The prevalence and prevention strategies of pediatric obesity: a narrative review
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Pediatric obesity has rapidly increased globally over the past few decades, including in Korea. We aimed to discuss trends in the prevalence of pediatric obesity and effective prevention strategies. Its prevalence has markedly increased in most high-income nations. According to recent reports, this increase has slowed in developed countries, but the levels remain alarmingly high. In Korea, the rate of pediatric obesity has surged notably since the 1990s; however, since the 2000s, this increase has become more gradual. According to recently published 2017 growth charts, the prevalence of pediatric obesity in Korea varies slightly depending on the data source. The National School Health Examination data showed that pediatric obesity gradually increase from 11.5% in 2014 to 15.1% in 2019, and after the coronavirus disease 2019 pandemic, it sharply increased to 19% in 2021. Based on data from the Korea National Health and Nutrition Examination Survey, the prevalence of pediatric obesity gradually increased from 10.8% in 2017 to 13.6% in 2019. This trend, which accelerated sharply to 15.9% in 2020 and 19.3% in 2021, was especially severe in boys and older children. Pediatric obesity not only affects health during childhood but also increases the risk of developing obesity and associated health conditions in adulthood. Despite ongoing research on treatment options, obesity prevention and control remain challenging. Hence, prioritizing early intervention and prevention of pediatric obesity through healthy eating habits and lifestyles is crucial. This requires intervention at the individual, family, school, and community levels.
Abstract
Pediatric obesity has rapidly increased globally over the past few decades, including in Korea. We aimed to discuss trends in the prevalence of pediatric obesity and effective prevention strategies. Its prevalence has markedly increased in most high-income nations. According to recent reports, this increase has slowed in developed countries, but the levels remain alarmingly high. In Korea, the rate of pediatric obesity has surged notably since the 1990s; however, since the 2000s, this increase has become more gradual. According to recently published 2017 growth charts, the prevalence of pediatric obesity in Korea varies slightly depending on the data source. The National School Health Examination data showed that pediatric obesity gradually increase from 11.5% in 2014 to 15.1% in 2019, and after the coronavirus disease 2019 pandemic, it sharply increased to 19% in 2021. Based on data from the Korea National Health and Nutrition Examination Survey, the prevalence of pediatric obesity gradually increased from 10.8% in 2017 to 13.6% in 2019. This trend, which accelerated sharply to 15.9% in 2020 and 19.3% in 2021, was especially severe in boys and older children. Pediatric obesity not only affects health during childhood but also increases the risk of developing obesity and associated health conditions in adulthood. Despite ongoing research on treatment options, obesity prevention and control remain challenging. Hence, prioritizing early intervention and prevention of pediatric obesity through healthy eating habits and lifestyles is crucial. This requires intervention at the individual, family, school, and community levels.
참고문헌 (76)
- Lobstein T, "Child and adolescent obesity : part of a bigger picture", Lancet, 385, pp.2510~2520 (2015)
- Di Cesare M, "The epidemiological burden of obesity in childhood : a worldwide epidemic requiring urgent action", BMC Med, 17, pp.212~ (2019)
- Schwartz MW, "Obesity pathogenesis : an endocrine society scientific statement", Endocr Rev, 38, pp.267~296 (2017)
- Grandone A, "New treatment modalities for obesity", Best Pract Res Clin Endocrinol Metab, 32, pp.535~549 (2018)
- Singh AS, "Tracking of childhood overweight into adulthood : a systematic review of the literature", Obes Rev, 9, pp.474~488 (2008)
- Simmonds M, "Predicting adult obesity from childhood obesity : a systematic review and meta-analysis", Obes Rev, 17, pp.95~107 (2016)
- Sonntag D, "Why early prevention of childhood obesity is more than a medical concern : a health economic approach", Ann Nutr Metab, 70, pp.175~178 (2017)
- NCD Risk Factor Collaboration (NCD-RisC), "Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128•9 million children, adolescents, and adults", Lancet, 390, pp.2627~2642 (2017)
- "WHO fact sheet: Obesity and overweight" (2024)[URL]
- Skinner AC, "Prevalence of obesity and severe obesity in US children, 1999-2016", Pediatrics, 141, pp.e20173459~ (2018)
- Olds T, "Evidence that the prevalence of childhood overweight is plateauing : data from nine countries", Int J Pediatr Obes, 6, pp.342~360 (2011)
- Ogden CL, "Prevalence of childhood and adult obesity in the United States, 2011-2012", JAMA, 311, pp.806~814 (2014)
- Skinner AC, "Prevalence and trends in obesity and severe obesity among children in the United States, 1999-2012", JAMA Pediatr, 168, pp.561~566 (2014)
- Kim DU, "Studies on height, sitting height and relative sitting height of Korean primary school children in urban areas", J Korean Pediatr Soc, 10, pp.585~598 (1967)
- Moon HR, "Height and weight(and other measurements)of children in Korea 1975", J Korean Pediatr Soc, 21, pp.183~197 (1978)
- Shim TS, "Physical growth of children in Korean, 1985", J Korean Pediatr Soc, 29, pp.1~22 (1985)
- Lee DH, "1998 Korean National Growth Charts" (1999), The Korean Pediatric Society
- Moon JS, "2007 Korean National Growth Charts : review of developmental process and an outlook", Korean J Pediatr, 51, pp.1~25 (2008)
- Kim JH, "The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects", Korean J Pediatr, 61, pp.135~149 (2018)
- Park YS, "Trend of obesity in school age children in Seoul over the past 23 years", Korean J Pediatr, 47, pp.247~257 (2004)
- Oh K, "Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005", Korean J Pediatr, 51, pp.950~955 (2008)
- Kim JH, "Secular trends in pediatric overweight and obesity in Korea", J Obes Metab Syndr, 29, pp.12~17 (2020)
- Nam HK, "Trends in the prevalence of extreme obesity among Korean children and adolescents from 2001 to 2014", J Pediatr Endocrinol Metab, 30, pp.517~523 (2017)
- Choe J, "Cutoff values of body mass index for severe obesity in Korean children and adolescents : the 99th percentile versus 120% of the 95th percentile", Ann Pediatr Endocrinol Metab, 28, pp.131~137 (2023)
- "Student Health Information Center Website" (2024)[URL]
- "The Korea National Health and Nutrition Examination Survey (KNHANES), 2010-2022" (2024)[URL]
- Park HK, "Prevalence and trends in obesity and severe obesity in Korean children and adolescents, 2007-2020 : a population-based study", Pediatr Int, 65, pp.e15472~ (2023)
- Kang S, "Changes in lifestyle and obesity during the COVID-19 pandemic in Korean adolescents : based on the Korea Youth Risk Behavior Survey 2019 and 2020", Ann Pediatr Endocrinol Metab, 27, pp.281~288 (2022)
- Abbasi A, "Body mass index and incident type 1 and type 2 diabetes in children and young adults : a retrospective cohort study", J Endocr Soc, 1, pp.524~537 (2017)
- Kim HY, "Temporal trends in the prevalence of metabolically healthy overweight and obesity in Korean youth : data from the Korea National Health and Nutrition Examination Survey 2011-2019", Ann Pediatr Endocrinol Metab, 27, pp.134~141 (2022)
- Vos MB, "NASPGHAN clinical practice guideline for the diagnosis and treatment of nonalcoholic fatty liver disease in children: recommendations from the Expert Committee on NAFLD (ECON) and the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN)", J Pediatr Gastroenterol Nutr, 64, pp.319~334 (2017)
- Wühl E, "Hypertension in childhood obesity", Acta Paediatr, 108, pp.37~43 (2019)
- Calcaterra V, "Prevalence of metabolic syndrome(MS)in children and adolescents with varying degrees of obesity", Clin Endocrinol(Oxf), 68, pp.868~872 (2008)
- Chung YL, "Severe Obesity in children and adolescents: metabolic effects, assessment, and treatment", J Obes Metab Syndr, 30, pp.326~335 (2021)
- Kim M, "Cardiometabolic risk factors and metabolic syndrome based on severity of obesity in Korean children and adolescents : data from the Korea National Health and Nutrition Examination Survey 2007-2018", Ann Pediatr Endocrinol Metab, 27, pp.289~299 (2022)
- Li S, "Childhood cardiovascular risk factors and carotid vascular changes in adulthood : the Bogalusa Heart Study", JAMA, 290, pp.2271~2276 (2003)
- Twig G, "Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood", N Engl J Med, 374, pp.2430~2440 (2016)
- Kim JH, "Overview of pediatric obesity: diagnosis, epidemiology, and significance", J Korean Med Assoc, 64, pp.401~409 (2021)
- Brown V, "The potential for long-term cost-effectiveness of obesity prevention interventions in the early years of life", Pediatr Obes, 14, pp.e12517~ (2019)
- Styne DM, "Pediatric obesity-assessment, treatment, and prevention: an endocrine society clinical practice guideline", J Clin Endocrinol Metab, 102, pp.709~757 (2017)
- Masood B, "Causes of obesity: a review", Clin Med(Lond), 23, pp.284~291 (2023)
- Kyler KE, "Associations between obesity and adverse childhood experiences in the United States", Child Obes, 17, pp.342~348 (2021)
- Bleich SN, "Systematic review of community-based childhood obesity prevention studies", Pediatrics, 132, pp.e201~e210 (2013)
- James J, "Preventing childhood obesity by reducing consumption of carbonated drinks : cluster randomised controlled trial", BMJ, 328, pp.1237~ (2004)
- Dietz WH, "Sugar-sweetened beverages, milk intake, and obesity in children and adolescents", J Pediatr, 148, pp.152~154 (2006)
- Shefferly A, "Longitudinal evaluation of 100% fruit juice consumption on BMI status in 2-5-year-old children", Pediatr Obes, 11, pp.221~227 (2016)
- Epstein LH, "Increasing healthy eating vs. reducing high energy-dense foods to treat pediatric obesity", Obesity(Silver Spring), 16, pp.318~326 (2008)
- Kang E, "Obesity in children and adolescents : 2022 update of clinical practice guidelines for obesity by the Korean Society for the Study of Obesity", J Obes Metab Syndr, 33, pp.11~19 (2024)
- Rolls BJ, "Plenary lecture 1 : dietary strategies for the prevention and treatment of obesity", Proc Nutr Soc, 69, pp.70~79 (2010)
- DiSantis KI, "Plate size and children’s appetite : effects of larger dishware on self-served portions and intake", Pediatrics, 131, pp.e1451~e1458 (2013)
- Crespo CJ, "Television watching, energy intake, and obesity in US children: results from the third National Health and Nutrition Examination Survey, 1988-1994", Arch Pediatr Adolesc Med, 155, pp.360~365 (2001)
- Erçelik ZE, "Effectiveness of active video games in overweight and obese adolescents : a systematic review and meta-analysis of randomized controlled trials", Ann Pediatr Endocrinol Metab, 27, pp.98~104 (2022)
- Andersen RE, "Relationship of physical activity and television watching with body weight and level of fatness among children : results from the Third National Health and Nutrition Examination Survey", JAMA, 279, pp.938~942 (1998)
- Robinson TN, "Screen media exposure and obesity in children and adolescents", Pediatrics, 140(Suppl 2), pp.S97~S101 (2017)
- LeBourgeois MK, "Digital media and sleep in childhood and adolescence", Pediatrics, 140(Suppl 2), pp.S92~S96 (2017)
- Fang K, "Screen time and childhood overweight", obesity : a systematic review and meta-analysis, 2019, pp.45, 744~753
- Council on Communications and Media, "Media and young minds", Pediatrics, 138, pp.e20162591~ (2016)
- Yan J, "The association between breastfeeding and childhood obesity : a meta-analysis", BMC Public Health, 14, pp.1267~ (2014)
- Harder T, "Duration of breastfeeding and risk of overweight : a meta-analysis", Am J Epidemiol, 162, pp.397~403 (2005)
- Kramer MS, "Effects of prolonged and exclusive breastfeeding on child height, weight, adiposity, and blood pressure at age 6.5 y: evidence from a large randomized trial", Am J Clin Nutr, 86, pp.1717~1721 (2007)
- Fatima Y, "Longitudinal impact of sleep on overweight and obesity in children and adolescents : a systematic review and bias-adjusted meta-analysis", Obes Rev, 16, pp.137~149 (2015)
- Kjeldsen JS, "Short sleep duration and large variability in sleep duration are independently associated with dietary risk factors for obesity in Danish school children", Int J Obes(Lond), 38, pp.32~39 (2014)
- Weng SF, "Systematic review and meta-analyses of risk factors for childhood overweight identifiable during infancy", Arch Dis Child, 97, pp.1019~1026 (2012)
- Ahn SN, "Adverse childhood experiences and childhood obesity : a path analysis approach", Child Health Care, 49, pp.247~266 (2020)
- Danielzik S, "Impact of parental BMI on the manifestation of overweight 5-7 year old children", Eur J Nutr, 41, pp.132~138 (2002)
- Whitaker KL, "Comparing maternal and paternal intergenerational transmission of obesity risk in a large population-based sample", Am J Clin Nutr, 91, pp.1560~1567 (2010)
- Chai LK, "Effectiveness of family-based weight management interventions for children with overweight and obesity : an umbrella review", JBI Database System Rev Implement Rep, 17, pp.1341~1427 (2019)
- van der Kruk JJ, "Obesity : a systematic review on parental involvement in long-term European childhood weight control interventions with a nutritional focus", Obes Rev, 14, pp.745~760 (2013)
- Ickovics JR, "Implementing school-based policies to prevent obesity : cluster randomized trial", Am J Prev Med, 56, pp.e1~e11 (2019)
- Mei H, "The impact of long-term school-based physical activity interventions on body mass index of primary school children : a meta-analysis of randomized controlled trials", BMC Public Health, 16, pp.205~ (2016)
- Teng AM, "Impact of sugar-sweetened beverage taxes on purchases and dietary intake : systematic review and meta-analysis", Obes Rev, 20, pp.1187~1204 (2019)
- Goiana-da-Silva F, "Projected impact of the Portuguese sugar-sweetened beverage tax on obesity incidence across different age groups : a modelling study", PLoS Med, 17, pp.e1003036~ (2020)
- Anastasiou K, "The relationship between food label use and dietary intake in adults : a systematic review", Appetite, 138, pp.280~291 (2019)
- Nielsen SJ, "Patterns and trends in food portion sizes, 1977-1998", JAMA, 289, pp.450~453 (2003)
- Díez J, "A community-driven approach to generate urban policy recommendations for obesity prevention", Int J Environ Res Public Health, 15, pp.635~ (2018)
- Park SJ, "Policy suggestion on empowerment of prevention and management of pediatric obesity", Public Health Weekly Report, 17, pp.840~858 (2024)
