• Korean Journal of Health Education and Promotion
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• v.9 no.1
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• pp.88-102
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• 1992

The exact estimation of physical growth by Obesity level has important meaning to the health care and evaluation on adolescent girls. So this study tried to clear the relationship between weight and body fat by using data for the height, weight of 124 elementary school children and high school student in Seoul. Then this study tried to show the physical growth pattern and various characteristics by Obesity level by using longitudinal for the height, weight of 1113 high school students in Seoul, and it also tried to show what influencing factors on the physical growth of this aged population. The result could be summarized as follows. 1. The relationship between weight and body fat(%) has 0.81475(r) at age 9 and 0.69361(r) at age 18. Also the relationship between weight and lean body muscle(LBM %) has -0.81470(r) at age 9 and -0.64729(r) at age 18. 2. The weakness, normal and obesity groups were classified by Obesity level. In case of weakness group showed the very low Obesity level at age 8 to 11, in case of obesity group showed the high Obesity level at age 15 to 18. Also Rohrer index was decreasing tendency up to age 12 in weakness group and increasing tendency over age 14 in obesity group. 3. When the height and weight growth pattern was compared, height growth was superior to weight growth at age 9 to 14.5 in normal group. But weight growth was inferior to height growth at age 9 to 14.5 in normal group. In obesity group, weight growth was superior to height growth at age 7 to 18. On the other hand the height growth of weakness group was superior to the normal group and the obesity group except age 11 to 12. 4. On height velocity curve by PHV age obesity group showed the most growth amount per year(9.00Cm/yr), and the next is normal group(8.77Cm/yr), weakness group(8.70Cm/yr). Then the difference between PHV age and PWV age was within 1 year in these three groups. 5. In these three groups, height velocity curve by menarcheal age showed the PHV before 2~3 years of menarcheal age. And weight velocity curve by menarcheal age showed the remarkable PWV before 1 year of menarcheal age.

• The Journal of Korean Society for School & Community Health Education
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• v.9 no.1
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• pp.47-61
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• 2008

Objectives: This study examined to explain the practical health behaviour and health-related quality of life, and their influencing factors in high school students. Methods: Total of 718 high school students from 1 school in Seoul were assessed with a self-administered questionnaire regarding general characteristics, health related characteristics, obesity index(Height and weight calculated by using the relative weight law: obesity group>20%, overweight group $10{\sim}20%$, normal weight group $-10{\sim}10%$, under weight group <-10%), health behaviour in school-aged children(eating, exercise and weight control) and health-related quality of life(PedsQLTM4.0 Generic Core Scale: physical health, emotional functioning, social functioning, school functioning). Results: Major results were as follows. 1. The rate of obesity by obesity index was 5.3% of high school students. Obesity incidence in adolescents was mainly associated with gender and parents whether obesity. 2. Perceived health status was lower in obese adolescents than in normal adolescents. 3. The rate of miss a breakfast was 37.9%, and obesity group than normal weight group were fruits, vegetables and milk intake at least, a lot of fastfood intake. During the past week, followed by intense physical activity, and overweight consumed a lot of time for TV and the Internet. Overall, under weight group and normal weight group belong to the students evaluated fatter than themselves. Weight control for weight loss, gain and maintain was grater in obesity group than in normal weight group. Weight loss showed highest scores in overweight group which appeared significant difference. 4. Obese adolescents compared with other groups, reported lower total QOL score and all QOL in domain, and especially social functioning showed significant differences. 5. Factors influencing the adolescents's QOL were found to be gender, perceived health status and exercise. Conclusions: High school girls were aware of their bad health status and likely to improve the QOL by practicing health behaviour. But obese adolescents were likely to degrade the quality of life by reducing the practice of health behaviors. So further school-based education about proper practical health behaviors and obesity prevention is necessary.

• Journal of Korean Public Health Nursing
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• v.19 no.1
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• pp.5-17
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• 2005

This research was conducted to determine the actual condition of obesity and obese students' total cholesterol. blood glucose and blood pressure, and to analyze the relationship between the obesity rate and total cholesterol. blood glucose and blood pressure among the students at 7 middle schools in A city in Kyoung ki-do. The results were as follows: 1. Among 12,148 student participants in this investigation. students of normal weight range were $91.5\%$ and obese students were $8.5\%$, breaking down to mildly obese of $4.3\%$ $(boys,\;5.4\%;\;girls,\;3.0\%)$. moderately obese of $3.4\% (boys,\;4.6\%;\;girls,\;2.1\%)$ and severely obese of $0.7\%(boys,\;0.9\%;\;girls,\;0.5\%)$, The gender difference was statistically significant $(x^2=111.5830. p=.0001). 2. To analyze the 1.027 obese students. the average of total cholesterol was 166.9mg/dl, 171.0mg/dl and 182.1mg/dl in the mild, moderate and severe obesity groups, respectively. The results became more significant with increasing obesity rate (F=10.06, p=.0001). The average of systolic blood pressure (SBP) was 121.9mmHg, 123.2mm, and 127.5mm, respectively. The results became more significant with increasing obesity rate (F=6.29, p=.0019). The average of diastolic blood pressure (DBP) was 74.4mmHg. 76.0mmHg. and 78.4mmHg, respectively. The results became more significant with increasing obesity rate (F=8.15. p=.0003). The average of blood glucose was 83.3mg/dl, 84.5mg/dl, and 82.3mg/dl, respectively. There was no significant difference with obesity rate. 3. There were significant correlations between obesity rate and cholesterol(r=.11288, p=.0003), between obesity rate and DBP(r=.14209, p=.000l). and between obesity rate and SBP(r=.14081. p=.0001). However, there was no significant correlation between obesity rate and blood glucose (r=.00655, p=.8339).

• Korean Journal of Community Nutrition
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• v.28 no.5
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• pp.363-375
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• 2023

Objectives: The objective of this study was to identify factors associated with adolescent obesity, as well as any new factors that correlated with a change in the rate of obesity over time. Methods: The study used 5-yearly data collected by the Korea Youth Risk Behavior Survey starting from the year 2006 up until 2021 (data from 2nd, 7th, 11th, and 17th surveys were analyzed). Factors such as demographics, dietary factors, health behavioral factors, and mental health factors were studied. All data were analyzed using IBM SPSS 27.0, employing chi-square tests and multiple logistic regression analysis. Results: This study included data from a total of 255,200 participants. Factors contributing to obesity varied with time. Over the survey duration of 15 years, low academic achievement, parents with low levels of education, low frequency of fruit consumption, low frequency of fast food intake, long periods of being seated, and high levels of stress were significantly associated with a high rate of obesity. Factors that showed a new correlation with an increase in obesity rates included living with single parents, low frequency of muscle strengthening exercises, and experiencing intense sadness and despair in the past year. Factors that were correlated with a change in obesity rates over time included household economic status, frequency of carbonated beverage consumption, frequency of intense physical activity, and frequency of alcohol consumption. Breakfast intake and smoking were not significantly associated with obesity rates in the 15-year period. Conclusions: While several factors associated with obesity remained consistent over time, several new factors have emerged in response to social, economic, and environmental changes contributed to a change in obesity rate over time. Therefore, to prevent and manage adolescent obesity, continuous research into the new emergent factors contributing to obesity is needed.

• Journal of the Korean Home Economics Association
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• v.47 no.4
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• pp.49-59
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• 2009

he purpose of this study was to investigate the effect of body weight and body image perception on body image satisfaction of female junior high school students in Seoul. We further examined if body image satisfaction was related to obesity stress, weight control attitudes. From the 327 students surveyed, 6.1% were overweight and 38.8% of subjects were underweight. Over half of the subjects (54.4%) considered themselves to be more fat than their actual body shape. This manifested itself in low body satisfaction. Subjects less satisfied with their body shape suffered from high stress about obesity, were much more interested in weight control programs, and had more experience in weight control attempts. Among the subjects with low body image satisfaction, 25.7 % of them had eating disorder. It is our suggestion that school curriculum should include proper nutritional programmes to help students correctly recognize their body shape and to maintain healthy weight.

• Journal of Nutrition and Health
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• v.37 no.6
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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.

• Journal of Nutrition and Health
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• v.38 no.8
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• pp.672-681
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• 2005

Metabolic syndrome (MS) was defined as condition in which the subjects have two or more abnormalities among obesity, hyperlipidemia, hypertension and hyperglycemia. To develop a nutritional education program for MS, this study was performed to compare the dietary habits and nutrients intake of complex symptoms of MS with obesity or hyper-glycemia. The participants in this study were 84 normal adults,62 MS with obesity, 33 MS with hyperglycemia and 54 MS with obesity and hyperglycemia (OB + HG). A dietary survey was conducted using 24-hour recall method. Total cholesterol level of MS with obesity group was significantly higher than other groups. WHR and systolic blood pressure showed no significant difference among MS with obesity, hyperglycemia and OB+HG groups. Dietary intakes of energy, Fe, Vit A, Vit $B_2$ and Ca were less than $75\%$ of 7th Korean RDA in the all groups. Especially, dietary intakes of Vit $B_2$, Vit A and Ca were less than $50\%$ of RDA in MS with hyperglycemia and OB+HG groups. The other nutrient intakes of each group were also below the RDA level except for P, Vit C. It appeared that most of the nutrient intakes in MS with hyperglycemia and OB + HG groups were significantly lower than normal group. In MS with obesity group, each consumption of sweet, organ meat and soup was higher than other groups. Each consumption of garlic and onion in MS with obesity, hyperglycemia and OB + HG groups was lower than normal group. Also, each consumption of soup in MS with hyperglycemia and OB + HG groups was higher than normal group. Indices of nutritional quality (INQ) for Ca, Vit A and Vit $B_2$ were below 1 in all the groups. Food composition group score of MS with hyperglycemia group was significantly lower than normal and MS with obesity groups. Our results indicated that nutritional education program for MS with obesity or hyperglycemia should include specific strategies to modify unsound dietary habits and inappropriate food intake for health.

• Korean Journal of Community Nutrition
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• v.4 no.2
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• pp.166-174
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• 1999

We examined the obesity levels and dietary habits of 323 college students taking the course 'Health and Diet' as a part of their nutritional education. The average percentages of body fat, BMI and RBW for subjects in this study were 16.7%, $21.5kg/m^2$ and -1.2% in male students and 27.3%, $21.2kg/m^2$ and 1.0% in female students, respectively. BMI and RBW indicated fewer cases of obesity among female students than BIA did. The average intake of energy by subjects was lower than the RDA of energy. In particular, the average intakes of calcium, iron, and vitamin A by female students were much lower than the RDA of energy. In particular, the average intakes of calcium, iron, and vitamin A by female students were much lower than the RDAs of each of those nutrients. The percent RDAs of nutrient intakes of energy, protein, thiamin, and riboflavin were lower in under weight students than in students of normal and over-weight. Female students were found to skip meals and consume sweet foods more frequently than male students. The obesity levels of students related to the number of meals eaten per day as well as the frequency of consuming sweet foods. Although, it was not possible to determine statistically, the levels obesity also seemed to correspond to the speed at which meals were eaten as well as the frequency of eating salty foods. These results suggest that in order to assess obesity properly, more research that focuses on subjects' gender should be conducted. In addition, nutritional education should emphasize the importance of intakes of energy and phosphorus for male students, and the danger of iron and calcium deficiencies for female students. We should also educate students about dietary habits which contribute to obesity such as overeating and the intake of sweet foods.

• Korean Journal of Health Education and Promotion
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• v.33 no.2
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• pp.1-13
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• 2016

Objectives: This study was performed to investigate secular trends in height, weight, obesity among Korean children and adolescents in 2006-2015. Methods: The study participants were 1,249,698 children and adolescents 6-17 years in age who participated in health examinations for school students supervised by Korean Ministry of Education and conducted by the Korea Association of Health Promotion in 2006-2015. Height and weight were measured unified procedures at each period. Obesity was defined as being 95th percentile of sex-specific body mass index(BMI) for age in the 2007 Korean National Growth Charts or $BMI{\geq}25$. Results: Between 2006 and 2015, the median of height and weight, BMI of Korean children and adolescents has increased significantly. The overall prevalence of obesity was 10.7%(boys 12.6%, girls 8.7%). In 2012-2015, the prevalence of obesity 12.2%(boys 14.1%, girls 10.2%), compared to 9.1%(boys 10.9%, 7.2%) in 2006-2008. The increase in obesity prevalence was statistically significant(p<0.05). The prevalence was highest in Gyeonggi area, lowest in Chungcheong area when compared to other regions(p<0.001). Conclusions: During the period 2006-2015, growth trends, prevalence of obesity among Korean children and adolescents increased significantly. Health promotion and intervention programs promoting healthy growth and development of Korean children and adolescents were need consider the demographic and regional characteristics.

• Korean Journal of Health Education and Promotion
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• v.31 no.5
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• pp.109-120
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• 2014

Objectives: This study was to examine the associations between obesity level and major chronic diseases in older population in Korea, using different obesity indicators. Methods: Data was from the 2008 KloSA Biomarker pilot, a nationwide sample of 514 non-institutionalized subjects (age $63.6{\pm}9.8$ years; women 57.2%). Anthropometric information was collected by home visiting nurses. Portable bioimpedence devices(Omran HBF359) were used for measuring fat mass. Obesity cut-offs used the Asian criteria of $BMI{\geq}25$, $WC{\geq}90/85cm$, and $fat%{\geq}25/35$ for men and women. Chronic disease prevalence was defined by physician-diagnosed history of 8 specified diseases. Results: Prevalence of chronic diseases significantly increased with increment of obesity level by BMI, WC and fat %. Odds ratios of acquiring chronic diseases remained significant in the obese group (BMI OR 2.76, 95%CI 1.82-4.19; WC OR 2.73, 95%CI 1.81-4.11; Fat OR 1.87 95%CI 1.26-2.78), after adjusting for age, sex, marital status, education, work participation, household income, smoking, drinking, and exercise. Conclusions: Obesity measured by all three indicators, BMI, WC, and fat mass cannot be disregarded, accentuating the significant effect on increases in disease risks among older population. BMI and WC measure appeared better to assess the risks of chronic diseases.