Korean Journal of Community Nutrition

Original Articles

[English]
Analysis of Weight Control Behaviors by Body Image Perception among Korean Women in Different Age Groups: Using the 2010 Korea National Health and Nutrition Examination Survey Data: Young Suk Lim, Na Ri Park, Su Bin Jeon, So Yeon Jeong, Zuunnast Tserendejid, Hae Ryun Park; Korean J Community Nutr 2015;20(2):141-150. Published online April 30, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.2.141

OBJECTIVES
Self perceived body image among women is drawing a lot of attention in Korea due to their unhealthy weight control behaviors. To determine the relationship between self-perceived body image and dietary behaviors among Korean women, the discrepancy between actual body size and body image perception, weight control behaviors were assessed based on age groups using the 2010 KNHANES data.
METHODS
A total of 1,747 subjects were selected after eliminating those of likely changing their diet recently using the 2010 KNHANES data. The subjects were divided into 3 groups, self-underweight, self-normal, and self-obese according to their perception of body image. The BMI and weight control behaviors were assessed based on age groups according to the body image perception.
RESULTS
The younger, the higher ratio of underweight, women perceived their body size as normal or overweight. Exercise and reduced food intakes were dominant among various weight control methods but unhealthy methods were dominant among self perceived overweight group.
CONCLUSIONS
Incorrect body image perception and unhealthy weight control behaviors can cause nutritional problems. Nutritional education should emphasize the importance of healthy weight and proper body image perception for Korean women.

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[English]
A Study on Food Habits and Nutrient Intakes according to BMI in Food and Nutrition Major and Non-major Female Students in Kyungnam University: Eun Hee Seo; Korean J Community Nutr 2014;19(4):297-316. Published online August 31, 2014; DOI: https://doi.org/10.5720/kjcn.2014.19.4.297

Abstract PDF PubReader

OBJECTIVES
This study was performed to investigate the body image, food habits, nutrition knowledge, food intake frequency, nutrient intakes of female university students in Masan.
METHODS
Two groups (n = 302, nutrition major: 147, non-major: 155) were classified into underweight, normal weight and overweight/obesity groups according to BMI respectively.
RESULTS
Height and weight of all subjects were 161.5 cm, 53.2 kg and were 161.5 cm, 55.1 kg, 161.5 cm, 51.3 kg in major and non-major female students, respectively. The BMI and body weight were significantly different (p < 0.001). Significantly higher proportions of underweight students in both study groups had perceived as 'normal' or 'fat' (p < 0.001). Higher proportion of the subjects skipped breakfast and main reason was no time to eat. Nutrition knowledge score was significantly higher in major than in non-major subjects (p < 0.001). Fish intake frequency score was significantly higher in non-majors, while the vegetable intake frequency score was significantly higher in majors. Nutrient intakes were significantly higher the majors compared to non-majors, particularly the intake of calcium (p < 0.05), zinc (p < 0.001), vitamin C (p < 0.001) and vitamin E (p < 0.01). Subjects in both groups did not have adequate nutrient intakes compared to KDRIs. BMI showed a positive correlation with body image, body weight and nutrition knowledge score (p < 0.01).
CONCLUSIONS
These results suggest that systematic nutrition education program which can be applied in real life is important for the formation of correct choices of food and good eating habits.

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[English]
A Study on Dietary Habits, Body Satisfaction and Nutritional Knowledge by Body Image of Middle School Girl Students in Chungbuk Area: Jee Young Yeon, Ki Yong Shin, Soon Kyu Lee, Hye Young Lee, Baeg Won Kang, Hye Kyung Park; Korean J Community Nutr 2013;18(5):442-456. Published online October 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.5.442

Abstract PDF PubReader

This study was performed to investigate the dietary habits, body satisfaction and nutritional knowledge according to body image of middle school girl students (n = 284). The subjects were classified as lean, normal and fat groups according to body image. The weight, body mass index (BMI) and the score of body image were significantly higher in the students who recognized their body image as 'fat'. The satisfaction of present body image was significantly lower in students who recognized their body image as 'lean'. The interest in weight control and experience of weight control were significantly higher in students who recognized their body image as 'fat'. The necessity of nutrition education was higher in all groups (lean 67.2%, normal 59.0% and fat 52.8%). The products used to feel sweetened were sweetened ice (68.7%), processed milk (68.3%), confectionery (62.3%), carbonated beverage (55.3%), fermented milk (38.0%) and none (6.0%). The frequency of consumption of fruit juices and fried food was significantly higher in 'normal' compared to 'fat'. There was no significant difference in the frequency of consumption of snack and nutritional knowledge among the three groups. In the multiple regression analysis, the score of body image was negatively associated with the frequency of snack consumption in the 'lean'. The score of body image was positively associated with identification of nutrition labels and an interest in weight control but was negatively associated with satisfaction of present body image in the 'fat'. Based on these results, we conclude that, the middle school girl students need correct recognition of body image and continuous and practical nutrition education in order to maintain healthy dietary habits.

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Recognition and Usage of Nutrition Labeling for Processed Foods and Restaurant Meals according to the Effort Level of Healthy Dietary Behavior in 5th Grade Elementary School Girls
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[English]
A Study on Nutritional Status and Dietary Quality of University Students by Body Image: Jee Young Yeon, Seung Hee Hong, Yun Jung Bae; Korean J Community Nutr 2012;17(5):543-554. Published online October 31, 2012; DOI: https://doi.org/10.5720/kjcn.2012.17.5.543

Abstract PDF PubReader

This study was performed to investigate the satisfaction of body image, dietary habits, nutrition intake and dietary quality according to body image of university students (n = 290). The subjects (male = 178, female = 112) were classified to lean, normal and overweight/fat groups according to body image. The weight, body fat and body mass index (BMI) was significantly higher in the students who recognized their body image as 'overweight/fat'. The satisfaction of body image, interest of weight control and experience of weight control were significantly higher in students who recognized their body image as 'normal' in both the male and female subjects. The intakes of nutrients, dietary habits and life styles were not different according to body image. In the male subjects, the niacin intake density, the nutrient adequacy ratio (NAR) of vitamin B1 and the dietary diversity score (DDS) in the students who recognized their body image as 'overweight/fat' were significantly lower than in students who recognized their body image as 'normal' and 'lean'. In female subjects, no significant differences in nutrient intakes, NAR, MAR and DDS were observed according to body image. Future studies with a larger sample size are needed for further assessment of the relationship between nutritional status/diet quality and body image in university students.

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[English]
Comparisons of Body Image Perception, Health Related Lifestyle and Dietary Behavior Based on the Self-Rated Health of University Students in Seoul: Ho Kyung Kwak, Mi Young Lee, Mi Joung Kim; Korean J Community Nutr 2011;16(6):672-682. Published online December 31, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.6.672

Abstract PDF PubReader

This study was conducted to examine the differences in perceived body weight and image and various lifestyles based on the self-rated health of university students when gender was adjusted. Five hundred fifty-five participants were asked their perceived health condition, and 58, 289, 160 and 48 students answered themselves as "very healthy", "healthy", "normal", and "unhealthy", respectively. As compared to the other 3 groups, "unhealthy" group showed higher proportions in dissatisfaction of body weight and negative perception of body image (P < 0.01). As health related lifestyles, "very healthy" group reported longer sleeping time than "unhealthy" group (P < 0.05), and had a higher proportion of people with regular exercise. Among the dietary behaviors, the frequencies of followings significantly different among the groups: "Regularity of meal time" (P < 0.01), "Eat protein foods more than twice a day" (P < 0.001), "Eat vegetables" (P < 0.01), "Eat fruit and fruit juice" (P < 0.01), "Eat vegetable oil added foods" (P < 0.01), "Eat seaweed" (P < 0.01), "Eat breakfast" (P < 0.01), "Modulation in animal fat and high in cholesterol intake" (P < 0.01). Particularly, higher proportion of subjects answered "very healthy" had higher frequencies (6-7 times/week) of these dietary behaviors. Overall results suggest that healthy lifestyle including adequate sleeping time, regular exercise, and good dietary behaviors might be potential factors affecting positive perception of health. In addition, positive perception of body weight and image were related with positive perception of health.

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[English]
A Study on Body Image Perception and Eating Disorders by Birth-Place and the Length of Residence in USA in Korean American College Students: Ho Kyung Ryu, Isobel R Contento; Korean J Community Nutr 2011;16(1):113-125. Published online February 28, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.1.113

Abstract PDF PubReader

This study was conducted to compare the body image perception, weight control experiences and the eating disorders according to where they were born, and the length of residence in USA among Korean-American college students. Three hundred college students participated in the study: 144 males and 156 females, 122 America-born (AB) and 171 Korea-born (KB) who live in New York City and New Jersey. Subjects responded to a self-administered questionnaire. The results showed that the ratio of overweight (23.2%) and obesity (26.8%) of males was higher than females' (16.1% and 6.3%, respectively). There were no significant differences according to born-place or the length of residence in USA of KB. People who had tried to control their weight were 58%. The ratio of weight control experiences of females (72.4%) was higher than males' (42.4%) as well as people who were normal or underweight than who were overweight or obesity. There were no significant differences according to born-place or the length of the residence in the USA of KB. In body image perception, the subjects who were normal and underweight overestimated their body figure, and the subjects who were overweight and obese underestimated their body figure. The desired and ideal figure of female students was significantly thinner than the current figure and also that of male students. There were no significant differences according to born-place or the length of the residence in USA of KB. The ratio of eating disorder was 8.7%, and females had higher percentage than males. And shorter they lived in USA, the percentage of eating disorder was higher.

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Young-Jin Tak, Yun-Jin Kim, Sang-Yeoup Lee, Jeong-Gyu Lee, Dong-Wook Jung, Yu-Hyeon Yi, Young-Hye Cho, Eun-Jung Choi, Byung-Mann Cho
The Korean Journal of Obesity.2013; 22(1): 50. CrossRef
A Study o f the Body Weight Perception, Living Habits and Food Intake Frequency by Residence Type in Female College Students of Chenbuk Area
Eun-Sook Park
Korean Journal of Human Ecology.2013; 22(1): 215. CrossRef

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[English]
Effects of Obesity, Body Image Dissatisfaction and Dietary Habits on the Risk of Disturbed Eating Attitudes among High School Students in Gyunggi Province, Korea: Kyeong Sook Yim; Korean J Community Nutr 2010;15(5):656-669. Published online October 31, 2010

Abstract PDF: Rapid shift to western dietary patterns and social drive of thinness would lead to increase the likelihood of developing eating disorders. This study was performed to analyze the associated factors between dietary pattern and self visualization in terms of body shape, which may increase the risk of disturbed eating attitudes among high school students in Korea. A cross-sectional study was conducted from 2009 to 2010 for high school students including both male and female students, from 6 schools in Gyunggi Province, Korea. A total of 766 students self-reported a questionnaire, including weight control practice, perceptions of self body image and ideal body image, dietary habit, and EAT-26 (Eating Attitude Test-26). Logistic regression analysis was used to fine the factors potentially associated with disturbed eating attitudes. Statistical analysis was conducted using SAS program (version 9.1). Results showed that disturbed eating attitudes were found in 8.7% of male high school students, and in 20.8% of female high school students. Experience of body weight control was reported by 56.2% of male students and by 87.3% of female students. According to multiple logistic regression analysis, obesity was independently associated with high risk of disturbed eating attitudes in male students [Odds Ratios (OR) 2.96, 95% Confidence Interval (CI) 0.90-9.71]. Body image dissatisfaction (OR 2.77, 95%CI 1.37-5.62) and extended family type (OR 2.70, 95%CI 1.05-6.90) were independently associated with high risk of disturbed eating attitudes, especially in female students. In conclusion, proper efforts in education for obesity and developing self-esteem to reduce the risks of disturbed eating attitudes should be implemented in high school nutrition program.

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[English]
A Comparison Study on Perception of Body Image and Dietary Habits of High School Students between Urban and Rural Areas: You Kyung Kim, Weon Sun Shin; Korean J Community Nutr 2008;13(2):153-163. Published online April 30, 2008

Abstract PDF: The objective of this research was to study the differences between urban and rural areas high school students in body image and dietary habits. The number of subjects in Seoul and Kyungkido were 902. Based on self-reported height and weight, there was no significant difference between the urban and rural students. However, the rate of obesity was significantly higher in males, whereas the rate of underweight was significantly higher in females, especially for urban females (p < 0.05). Their ideal body image ratio as skinny or slender-type was 91.6% (urban) and 95.7% (rural) for male category while 100% (urban) and 99.4% (rural) for females. Urban females had a strong preference for a skinny body (p < 0.05). Rural students were more highly interested in weight control than urban students were, but they appeared not to care their health. In addition, they had significantly lower levels of weight control knowledge and dietary attitude score (p < 0.001). Subjective assessment of body weight appeared to be more important in terms of body satisfaction, weight control knowledge and dietary attitude than actual measurement of body mass index. Significant test revealed that weight control knowledge was related to dietary attitude (p < 0.01). (p < 0.01).

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[English]
Body Image Recognition and Dietary Behaviors of College Students According to the Body Mass Index: Si Yeon Kim, Hong Mie Lee, Kyung Hee Song; Korean J Community Nutr 2007;12(1):3-12. Published online February 28, 2007

Abstract PDF: This study was performed to investigate the body image perception by BMI and the dietary behaviors in 803 college students (408 males and 395 females). The degree of obesity was divided into an underweight group with BMI less than 18.5 kg/m(2), a normal group with BMI of 18.5~22.9 kg/m(2), an overweight group with BMI of 23~24.9 kg/m(2) and an obese group with BMI over 25.0 kg/m(2). The average ages of subjects were 22.9 years in males and 20.2 years in females. The average weight and height of male subjects were 175.3 cm and 69.6 kg, respectively and those of female subjects were 162.5 cm and 52.0 kg, respectively. The average BMIs of male and female subjects were 22.6 kg/m(2) and 19.7 kg/m(2), respectively. The distribution of subjects who perceived their current body image as ideal body image was 25.7% in males and 10.9% in females, showing that the body image satisfaction of male subjects was 1.5 times higher than that of female subjects. Body image perception for their own bodies was mostly shown as the average or standard shape both in males and females with 64.2% and 54.2%, respectively, but males showed a higher perception rate than females and 31.1% of females and 19.5% of males perceived their bodies as lean shape (p < 0.01). The body image satisfaction was 4.20 in males and 3.70 in females, showing more satisfaction in the male subjects (p < 0.001). The correlation between body image and physical variables in male subjects indicated that CBI and IBI showed statistically significant correlation and also BMI showed statistically significant correlation with IBI (p < 0.001) and CBI (p < 0.001). The frequency of eating out increased as the frequency of skipping meals increased (p<0.001) and the frequency of having snacks increased as the frequency of eating out increased (p < 0.01). The correlation between body image and physical variables in female subjects showed that CBI and IBI (p < 0.001) had statistically significant correlation. Body weight showed statistically significant correlation with CBI (p < 0.001), BMI (p < 0.001) and height (p < 0.001). The frequency of eating out increased as height (p < 0.01) and the frequency of skipping meals (p < 0.001) increased. When both male and female subjects wanted leaner body shapes, they preferred much leaner shapes despite their current body images belonging in the normal range. Additionally subjects preferred the body image in the normal range in cases when their current body images were lean. In particular, more female subjects had strong desires to become leaner in their body images than male subjects, which could be analyzed as a risk factor for physical harm. From the above results, it is considered that both male and female subjects need to establish proper recognition and dietary behaviors for their body images and also need nutritional education and counseling for desirable weight control methods.

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[English]
Personal Maternal Body Image Perceptions Their Preschool Children: Wha Jin Hyun, Yi Joung Hong; Korean J Community Nutr 2005;10(6):930-942. Published online December 31, 2005

Abstract PDF: This study was performed to investigate body image perceptions of women about themselves and their preschool children and also to investigate the relationship between these perceptions. Subjects were 545 women and their children (279 boys and 268 girls) residing in Daejeon city. 67.7% of women were classified as normal group, 18.6% as overweight group, and 13.8% as underweight group by BMI. 68.5% and 78.7% of their boys and girls, respectively, were classified as normal group, 22.4% and 16.4% as overweight group, 9.1% and 4.9% as underweight group by WLI. Women made relatively accurate judgments on their current body sizes and selected their body images as the most desirable one. But they preferred plumper figures for their children and failed to perceive their overweight children as overweight. While 74.7% of women wished to be thinner, 81.1% of them wished their children to be fatter. Women spending less then 100 thousand won and more than 500 thousand won as monthly food expenses and having only one child perceived their children's current body sizes the lowest and the highest, respectively. Women wished boys to be fatter than girls. Their current body sizes were correlated positively with the children's current body size (p<.01), and their healthiest, attractive, and 'wish' figures were correlated positively with children's current, healthiest, attractive, and 'wish' figures (p<.05 - p<.01). Body size dissatisfaction (wish to be thinner) and BMI of women were correlated negatively with children's healthiest and attractive figures (p<.01). These findings suggest that in order to correct the women's body image misperceptions and to prevent childhood obesity, mother's perception about healthy body images for themselves and their children need to be included in nutrition education. Also, it is necessary to assist mothers to understand the relationship of body size and weight status with the risk of chronic disease which might appear later in their children's life.

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[English]
A Study of Weight Control and Associated Factors among High School Female Students: Yun Ahn, Hyungmee Kim, Kyungwon Kim; Korean J Community Nutr 2005;10(6):814-824. Published online December 31, 2005

Abstract PDF: The study purpose was to examine weight control status and related factors among 370 high school girls in Seoul. Factors examined included interest toward weight control, body satisfaction, body image, beliefs regarding weight control and self-efficacy. 65.1% had attempted to control weight and were categorized into attempt group. Those in the attempt group had higher body weight (p<0.001) and BMI (p<0.001) than the counterparts. They tried to control weight 2.9 times on average (22.4 days each time). The major information sources for weight control were internet (62.8%), and TV/ radio (17.1%). Exercise was most commonly used for weight control, followed by reducing meal amount and skipping dinner. The attempt group was less satisfied with body size (p<0.001) and perceived their body sizs as heavier than the counterparts (p<0.001), but they showed more interest toward weight control (p<0.001). The ideal body size of society or the body size that they want was very thin in both groups. Twelve out of 20 beliefs regarding weight control were significantly different between the two groups. The attempt group believed more strongly on the advantages such as increased self-confidence, appearance, attractiveness (p<0.001) and 'good for making friends' (p<0.01). In contrast, the attempt group believed less strongly about the disadvantages including harmful effects on health (p<0.001), parents' dislike, feelings of discouragement (p<0.01) and becoming (p<0.05). The attempt group showed lower overall self-efficacy to control overeating (p<0.05) than the counterparts. Especially, the attempt group felt less control of overeating in situations such as eating-out, after school, when they are with family (p<0.01) or with friends, when they feel hungry, during examination periods and when others offer food (p<0.05). This study suggested that weight management education for adolescents include strategies for changing body image and beliefs regarding weight control, as well as increasing self-efficacy to control overeating.

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[English]
A Study of Body Image, Weight Control and Dietary Habits with Different BMI in Female High School Students: Hee Jeong Lee, Mi Rae Choi, Jae Ok Koo; Korean J Community Nutr 2005;10(6):805-813. Published online December 31, 2005

Abstract PDF: Concern about body weight among adolescents is too much, so distorted body images and weight control are serious problems among Korean girl students. This study was carried out to investigate perception of body images, weight control, food habits and eating behavior of 237 high school girl students in Seoul and Incheon. The subjects were divided into four groups based on Body Mass Index (BMI)-under weight (21.3%), normal (62.6%), over weight (8.1%) and obesity (8.1%). The survey was conducted from June to July 2005. The mean weight, length and BMI of the subjects was 53.4 +/- 7.4 g, 101 +/- 4.8 cm, and 20.6 +/- 2.7, respectively. 56% of the under weight group and 40.8% of normal group had incorrect perception about their body images and 28.5% of the under weight group and 76.9% of the normal group had dissatisfaction about their body images. Most of the students were concerned about their body images and weight control. Dietary habit scores showed significant differences among the groups. These results suggested that effective nutritional programs should be developed including correct perception of body image and good dietary habits.

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[English]
The Dietary Behavior of Obese and Normal Weight Elementary School Children with Maternal Guidance for Their Dietary Behavior: Hye Sang Lee, Woon Seon Jeong, Ung Im Park; Korean J Community Nutr 2003;8(6):831-839. Published online December 31, 2003

Abstract PDF: This study was conducted to investigate whether there were any differences in the body image perception, dietary behavior and maternal dietary guidance between an obese group ("OG") and a normal weight group ("NWG"), and furthermore, to provide basic informations for comprehensive educational programs for obese children. For this purpose, the questionnaire method was used. The subjects were 1,501 elementary school children, in the 4th to the 6th grades in Seoul, Busan, Daegu, Gwangju, and Andong, and their mothers (1,459). The percentage of the children who misperceive their body image was higher among the girls (30.4%) than the boys (22.6%). The average scores for balanced dietary behavior as assessed by the children was higher in the OG than in NWG; the average scores for dietary control as assessed by their mothers was higher in the NWG than in the OG. The scores for dietary behavior as assessed by the children was different from those as assessed by their mothers. Assuming that the mothers would give more correct and balanced answers, the development of a reliable questionnaire for dietary behavior that could be more accurately answered by the children is necessary. Maternal dietary guidance for dietary control was more frequently given in the OG as compared with the NWG and more frequently in girls as compared with boys ; while that for balanced diet was more in the NWG as compared with the OG. The worse the mothers estimate of the dietary behavior for their children, the more they tried to guide their children in dietary behavior. It is recommended that the children should be taught to correctly recognize the degree of their obesity, and receive the appropriate educational program accordingly, including the maternal dietary guidance.

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[English]
Eating Behaviors, Perception of Body Image, Hematological Indices and Nutrient Intake of Adolescent Female Athletes in Incheon: Sun Hee Cheong, Hyuni Sung, Soon Ki Kim, Kwanghoi Kim, Mihye Cho, Kyung Ja Chang; Korean J Community Nutr 2003;8(6):951-963. Published online December 31, 2003

Abstract PDF: The purpose of this study was to investigate the eating behaviors, the self-perception of body images, the hematological indices and the nutrient intake of adolescent female athletes in Incheon. The subjects were 112 female athletes (track and field: n = 32, target shooting: n = 27, fencing: n = 29, swimming: n = 14, badminton: n = 10) from middle and high schools in Incheon. This cross-sectional study was conducted by means of a self-administered questionnaire. Fasting blood samples were obtained and analyzed for hemoglobin (Hb), hematocrit (Hct), ferritin, serum iron, mean cor-puscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), unsaturated iron binding capacity (UIBC), total iron binding capacity (TIBC) and transferrin saturation (TS). Nutrient intakes obtained by means of the 3 day-recall method were analyzed using the Computer Aided Nutritional Analysis Program. Statistical analysis was conducted using the SPSS 10.0 program. Most of the female athletes had dietary problems such as eating unbalanced meals, skipping meals, and preferences for processed foods. More than 60% of the female athletes skipped breakfast. As for perception of their body images, track and field athletes in particular, controlled their weights significantly better than the other athletes (p < 0.05). With regard to their physical exertion during exercise, 56.3% of the swimmers and 31.3% of the track and field athletes answered "very hard", which was a significant difference (p < 0.001). More than 80% of the female athletes experienced vertigo during exercise (p < 0.01). Also more than 50% of the female athletes, with the exception of the badminton players, had experienced irregular menstruation (p < 0.05). The average serum iron levels (p < 0.05), the serum ferritin levels (p < 0.05) and TS (p < 0.05) of the track and field athletes was significantly lower as compared to that of the other athletes. The nutrient intakes of the female athletes, with the exception of Vitamin B6, niacin and phosphorus were lower than the Korean Recommended Daily Allowances (RDA). In particular, the calcium and iron intakes of the female athletes were under 50% of the Korean RDA. Therefore, proper nutritional education and supplementation are required for female athletes to encourage desirable eating habits, as well as to improve their nutritional status and exercise performances.

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[English]
A Study of the Dietary Attitude, Dietary Self-Efficacy and Nutrient Intake among Middle School Students with Different Obesity Indices in Gyeong-Nam: Jeong Sook Lee, Bok Ja Ha; Korean J Community Nutr 2003;8(2):171-180. Published online April 30, 2003

Abstract PDF: This study was carried out to investigate the perception of body image, the dietary attitude, the nutrient intake and the dietary self-efficacy of middle school students in Kyoung-Nam. The survey was conducted from April 8 to April 22 in 2002. The results are summarized as follows. Twenty three point nine percents of the underweight group, 24.5% of the normal weight group, 57.1% of the overweight group and 62.5% of the obese group had correct perception about their body image. Most of the students were concerned about their body image and weight control. The obesity of the parents correlated significantly with the obesity of the subjects. The higher the obesity rate, the lower the dietary attitude and dietary self-efficacy. There was a significant positive correlation between the education level of their mothers and the dietary attitude of the subjects and a significant negative correlation between the obesity rate of the subjects and their dietary attitudes. Dietary attitude scores showed no significant difference among the groups. Intakes of calories, protein, calcium and iron were lower than those of the Korean recommended dietary allowances (RDAs).

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[English]
A Study on Body Image Recognition, Food Habits, Food Behaviors and Nutrient Intake according to the Obesity Index of Elementary Children in Changwon: Kyung Hae Lee, Kwon Jeung Hwang, Eun Sil Her; Korean J Community Nutr 2001;6(4):577-591. Published online October 31, 2001

Abstract PDF: No abstract available.

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[English]
A Study of Perception about Body Image in Adolescent Females: In Daegu City: Ho Kyung Ryu, Jin Sook Yoon; Korean J Community Nutr 1999;4(4):554-560. Published online December 31, 1999

Abstract PDF: This study was conducted to find adolescent females perception of body image. The survey was carried out by self-questionnaires with 463 female school and college students in Daegu. Analysis of data was done using t-test, and ANOVA with the SAS computer program. The average height, weight and BMI of the subjects were 161.2cm, 53.4kg and 20.51kg/m2. It appeared that 33.3% of the subjects were off the normal range of body weight ; in particular 25.1% of the subjects were under weight. While the subjects' perception of their own current body image was not distorted, they were dissatisfied with their body image because they wanted a very thin figure. Subjects were divided into 3 groups -underweight, normal weight, overweight-according to their current body size. Their perceptions of ideal and desired figures differed significantly between the groups, but they thought a thinner figure than normal body image as ideal and desired body image even in overweight group. As a result, dissatisfaction of body image in the overweight group was significantly larger than the normal-weight group, and that of the normal-weight group was larger than the underweight group. Percentages of weight control attempt were 51.7% and 64.7% in the normal weight and underweight subjects, respectively. Subjects were divided into 2 groups according to their weight control experience : those who have attempted, and who have not attempted. Weight control attemptees had a higher level of dissatisfaction with their body image than non-attemptees, both because weight control attemptees were fatter, and they perceived a thinner figure as an ideal and as a desired body image thin non-attemptees. From the results of this study, we confirmed that one of reasons of excessive weight control behavior among adolescent females was distorted perception about ideal body image.

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[English]
A Study of Factors Influencing Weight Control Behavior in Adolescent Females: Ho Kyung Ryu, Jin Sook Yoon, Dong Yean Park; Korean J Community Nutr 1999;4(4):561-567. Published online December 31, 1999

Abstract PDF: This study was conducted to provide information about weight control behavior in adolescent females. To explain the behavior intention of dieting, conceptual framework based on "Social Support, Control and the Stress Process Model" and "Theory of Reasoned Action" was used. The survey was carried out by self-questionnaires with 463 female high school and college students in Daegu. Analysis of data was done using mean, correlation and multiple regression analysis with the SAS computer program. A society preoccupied with thinness gives a burden to women, and this burden may stress dissatisfaction with body image. Social perception of ideal body image except parents' perception, and salient others' perception, and salient others' expectation of subjects' body image except parents' expectation, were much thinner than normal figures in this study. The influencing factors for behavior intention of dieting of the subjects were perceived stress and attitude toward diet behavior, especially beliefs of behavioral outcome. Influencing factors related to perceived stress-that is dissatisfaction of body image-were current figure, social perception of body image, effect of mass communication and others' estimation of subjects' body image with self-comparison with others, in order.

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[English]
Relations of Perception of Obesity and Experiences of Weigh Control and Body Image in High School Students: Ho Kyung Ryu, Jin Sook Toon; Korean J Community Nutr 1998;3(2):202-209. Published online May 31, 1998

Abstract PDF: This study was conducted to investigate the relationship among pereption of obesity, experience of weight control control and satisfaction with body image in adolescence. The subjects were 221 high school students(91 boys, 130 grils), aged 16.7 years living in a rural area. To determine the perception of obesity, knowledge about obesity, belidfs about obese people, and attitudes towards obese people were measured. The results were as follows: There was high correlation between beliefs about obese people and attitudes toward obese people. When the perception of obesity was compared by sex, girls had significantly more accurate knowledge, stronger beliefs that obesity couldn't be controlled by oneself, the higher the eating disturbance score was. It also appeared that BMI was positively correlated with the positive attitude towards obese people.

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[English]
A Study on Weight Control Attempt and Related Factors among College Female Students: Kyungwon Kim, Mi Joung Lee, Jung Hee Kim, Young Hyun Shim; Korean J Community Nutr 1998;3(1):21-33. Published online February 28, 1998

Abstract PDF: The purpose of this study was to investigate the weight control attempts and related factors among 220 female college students in Seoul. Factors examined included body image, body satisfaction, interest in weight control, beliefs related to weight control, social norms, social expectations regarding subjects' body size and weight change. Data were analyzed using t-test and chi-square test(at alpha=0.05). The average height and weight of subjects were 160.7 cm, 52.2 kg respectively. BMI and body fat(%) were 20.2 and 25.2%, respectively. One hundred seventy two students(78.2%) had attempted to control their weight, mainly to lose weight, and were categorized as the weight control attempt group. Subjects used diet modification as well as unhealthy method to control weight. 48.2% in the attempt group were underweight or normal weight(by BMI), suggesting that their weight control attempts were was unnecessary. Students in the attempt group described their own size as heavier than those in the no-attempt group(p<0.01) or other girls of their age(p<0.05) ; more dissatisfied with their body size(p<0.01), and showed more interest in weight control(p<0.01). Several differences in beliefs were also noted(p<0.001). The attempt group believed less strongly in the harmful effects or difficulties in weight control and believed more strongly in the advantages of weight control. With respect to social factors, the attempt group perceived that their family and friends wanted them to be smaller than they were(p<0.001), perceived that significant others felt that they should lose weight(p<0.05). These results suggest that educational programs for college female students should start focusing on the harmful effects of excessive dieting and information about desirable weight control methods. Students should be helped to have a correct body image. In addition, educational programs should incorporate strategies to change beliefs regarding weight control, as well as modifying social expectations from significant others.

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[English]
A Study of the Obesity Index and Psychosocial Factors Influencing Obesity among Adolescent Girls: Kyung Won Kim, Young Ah Kim, Jung Hee Kim; Korean J Community Nutr 1997;2(4):496-504. Published online October 31, 1997

Abstract PDF: The purpose of this study was to investigate the dietary intake, obesity index and psychosocial factors influencing obesity among 200 high school girls in Seoul. The Social Cognitive Theory provided the Conceptual basis for this study. A cross-sectional survey was conducted to examine factors related to obesity, including self-efficacy for controlling overeating, social support for eating behavior, perception of body image and weight control, nutrition knowledge, and attitudes toward obesity. The data were analyzed using t-test and multiple logistic regression. The results of this study are as follows : 1) The mean age of the girls was 16.4 years, and the rate of overweight and obesity(measured by obesity index) was 27.0%. 2) The mean energy intake of subjects was 1832.3+/-384.0kcal. The energy derived from carbohydrates, proteins and fats was 62.7%, 13.8%, and 23.5%, respectively. There was no significant difference between the obese and the comparison group in energy intake. 3) The result of multivariate analysis indicated that obesity had a significant relation to the perception of ideal body image, social support for eating behavior, and self-efficacy for controlling overeating(p<0.01). As subjects preferred thinner body images(OR=0.39) and received less social support(OR=0.93), the odds of being classified as obese increased. The odds of being obese were also associated with self-efficacy, however, the relation was not strong(OR=1.04). 4) Specific social support was related to obesity among adolescent girls. As subjects received more support from family member, the odds of being obese decreased. The emotional support as well as family member's positive nutrition behavior plays a significant role. In addition, instrumental support from friends was associated with obesity. With repect to self-efficacy, the odds of being obese were increased as subjects felt less confident in controlling overeating when tempting food was placed in front of them or after an argument. In contrast, the obese group felt more confident in controlling overeating for the rest of the specific situations examined. These findings suggest that educational interventions for weight control should incorporate strategies to help participants realize their degree of obesity, to reduce the discrepancy between current and ideal body image, to elicit and maintain social support from friends and family, and to increase the self-efficacy for changing eating behaviors.

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[English]
Body Image, Eating Problems and Dietary Intakes among Female College Students in Urban Area of Korea: Hye Soon Park, Hyun Ok Lee, Chung Ja Sung; Korean J Community Nutr 1997;2(4):505-514. Published online October 31, 1997

Abstract PDF: Concern about body weight among young females is too much, so distorted body image and restrained eating are serious problems among Korean young females. A society preoccupied with thinness give a psychological burden to women, this burden may have adverse effects on health physically and psychologically. We tried this study to investigate body image, eating problems, and dietary intakes among female college students in urban areas of Korea. We satisfactorily surveyed using their body weight, desired weight dieting, binge eating, and night eating by self- with 500 female college students. We evaluated their dietary intakes by semi-quantitative food frequency to assess their usual intakes. After removing incomplete data, we analyzed 469 data by SAS 6.10. The 469 women aged 21.1 years. Their mean height, weight, and BMI were 161.4cm, 52.5kg, and 20.2kg/m2 respectively. Though the frequency of obesity was only 2.6%, the frequency of dissatisfaction with their body weight was 84.7%. Female college students desired their hight, weight, and BMI to be 165.8cm, 48.2kg, and 17.5kg/m2, respectively. The frequency of binge eating and night eating were 20.7% and 6.8%. The odds ratios for binge eating and night eating were 10.9(95% CI : 2.6-15.1) and 6.0(95% CI : 1.8-14.8) in the group satisfied with their body weight compared with the dissatisfied group. The odds ratios for binge eating and night eating were 2.6(95% CI : 1.6-4.4) and 2.4(95% CI : 1.1-5.4) in the dieting group compared with the non-dieting group. The mean caloric intake was 1,840kacl and percent intakes of carbohydrate, protein, and fat wee 57.2%, 16.3%, and 24.0%, respectively. The dieting group showed deficient intakes of protein and calcium significantly compared with the non-dieting group showed deficient intakes of protein and calcium significantly compared with the non-dieting group. Almost all women college students in urban area had dissatisfaction with their body shape, and desired severe undrerweight. The frequency of binge eating and night eating increased according to dissatisfaction with body weight, diet, and distortion of body image. Dieting has adverse effect on the intakes of essential nutrients. Educations is needed to correct distorted body image, and bad eating habits in young females, and marked preoccupation with thinness among women should then be reduced.

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[English]
A Survey of Adolescents' Concern and Perception about Body Image: Ho Kyung Ryu; Korean J Community Nutr 1997;2(2):197-205. Published online May 31, 1997

Abstract PDF: 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.

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