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청소년의 비만과 관련된 다층적 요인: 2017-2019년 청소년건강행태조사 자료 분석

Multilevel factors associated with adolescents’ obesity: Analysis of 2017-2019 Korea Youth Risk Behavior Survey data

김혜경|김수경|최새결
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2021.03|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제38권 제1호|pp. 13-24|DOI 10.14367/kjhep.2021.38.1.13

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참고문헌

키워드

adolescentdietobesityphysical activityschool
주제분류예방의학/직업환경의학

초록

Objectives: The prevalence of obesity among adolescents has been continuously increasing for the last 10 years. This study aimed to reveal individual- and school-level factors associated with the risk of obesity among Korean adolescents. Methods: We used recently collected data over a period of 3 years (2017-2019) through the Korea Youth Risk Behavior Survey. In total, 148,731 adolescents from 2,399 middle and high schools were included. The complex sample hierarchical logistic regression analysis was performed with obesity as an outcome. Results: Of the total study subjects, 10.7% were obese. The regression analysis revealed that, among individual-level factors, being male, grade, missing breakfast, and soda intake were positively associated with risk of obesity, whereas household economic status, fruit consumption, and muscle-strengthening exercises were negatively associated. Among school-level factors, the school location in the rural area and whether a school was boys-only or girls-only, compared to being a coeducational school, were positively associated with adolescents’ risk of obesity. Whether nutrition education was implemented or the number of physical activities during class did not have any significant association with obesity. Conclusion: Adolescents’ obesity was explained not only by individual-level but also by school-level factors. Therefore, to manage obesity problems in adolescents, more sophisticated and practical school- and individual-level approaches should be implemented.

Abstract

Objectives: The prevalence of obesity among adolescents has been continuously increasing for the last 10 years. This study aimed to reveal individual- and school-level factors associated with the risk of obesity among Korean adolescents. Methods: We used recently collected data over a period of 3 years (2017-2019) through the Korea Youth Risk Behavior Survey. In total, 148,731 adolescents from 2,399 middle and high schools were included. The complex sample hierarchical logistic regression analysis was performed with obesity as an outcome. Results: Of the total study subjects, 10.7% were obese. The regression analysis revealed that, among individual-level factors, being male, grade, missing breakfast, and soda intake were positively associated with risk of obesity, whereas household economic status, fruit consumption, and muscle-strengthening exercises were negatively associated. Among school-level factors, the school location in the rural area and whether a school was boys-only or girls-only, compared to being a coeducational school, were positively associated with adolescents’ risk of obesity. Whether nutrition education was implemented or the number of physical activities during class did not have any significant association with obesity. Conclusion: Adolescents’ obesity was explained not only by individual-level but also by school-level factors. Therefore, to manage obesity problems in adolescents, more sophisticated and practical school- and individual-level approaches should be implemented.

참고문헌 (38)

  1. 배호중, "중학생의 비만과 학교생활: 학교적응도 및 학업성취도를 중심으로", 한국청소년연구, 26(1), pp.79~109 (2015), 한국청소년정책연구원[DOI]
  2. 배연경, "대전지역 고등학생의 패스트푸드 섭취 실태 - 햄버거, 피자, 프라이드치킨 섭취 실태 -", 한국가정과교육학회지, 28(2), pp.41~50 (2016), 한국가정과교육학회[DOI]
  3. 백승희, "한국 청소년의 신체활동 실천율 실태조사", 한국체육과학회지, 24(5), pp.1437~1446 (2015), 한국체육과학회
  4. Laura Barriuso, "Socioeconomic position and childhood-adolescent weight status in rich countries: a systematic review, 1990–2013", BMC Pediatrics, 15(1), pp.1~15 (2015), Springer Science and Business Media LLC[DOI]
  5. 조정민, "한국 청소년의 비만과 식습관 환경요인 변화 추이 분석", 한국생활환경학회지, 21(1), pp.97~107 (2014), 한국생활환경학회
  6. Deborah A. Cohen, "A Structural Model of Health Behavior: A Pragmatic Approach to Explain and Influence Health Behaviors at the Population Level", Preventive Medicine, 30(2), pp.146~154 (2000), Elsevier BV[DOI]
  7. Committee on Sports Medicine, "Strength training, weight and power lifting, and body building by children and adolescents", Pediatrics, 86(5), pp.801~803 (1990)
  8. K. K. Davison, "Childhood overweight: a contextual model and recommendations for future research", Obesity Reviews, 2(3), pp.159~171 (2001), Wiley[DOI]
  9. European Union, "EU action plan on childhood obesity 2014-2020", Publications Office of the European Union, ~ (2014)
  10. Daphne P Guh, "The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis", BMC Public Health, 9(1), pp.1~20 (2009), Springer Science and Business Media LLC[DOI]
  11. 지영주, "청소년의 비만도에 영향을 미치는 요인: 2011년 청소년건강행태온라인 조사를 중심으로", Journal of Obesity & Metabolic Syndrome, 22(1), pp.39~49 (2013), 대한비만학회
  12. 정명희, "우리나라 청소년의 비만에 영향을 미치는 요인 분석", 한국학교보건학회지, 29(1), pp.11~21 (2016), 한국학교보건학회
  13. 정영호, "청소년 비만의 사회경제적 비용", 보건사회연구, 30(1), pp.195~219 (2010), 한국보건사회연구원[DOI]
  14. Shinkwan Kang, "Prevalence Rates and Risk Factors of Overweight and Obesity in Children and Adolescents: Using Korean National Health and Nutrition Examination Survey 2005 Data.", Korean Journal of Epidemiology, 30(2), pp.188~197 (2008), Korean Society of Epidemiology[DOI]
  15. 김봉정, "청소년 비만에 영향을 미치는 개인수준과 학교수준 요인의 효과: 다수준 분석의 적용", Journal of The Korean Data Analysis Society, 18(1), pp.509~524 (2016), 한국자료분석학회
  16. A study for development of the national dietary guidelines for Koreans, "Kim, H. R.", Korea Institute for Health & Social Affairs, ~ (2015)
  17. A study on the development of policy and strategies for national overweight and obesity prevention programs in children and adolescents, "Kim, H. R.", Korea Institute for Health and Social Affairs, ~ (2009)
  18. 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
  19. Korea Centers for Disease Control and Prevention, "The Korea youth risk behavior survey", Korea Centers for Disease Control and Prevention, ~ (2019)
  20. Korea Centers for Disease Control and Prevention, "2019 National Health Statistics", Korea Centers for Disease Control and Prevention, ~ (2020)
  21. 이재영, "한국 청소년의 저체중 영향요인", 한국산학기술학회논문지, 20(7), pp.562~570 (2019), 한국산학기술학회
  22. 이재연, "도시와 농촌 청소년의 비만에 영향을 미치는 요인: 2013 청소년 건강행태 조사결과를 중심으로", 한국보건간호학회지, 33(1), pp.73~84 (2019), 한국보건간호학회[DOI]
  23. Wade A. Lillegard, "Appropriate strength training", Medical Clinics of North America, 78(2), pp.457~477 (1994), Elsevier BV[DOI]
  24. Ministry of Gender Equality and Family, "Adolescent white paper in 2019" (2019), Ministry of Gender Equality and Family
  25. A study on the improvement plans of obesity management program for insurers to improve disability adjusted life expectancy, "National Health Insurance Service", National Health Insurance Service, ~ (2017)
  26. 오두남, "한국 청소년의 체중조절행동 영향요인", 한국콘텐츠학회 논문지, 13(3), pp.218~228 (2013), 한국콘텐츠학회[DOI]
  27. 박소연, "청소년의 비만 관련 요인에 대한 다층모형 분석", 보건사회연구, 39(3), pp.314~347 (2019), 한국보건사회연구원[DOI]
  28. Lisa M. Powell, "Associations Between Access to Food Stores and Adolescent Body Mass Index", American Journal of Preventive Medicine, 33(4), pp.S301~S307 (2007), Elsevier BV[DOI]
  29. Rees, D. I., "Exercise and adolescent mental health : new evidence from longitudinal data", The journal of mental health policy and economics, 13(1), pp.13~25 (2010)
  30. 임용택, "청소년 비만 문제의 해결을 위한 학교의 역할", 한국체육교육학회지, 17(3), pp.91~104 (2012), 한국체육교육학회
  31. Haris Riaz, "Association Between Obesity and Cardiovascular Outcomes", JAMA Network Open, 1(7), pp.e183788~e183788 (2018), American Medical Association (AMA)[DOI]
  32. Isabelle Romieu, "Energy balance and obesity: what are the main drivers?", Cancer Causes & Control, 28(3), pp.247~258 (2017), Springer Science and Business Media LLC[DOI]
  33. Sallis, J. F., "Health behavior: Theory, research, and practice", pp.43~64 (2015), Jossey-Bass
  34. Jonas A. C. Silveira, "Effectiveness of school-based nutrition education interventions to prevent and reduce excessive weight gain in children and adolescents: a systematic review", Jornal de Pediatria, 87(5), pp.382~92 (2011), Jornal de Pediatria[DOI]
  35. Amika Singh, "Physical activity and performance at school: a systematic review of the literature including a methodological quality assessment", Archives of Pediatrics & Adolescent Medicine, 166(1), pp.49~55 (2012), American Medical Association (AMA)[DOI]
  36. Y. Wang, "Association between obesity and kidney disease: A systematic review and meta-analysis", Kidney International, 73(1), pp.19~33 (2008), Elsevier BV[DOI]
  37. 윤난희, "학교의 신체활동 환경이 청소년 비만에 미치는 영향", 보건교육건강증진학회지, 35(2), pp.25~36 (2018), 한국보건교육건강증진학회[DOI]
  38. 유정옥, "다수준 분석을 이용한 청소년의 학교 내 손상 관련 요인", 지역사회간호학회지, 27(4), pp.337~345 (2016), 한국지역사회간호학회[DOI]

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