저소득층 학령기 아동의 신체활동과 대사증후군 영향요인
Physical Activity and Metabolic Syndrome Related Factors on Low Income School Aged Children
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본 연구는 저소득층 학령기 아동을 대상으로 신체활동과 대사증후군 위험요인 정도를 파악하고 대사증후군에 영향을 미치는 요인을 확인하였다. 본 연구결과, 저소득층 학령기 아동의 신체활동 정도는 권장기준 이하의 낮은 수준이었다. 아동기 대사증후군의 유병률은 전체 아동에서 10.8%였고 체질량지수에 따라 허리둘레,혈압, 중성지방의 대사증후군 위험요인에서 유의한 차이가 있었다. 하지만 국내 아동의 특성이 반영된 대사증후군의 정의를 제시하고 표준화된 진단기준을 확립하기 위한 노력과 관심이 필요하다. 또한 대사증후군에 대한 유의한 영향을 미치는 요인은 아동의 체질량지수와신체활동으로 나타났으며 총 54.4%의 설명력을 보였다. 추후 본 연구결과를 반영하여 체질량지수와 허리둘레,혈압, 중성지방을 함께 고려하여 대사증후군을 효율적으로 예방하고 신체활동을 증진시키기 위한 아동과 부모 대상의 교육과 신체활동 증진 프로그램의 개발과 제공이 이루어져야 할 것이다. 본 연구의 결과는 저소득층아동의 대사증후군에 대한 이해를 높이고 예방과 관리의 중요성을 인식시키는 계기가 되고 아동의 건강증진을 위한 공중보건정책 수립 등의 기초자료로 활용 가능할 것으로 기대한다.
Abstract
Purpose: The purpose of this study was to explore physical activity and metabolic syndromerelated factors on low income school aged children. Methods: Cross-sectional descriptive design was conducted to recruit a convenience sample of102 participants from income school age (10~12 years) children attending at community childcenters in D metropolitan city and C province. The collected data were analyzed using t-test, χ2-test and multiple regression with the SPSS/WIN 21.0. Results: Low income children showed low level of physical activity measured by pedometer. Theoverall prevalence of Mets for low income children (10~12 years) was 10.8% by Ohzeki et al. (2011) definition, which was significantly difference by BMI (%). The highest proportion of lowincome children with the metabolic abnormalities was waist circumstance. Metabolic syndrome wascorrelated with physical activity of low income children. In multiple regression analysis, influencingfactors on metabolic syndrome were BMI (%) and physical activity and they accounted for 54.4%of variance in metabolic syndrome. Conclusion: This study shows that obesity and physical activity are important predictors of metabolicsyndrome of low income school aged children. Therefore, there is a need for the developmentof strategy and intervention program to manage obese and physical activity for this population.
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