Korean J Fam Pract. 2016; 6(3): 205-210  https://doi.org/10.21215/kjfp.2016.6.3.205
The Relationship between Obesity and Lifestyle Factors in Korean Adolescents: The 6th Korea National Health and Nutrition Examination Survey (2013?2014)
Heeju Kang*, Oh-Heon Kwon, Woo-Cheol Lee, Jung-Ho Ko
Department of Family Medicine, Seongnam Central Hospital, Seongnam, Korea
Heeju Kang
Tel: +82-31-799-5550, Fax: +82-31-743-3009
E-mail: gmlwnpia@hanmail.net
Received: March 8, 2016; Accepted: March 31, 2016; Published online: June 20, 2016.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract

Background: Obesity in adolescence is correlated to coronary heart disease, independent of weight in adulthood, and it has a broad range of adverse health effects. More than 60% of obese adolescents remain obese as adults, and therefore, appropriate management of obesity in adolescence is needed. This study was conducted to examine the prevalence of obesity in adolescence and lifestyle factors related to obesity in Korean adolescents.

Methods: This study was a cross-sectional study of 782 adolescents (404 boys, 378 girls) aged 12?18 years who participated in the Korean National Health and Nutrition Examination Survey for 2013?2014. Obesity was defined as a body mass index (BMI) above the 95th percentile for each age and sex based on the 2007 growth chart for Korean children or BMI ≥25 kg/m2. The following lifestyle factors were examined as risk factors for obesity: level of physical activity, walking time, sedentary time, weight management, self-rated health status, sleep time, amount of energy and nutrient intake, cigarette smoking, and alcohol consumption.

Results: The prevalence of obesity in Korean adolescents aged 12?18 years was 12.5% (15.6% boys, 9.3% girls). A family history of chronic disease, walking time, weight management, self-rated health status, cigarette smoking, and alcohol consumption were statistically associated with obesity (P<0.0.5).

Conclusion: Appropriate obesity prevention programs for adolescents need to be included in education to promote healthy lifestyle behaviors, including eating habits and physical activity.

Keywords: Adolescent; Obesity; Lifestyle; Body Mass Index
References
  1. Lavie CJ, Parto P, Archer E. Obesity, fitness, hypertension, and prognosis: is physical activity the common denominator? JAMA Intern Med 2016; 176:217-8.
    Pubmed CrossRef
  2. Xu S, Xue Y. Pediatric obesity: cause, symptoms, prevention and treatment. Exp Ther Med 2016; 11: 15-20.
    Pubmed
  3. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Prediction obesity in young adulthood from childhood and parental obesity. N Engl J Med 1997; 337: 869-73.
    Pubmed CrossRef
  4. Must A, Jacques PF, Dallal GE, Bajema CJ, Diets WH. Long-term morbidity and mortality of overweight adolescents: a follow-up of the harvard growth study of 1922 to 1935. N Engl J Med 1992; 327: 1350-5.
    Pubmed CrossRef
  5. Park YS, Lee DH, Choi JM, Kang YJ, Kim CH. Trend of obesity in school age children in Seoul over the past 23 years. Korean J Pediatr 2004; 47: 247-57.
  6. Chu MA, Choe BH. Obesity and metabolic syndrome among children and adolescents in Korea. J Korean Med Assoc 2010; 53: 142-52.
    CrossRef
  7. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National sleep foundation’s updated sleep duration recommendations: final report. Sleep Health 2015; 1: 233-43.
    CrossRef
  8. World Health Organization. Population-based approaches to childhood obesity prevention. Geneva: World Health Organization; 2012.
  9. Kim HR, Seo SH, Kim E, Lee JW. A study on the development of policy and strategies for national overweight and obesity prevention programs in children and adolescent. Seoul: Korea Institute for Health and Social Affairs;2009.
  10. Seo JW, Jung JA, Park HS, Ko JS, Kim YJ, Kim JY, et al. Assessment of modifiable lifestyle factors for obese children and adolescents through questionnaires. Korean J Pedriatr 2008; 51: 576-83.
    CrossRef
  11. Jo Y. What money can buy: family income and childhood obesity. Econ Hum Biol 2014; 15: 1-12.
    Pubmed CrossRef
  12. Lee HS, Duffey KJ, Kim CI, Popkin BM. The relationship between family and child weight status by household structure in South Korea: 2007-2010. Nutr Diabetes 2013; 10; 3: e73.
  13. Finkelstein MM. Hypertension, self-perceived health status and use of primary care services. CMAJ 2000; 162: 45-6.
    Pubmed KoreaMed
  14. Klein BE, Klein R, Moss SE. Self-rated health and diabetes of long duration:the wisconsin epidemiologic study of diabetic retinopathy. Diabetes Care 1998; 21: 236-40.
    Pubmed CrossRef
  15. Kaplan GA, Camacho T. Perceived health and mortality: a nine-year followup of the human population laboratory cohort. Am J Epidemiol 1983; 117:292-304.
    Pubmed
  16. Kim JS, Cho B. Association between self-perceived health status and health related behavior in routine health examinees. Korean J Fam Med 2010; 31:688-96.
    CrossRef
  17. Olson J, Aldrich H, Callahan TJ, Matthews EE, Gance-Cleveland B. Characterization of childhood obesity and behavioral factors. J Pediatr Health Care 2015 Nov 21 [Epub]. doi: 10.1016/j.pedhc.2015.10.009.
    CrossRef
  18. Grandner MA, Schopfer EA, Sands-Lincoln M, Jackson N, Malhotra A. Relationship between sleep duration and body mass index depends on age. Obesity 2015; 23: 2491-8.
    Pubmed KoreaMed CrossRef
  19. Ruan H, Xun P, Cai W, HE K, Tang Q. Habitual sleep duration and risk of childhood obesity: systematic review and dose-response meta-analysis of prospective cohort studies. Sci Rep 2005; 5: 16160.
    Pubmed KoreaMed CrossRef
  20. Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD. Breakfast habits, nutritional status, body weight and academic performance in children and adolescents. J Am Diet Assoc 2005; 105: 743-60.
    Pubmed CrossRef
  21. Newby PK. Are dietary intakes and eating behaviors related to childhood obesity? A comprehensive review of the evidence. J Law Med Ethics 2007;35: 35-60.
    Pubmed CrossRef
  22. Nicklas TA, Yang SJ, Baranowski T, Zakeri I, Berenson G. Eating patterns and obesity in children. The Bogalusa heart study. Am J Prev Med 2003; 25: 9-16.
    CrossRef
  23. Baek SI, So WY. Relationship between obesity in Korean adolescents and the frequency of alcohol consumption, the amount of alcohol consumed, and the frequency of severe alcohol intoxication. Obes Res Clin Pract 2012;6: e91-174.
    Pubmed CrossRef
  24. Kwon JD, Kim BT, Kim KM, Park SB, Kim E, Chang CS, et al. The relationship between cigarette smoking and obesity in the adolescents. Korean J Fam Med 2010; 31: 369-76.
    CrossRef


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