Korean Journal of Community Nutrition

Research Article

[English]
Relationship between the Dietary Behavior of Young Children and Their Mothers in Daejeon, Korea Using the Nutrition Quotient for Preschoolers and Adults: InYoung Jeong, SuJin Song; Korean J Community Nutr 2021;26(1):12-22. Published online February 28, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.1.12

Objectives
This study examined the association between the dietary behavior and weight status of preschool children and their mothers in Daejeon, Korea. Methods: A total of 301 mother–preschool children (aged 3~6 years) dyads were included in this study. The dietary behavior of children and their mothers was assessed using the Nutrition Quotient (NQ) questionnaire for preschoolers and adults, respectively. The NQ questionnaires were completed by the mothers. The overweight/ obesity status of children and their mothers was determined using data on height and body weight reported by the mothers. Multiple logistic regression was performed to examine the relationship between the dietary behavior and weight status of children and their mothers. Results: The mean NQ score was 58.9 ± 9.7 in children and 55.6 ± 9.2 in mothers. The NQ score was higher in boys than girls but did not vary by age. The prevalence of overweight/obesity was 27.5% in children and 46.5% in mothers. The physical activity level of mothers and their NQ scores were positively associated with the NQ scores of the children. After adjustment for covariates, the mothers in the highest tertile of NQ scores showed a lower odds ratio (OR) for the unhealthy dietary behavior of children (OR = 0.24, 95% CI = 0.11~0.53, P< 0.001) compared to those in the lowest tertile. The obese mothers showed a higher OR for children’s overweight/obesity (OR = 3.38, 95% CI = 1.68~6.80, P = 0.001) compared to normal weight mothers. Conclusions: The dietary behavior and weight status of young children and their mothers were closely linked. Nutrition education programs targeting mothers are necessary for improving maternal and child nutrition. Specifically, these programs need to be tailored to the socioeconomic characteristics or weight status of mothers.

Citations

Citations to this article as recorded by

Analysis of the factors that influence preschool children eating behavior by applying the health belief model: Seoul and Gyeonggi Province
Sung-Mi Cha, Soo-Youn Kim
Nutrition Research and Practice.2023; 17(3): 541. CrossRef
Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children
Yeri Kim, Jiye Kim, Bomi Lee, Seungyoun Jung, Seo-Jin Chung, Hyekyeong Kim, Nana Shin, Yuri Kim
Nutrition Research and Practice.2023; 17(4): 717. CrossRef
Effects of the COVID-19 Pandemic on Dietary Practices for Mothers in Japan
Lin Wu, Miao Wu, Akira Ishida
Women.2022; 2(3): 264. CrossRef
Use of mothers' home meal replacement and diet quality of their young children
Bo-Yeon Kim, Mi-Hyun Kim
Journal of Nutrition and Health.2021; 54(3): 292. CrossRef

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Original Articles

[English]
Dietary and Lifestyle Factors Associated with Weight Status among Korean Adolescents from Multicultural Families: Using Data from the 2017–2018 Korea Youth Risk Behavior Surveys: SuJin Song, Hyojune Song; Korean J Community Nutr 2019;24(6):465-475. Published online December 31, 2019; DOI: https://doi.org/10.5720/kjcn.2019.24.6.465

Abstract PDF PubReader

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 2017â€“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/mÂ²). Weight status was assessed according to the 2017 Korean National Growth Chart: underweight (weight-for-age <5(th) percentiles), overweight (85(th)â‰¤ BMI-for-age <95(th) percentiles), and obese (BMI-for-age â‰¥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 3â€“4 days/week and â‰¥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 (â‰¥5 times/week) showed an odds ratio (OR) of 1.69 (95% CI=1.01â€“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 â‰¥3 times/week was 1.97 (95% CI=1.04â€“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.

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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

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[English]
Comparison of Predicted and Measured Resting Energy Expenditure in Overweight and Obese Korean Women: Ji Sook Park, Jung Eun Yim; Korean J Community Nutr 2018;23(5):424-430. Published online October 31, 2018; DOI: https://doi.org/10.5720/kjcn.2018.23.5.424

Abstract PDF PubReader

OBJECTIVES
The purpose of this study was to compare predictions and measurements of the resting energy expenditure (REE) of overweight and obese adult women in Korea.
METHODS
The subjects included 65 overweight or obese adult women ranging in age from 20~60 with a recorded body mass index (BMI) of 23 or higher. Their height, weight, waist-hip ratio, and blood pressure were measured. The investigator also measured their body fat, body fat percentage, and body composition of total weight without fat using Dual energy X-ray absorptiometry (DXA) and measured resting energy expenditure by indirect calorimetry. Measured resting energy expenditures were compared with predictions from six methods: Harris-Benedict, Mifflin, Owen, WHO-WH, Henry-WH, and KDRI.
RESULTS
Harris-Benedict predictions showed the smallest differences from measured resting energy expenditure at an accurate prediction rate of 70%. The study analyzed regression between measured resting energy expenditure and body measurements including height, weight and age. The formula proposed by this research is as follows: Proposed REE equation for overweight and obese Korean women = 721 âˆ’ (1.5 Ã— age) + (0.4 Ã— height) + (9.9 Ã— weight).
CONCLUSIONS
These findings suggest that age is a significant variable when predicting resting energy expenditure in overweight and obese women. Therefore, prediction of resting energy expenditure should consider age when determining energy requirements in overweight and obese women.

Citations

Citations to this article as recorded by

Resting energy expenditure in Korean type 2 diabetes patients: comparison between measured and predicted values
Ji-Sook Park, Sung-Rae Cho, Jung-Eun Yim
Nutrition Research and Practice.2023; 17(3): 464. CrossRef

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[English]
Effects of Nutrition Education at a Community Health Center on Overweight and Obese Middle-aged Women in Jeonbuk Area-Focused on Personalized Daily Energy Requirement and Food Exchange Units: Se Yeon Kim, Sook Bae Kim; Korean J Community Nutr 2017;22(4):307-322. Published online August 31, 2017; DOI: https://doi.org/10.5720/kjcn.2017.22.4.307

Abstract PDF PubReader

OBJECTIVES
This study examined the effects of nutrition education focused on personalized daily energy requirement and food units using Food Exchange System on anthropometric, biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes for overweight and obese in a public health center.
METHODS
The subjects were 60 overweight/obese women based on BMI (educated 30 vs. noneducated 30, 50~64 years). Educated group was provided individual and/or group lessons (40 min/ lesson/week, 5 week), â€˜Introduction: obese & healthâ€™, â€˜6 nutrients and 6 food groupsâ€™, â€˜My obesity & daily needed energyâ€™, â€˜Meal planning for personalized daily energy and food units using Food Exchange Systemsâ€™, and â€˜Smart food choicesâ€™. After education, we examined the differences in anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes between educated group and non-educated group.
RESULTS
After nutrition education, in the educated group, there were improvements on anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes in the educated group compared to the non-educated group. We observed a decrease in the mean weight, total cholesterol (TC) and the incidence of overweight/obesity and hypercholesterolemia and an increase in the mean lean body mass. The scores of nutrition knowledge, â€˜Function of carbohydrate, protein, vitamin, mineralâ€™ and â€˜Food Sources of fat, vitamin, mineralâ€™ were increased. The scores of dietary attitudes, â€˜Taking a joyful meal, a leisurely meal, a balanced meal, a meal with sufficient vegetables, a meal with diversity, a meal with spicy foods, a meal with overeatingâ€™ were increased. The intakes of energy, carbohydrate, fat, protein, vitamin A, thiamin, Zn and cholesterol were decreased. The scores of INQ, protein, vitamin A, vitamin C, thiamin, riboflavin, vitamin B6, folate, Ca, P, Fe, Zn were increased.
CONCLUSIONS
The nutrition education focused on personalized daily energy requirement and food exchange unit using Food Exchange System for overweight and obese may improve food behavior, dietary intakes and symptoms of overweight and obese, even in a community health center.

Citations

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Influence of Comprehensive Lifestyle Intervention (LSI) Program on Health, Fatigue, and Quality of Life in Middle-Aged Women
Su-Jin Jung, Seung-Ok Lee, Min-Jun Choi, Jun Heo, Soo-Wan Chae, Baik-Hwan Cho
Journal of Lifestyle Medicine.2022; 12(3): 127. CrossRef
Effects of Nutrition Education and Exercise Program on Obesity Index and Behavioral Modification in Moderate Obese Women
Myung-Hee Chang, Su-Jin Jung
Korean Journal of Community Nutrition.2018; 23(4): 318. CrossRef
Effects of an Intensive Management Program for Diabetic Patients on a Blood Biochemical Profile and Diabetes Knowledge
Su-Jeong Yeo, Bok-Hee Kim
Korean Journal of Community Nutrition.2018; 23(2): 148. CrossRef

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[English]
Dietary Intake Pattern of the Korean Adult Population by Weight Status: 2001 National Health and Nutrition Survey: Yoonna Lee, Haeng Shin Lee, Young Ai Jang, Hae Jeung Lee, Bok Hee Kim, Cho Il Kim; Korean J Community Nutr 2006;11(3):317-326. Published online June 30, 2006

Abstract PDF: To explore the relationship between weight status and food intake pattern, the Nutrition Survey results of the 2001 National Health and Nutrition Survey were analyzed. Dietary intake data of Korean adults aged 20 to 64, years who participated in the 2001 National Health and Nutrition Survey, was used along with their demographic data. Subjects were classified into 4 groups based on the BMI value of subjects: underweight, normal, overweight and obese. For male adults, obese subjects had significantly higher mean intake of energy, protein, carbohydrates, and fat than normal subjects. In addition, obese male adults consumed more animal foods, especially more meats, than normal subjects. However, females obese subjects did not show higher intake of energy or fat. Although obese male adults showed higher energy intake, calcium and iron intake per 1000 kcal was lower than normal adults. Average calcium intake in females was low; about 70% of RDA regardless of obesity level. In addition, riboflavin and Vitamin A intake was lower in overweight and obese female than in normal females. Percentage of subjects with low fruit and vegetable intake (<400 g per day) was also high in female subjects. These results showed that food and nutrient intake patterns of obese population were different between male and female adults. These dietary intake patterns need to be considered in developing and implementing nutrition policy and intervention programs to prevent and control obesity. Moreover, the National Survey and monitoring system should be developed for continuous and effective investigation on the relationship between obesity and dietary intake.

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[English]
A Comparison of Energy Intake and Energy Expenditure in Normal-Weight and Over-Weight Korean Adults: Jung A Park, Ki Jin Kim, Jin Sook Yoon; Korean J Community Nutr 2004;9(3):285-291. Published online June 30, 2004

Abstract PDF: The purpose of this study was to compare the energy expenditure and energy intake of normal-weight and overweight Korean adults. We recruited 242 adults to determine resting energy expenditure, physical activity and energy intake. Resting energy expenditure was measured by indirect calorimetry. Energy intake for consecutive two days was assessed by 24 hour recall method. Daily activity pattern for 24 hour was collected from each subject. Body weight, lean body mass and percentage body fat were measured by INBODY 3.0. The subjects were divided into normal (20 < or = BMI < 25) and overweight (BMI > or = 25) groups by BMI. There was no significant difference in intake of energy between two groups. Energy intake of each group was lower than the 7th Korean RDA of energy. Overweight subjects showed significantly lower REE/kg body weight. However, REE/kg lean body mass (LBM) did not differ between the two groups. Total activity energy was significantly higher in the overweight group compared to the normal group. Daily activity coefficient of overweight group in male was lower than that of normal group. Daily activity coefficient was almost same in two female groups. LBM was highly correlated with REE and total energy expenditure. We concluded that the overweight group consumed more energy than the normal group due to the heavier body weight.

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[English]
Comparison of Nutritional Status among Obese, Overweight and Normal Subjects in Seoul: Mee Sook Lee, Chung Shil Kwak, In Soon Kwon; Korean J Community Nutr 2004;9(3):292-302. Published online June 30, 2004

Abstract PDF: The nutritional status of middle-aged overweight and control normal subjects were evaluated for the purpose of providing the background information of the degenerative disease control. A survey was conducted with 293 healthy subjects (121 males and 172 females) between the ages 40 - 64. The average BMI (body mass index) of male subjects was 24.5 +/- 2.75, and that of females was 23.5 +/- 2.87. The average values of WHR (waist-hip ratio) were 0.88 +/- 0.04 for males and 0.82 +/- 0.07 for females. The normal BMI group (BMI 18.5 - 22.9) comprised 28.9% of males and 47.1% of females. The percentage of overweight subjects (BMI 23 - 24.9) was 26.4% of males and 30.8% of females. The obese group (BMI > 25) was 44.6% of males and 22.1% of females, showing the greater rate of obese state among male subjects. The average energy intakes were 76.6 +/- 14.9% for males and 77.8 +/- 12.6% for females, protein intakes were 108.0 +/- 24.6% for males and 111.2 +/- 22.7% for females of the RDA levels. The average intakes of other nutrients were above the 75% of RDA levels except calcium. The average nutrient intakes of the three subgroups according to their BMI values were not different for both males and females. There were weak correlations between obesity and blood biochemical indices. There were positive correlations between BMI or WHR and hemoglobin, hematocrit, fasting glucose, total cholesterol, triglyceride, AST or ALT. There were negative correlations between BMI or WHR and HDLcholesterol. These results suggest that the obesity rate of middle-aged is an influential factor of chronic disease. The middle-aged subjects of this study with higher educational and socioeconomic background tend to have desirable nutrition knowledge and attitude, but the application of their knowledge or attitude was relatively poor.

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[English]
The Evaluation of a Nutrition Education Camp Program for Overweight and Underweight Adolescents: Mi Kyung Sung, Jung Ja Sung, Wha Chun Yoo, Jae Nyun Park, Dong Yun Park, Mi Kyung Choi, Kyung Ok Cho, Sun Hye Choi, Yoon Shin Lee, You Kyung Kim, Eun Ju Lee; Korean J Community Nutr 2003;8(4):504-511. Published online August 31, 2003

Abstract PDF: This study was performed to evaluate the effectiveness of a nutrition education program developed for nutritionally imbalanced adolescents. A summer nutrition camp was held for 23 overweight and 16 underweight subjects. Its effectiveness with regard to was evaluated at the end of the camp and 6 months later. Nutrition knowledge, nutritional attitude, food behavior, nutrient intake, exercise habit and ideal body figures desired by the subjects. The results showed significantly higher nutrition knowledge scores at the end of the camp as compared to those obtained prior to the camp program, and these scores were maintained for at least six months. Nutrition attitude scores also improved after the education program, and these improved scores also lasted for 6 months. However, the food behavior scores measured 6 months after the education program were not significantly different from those obtained prior to the camp. Also, the exorcist habit, the ideal body figures and the body figures desired by the subjects remained unchanged. When nutrient intakes of subjects were assessed before the program and 6 months later, the mean daily vitamin C intake was significantly increased after the education program. Also, the intake of iron from plant food sources increased in the overweight subjects, while less iron from animal source were consumed by the underweight subjects. Both groups tended to consume more vegetables and fruits 6 months after the education program which may have contribute to the higher vitamin C and plant-based iron intakes. These results indicate that a 4-day nutrition education camp program sustained changes in nutrition knowledge and nutrition attitude for 6 months. The increased intake of vegetables and fruits was also achieved through this education program. However, changes in dietary behavior in adolescents may require repeated education.

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[English]
Development of a Simple Evaluation Questionnaire for Screening the Dietary Patterns of Overweight Young Adults: Young Sook Park, Joung Won Lee; Korean J Community Nutr 2002;7(5):675-685. Published online October 31, 2002

Abstract PDF: A study was performed to develop as a screening tool, the Simple Evaluation Questionnaire for screening Overweight Dietary Patterns in people in their 20's. We used the data from the 20 to 29 year old subjects who participated in the three surveys: the health behavior survey, the dietary habit survey and the food intake survey - as part of the National Health and Nutrition Survey of 1998. The 1,493 adults were classified into two body fatness groups, that of normal (including the underweight), and the overweight (including the obese) on the basis of their relative body weight (RBW). When comparing general variables between the two groups, significant differences (11 variables) were found in gender, sadness/depression state, stress level, age, number of diseases, age when overweightedness started, maximum body weight, sleep length, presently a smoker, everyday smoking habits, number of alcoholic drinks in the past month, and the number of alcoholic drinks when drunk, as well as snacking frequency and fatty food consumption. There were significant differences between the two groups in the three variables of daily soup/kuk, pan fried fish/meat/poultry and cooked fish paste/ham/dried squid in terms of cooked food intake, and 11 variables of food size, cooked rice, stews, vegetables and kimchi at breakfast, panfried foods and beverage/teas at lunch, cooked rice and stews (liquid) at dinner, cooked fish paste/ham/dried squid at snacks and cooked fishpaste/ham/dried squid at snack between lunch and dinner. In terms of raw food intake, we observed significant differences (8 variables) in daily food intake and grains, grains/vegetables/fishes (shellfish) at breakfast, meat at lunch and milk at snack after dinner. After developing questions with indicators and analyzing the indicators by logistic regression analysis using 34 variables, including these 33, plus eating-out frequency, we chose 10 questions for the simple evaluation of dietary patterns for the overweight category, in order to give each one point each. Among them we assigned an additional point to one question and two points to another question. The average scores of the overweight and normal groups, as shown by the questionnaire developed, were 5.97 +/- 2.36 and 7.36 +/- 2.21, respectively. A score of seven points was selected as the cut-off point. We examined the sensitivity, specificity and positive predictive value of the questionnaire to the results of 49.3%, 75.4% and 68.8%, respectively. The total score categorized as an overweight dietary pattern was 30.2%.

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[English]
The Development of a Simple Evaluation Questionnaire for Screening the Overweight-type Dietary Pattern in 30 to 49 Year Old Adults: Young Sook Park, Jae La Han, Joung Won Lee, Han Suk Cho, Jaeok Koo, Joung Hee Kim, Jin Sook Yoon; Korean J Community Nutr 2002;7(4):495-505. Published online August 31, 2002

Abstract PDF: A study was performed to develop as a screening tool the Simple Evaluation Questionnaire for Screening the Overweight-type Dietary Pattern in 30 to 49 Year Old Adults. We used the data from the 30 to 49 year old subjects who participated in the three surveys - the health behavior survey, the dietary habit survey and the food intake survey - as the National Health and Nutrition Survey 1998. The 3,598 adults were classified into to two body fatness groups of normal (including underweight) and overweight (including obese) on the basis of their relative body weight (RBW). When comparing variables between the two groups, significant differences were found in gender, education, job, employment status, perceived health status, sadness / depression state, stress level, age, number of diseases, age when overweigh-tedness started, maximum body weight, sleep length, drinking pattern (yes / no), amount of alcoholic drinks, frequency of intoxication or drunkeness, amount of alcoholic drinks when drunk, intensity of exercise, frequency of exercise, exercise duration, skipped meals, small meals and drug supplements. In terms of food intake, there were significant differences in the daily food intake in terms of breakfast, dinner, daily kimchi and dairy products. In terms of mealtimes, we found differences in the amount of cooked rice at breakfast, kimchi at lunch, soup / kuk at dinner, fresh vegetables for snacks, fried foods for snacks between breakfast and lunch, and fruits / juices for snacks between lunch and dinner. After developing questions with indicators and analyzing the indicators by logistic regression analysis three times, we chose 10 questions for a simple evaluation of dietary patterns for the overweight-type category in order to give one point each. Among them we selected two questions to add one additional point and one question to add two additional points. The average scores of the overweight and normal groups, as shown by the developed questionnaire, were 5.97 +/-2.36 and 7.36 +/-2.21, respectively. A score of seven points was selected as the cut-off point. We examined the sensitivity, specificity and positive predictive value of the questionnaire to the results of 67%, 59% and 62%, respectively.

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[English]
Television Watching, Family Social Class, Parental Overweight, and Parental Physical Activity Levels in Relation to Childhood Overweight: Gun Ae Yoon; Korean J Community Nutr 2002;7(2):177-187. Published online April 30, 2002

Abstract PDF: This study was done to determine the factors associated with childhood overweight in 721 sixth grade elementary school students, in Busan. The students' heights, weights, waist circumferences and triceps-skinfold thicknesses were measured using standard techniques. Other data were collected using a questionnaire that included information about physical activity, television watching, and the amount of exorcise taken during leisure times, family history of diseases related to obesity: social data including family income, parents' education and occupations, eating behaviors; parental weights and heights; and parental activity levels. Childhood overweight was defined as a body mass index at or above the 85th percentile for age and sex. The prevalence of overweight revealed no significant difference between sexes, (24.2% in boys and 22.03% in girls). The risk of childhood overweight was significantly greater if either the mother or the father were overweight. The odds ratio for childhood overweight associated with maternal overweight was 5.045 (94% CI : 3.262-7.801), and 2.727 (95% CI : 1.764-4.218) was the case for parental overweight. Children having a history of hear diseases had higher odds ratios than those who did not. The odds ratios for overweight associated with income were not different. However, a higher odds ratio for overweight was observed in children whose fathers had only an elementary or middle school education than those whore fathers had a high school or college education. Children whose fathers' occupations were service workers or shopkeepers (OR : 3.314, 95% C = 1.851-5.934) or had no occupation (OR = 3.756, 95% CI : 1.898-7.430) had a treater risk of overweight than those whose fathers' were professionals or once workers. The risk of overweight increased in children having more irregular meal times and faster eating times, rather than those having an intake pattern of high energy and sugar containing floods. The amount of exercise taken during leisure times, and daily physical activity showed no difference between overweight and non-overweight children. However, television watching time, especially on weekends, was greater in overweight children than in non-overweight children. Television watching time was positively correlated with BMI, triceps-skin(31d thickness, waist circumference and waist/height ratio. Therefore, television watching was found to be a useful predictor of overweight in children. Television watching in children was negatively related to paternal activity levels, and positively related to parental television watching time. In fact, fathers whose children were overweight were physically less active than fathers whose children were non-overweight. Parents appeared to be a strong influence on their children's physical activity levels. In conclusion, a low family social class, defined on the basis of the father's occupation or education, parental overweight, increased television watching, and unhealthy physical activity levels in parents were all considered risk factors for childhood overweight. Among these, television watching time and lack of physical activity were considered to be the most important risk factors that could be easily modified for the prevention of and intervention in, overweight in children.

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[English]
Overweight among Preschool Children in Seoul: Prevalence and Associated Factors: Mi Kyung Kim, Hee Jung Kim, Young Ok Kim, Jin Hee Lee, Won Chil Lee; Korean J Community Nutr 2001;6(2):121-129. Published online May 31, 2001

Abstract PDF: The purpose of this study was to estimate the prevalence and to identify risk factors of overweight among preschool children in Korea. The study subjects were 750 children, aged 2-6, attending child care centers in Korea. A measurement of the height and weight of the children, as well as collection of wide range of variables including general characteristics, and potential factors related with dietary habit for children and their parents, were conducted. Overweight was defined based on more than 110% of ideal body weight. A logistic regression analysis was adopted to identify the factors associated with overweight. Subjects were classified into three categories according to the obesity index : underweight(PIBW<90%, n=34), normal(90%< or =PIBW<110%, n=577), and overweight(PIBW> or =110%, n=139). The overall prevalence of overweight and underweight of the subjects were 21.3% and 4.0% of the boys and 15.5% and 5.1% of the girls respectively. Parent's obesity was associated with a higher risk of overweight on girls. Subjects o the third quartile(girls) and fourth quartile(boys) of income level had a substantially higher risk of overweight than did those in the first quartile. Fast eating, overeating, and food prejudice were also associated with an increased risk of overweight. The results of a logistic regression analysis showed that the eating habits and food preferences of the children were the most influencial factors on overweight. These finding may imply the importance of early stage nutrition education on rational dietary habit to prevent prevailing obesity of preschool in Korea.

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[English]
Comparison of the Total Antioxidant Status and Usual Dietary Intake in Normal and Overweight Males: Soon Kyung Kim, Young Sook Park, Kwang Eui Byoun; Korean J Community Nutr 2000;5(4):633-641. Published online December 31, 2000

Abstract PDF: This study was conducted to measure the difference in the total antioxidant status(TAS) of overweight and normal weight adults, and to investigate the correlation between TAS and the nutrient intake. Anthropometric parameter, TAS, biochemical parameters and dietary intake were measured in the normal weight group(n=17, BMI 20-25, obesity index 90-110%, body fat 16-20%) and overweight group(n=13, BMI > 25, obesity index > 120%, body fat > 25%) among Korean young males. The TAS of the overweight group was significantly higher than that of the normal weight group(p<0.01). Among biochemical parameters, the average uric acid concentration of the overweight group was significantly higher(p<0.05) compared to that of the normal weight group indicating, the uric acid concentration reflects TAS. Usual dietary intake showed that the intakes of Ca and vitamin B2, are below RDA. The average intake of vitamin C in the overweight group was significantly lower than that in the normal group(p<0.05). There was no difference in the intake of carotene and vitamin E between groups. The diet quality of both groups was satisfactory. The result of the correlation analysis on TAS, the uric acid concentration, and the measured indexs are as follows : In the overweight group, TAS was negatively correlated with alchol drinking, and uric acid concentration was positively correlated with BMI, obesity index, and TAS. In conclusion, TAS was significantly higher in the overweight group than that of the normal group, although no association was found with nutrient intakes. Serum uric acid showed a positive relationship with TAS indicating, it is a possible determinant of the antioxidant capacity.

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