건강캠프에 참여한 학령기 아동의 생행동적 특성과 비만 위험요인
Biobehavioral Characteristics and Risk Factors Related to Obesity in School Age Children Participating in a Health Camp
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본 연구는 아동비만의 단편적인 원인에 초점을 둔 기존 연구와 달리 건강캠프에 참여한 초등학생을 대상으로 생리적·사회 심리적·환경적·행동적인 다각적 접근을 통해 학령기 아동의 비만특성과 위험요인을 파악하기 위한 서술적 조사연구이다. 본 연구에서 비만아는 일반아에 비해 부정적인 생리적·사회 심리적 요인을 가지고 있으며 학령기 비만의 주요 위험요인은 어머니의 체질량지수와 아동의 하루 평균 TV 시청시간임을 확인하였다. 이러한 결과는 학령기 아동의 비만에 대한 이해를 높이고 아동비만의 예방과 관리의 중요성을 다시금 인식하게 하는 계기를 마련할 것이다. 나아가 아동 비만율을 낮추기 위한 지지적 환경조성, 지역사회 기능강화, 공중보건정책 수립 등의 기초자료로 활용 가능할 것이라 기대한다.
Abstract
Purpose: The purpose of the study was to identify differences in physiological· psychological· environmental· behavioral characteristics between obese and control children participating in a health camp and to identify the factors related to childhood obesity. Methods: Two hundred eighty seven children aged 6 to 12 years were recruited from a health camp for elementary students in D city, Korea. Data collection was done on November 28 and 29, 2009. Anthropometric measurements, blood tests, and self-report surveys were conducted. Chi-square test, independent t-test, ANCOVA, and multiple logistic regression were performed using PASW statistics 18.0. Results: Obese children had adverse conditions for both physiological and psychological characteristics. In terms of environmental and behavioral characteristics, high maternal BMI and more than two hours of TV watching were significantly associated with high risk of childhood obesity (OR=1.11, 95% CI=1.02-1.21; OR=2.05, 95% CI= 1.23-3.41). Conclusion: Through a multi-factorial approach, the current study identified the differences between obese and control children participating in a health camp and risk factors of childhood obesity. These findings provide preliminary data and perspectives on intervention research for prevention and management of childhood obesity.
참고문헌 (28)
- Birleson, P., "The validity of depressive disorder in childhood and the development of a self-rating scale: A research report", The Journal of Child Psychology and Psychiatry, 22, pp.73~88 (1981)
- Bokor, S., "Prevalence of metabolic syndrome in european obese children", International Journal of Pediatric Obesity, 3(2), pp.3~8 (2008)
- Centers for Disease Control, "2007 Korean national growth charts" (2007), Author
- Cho, Y. R., "Obesity stress and depression of elementary school students", 석사, pp.1997
- Choi, G. S., "Degree of obesity and obesity related factors in school age children", Korean Business Review, 1, pp.1~20 (2008)
- Eagle, T. F., "Health status and behavior among middle-school children in a midwest community: What are the underpinnings of childhood obesity", American Heart Journal, 160, pp.1185~1189 (2010)
- Ells, L. J., "Prevention of childhood obesity", Best Practice & Research Clinical Endocrinology & Metabolism, 19, pp.441~454 (2005)
- Gibson, L. Y., "The role of family and maternal factors in childhood obesity", The Medical Journal of Australia, 186, pp.591~595 (2007)
- Harter, S., "The perceived competence scale for children", Child Development, 53, pp.87~97 (1982)
- 강서영, "초등학교 고학년 아동의 비만에 영향을 미치는 요인", 보건교육건강증진학회지, 27(1), pp.35~48 (2010), 한국보건교육건강증진학회
- 권순일, "아동의 비만 정도와 비만 스트레스 및 사회성과의 관계", 한국체육과학회지, 14(2), pp.243~254 (2005), 한국체육과학회
- Lee, M. J., "The relationship physical satisfaction with self-esteem and adaptability at school of obese children", Chungnam Journal of Nursing Academy, 7, pp.37~48 (2004)
- Lim, H. J., "Korean Survey on the Obesity of Youth and Children in 2009" (2009), National Youth Policy Institute
- Marti, A., "Genes, lifestyles and obesity", International Journal of Obesity, 28(3), pp.S29~S36 (2004)
- Ministry of Health & Welfare, "Statistical Data: TV watching time" (2008), Author
- Ministry of Health & Welfare, "The fourth Korea national health and nutrition examination survey (KNHANES IV), 2007(1st year)" (2008), Author
- Ministry of Health & Welfare, "The fourth Korea national health and nutrition examination survey (KNHANES IV), 2008(2nd year)" (2009), Author
- "Childhood obesity"[URL]
- Oh, S. W., "Editorial: Diagnostic criteria for childhood obesity", The Korean Journal of Obesity, 17, pp.188~190 (2008)
- Ohzeki, T., "Epidemiology and diagnostic criteria for metabolic syndrome and obesity in Japanese children", Nihon Rinsho, 1, pp.745~751 (2011)
- Park, H. S., "A study about body-image, self-esteem and depression of obese children", Chungnam Journal of Nursing Academy, 2, pp.11~18 (1999)
- 박광혜, "일 도시 초등학교 비만 아동의 신체조성, 비만도, 식습관, 스트레스에 미치는 비만관리 프로그램 효과", 한국학교보건학회지, 20(2), pp.1~12 (2007), 한국학교보건학회
- 박선미, "학동기 소아에서 비만과 우울 성향과의 관계", Korean Journal of Pediatrics, 45(1), pp.10~15 (2002), 대한소아과학회
- Steinberger, J., "Progress and challenges in metabolic syndrome in children and adolescents: A scientific statement from the american heart association atherosclerosis, hypertension, and obesity in the young committee of the council on cardiovascular disease in the young; council on cardiovascular nursing; and council on nutrition, physical activity, and metabolism", Circulation, 119, pp.628~647 (2009)
- Swinburn, B., "Effects of TV time and other sedentary pursuits", International Journal of Obesity, 32(7), pp.S132~S136 (2008)
- Weiss, R., "Obesity and the metabolic syndrome in children and adolescents", New England Journal of Medicine, 350, pp.2362~2374 (2004)
- Wieting, J. M., "Cause and effect in childhood obesity: Solutions for a national epidemic", Journal of the American Osteopathic Association, 108, pp.545~552 (2008)
- World Health Organization, "Global health risks: Mortality and burden of disease attributable to selected major risks" (2009), Author