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Research Note
[Korean]
A Qualitative Study of the Awareness and Influencing Factors of the Dietary Habits of the Male and Female Workers' at a Manufacturing Facility in Gwangju
Ji Suk Yim, Young-Ran Heo
Korean J Community Nutr 2022;27(1):12-26.   Published online February 28, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.1.12
AbstractAbstract PDF
Objectives
This paper aimed to provide an in-depth analysis of the factors influencing the dietary habits of male and female workers at a facility in Gwangju and their awareness of the same.
Methods
A total of 32 workers were divided into eight groups based on work type, gender, and age, and focus group interviews (FGIs) were conducted. The FGIs included cognitive, behavioral, and environmental questionnaires based on dietary habits and the social cognitive theory. The interviews were analyzed by subject and sub-subject using audio recordings and transcriptions.
Results
Male workers in the concerned company favored meat while female workers preferred vegetables, yet by and large, the preferences were irregular. Male workers living alone frequently ate ready meals and female workers often skipped meals. An analysis of the factors influencing the study subjects’ dietary habits from the cognitive, behavioral, and environmental perspectives showed that the main factors negatively affecting their dietary habits were shiftwork, living alone, and drinking. Workers were unaware of these factors and their poor eating habits. Instead, male workers complained of poor cooking skills, while female workers complained of loneliness. Workers thus appeared to need the support of nutrition education and a counseling assistant to cope with this situation.
Conclusions
The study identified the fact that the absence of nutrition education left the workers unaware of their poor eating habits. The workers would need counseling and support to help them build healthy dietary habits. It would also be necessary to focus on raising the workers’ cognitive awareness of dietary habits and enhancing their behavioral ability to cope with bad eating habits through nutrition education that reflects the reality of their situation.

Citations

Citations to this article as recorded by  
  • Effectiveness of a mobile health intervention on weight loss and dietary behavior changes among employees with overweight and obesity: a 12-week intervention study investigating the role of engagement
    Imhuei Son, Jiyoun Hong, Young-Hee Han, Bo Jeong Gong, Meng Yuan Zhang, Woori Na, Cheongmin Sohn, Taisun Hyun
    Korean Journal of Community Nutrition.2023; 28(2): 141.     CrossRef
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Original Articles
[English]
Application and the Effect of Nutrition Education Program Based on the Social Cognitive Theory Among Middle School Girls
Jihea Kim, Taejung Woo, Kyoung Ae Lee, Seung Min Lee, Kyung Hea Lee
Korean J Community Nutr 2016;21(6):497-508.   Published online December 31, 2016
DOI: https://doi.org/10.5720/kjcn.2016.21.6.497
AbstractAbstract PDFPubReader
OBJECTIVES
The purpose of this study was to evaluate the effect of nutrition education using materials based on social cognitive theory. Education topics focused on improving health-related and dietary self-awareness and behavior capability in adolescents.
METHODS
Participants were recruited from a middle school for girls; 67 students (educated group, n=34 and control group, n=33) participated. The education group received 12 lessons in club activity class. Self-administered surveys were conducted for each group before and after the nutrition education program. The questionnaires consisted of variables such as self-efficacy, outcome expectation, outcome expectancy, knowledge, and dietary practices based on the social cognitive theory. Education satisfaction was evaluated using a five-point Likert scale for two sections: a) teaching and learning and b) education results. The data were analyzed using a t-test and Chi Square-test (significance level: p < 0.05).
RESULTS
In the education group, post-education, there were significant differences in self-efficacy (p < 0.05), knowledge (p < 0.01), and dietary practices (p < 0.05), whereas outcome expectation and expectancy did not show any significant differences. None of the variables showed any significant differences in the control group. Educational satisfaction scores were 4.38 ± 0.12 (teaching and learning) and 4.14 ± 0.15 (education results).
CONCLUSIONS
This study showed that improving adolescent's awareness and behavior capability has a positive effect on their dietary practices. Moreover, this study suggested that a theory-based determinant should be considered to improve dietary behavior among adolescents.

Citations

Citations to this article as recorded by  
  • Awareness and Practice of Sugar Reduction in School Foodservice and the Practice of Nutrition Education in Daegu
    Suhyang Jang, Kilye Kim, Yeon-Kyung Lee
    Korean Journal of Community Nutrition.2021; 26(3): 167.     CrossRef
  • Effect of Dietary Education Experience (Home, School, and Mass Media) on Food Consumer Information literacy
    Ji Eun Kim, Kyoung Sook Choi
    Korean Journal of Community Nutrition.2019; 24(5): 363.     CrossRef
  • Factors affecting preference of vegetable in elementary school students: based on social cognitive theory
    Su Hyeon Cha, Ho Kyung Ryu
    Journal of Nutrition and Health.2019; 52(3): 285.     CrossRef
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  • 3 Crossref
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[English]
Perception on Optimal Diet, Diet Problems and Factors Related to Optimal Diet Among Young Adult Women Using Focus Group Interviews: Based on Social Cognitive Theory
Hye Jin Kim, A Reum Lee, Kyung Won Kim
Korean J Community Nutr 2016;21(4):332-343.   Published online August 31, 2016
DOI: https://doi.org/10.5720/kjcn.2016.21.4.332
AbstractAbstract PDFPubReader
OBJECTIVES
Study purpose was to investigate perception on diet, diet problems and related factors among young adult women using focus group interviews (FGI) based on the Social Cognitive Theory (SCT).
METHODS
Eight groups of FGI were conducted with 47 female undergraduate or graduate students. Guide for FGI included questions regarding perception on optimal diet, diet problems and cognitive, behavioral, and environmental factors of SCT. FGI were video, audio-taped, transcribed and analyzed by themes and sub-themes.
RESULTS
Subjects showed irregular eating habits (skipping breakfast, irregular meal time) and selection of unhealthy foods as the main diet problems. Regarding cognitive factors related to optimal diet, subjects mentioned positive outcome expectations (e.g., health promotion, skin health, improvement in eating habits, etc.) and negative outcome expectations (e.g., annoying, hungry, expensive, taste). Factors that promoted optimal diet were mainly received from information from mobile or internet and access to menu or recipes. Factors that prevented optimal diet included influence from friends, lack of time and cooking skills. Behavioral factors for optimal diet included behavioral capability regarding snacks, healthy eating and smart food selection. Subjects mentioned mass media (mobile, internet, TV) as the influential physical environment, and significant others (parents, friends, grandparents) as the influential social environment in optimal diet. For education topics, subjects wanted to learn about healthy meals, basic nutrition, disease and nutrition, and weight control. They wanted to learn those aspects by using mobile or internet, lectures (cooking classes), campaign and events.
CONCLUSIONS
Study results might be used for planning education regarding optimal diet for young adult women. Education programs need to focus on increasing positive outcome expectations (e.g., health) and behavioral capability for healthy eating and food selection, reducing negative outcome expectations (e.g., cost, taste) and barriers, making supportive environments for optimal diet, and incorporating topics and methods found in this study.

Citations

Citations to this article as recorded by  
  • Factors affecting sugar intake in adults based on the social cognitive theory
    Kilye Kim, Yeon-Kyung Lee
    Journal of Nutrition and Health.2024; 57(1): 120.     CrossRef
  • Evaluation of the Need for Obesity Prevention Education Programs through Analysis of Factors Affecting Student Obesity Factors in Seoul during the COVID-19 Pandemic
    Seoung Hi Kim, Seonyeong Baek, Min Jeong Choi, Sunny Ham
    Journal of the East Asian Society of Dietary Life.2022; 32(3): 214.     CrossRef
  • Focus Group Interviews with U.S. Americans with Respect to Recipe and Sensory Characteristics of Seolgitteok (Korean Rice-Flour Cake)
    Han-Seok Seo, Sungeun Cho
    Korean Journal of Food and Cookery Science.2018; 34(1): 15.     CrossRef
  • Meal Types by Cooking Method Consumed by Korean Adults according to Meal Provision Place: Using 2015 Korea National Health and Nutrition Examination Survey
    Mi-Kyung Choi
    Korean Journal of Food & Cookery Science.2017; 33(3): 264.     CrossRef
  • Utilization of Internet Dietary Information by University Students in Seoul and Gyeonggi Area
    Young Eun Kang, Sim Yeol Lee
    Korean Journal of Human Ecology.2016; 25(6): 811.     CrossRef
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[English]
Evaluation of Consumer Nutrition Education Program to Reduce Sodium Intake Based on Social Cognitive Theory
So Hyun Ahn, Jong Sook Kwon, Kyung Min Kim, Jin Sook Yoon, Hye Kyeong Kim
Korean J Community Nutr 2015;20(6):433-446.   Published online December 31, 2015
DOI: https://doi.org/10.5720/kjcn.2015.20.6.433
AbstractAbstract PDFPubReader
OBJECTIVES
This study was performed to evaluate the consumer education program for reducing sodium intake based on social cognitive theory (SCT) and investigate consumer perceptions of environmental, cognitive and behavioral factors.
METHODS
Consumers (n=4,439) were recruited nationwide in Korea to participate in a nutrition education program for reducing sodium intake which was targeted on senior housewives (SH), parents (P), and office workers (OW). Questions regarding main factors of SCT were asked both before and after the education program.
RESULTS
SH and P recognized external social efforts and information to reduce sodium including nutrition labeling more than OW. The main barriers to practice reducing sodium intake were limited choice of low sodium food and menu, interference with social relationship when dining with others, and limited information, knowledge and skills. SH had lower barriers to practice reducing sodium intake and OW perceived 'preference to soup or stew' and 'preference to Kimchi, salted fish and fermented sauces' as barriers more than other groups at the baseline. Less than 50% of participants knew the relationship between sodium and salt, sodium in nutrition labeling, and recommended sodium intake. In addition, OW had little knowledge for capability to reduce sodium intake and lower self-efficacy to practice compared with SH and P. After education, positive outcome expectations such as lowering blood pressure, prevention of cardiovascular disease and osteoporosis were increased and barriers to practice reducing sodium intake were decreased in all groups (p < 0.05). The knowledge for behavioral capability and self-efficacy to reduce sodium intake were also improved but OW had still lower scores compared with other groups.
CONCLUSIONS
These results suggested that nutrition education programs could be an effective tool to impact general population by facilitating awareness and increased capability to reduce sodium intake.

Citations

Citations to this article as recorded by  
  • Consumer acceptance of reduced sodium white and multigrain bread: Impact of flavor enhancement and ingredient information on sample liking
    Aubrey N. Dunteman, Soo‐Yeun Lee
    Journal of Food Science.2023; 88(1): 417.     CrossRef
  • The frequency of convenience food consumption and attitude of sodium and sugar reduction among middle and high school students in Seoul: a descriptive study
    Seoyeon Park, Yeonhee Shin, Seoyeon Lee, Heejung Park
    Korean Journal of Community Nutrition.2023; 28(4): 269.     CrossRef
  • Development and evaluation of a nutrition education program for housewives to reduce sodium intake: application of the social cognitive theory and a transtheoretical model
    Sohyun Ahn, Jong-Sook Kwon, Kyungmin Kim, Hye-Kyeong Kim
    Journal of Nutrition and Health.2022; 55(1): 174.     CrossRef
  • Customers' Perceptions of Operational Status of and Needs for Sodium Reduction in the Industry Foodservice in Seoul
    Na-Young Yi
    Korean Journal of Community Nutrition.2020; 25(1): 21.     CrossRef
  • 49 View
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  • 4 Crossref
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[English]
A comparison of Dietary Habits and Influencing Factors for Vegetable Preferences of Adolescents in Gyeongnam Province
Suhyang Kwak, Taejung Woo, Kyoung Ae Lee, Kyung Hea Lee
Korean J Community Nutr 2015;20(4):259-272.   Published online August 31, 2015
DOI: https://doi.org/10.5720/kjcn.2015.20.4.259
AbstractAbstract PDFPubReader
OBJECTIVES
A higher consumption of vegetables is emphasized as the core component of most dietary guidelines. Thus, this research investigated the dietary habits and influencing factors of vegetable preferences of adolescents.
METHODS
This study was conducted by using a self-administered questionnaire. 400 students from two high schools in Gyeongnam (193 boys, 207 girls) participated in the survey. The questionnaire consisted of the following variables: dietary habit, dietary action guide and factors based on Social Cognitive Theory (SCT).
RESULTS
The dietary habits of subjects showed significant differences depending on whether they prefer vegetables or not. The subjects in the group who liked vegetables had better dietary habits than the other group. Also, the study determined that the most important reason for liking or disliking vegetables is due to the taste. In the practice of dietary guidelines, the group of subjects who liked vegetables followed dietary guidelines more closely than the other group (p < 0.001). When the factors based on SCT were analyzed, personal factors showed significant differences between the groups: outcome expectation (p < 0.001), self-efficacy (p < 0.001) and affective attitude (p < 0.001). Personal factors and rated vegetable preferences showed a significant correlation in multiple regression analysis (F=42.015, p < 0.001).
CONCLUSIONS
These results showed that vegetable preference is associated with a key point of desirable dietary habits among subjects. In order to increase vegetable preference or consumption, it is important to focus on strengthening not only self-efficacy of students, but also affective attitude of vegetable.

Citations

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  • Development of evaluation items for adolescents’ dietary habits and nutritional practices reflecting eating behaviors and food environment
    Jimin Lim, Hye Ji Seo, Jieun Oh
    Journal of Nutrition and Health.2024; 57(1): 136.     CrossRef
  • Analysis of socio-demographic and dietary factors associated with fruit and vegetable consumption among Korean adolescents: use of data from the 7th and 8th Korea National Health and Nutrition Examination Survey (2016–2019)
    Bokyeong Yun, Seunghee Kye
    Journal of Nutrition and Health.2024; 57(3): 292.     CrossRef
  • Factors affecting sugar intake in adults based on the social cognitive theory
    Kilye Kim, Yeon-Kyung Lee
    Journal of Nutrition and Health.2024; 57(1): 120.     CrossRef
  • Factors influencing the consumption of convenience foods among Korean adolescents: analysis of data from the 15th (2019) Korea Youth Risk Behavior Web-based Survey
    Seul Ki Park, Ji Hyun Lee
    Journal of Nutrition and Health.2020; 53(3): 255.     CrossRef
  • The Influence of Social Media Affinity on Eating Attitudes and Body Dissatisfaction in Philippine Adolescents
    Shannen Tadena, So Ra Kang, Shin-Jeong Kim
    Child Health Nursing Research.2020; 26(1): 121.     CrossRef
  • Home Meal Replacement Use and Eating Habits of Adults in One-Person Households
    Mi-Kyeong Choi, Eun-Sun Park, Mi-Hyun Kim
    Korean Journal of Community Nutrition.2019; 24(6): 476.     CrossRef
  • Relationships among Skeletal Muscle Mass, Health Related Factors, Nutrient Intake, and Physical Activities in Male Adolescents: Based on the 5th (2009-2011) Korean National Health and Nutrition Examination Survey (KNHANES)
    In-Kyung Jung, Jung-Hyun Kim
    The Korean Journal of Community Living Science.2018; 29(2): 185.     CrossRef
  • Study on Perception and Preference of Vegetable Intake of Alienated Children in Gyeongbuk Area according to Gender and Grade
    Won-Hui Choe, Eun-Soon Lyu, Kyung-A Lee
    Korean Journal of Food and Cookery Science.2018; 34(4): 394.     CrossRef
  • Analysis of health habit and hair mineral nutrition status of media addicted adolescent
    Hee-Sook Lim, Soon-Kyung Kim
    Journal of Nutrition and Health.2018; 51(4): 295.     CrossRef
  • Development of NQ-A, Nutrition Quotient for Korean Adolescents, to assess dietary quality and food behavior
    Hye-Young Kim, Jung-Sug Lee, Ji-Yun Hwang, Sehyug Kwon, Hae Rang Chung, Tong-Kyung Kwak, Myung-Hee Kang, Young-Sun Choi
    Journal of Nutrition and Health.2017; 50(2): 142.     CrossRef
  • Factors affecting vegetable preference in adolescents: stages of change and social cognitive theory
    Taejung Woo, Kyung-Hea Lee
    Nutrition Research and Practice.2017; 11(4): 340.     CrossRef
  • Status of Dietary Life Related Knowledge, Self-Efficacy, Food Preference and Dietary Behavior of Preschoolers in Kyunggi Area
    A Reum Lee, Ye Lee Yu, Hye Jin Kim, Kyung A Kim, Kyung Won Kim
    Korean Journal of Community Nutrition.2016; 21(3): 274.     CrossRef
  • Gender Differences in Adolescents' Dietary Perceptions and Practices
    Taejung Woo, Hye-Jin Lee, Kyoung Ae Lee, Seung Min Lee, Kyung-Hea Lee
    Korean Journal of Community Nutrition.2016; 21(2): 165.     CrossRef
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  • 13 Crossref
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[English]
Development of Nutrition Education Program for Consumers to Reduce Sodium Intake Applying the Social Cognitive Theory: Based on Focus Group Interviews
So Hyun Ahn, Hye Kyeong Kim, Kyung Min Kim, Jin Sook Yoon, Jong Sook Kwon
Korean J Community Nutr 2014;19(4):342-360.   Published online August 31, 2014
DOI: https://doi.org/10.5720/kjcn.2014.19.4.342
AbstractAbstract PDFPubReader
OBJECTIVES
This study aimed to develop nutrition education program for consumers to reduce sodium intake based on social cognitive theory (SCT).
METHODS
The main factors of SCT related to low sodium diet were investigated by using focus group interview (FGI) with 30 women who participated in consumer organizations.
RESULTS
The main target groups for the education program were housewives (H), parents (P), and the office workers (OW), for which we considered their influences on other people and the surroundings. According to the results of FGI, in carrying out low sodium diet, 'positive outcome expectation' were prevention of chronic disease and healthy dietary habit, and 'negative outcome expectation' were low palatability of foods, difficulty in cooking meals, and limited choice of foods. The contents of the program and education materials were individualized by each group to raise self-efficacy and behavioral capability, which reflected the results of the FGI. The program included 'salt intake and health' to raise positive outcome expectation. For improving the ability to practice low-sodium diet, the program contained the contents that focused on 'cooking' and 'food purchasing' for H, on 'purchasing and selection of low-sodium food with the children' for P, and on 'way of selecting restaurant menu' for OW. Also the program included 'way of choosing the low-sodium foods when eating out' with suggestions on sodium content of the dishes and snacks. Further, 'dietary guidelines to reduce sodium intake' was also suggested to help self-regulation.
CONCLUSIONS
This nutrition education program and education materials could be utilized for the community education and provide the basis for further consumer targeted education program for reducing sodium intake.

Citations

Citations to this article as recorded by  
  • Development and evaluation of a nutrition education program for housewives to reduce sodium intake: application of the social cognitive theory and a transtheoretical model
    Sohyun Ahn, Jong-Sook Kwon, Kyungmin Kim, Hye-Kyeong Kim
    Journal of Nutrition and Health.2022; 55(1): 174.     CrossRef
  • A Qualitative Study of the Awareness and Influencing Factors of the Dietary Habits of the Male and Female Workers' at a Manufacturing Facility in Gwangju
    Ji Suk Yim, Young-Ran Heo
    Korean Journal of Community Nutrition.2022; 27(1): 12.     CrossRef
  • Reach Out Emergency Department: Partnering With an Economically Disadvantaged Community in the Development of a Text-Messaging Intervention to Address High Blood Pressure
    Emily Champoux, Rory Price, Joan E. Cowdery, Mackenzie Dinh, William J. Meurer, Narmeen Rehman, Caitlin Schille, Alina Oliver, Devin L. Brown, Jordan Killingsworth, Lesli E. Skolarus
    Health Promotion Practice.2020; 21(5): 791.     CrossRef
  • Factors contributing to the reduction of sodium intake by food manufacture and cooking venues according to the national sodium reduction policies
    Kirang Kim, Sohyun Park, Jee Young Kim
    Journal of Nutrition and Health.2020; 53(6): 648.     CrossRef
  • A Comparative Study on the Awareness of Health Risks and the Risk Reduction Measures Related to Sodium Intake between Female and Male University Students in Busan and Gyeongnam: An Application of Protection Motivation Theory
    Soo-Hyun Jang, Eunju Yoon
    Korean Journal of Food & Cookery Science.2016; 32(1): 136.     CrossRef
  • School Dietitian Awareness, Practice, and Sodium Reduction Plan in School Meal Service
    Eun Kyung Kim, Hae Young Kim
    Korean Journal of Food & Cookery Science.2016; 32(2): 222.     CrossRef
  • Evaluation of a Nutrition Education Program Designed to Reduce Sugar Intake in Preschool Children
    Ma-Young Yeom, Youn-Ok Cho
    Journal of the Korean Dietetic Association.2016; 22(3): 179.     CrossRef
  • Perception on Optimal Diet, Diet Problems and Factors Related to Optimal Diet Among Young Adult Women Using Focus Group Interviews: Based on Social Cognitive Theory
    Hye Jin Kim, A Reum Lee, Kyung Won Kim
    Korean Journal of Community Nutrition.2016; 21(4): 332.     CrossRef
  • ‘When operating a cafeteria, sales come before nutrition’ – finding barriers and facilitators to serving reduced-sodium meals in worksite cafeterias
    Sohyun Park, Jounghee Lee
    Public Health Nutrition.2016; 19(8): 1506.     CrossRef
  • Study on Energy and Nutrient Intake and Food Preference of the Elderly in Care Facilities
    Jong-Sook Kwon, Seung Hee Lee, Kang Min Lee, Yoonna Lee
    Korean Journal of Community Nutrition.2016; 21(2): 200.     CrossRef
  • Evaluation of Consumer Nutrition Education Program to Reduce Sodium Intake Based on Social Cognitive Theory
    So-Hyun Ahn, Jong Sook Kwon, Kyung Min Kim, Jin-Sook Yoon, Hye-Kyeong Kim
    Korean Journal of Community Nutrition.2015; 20(6): 433.     CrossRef
  • The Development of a Nutrition Education Program for Low-income Family Children by applying the Social Cognitive Theory and Health Belief Model
    Saes-byoul Lee, Yu-Ri Jeong, Hyo-Jin Ahn, Min-Ji Ahn, Su-A Ryu, Nam-E Kang, Se-Young Oh
    Korean Journal of Community Nutrition.2015; 20(3): 165.     CrossRef
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Validation Studies
[English]
Development of a Theory Based Nutrition Education Program for Childbearing Aged Women in Korea
Se Young Oh, Kyung A Kim, Hye Eun You, Hae Rang Chung
Korean J Community Nutr 2004;9(6):725-733.   Published online December 31, 2004
AbstractAbstract PDF
It was well received that well grounded behavioral theories were important in the development of effective nutrition education programs, but there are only a few programs available for Korean women. The objective of this study was to develop nutrition education programs for childbearing-aged women in Korea. Based on the findings of the needs assessment for the program and theoretical backgrounds, we developed behaviorally oriented tailored nutrition education program including motivation (MT), modifying (MD) and maintenance (MA) stages. The key concepts of the stages were motivation promotion for MT, increasing behavioral capabilities for MD, and strengthening self-management and building favorable environmental condition for MA. The education program was intended to be need in individual nutrition counseling, but it could be well used for group education by developing materials using the relevant contents. The primary users of the program were nutrition educators, however it could be also used by clients as needed. The introductory chapter provided dietary assessment tools and nutrition education tips. MT chapter included subjects such as nutritional status screening, costs of inappropriate nutrition and weight management, benefits of eating right, and activities for motivation promotion. MD stage chapter dealt with topics of healthy weight, knowledges and skills for better eating habits and physical activity status, and activities related to setting tailored behavioral objectives. MA stage focused on facilitating self management skills and building helping relationships. Each stage underlined activities using various educational tools in order to promote active participation of the client (s). For better use of this program, it was recommended to conduct program validation study.
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Original Article
[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
AbstractAbstract 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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