OBJECTIVES This study investigated dietary and lifestyle factors associated with the weight status among Korean adolescents in multicultural families. METHODS This cross-sectional study analyzed 1,751 multicultural families' adolescents who participated in the 2017–2018 Korea Youth Risk Behavior Surveys. Information on dietary and lifestyle factors was self-reported using a web-based questionnaire and this information included breakfast and foods consumption, perceived health status, alcohol drinking, smoking, physical activity, and weight control efforts. Body mass index (BMI) was calculated based on the self-reported height and body weight (kg/m²). Weight status was assessed according to the 2017 Korean National Growth Chart: underweight (weight-for-age <5(th) percentiles), overweight (85(th)≤ BMI-for-age <95(th) percentiles), and obese (BMI-for-age ≥95(th) percentiles). Multiple logistic regression analysis was performed to examine the dietary and lifestyle factors associated with weight status after adjustment for covariates. RESULTS Among Korean adolescents from multicultural families, the prevalence of overweight/obesity was 20.9%, whereas about 7% of adolescents were underweight. The weight status did not show differences according to gender, school level, area of residence, and household income. Compared to adolescents who did not have breakfast during the previous week, those who had breakfast 3–4 days/week and ≥5 days/week had a 42% (p=0.021) and a 37% (p=0.009) lower prevalence of overweight/obesity, respectively. The adolescents who frequently consumed carbonated soft drinks (≥5 times/week) showed an odds ratio (OR) of 1.69 (95% CI=1.01–2.83) for overweight/obesity relative to those adolescents who did not consume carbonated soft drinks. The OR of being underweight for adolescents who ate fast food ≥3 times/week was 1.97 (95% CI=1.04–3.71) compared to those adolescents who had not eaten fast food during the previous week. CONCLUSIONS Dietary and lifestyle factors were associated with overweight/obesity as well as underweight among Korean adolescents in multicultural families. Our findings could be used to design and provide nutrition interventions for this specific population.
Citations
Citations to this article as recorded by
Identification of important features in overweight and obesity among Korean adolescents using machine learning Serim Lee, JongSerl Chun Children and Youth Services Review.2024; 161: 107644. CrossRef
Dietary Behaviors Associated with Health Perception of Korean Adolescents from Multicultural Families: based on data from the 2017 ~ 2019 Korea Youth Risk Behavior Surveys YueRong Hu, SuJin Song Korean Journal of Community Nutrition.2022; 27(3): 192. CrossRef
Effects of heavy metal, vitamin, and curry consumption on metabolic syndrome during menopause: a Korean community-based cross-sectional study Hai Duc Nguyen, Min-Sun Kim Menopause.2021; 28(8): 949. CrossRef
Association between levels of thiamine intake, diabetes, cardiovascular diseases and depression in Korea: a national cross-sectional study Hai Nguyen Duc, Hojin Oh, In Mo Yoon, Min-Sun Kim Journal of Nutritional Science.2021;[Epub] CrossRef
Effects of Antioxidant Vitamins, Curry Consumption, and Heavy Metal Levels on Metabolic Syndrome with Comorbidities: A Korean Community-Based Cross-Sectional Study Hai Nguyen Duc, Hojin Oh, Min-Sun Kim Antioxidants.2021; 10(5): 808. CrossRef
Study on the Dietary Behavior of Adolescents in Multicultural Families Using the Nutrition Quotient and Their Changes in the Nutrition Knowledge and the Dietary Attitudes after Nutrition Education Yoo-Jin Jung, Sung Hee Min, Min June Lee Journal of the East Asian Society of Dietary Life.2020; 30(3): 208. CrossRef
OBJECTIVES This study was conducted to examine blood pressure and other characteristics of a high sodium intake group assessed with 24-hr urine analysis and the dietary factors related to the risk of high sodium intake among Korean adults. METHODS A cross-sectional study was conducted with adults aged 20-59 years. Subjects who completed 24-hr urine collection (N = 205) were divided into 3 groups (tertile) according to the sodium intake estimated with 24-hour urine analysis. We compared the blood pressure, BMI and dietary related factors of the 3 groups (low, medium, high sodium intake group) with General Linear Model (GLM) and Duncan's multiple range test (p < 0.05). The risk factors related to high sodium intake were assessed with odds ratio (p < 0.05). RESULTS The sodium intake (mg/day) of the 3 groups were 3359.8 +/- 627.9, 4900.3 +/- 395.1 and 6770.6 +/- 873.9, respectively, corresponding to daily salt intake (g/day) 8.5, 12.4 and 17.2, respectively. High sodium group showed significantly elevated age, BMI and systolic/diastolic blood pressure. Being male gender was associated with significantly increased risk of sodium intake (OR = 1.972; 95%CI: 1.083-3.593). The other factors related to high sodium intake were higher BMI (> or = 25) (OR = 2.619; 95% CI: 1.368-5.015), current alcohol consumption (OR = 1.943; 95%CI: 1.060-3.564), and having salty soybean paste with salt percentage > 14% (OR = 3.99; 95% CI: 1.404-6.841). The dietary attitude related to increased risk of high sodium intake included 'enjoy dried fish and salted mackerel' (p < 0.001) and 'eat all broth of soup, stew or noodle' (p < 0.001). CONCLUSIONS Because high sodium intake was associated with higher blood pressure, nutrition education should focus on alcohol consumption, emphasis on related dietary factors such as using low salt soybean paste, improvements in the habit of eating dried fish and salted mackerel or eating all broth of soup, stew or noodle.
Citations
Citations to this article as recorded by
Comparison between 24-hour diet recall and 24-hour urine collection for estimating sodium and potassium intakes and their ratio among Korean adults Taisun Hyun, Mi-Kyeong Choi, Young-Ran Heo, Heekyong Ro, Young-Hee Han, Yeon-Kyung Lee Nutrition Research and Practice.2023; 17(2): 284. CrossRef
Development and application of the sodium index to estimate and assess sodium intake for Korean adults Yeon-Kyung Lee, Taisun Hyun, Heekyong Ro, Young-Ran Heo, Mi-Kyeong Choi Nutrition Research and Practice.2022; 16(3): 366. CrossRef
Comparison of Sodium-Related Dietary Behavior and Low-Salt Dietary Attitude Based on the Gender and Salty Taste Assessment of Chinese International Students in the Jeonbuk Area Qi Li, Ji Eun Lee, Jeong Ok Rho Journal of the East Asian Society of Dietary Life.2021; 31(2): 91. CrossRef
Estimation model for habitual 24-hour urinary-sodium excretion using simple questionnaires from normotensive Koreans Ji-Sook Kong, Yeon-Kyung Lee, Mi Kyung Kim, Mi-Kyeong Choi, Young-Ran Heo, Taisun Hyun, Sun Mee Kim, Eun-Soon Lyu, Se-Young Oh, Hae-Ryun Park, Moo-Yong Rhee, Hee-Kyong Ro, Mi Kyung Song, Tatsuo Shimosawa PLOS ONE.2018; 13(2): e0192588. CrossRef
Relationship of sodium consumption with obesity in Korean adults based on Korea National Health and Nutrition Examination Survey 2010~2014 Se Young Cheon, Hye Won Wang, Hwa Jung Lee, Kyung Mi Hwang, Hae Seong Yoon, Yoon Jung Kang Journal of Nutrition and Health.2017; 50(1): 64. CrossRef
Study of the characteristics of dietary behavior and the effects of nutrition education for sodium reduction according to the stages of behavioral change in sodium reduction of male adult subjects in Gwangju·Jeonnam regions Young Ran Heo, Hyun Young Oh, Hee Kyong Ro Journal of Nutrition and Health.2017; 50(5): 472. CrossRef
Correlation analysis of sodium-related knowledge, dietary behavior, attitudes towards a low-salt diet and meal attitude guidance for elementary school teachers in Jeonbuk area Hyun Ok Moon, Jeong Ok Rho Journal of Nutrition and Health.2017; 50(2): 180. CrossRef
Verification of Utility of Simple Mensuration of Cl-from Urine to Estimate the Amount of Sodium Intake Sung-Ho Lee, Chae-Joon Lee, Sung-Mi Ju, Hyun-Joo Lee, Wang-Yeon Ra, Soon-Ok Kim The Korean Journal of Food And Nutrition.2016; 29(1): 27. CrossRef
We conducted a case-control study to examine the relationship of depression and dietary related factors with the hyperlipidemia for urban living elderly women from low income group. The case group consisted of 45 elderly females with hyperlipidemia (serum cholesterol > or = 240 mg/dl or serum TG > or = 250 mg/dl) and the control group of 95 age matched elderly women with serum cholesterol levels less than 240 mg/dl and serum TG less than 250 mg/dl. In a univariate analysis, vitamin C intake, the number of family members living with the subject, and their depression scores were significantly higher in the hyperlipidemic group than in the control group. In the logistic regression analysis, the vitamin C intake (> or = 75% Korean RDA), the number of family members living with the subject (> or = 1), depression scores (> or = 7), BMI (> or = 27), and subscapular skinfold thickness (> or = 18 mm) were associated with significantly higher (p < 0.05) risks of hyperlipidemia in the elderly women. However after adjustment for other covariables, the depression scores (Odds Ratio 2.48 for depression score > or = 7 ; 95%CI : 1.10 - 5.60) and subscapular skinfold thicknesses (Odds Ratio 5.69 for SBT > or = 18 mm ; 95%CI : 1.87 - 17.32) were the significant risk factors associated with hyperlipidemia in the elderly women.