6∼7세 비만아에서 혈청 지질과 영양 상태에 관한 연구
Serum Lipid Profile and Nutritional Status in 6∼7 Year Old Obese Children
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Purpose: This study was designed to characterize the nutritional status and assess obesity to determine the relationship between obesity and serum lipid profiles in 6∼7 year old children. Methods: In 2007, we surveyed 483 children (233 boys and 250 girls) aged 6∼7 years. The total cholesterol, triglyceride levels and HDL-cholesterol were measured in the fasting state. Dietary information was obtained by a questionnaire. Results: The prevalence of obesity was 9.9%. There was no significant difference between genders. The mean caloric intake was 1,781 kcal in boys and 1,640 kcal in girls. The prevalence of excessive calories was 33% in boys and 30% in girls. The prevalence of a total cholesterol ≥200 mg/dL was 8.4%, TG ≥130 mg/dL was 5.0%, LDL-cholesterol ≥130 mg/dL was 3.1%, and HDL-cholesterol <35 mg/dL was 4.4%. The prevalence of hypertension was 2.1%. There was no significant difference between genders. The systolic blood pressure, triglyceride levels and LDL-cholesterol were significantly related to an increased obesity index (p＜0.05). The mean caloric intake and nutritive component were not related to the obesity index. The obesity group was compared to the control group: for triglycerides ≥130 mg/dL the odds ratio was 4.08; for LDL-cholesterol ≥130 mg the odds ratio was 2.85; for a TC/HDL-cholesterol ≥4.0 the odds ratio was 1.16. The BMI and triglyceride levels in the group with hypertension were higher than control group (p＜0.05). There were significant positive correlations between the BMI and blood pressure as well as the LDL-cholesterol and triglycerides (p＜0.05). The BMI was not correlated with the mean caloric intake or nutrition. Conclusion: The prevalence of hypertension and hyperlipidemia in 6∼7 year old children was significantly related to an increased obesity index. The management of obesity in 6∼7 year old children should include a reduction in the risk for hyperlipidemia and hypertension.
Abstract
Purpose: This study was designed to characterize the nutritional status and assess obesity to determine the relationship between obesity and serum lipid profiles in 6∼7 year old children. Methods: In 2007, we surveyed 483 children (233 boys and 250 girls) aged 6∼7 years. The total cholesterol, triglyceride levels and HDL-cholesterol were measured in the fasting state. Dietary information was obtained by a questionnaire. Results: The prevalence of obesity was 9.9%. There was no significant difference between genders. The mean caloric intake was 1,781 kcal in boys and 1,640 kcal in girls. The prevalence of excessive calories was 33% in boys and 30% in girls. The prevalence of a total cholesterol ≥200 mg/dL was 8.4%, TG ≥130 mg/dL was 5.0%, LDL-cholesterol ≥130 mg/dL was 3.1%, and HDL-cholesterol <35 mg/dL was 4.4%. The prevalence of hypertension was 2.1%. There was no significant difference between genders. The systolic blood pressure, triglyceride levels and LDL-cholesterol were significantly related to an increased obesity index (p＜0.05). The mean caloric intake and nutritive component were not related to the obesity index. The obesity group was compared to the control group: for triglycerides ≥130 mg/dL the odds ratio was 4.08; for LDL-cholesterol ≥130 mg the odds ratio was 2.85; for a TC/HDL-cholesterol ≥4.0 the odds ratio was 1.16. The BMI and triglyceride levels in the group with hypertension were higher than control group (p＜0.05). There were significant positive correlations between the BMI and blood pressure as well as the LDL-cholesterol and triglycerides (p＜0.05). The BMI was not correlated with the mean caloric intake or nutrition. Conclusion: The prevalence of hypertension and hyperlipidemia in 6∼7 year old children was significantly related to an increased obesity index. The management of obesity in 6∼7 year old children should include a reduction in the risk for hyperlipidemia and hypertension.
참고문헌 (32)
- 김진이, "비만아동의 영양섭취와 혈청 지질농도 및 철분영양지표", 대한지역사회영양학회지, 11(5), pp.575~586 (2006), 대한지역사회영양학회
- Deitel M, "The international obesity task force and “globesity”", Obes Surg, 12, pp.613~614 (2002)
- 윤군애, "초등학생의 과체중 이환율 추적과 관련요인 분석", 한국영양학회지, 35(1), pp.69~77 (2002), 한국영양학회
- Guo SS, "The predictive value of childhood body mass index values for overweight at age 35 y", Am J Clin Nutr, 59, pp.810~819 (1994)
- Whitaker RC, "Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity", N Engl J Med, 337, pp.869~873 (1997)
- Geppert J, "Summary document of nutrition intervention in obesity", J Am Diet Assoc, pp.31~35 (1991)
- Dietz WH, "Health consequences of obesity in youth: childhood predictors of adult disease", Pediatrics, 101, pp.518~525 (1998)
- Becque MD, "Coronary risk incidence of obese adolescents: reduction by exercise plus diet intervention", Pediatrics, 81, pp.605~612 (1988)
- Cresanta JL, "Prevention of atherosclerosis in childhood", Pediatr Clin North Am, 33, pp.835~858 (1986)
- Dietz WH, "Critical periods in childhood for the development of obesity", Am J Clin Nutr, 59, pp.955~959 (1994)
- Ruderman NB, "The “metabolically-obese,” normal-weight individual", Am J Clin Nutr, 34, pp.1617~1621 (1981)
- Pettitt DJ, "Diabetes and obesity in the offspring of Pima Indian women with diabetes during pregnancy", Diabetes Care, 16, pp.310~314 (1993)
- Ravelli GP, "Obesity in young men after famine exposure in utero and early infancy", N Engl J Med, 295, pp.349~353 (1976)
- Braddon FE, "Wadsworth ME, Davies JM. Onset of obesity in a 36 year birth cohort study", Br Med J, 293, pp.299~303 (1986)
- Klesges LM, "Social desirability bias in self- reported dietary, physical activity and weight concerns measures in 8- to 10-year-old African-American girls: results from the Girls Health Enrichment Multisite Studies (GEMS)", Prev Med, 38, pp.78~87 (2004)
- 서영성, "학동전기 소아의 체중과 신체활동도와의 관계", 대한비만학회지, 9, pp.146~152 (2000)
- 이종구, "소아ㆍ청소년 표준 성장도표 2007", pp.14~17 (2007), 광문출판사
- Quint-Alder L, "An update on the national cholesterol education program", AACC Lipids and Lipoproteins Division Newsletter, 2, pp.1~5 (1991)
- Rolland-Cachera MF, "Adiposity rebound in children: a simple indicator for predicting obesity", Am J Clin Nutr, 39, pp.129~135 (1984)
- Han JS, "Originals: the relationship between serum cholesterol level and dietary intake in obese children", J Korean Soc Food Nutr, 254, pp.433~440 (1996)
- 김성현, "7세 소아에서 가속도계로 측정한 신체활동 및 식습관이 과체중에 미치는 영향", 가정의학회지, 28(3), pp.195~203 (2007), 대한가정의학회
- Epstein LH, "Childhood obesity", Pediatr Clin North Am, 32, pp.363~379 (1985)
- Orchard TJ, "Cholesterol screening in childhood: does it predict adult hypercholesterolemia? The Beaver County experience", J Pediatr, 103, pp.687~691 (1983)
- Garcia RE, "Routine cholesterol surveillance in childhood", Pediatrics, 84, pp.751~755 (1989)
- Williams CL, "Guidelines for evaluation and treatment of children with elevated cholesterol", Ann N Y Acad Sci, 623, pp.239~252 (1991)
- Strong WB, "Cholesterol screening as a component of pediatric preventive cardiology. The office setting in hyperlipidemia in children", Ann N Y Acad Sci, 623, pp.214~221 (1991)
- Armstrong N, "Van Praagh E. Young people and physical activity", Oxford University Press, 31, pp.293~ (1999)
- "National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents", Pediatrics, 114, pp.555~576 (2004)
- )Freedman DS, "Relationship of changes in obesity to serum lipid and lipoprotein changes in childhood and adolescence", JAMA, 254, pp.515~520 (1985)
- Epstein LH, "Long-term effects of family-based treatment of childhood obesity", J Consult Clin Psychol, 55, pp.91~95 (1987)
- 최성항, "서울지역 일부 초등학교 비만아동의 혈중 지질치에 관한 연구", 소아과, 36, pp.73~80 (1993)
- 심수정, "강릉지역 소아에서 비만도와 혈청 지질과의 관련성", 대한비만학회지, 12, pp.146~153 (2003)