating physical activity participation and reducing obesity rates.