Evaluation of the health status of preschool children stratified based on the weight-length index (WLI)
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
This study was conducted to prepare basic materials and offer advice regarding dietary habits to prevent and cure childhood obesity by comparing and analyzing dietary habit, nutritional status, blood factors, and mineral contents of hair. All subjects were stratified by their weight-length index (WLI). According to the standard WLI values, 64.9% of children were within the normal value, 13.5% of children were underweight, and 21.6%of children were overweight and obese (WLI ≥ 110%). Overall, the score assessed dietary habit for all children was 21.32 ± 2.55 point (921 subjects),with 5.1% of children having excellent dietary habits and 3.1% having poor dietary habits. Additionally, 37.9% of underweight children, 37.6%of normal weight children, and 43.2% of overweight and obese children consumed higher amounts of protein than underweight children did (meat,fish, eggs, and soy products) (P < 0.05). Overweight and obese children consumed more fried foods than underweight or normal weight children (P < 0.05). Moreover, 38.0% of the children had hemoglobin levels of 12 g/dl, while 7.6% were anemic (11.1 g/dl). When a hematocrit level of 33% was taken as the standard, 11.0% of children were anemic. The plasma transferrin content was 263.76 ± 54.52 mg/dl in overweight and obese children. The mean values of Fe, Cu, Ca, Cr, Mn, Se, Na, K, Li, V, Co, and Mo were within the reference values, but the Zn concentrations of underweight, normal weight, and overweight and obese children were 67.97 ± 28.51 ppm, 70.09 ± 30.81 ppm, and 73.99 ± 30.36 ppm, respectively. The Zn concentration of overweight and obese children (73.99 ± 30.36 ppm) was lower than that of the standard value (180~220 ppm). Therefore,a nutritional education program and new guidance for dietary pattern should be developed to reduce the number of underweight and overweight and obese children.
Abstract
This study was conducted to prepare basic materials and offer advice regarding dietary habits to prevent and cure childhood obesity by comparing and analyzing dietary habit, nutritional status, blood factors, and mineral contents of hair. All subjects were stratified by their weight-length index (WLI). According to the standard WLI values, 64.9% of children were within the normal value, 13.5% of children were underweight, and 21.6%of children were overweight and obese (WLI ≥ 110%). Overall, the score assessed dietary habit for all children was 21.32 ± 2.55 point (921 subjects),with 5.1% of children having excellent dietary habits and 3.1% having poor dietary habits. Additionally, 37.9% of underweight children, 37.6%of normal weight children, and 43.2% of overweight and obese children consumed higher amounts of protein than underweight children did (meat,fish, eggs, and soy products) (P < 0.05). Overweight and obese children consumed more fried foods than underweight or normal weight children (P < 0.05). Moreover, 38.0% of the children had hemoglobin levels of 12 g/dl, while 7.6% were anemic (11.1 g/dl). When a hematocrit level of 33% was taken as the standard, 11.0% of children were anemic. The plasma transferrin content was 263.76 ± 54.52 mg/dl in overweight and obese children. The mean values of Fe, Cu, Ca, Cr, Mn, Se, Na, K, Li, V, Co, and Mo were within the reference values, but the Zn concentrations of underweight, normal weight, and overweight and obese children were 67.97 ± 28.51 ppm, 70.09 ± 30.81 ppm, and 73.99 ± 30.36 ppm, respectively. The Zn concentration of overweight and obese children (73.99 ± 30.36 ppm) was lower than that of the standard value (180~220 ppm). Therefore,a nutritional education program and new guidance for dietary pattern should be developed to reduce the number of underweight and overweight and obese children.
참고문헌 (55)
- Nam HW, "A comparative study on dietary attitudes and nutritional status of preschoolers in different income levels in Seoul and Kyunggido", The Korean Journal of Dietary Culture, 13, pp.405~414 (1998)
- Brich LL, "The role of experience in children's food acceptance patterns", J Am Diet Assoc, 87, pp.S36~S40 (1987)
- Kim YK, "Food habits and its relation to the obesity of preschool children living in urban area", The Korean Journal of Dietary Culture, 15, pp.349~360 (2000)
- Kim SK, "Comparison of the blood lipids, insulin and nutrients intake by fat distribution of obese male in Korea", The Korean Journal of Nutrition, 31, pp.72~79 (1998)
- Mossberg HO, "40-year follow-up of overweight children", Lancet, 2, pp.491~493 (1989)
- Maffeis C, "Aetiology of overweight and obesity in children and adolescents", Eur J Pediatr, 169, pp.S35~S44 (2000)
- Steinberger J, "Relation of leptin to insulin resistance syndrome in children", Obes Res, 11, pp.1124~1130 (2003)
- 이정숙, "서울지역 일부 과체중 및 적절체중 학령기 아동의 신체계측, 체지방률, 혈액지표 및 영양소 섭취 상태의 비교 분석 연구", 대한영양사협회 학술지, 9(4), pp.316~325 (2003), 대한영양사협회
- Kim JH, "A study on food according to obesity index of elementary school children in high socioeconomic apartment complex in Seoul", The Korean Journal of Dietary Culture, 8, pp.275~287 (1993)
- Kim KA, "Potential relationship between obesity and risk for coronary heart disease in Kyungbuk area", The Korean Journal of Nutrition, 34, pp.664~670 (2001)
- Ahn HS, "Clinical and nutritional examination in obese children and adolescents", The Korean Journal of Nutrition, 27, pp.79~89 (1994)
- Choi SH, "The study of serum lipids in grossly obeses elementary school students in Seoul", Korean Journal of Pediatrics, 36, pp.73~80 (1993)
- Robertson SM, "Factors related to adiposity among children aged 3 to 7 years", J Am Diet Assoc, 99, pp.938~943 (1999)
- He Q, "Risk factors of obesity in preschool children in china : a population-based case-control study", Int J Obes Relat Metab Disord, 24, pp.1528~1536 (2000)
- 박정난, "성장기 아동의 골밀도에 영향을 주는 요인에 관한 연구: 신체계측치, 사회경제적 요인, 가족력 및 기타 환경요인", 한국영양학회지, 37(1), pp.52~60 (2004), 한국영양학회
- 김내희, "폐경 후 비만 여성의 식이 및 운동 교육이 체지방량 및혈중지질농도에 미치는 효과", 한국영양학회지, 40(2), pp.162~171 (2007), 한국영양학회
- 이종호, "관상동맥경화증인 과체중 남성에서 열량제한과 Testosterone 투여가 체지방 분포 및 혈청 지질 농도에 미치는 영향", 한국영양학회지, 36(9), pp.924~932 (2003), 한국영양학회
- Anuurad E, "The new BMI criteria for asians by the regional office for the western pacific region of WHO are suitable for screening of overweight to prevent metabolic syndrome in elder Japanese workers", J Occup Health, 45, pp.335~343 (2003)
- Bayles B, "Perceptions of childhood obesity on the Texas-Mexico border", Public Health Nurs, 27, pp.320~328 (2010)
- Christian P, "Maternal height and risk of child mortality and undernutrition", JAMA, 303, pp.1539~1540 (2010)
- Maddah M, "Underweight and overweight among children in Zahedan, south-east Iran", Public Health Nutr, 13, pp.1519~1521 (2010)
- 박현서, "모발의 아연과 납 함량 : 학령 전 아동의 영양소 섭취 상태와 신장 및 체중과의 관계*", 한국영양학회지, 37(3), pp.193~201 (2004), 한국영양학회
- 김화영, "한국 성인의 영양 위험군 진단을 위한 식생활진단표의 개발과 타당성 검증에 관한 연구", 한국영양학회지, 36(1), pp.83~92 (2003), 한국영양학회
- 임영, "미취학 어린이를 위한 반정량식 식품섭취 빈도 조사지 개발", 대한지역사회영양학회지, 7(1), pp.6~66 (2002), 대한지역사회영양학회
- Dietary Reference Intakes for Koreans, "The Korean Nutrition Society", ~ (2006)
- Kadar N, "A method of screening for ectopic pregnancy and its indications", Obstet Gynecol, 58, pp.162~166 (1981)
- Persijn JP, "Determination of serum iron and latent iron-binding capacity(LIBC)", Clin Chim Acta, 35, pp.91~98 (1971)
- 김용규, "규칙적인 유산소성 운동이 여성 고령자의 혈압, 혈중지질 및 혈중철분지표에 미치는 영향", Journal of Exercise Nutrition & Biochemistry, 7(3), pp.235~240 (2003), 한국운동영양학회
- Parvin R, "On the colorimetric biuret method of protein determination", Anal Biochem, 12, pp.219~229 (1965)
- National Health and Nutrition Examination Survey Ⅲ U.S.A 47 (RR-3), "World Health Organization", 1~25 (1998)
- Moon HK, "Factors related to infant growth in low-income households", Journal of the Korean Public Health Association, 17, pp.118~129 (1991)
- In-depth Analyses of the Third National Health and Nutrition Examination Survey: the Health Interview and Health Attitude Survey Part, "Korea centers for disease control and prevention", ~ (2007)
- Yum KS, "Eating behavior obesity and serum lipid levels in children", The Korean Journal of Nutrition, 26, pp.56~66 (1993)
- Cheng TO, "Childhood obesity in China", Health Place, 10, pp.395~396 (2004)
- Iwata F, "Body fat ratios in urban Chinese children", Pediatr Int, 45, pp.190~192 (2003)
- 김인경, "과천지역 초등학생의 Leptin 수준과 열량섭취, 체중 및 비만도 변화와의 관계", 한국영양학회지, 40(8), pp.736~744 (2007), 한국영양학회
- Must A, "Risks and consequences of childhood and adolescent obesity", Int J Obes Relat Metab Disord, 23, pp.S2~S11 (1999)
- Moon HK, "Indicators of nutritional status on the basis of preschool children's growth", The Korean Journal of Community Nutrition, 3, pp.3~11 (1998)
- Park JK, "Nutrient intake and eating behavior in mid and severely obese children", The Korean Journal of Obesity, 4, pp.43~50 (1995)
- Kerrey E, "Nutritional status of preschool children : Ⅰ. Dietary and biochemical findings", Am J Clin Nutr, 21, pp.1274~1279 (1968)
- Gibson EL, "Fruit and vegetable consumption, nutritional knowledge and belief in mother and children", Appetite, 31, pp.205~228 (1998)
- Fisher JO, "Parental influences on young girls' fruit and vegetable, micronutrient and fat intakes", J Am Diet Assoc, 102, pp.58~64 (2002)
- Reimer K, "Child-feeding strategies of African American woman according to stage of change for fruit and vegetable consumption", Public Health Nutr, 7, pp.505~512 (2004)
- Kim SH, "A study on relations of obesity to the serum lipid and insulin concentrations in the elementary school children", The Korean Journal of Nutrition, 31, pp.159~165 (1998)
- Zlotkin S, "Clinical nutrition : 8. The role of nutrition in the prevention of iron deficiency anemia in infants, children and adolescents", CMAJ, 168, pp.59~63 (2003)
- Winichagoon P, "Prevention and control of anemia: Thailand experiences", J Nutr, 132, pp.862S~866S (2002)
- Cornet M, "Prevalence of and risk factors for anemia in young children in southern Cameroon", Am J Trop Med Hyg, 58, pp.606~611 (1998)
- Hedberg K, "Plasmodium falciparum-associated anaemia in children at a large urban hospital in Zaire", Am J Trop Med Hyg, 48, pp.365~371 (1993)
- Premji Z, "Anemia and plasmodium falciparum infections among young children in an holoendemic area, Bagamoyo, Tanzania", Acta Trop, 59, pp.55~64 (1995)
- Walter T, "Effect of iron deficiency anemia on cognitive skills and neuromaturation in infancy and childhood", Food Nutr Bull, 24, pp.S104~S110 (2003)
- 박현서, "학령전 아동의 식습관과 사회적 행동과의 관계", 한국영양학회지, 36(3), pp.298~305 (2003), 한국영양학회
- Nowak B, "Contents and relationship of elements in human hair for a non-industrialised population in Poland", Sci Total Environ, 209, pp.59~68 (1998)
- Senofonte, "Assessment of reference values for elements in human hair of urban schoolboys", J Trace Elem Med Biol, 14, pp.6~13 (2000)
- Park HS, "Assessment of reference values for hair minerals of Korean preschool children", Biol Trace Elem Res, 116, pp.119~130 (2007)
- Gibson RS, "Content and bioavailability of trace elements in vegetarian diets", Am J Clin Nutr, 59, pp.1223S~1232S (1994)
