Change of obesity prevalence and lifestyle patterns before and during COVID-19 among Korean adolescents
2
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Purpose: Lockdown measure for limiting coronavirus disease 2019 (COVID-19) spread cause an aggravation of the childhood obesity epidemic through lifestyle changes. The aim is to investigate how social restriction might have changed obesity prevalence and lifestyle patterns in Korean adolescents. We also evaluate the most fragile group and most influencing lifestyle parameters on obesity prevalence. Methods: To assess the change in weight status and lifestyle, we compared the Korea Youth Risk Behavior Web-based Survey data 2019 (pre-COVID-19, n=57,303) and 2020 (post-COVID-19, n=54,948). Participants from middle schools and high schools, aged 12 to 18 years, voluntarily reported their weight status and lifestyles. Results: The prevalence of obesity of the total subjects was 11.0% in 2019 and 12.1% in 2020. This prevalence difference varied by sex (males 1.8%, females 0.3%, P<0.001), age group (12–15 year 1.6%, 16–18 year 0.4%, P<0.001), and socioeconomic status. Male aged 12–15 years showed highest increase from 12.5% to 15.2%. Physical activities, fruit intake, consumption of sugar-sweetened beverages, and stress showed all decrease. Only, nonstudy sedentary time marked increased from 3.3±2.3 hr/day to 4.3±2.8 hr/day. Both moderate-intensity and vigorous-intensity physical activity marked decreased especially in male aged 12–15 years, while increased in female aged 16–18 years. Conclusion: Korean adolescents showed increasing obesity prevalence after COVID-19 lockdown, with males aged 12–15 years mainly affected, mainly due to a reduced physical activity and increased sedentary time.
Abstract
Purpose: Lockdown measure for limiting coronavirus disease 2019 (COVID-19) spread cause an aggravation of the childhood obesity epidemic through lifestyle changes. The aim is to investigate how social restriction might have changed obesity prevalence and lifestyle patterns in Korean adolescents. We also evaluate the most fragile group and most influencing lifestyle parameters on obesity prevalence. Methods: To assess the change in weight status and lifestyle, we compared the Korea Youth Risk Behavior Web-based Survey data 2019 (pre-COVID-19, n=57,303) and 2020 (post-COVID-19, n=54,948). Participants from middle schools and high schools, aged 12 to 18 years, voluntarily reported their weight status and lifestyles. Results: The prevalence of obesity of the total subjects was 11.0% in 2019 and 12.1% in 2020. This prevalence difference varied by sex (males 1.8%, females 0.3%, P<0.001), age group (12–15 year 1.6%, 16–18 year 0.4%, P<0.001), and socioeconomic status. Male aged 12–15 years showed highest increase from 12.5% to 15.2%. Physical activities, fruit intake, consumption of sugar-sweetened beverages, and stress showed all decrease. Only, nonstudy sedentary time marked increased from 3.3±2.3 hr/day to 4.3±2.8 hr/day. Both moderate-intensity and vigorous-intensity physical activity marked decreased especially in male aged 12–15 years, while increased in female aged 16–18 years. Conclusion: Korean adolescents showed increasing obesity prevalence after COVID-19 lockdown, with males aged 12–15 years mainly affected, mainly due to a reduced physical activity and increased sedentary time.
참고문헌 (34)
- Ng M, "Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013 : a systematic analysis for the Global Burden of Disease Study 2013", Lancet, 384, pp.766~781 (2014)
- Must A, "Longterm morbidity and mortality of overweight adolescents : a follow-up of the Harvard Growth Study of 1922 to 1935", N Engl J Med, 327, pp.1350~1355 (1992)
- António Videira-Silva, "Metabolically healthy overweight adolescents: definition and components", Annals of Pediatric Endocrinology & Metabolism, 25(4), pp.256~264 (2020), 대한소아내분비학회[DOI]
- "Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965through 2015–2016" (2018)[URL]
- Abarca-G’omez L, "Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016 : a pooled analysis of 2416 populationbased measurement studies in 128textperiodcentered 9 million children, adolescents, and adults", Lancet, 390, pp.2627~2642 (2017)
- Seo Moon Young, "Changes in anthropometric indices among Korean school students based on the 2010 and 2018 Korea School Health Examination Surveys", Annals of Pediatric Endocrinology & Metabolism, 26(1), pp.38~45 (2021), 대한소아내분비학회[DOI]
- Pietrobelli A, "Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy : a longitudinal study", Obesity(Silver Spring), 28, pp.1382~1385 (2020)
- Dunton GF, "Early effects of the COVID-19pandemic on physical activity and sedentary behavior in children living in the US", BMC Public Health, 20, pp.1351~ (2020)
- Xiang M, "Impact of COVID-19pandemic on children and adolescents’lifestyle behavior larger than expected", Prog Cardiovasc Dis, 63, pp.531~532 (2020)
- "COVID-19response" (2022)[URL]
- Han JA, "Impact of the COVID-19 pandemic on seasonal variations in childhood and adolescent growth : experience of pediatric endocrine clinics", Children(Basel), 8, pp.404~ (2021)
- Gwag SH, "Weight changes of children in 1 year during COVID-19pandemic", J Pediatr Endocrinol Metab, 35, pp.297~302 (2022)
- Vogel M, "Age-and weight group-specific weight gain patterns in children and adolescents during the 15 years before and during the COVID-19 pandemic", Int J Obes(Lond), 46, pp.144~152 (2022)
- Wen J, "Changes in weight and height among Chinese preschool children during COVID-19 school closures", Int J Obes(Lond), 45, pp.2269~2273 (2021)
- Brazendale K, "Preliminary evidence of children’s weight gain from 5 months of home quarantine during the COVID-19pandemic", Am J Lifestyle Med, 16, pp.197~202 (2021)
- "Korea youth risk behavior survey" (2022)[URL]
- 김재현, "The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects", Clinical and Experimental Pediatrics, 61(5), pp.135~149 (2018), 대한소아청소년과학회
- 배지석, "Validity of Self-Reported Height, Weight, and Body Mass Index of the Korea Youth Risk Behavior Web-Based Survey Questionnaire", 예방의학회지, 43(5), pp.396~402 (2010), 대한예방의학회
- Wu AJ, "Association of changes in obesity prevalence with the COVID-19 pandemic in youth in Massachusetts", JAMA Pediatr, 176, pp.198~201 (2022)
- Jia P, "Impact of COVID-19 lockdown on activity patterns and weight status among youths in China : the COVID-19 Impact on Lifestyle Change Survey(COINLICS)", Int J Obes(Lond), 45, pp.695~699 (2021)
- Maltoni G, "Gender differences in weight gain during lockdown due to COVID-19 pandemic in adolescents with obesity", Nutr Metab Cardiovasc Dis, 31, pp.2181~2185 (2021)
- Qiu N, "Sex differences in changes in BMI and blood pressure in Chinese school-aged children during the COVID-19quarantine", Int J Obes(Lond), 45, pp.2132~2136 (2021)
- Lim JS, "Gender differences in total and regional body composition changes as measured by dual-energy x-ray absorptiometry in Korean children and adolescents", J Clin Densitom, 12, pp.229~237 (2009)
- Ju Hyun Ahn, "Age at menarche in the Korean female: secular trends and relationship to adulthood body mass index", Annals of Pediatric Endocrinology & Metabolism, 18(2), pp.60~64 (2013), 대한소아내분비학회
- Amaro-Gahete FJ, "Accuracy and validity of resting energy expenditure predictive equations in middle-aged adults", Nutrients, 10, pp.1635~ (2018)
- Rocha J, "Effects of a 12-week aerobic exercise intervention on eating behaviour, food cravings, and 7-day energy intake and energy expenditure in inactive men", Appl Physiol Nutr Metab, 41, pp.1129~1136 (2016)
- 김지은, "Role of obesity-induced inflammation in the development of insulin resistance and type 2 diabetes: history of the research and remaining questions", Annals of Pediatric Endocrinology & Metabolism, 26(1), pp.1~13 (2021), 대한소아내분비학회[DOI]
- Steinbeck KS, "The importance of physical activity in the prevention of overweight and obesity in childhood : a review and an opinion", Obes Rev, 2, pp.117~130 (2001)
- Adams EL, "Food insecurity, the home food environment, and parent feeding practices in the era of COVID-19", Obesity, 28, pp.2056~2063 (2020)
- L'opez-Bueno R, "Health-related behaviors among school-aged children and adolescents during the Spanish Covid-19 confinement", Front Pediatr, 8, pp.573~ (2020)
- Moore SA, "Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth : a national survey", Int J Behav Nutr Phys Act, 17, pp.85~ (2020)
- Ruiz-Roso MB, "Covid-19confinement and changes of adolescent’s dietary trends in Italy, Spain, Chile, Colombia and Brazil", Nutrients, 12, pp.1807~ (2020)
- Sobal J, "Socioeconomic status and obesity : a review of the literature", Psychol Bull, 105, pp.260~275 (1989)
- Grant-Guimaraes J, "Childhood overweight and obesity", Gastroenterol Clin N Am, 45, pp.715~728 (2016)