학령전기 아동의 비만에 영향을 미치는 아동 및 부모 관련 요인: 한국 국민건강영양조사 자료(2013 - 2014년) 활용
Factors Affecting Obesity and Overweight in Korean Preschool Children: Based on the Korea National Health and Nutrition Examination Survey 2013 - 2014
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초록
Purpose: The aim of the study was to assess the prevalence of preschooler obesity/overweight and to identify associated factors. Methods: This study was a cross-sectional study. Data for 591 preschoolers, 432 fathers and 538 mothers from the Korea National Health and Nutrition Examination Survey 2013-2014 were included. Obesity/overweight was defined by 2007 Korean National Growth Charts. T-test, Rao-Scott χ2, multivariate logistic regression was used for the analysis. Results: Prevalence rates for preschooler obesity/overweight were 14.9% (obesity, 5.4%; overweight, 9.5%). The preschoolers with atopic dermatitis or allergic rhinitis or asthma (OR=2.78, 95% CI [1.27-6.09], p=.011) and eating more thiamine per day (OR=1.01, 95% CI [1.00-1.02], p=.001) showed higher obesity/overweight development. The only parental factor affecting preschooler obesity/overweight was parental body mass index (father, OR=1.18, 95% CI [1.09-1.28], p<.001; mother, OR=1.09, 95% CI [1.04-1.15], p<.001). Conclusion: Interventions on preventing preschooler obesity should be introduced much earlier for children with risk factors. Results from this study can be used as preliminary data to develop effective strategies to prevent obesity in Korean preschoolers.
Abstract
Purpose: The aim of the study was to assess the prevalence of preschooler obesity/overweight and to identify associated factors. Methods: This study was a cross-sectional study. Data for 591 preschoolers, 432 fathers and 538 mothers from the Korea National Health and Nutrition Examination Survey 2013-2014 were included. Obesity/overweight was defined by 2007 Korean National Growth Charts. T-test, Rao-Scott χ2, multivariate logistic regression was used for the analysis. Results: Prevalence rates for preschooler obesity/overweight were 14.9% (obesity, 5.4%; overweight, 9.5%). The preschoolers with atopic dermatitis or allergic rhinitis or asthma (OR=2.78, 95% CI [1.27-6.09], p=.011) and eating more thiamine per day (OR=1.01, 95% CI [1.00-1.02], p=.001) showed higher obesity/overweight development. The only parental factor affecting preschooler obesity/overweight was parental body mass index (father, OR=1.18, 95% CI [1.09-1.28], p<.001; mother, OR=1.09, 95% CI [1.04-1.15], p<.001). Conclusion: Interventions on preventing preschooler obesity should be introduced much earlier for children with risk factors. Results from this study can be used as preliminary data to develop effective strategies to prevent obesity in Korean preschoolers.
참고문헌 (30)
- Cynthia L. Ogden, "Prevalence of High Body Mass Index in US Children and Adolescents, 2007-2008", JAMA, 303(3), pp.242~ (2010), American Medical Association (AMA)[DOI]
- The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010 (1st year), "Korean Ministry of Health and Welfare", Korean Ministry of Health and Welfare, and Korea Centers for Disease Control and Prevention, ~ (2011)
- Nader PR, "Identifying risk for obesity in early childhood", Pediatrics, 118(3), pp.e594~e601 (2006)
- Swallen KC, "Overweight, obesity, and health-related quality of life among adolescents : the National Longitudinal Study of Adolescent Health", Pediatrics, 115(2), pp.340~347 (2005)
- H. S. Kim, "Factors Influencing Health-Related Quality of Life of Overweight and Obese Children in South Korea", The Journal of School Nursing, 29(5), pp.361~369 (2013), SAGE Publications[DOI]
- Rolland-Cachera M, "Early adiposity rebound: causes and consequences for obesity in children and adults", International Journal of Obesity, 30, pp.S11~S7 (2006)
- 라진숙, "학령전기 아동 어머니의 아동 신체활동 지지", Child Health Nursing Research, 20(1), pp.30~38 (2014), 한국아동간호학회[DOI]
- J. J Reilly, "Early life risk factors for obesity in childhood: cohort study", BMJ, 330(7504), pp.1357~0 (2005), BMJ[DOI]
- John J. Reilly, "Physical activity, sedentary behaviour and energy balance in the preschool child: opportunities for early obesity prevention", Proceedings of the Nutrition Society, 67(03), pp.317~325 (2008), Cambridge University Press (CUP)[DOI]
- 박선주, "학령전기 소아비만에 영향을 주는 영유아기 인자", Korean Journal of Pediatrics, 51(8), pp.804~811 (2008), 대한소아과학회
- 윤지영, "체질량 지수로 판정된 학령전 남아의 비만에 영향을 미치는 요인", Journal of Nutrition and Health, 37(2), pp.123~131 (2004), 한국영양학회
- 연미영, "영유아기 수유 유형과 모유 수유 기간에 따른 유아기 비만 양상 분석-2008~2011 국민건강영양조사 자료에 근거-", 대한지역사회영양학회지, 18(6), pp.644~651 (2013), 대한지역사회영양학회
- 주현옥, "한국아동의 지방증 반등(Adiposity Rebound) 시기 추정 및 모유수유가 지방증 반등 이전의 체질량지수에 미치는 영향", 대한비만학회지, 20(1), pp.8~15 (2011), 대한비만학회
- Jiyoung Park, "The effect of predominant breast-feeding on the risk of obesity in Korean preschool children", Nursing & Health Sciences, 17(1), pp.77~83 (2015), Wiley-Blackwell[DOI]
- 조인숙, "초등학교 정상체중아동과 비만아동의 건강증진 생활양식", Child Health Nursing Research, 15(1), pp.61~70 (2009), 한국아동간호학회
- 김현아, "정상체중군과 비만군 아동의 가족요인과 식습관, 사회인지적 요인 비교", Child Health Nursing Research, 10(3), pp.300~310 (2004), 한국아동간호학회
- 문진수, "2007 한국 소아 청소년 성장도표 : 개발 과정과 전망", Korean Journal of Pediatrics, 51(1), pp.1~25 (2008), 대한소아과학회
- 홍수종, "한국 소아알레르기 질환의 유병률", Korean Journal of Pediatrics, 51(4), pp.343~350 (2008), 대한소아과학회
- Constantina Papoutsakis, "Childhood Overweight", Obesity and Asthma: Is There a Link? A Systematic Review of Recent Epidemiologic Evidence, 2013, pp.113(1), 77~105[DOI]
- Perdita Permaul, "Childhood asthma and obesity—what is the true link?", Annals of Allergy, Asthma & Immunology, 113(3), pp.244~246 (2014), Elsevier BV[DOI]
- Cynthia M. Visness, "Association of Childhood Obesity With Atopic and Nonatopic Asthma: Results From the National Health and Nutrition Examination Survey 1999–2006", Journal of Asthma, 47(7), pp.822~829 (2010), Informa Healthcare[DOI]
- Tsung-Chieh Yao, "Associations of Age, Gender, and BMI with Prevalence of Allergic Diseases in Children: PATCH Study", Journal of Asthma, 48(5), pp.503~510 (2011), Informa Healthcare[DOI]
- Keiko Tanaka, "U-Shaped Association between Body Mass Index and the Prevalence of Wheeze and Asthma, but not Eczema or Rhinoconjunctivitis: The Ryukyus Child Health Study", Journal of Asthma, 48(8), pp.804~810 (2011), Informa Healthcare[DOI]
- 남영미, "소아 비만이 아토피와 기관지과민성에 미치는 영향", Allergy Asthma & Respiratory Diseases, 16(3), pp.225~232 (2006), 대한 소아알레르기 호흡기학회
- 이규영, "Factors Affecting Underweight and Obesity Among Elementary School Children in South Korea", Asian Nursing Research, 9(4), pp.298~304 (2015), 한국간호과학회
- Jouret B, "Factors associated with overweight in preschool-age children in southwestern France", The American Journal of Clinical Nutrition, 85(6), pp.1643~1649 (2007)
- 반주영, "영양소 섭취량과 스크린 시간이 학령 전 아동의 비만에 미치는 영향", 동아시아식생활학회지, 21(2), pp.185~193 (2011), 동아시아식생활학회
- Korean Ministry of Health and Welfare, "Deitary reference intakes for Koreans 2015(2015 KDRIs)", Korean Ministry of Health and Welfare, ~ (2015)
- 지영주, "청소년의 비만도에 영향을 미치는 요인: 2011년 청소년건강행태온라인 조사를 중심으로", Journal of Obesity & Metabolic Syndrome, 22(1), pp.39~49 (2013), 대한비만학회
- Benton, "Maternal depressive and anxiety symptoms, self-esteem, body dissatisfaction and preschooler obesity: A cross-sectional study", Early Child Development and Care 186.5, 186(2016), pp.799~814