비만 아동에 대한 설문지의 분석과 재구성
Revision of a Questionnaire to Assess Health Behaviors in Obese Children
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목 적: 소아 비만은 급속하게 증가하고 있다. 소아 비만의 치료는 행동 수정을 하는 것이 중심이 되므로 생활 습관과 식습관을 파악하는 것이 중요하다. 본 저자들은 비만을 효율적으로 관리하기 위해 기존에 사용해오던 설문지를 보완하고자 하였다. 방 법: 이대 목동병원 비만클리닉에 방문한 94명의 소아를 대상으로 기존에 개발되어 사용되고 있는 소아용과 부모용 설문지를 작성하게 하였다. 문항별 무응답률, 부모용과 소아용 설문지의 공통 항목에 대한 일치율(%)을 살펴보았다. 문항 분석을 통하여 추가 및 삭제할 부분을 검토하였다. 결 과: 문항별 응답율은 매우 높았다. 부모용과 소아용 설문지의 공통 항목에 대하여 62.8～91.5%까지의 비교적 중등도 이상의 일치율을 보였다. 학교급식의 음식 선호도는 평상시 음식습관으로 파악할 수 있으며, 취사선택 할 수 없는 항목으로 판단하여 삭제하였다. 좌식생활 시간을 파악하기 위하여 TV 시청 시간외 컴퓨터나 비디오 게임 시간 항목, 간식의 종류로 인스턴트나 패스트푸드 외에 섬취한 음료의 종류와 양을 기록하는 항목, 어머니의 직장 항목을 추가하였다. 또한 부모와 아동의 답변이 일치하므로 일반적인 생활 습관은 부모가, 집 밖에서의 음식과 운동에 관한 항목은 비만 아동이 기록하도록 설문지를 재구성하였다. 결 론: 비만 아동과 부모의 설문지를 분석한 결과 일치도가 높으므로 비슷한 항목을 중복되지 않게 재구성하였다. 비만아동의 습관파악을 위하여 생활습관은 부모가, 집밖에서의 음식섭취와 운동 습관은 아동이 직접 기록하도록 비만 설문지를 재구성하였다.
Abstract
Purpose: The prevalence of childhood obesity has increased dramatically. It is important to know about life style and dietary habits of the obese children because the treatment of childhood obesity focuses on using behavioral modification techniques. We aimed to develop a questionnaire for the purpose of providing convenient and useful guidance to pediatricians who evaluate and treat obese children. Methods: Previously developed questionnaire was given to 94 obese children and their parents who had visited clinic for obese children and adolescents. We analyzed response rates on questions and reliability between children and their parents. Results: The response rates on questions were somewhat high. Agreement of paired questions of both parents and children was also moderately high (63～92%). It is acceptable to complete questions by either parents or children alone. Items for hours of playing video games or computer, maternal job, kind of consuming beverage and food outside home were added . Conclusion: We concluded that some questions are not needed to be given to both parents and their children. It would be better to have parents record life style of their children and to have children record their food intake with physical activity outside home.
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