The Relation of Educational Level and Life-Style Behaviors to Obesity in Adult Males

성인 남성의 교육수준 및 생활습관에 따른 비만위험도

  • 윤군애 (동의대학교 생활과학대학 식품영양학과)
  • Published : 2004.06.01


This study examined the relations of educational level and life-style behaviors to the obesity. A total of 507 male adults aged 30 - 50 years completed the self-reported questionnaires. Educational level was used for measuring socioeconomic status. Activity at work, leisure-time activity and TV watching were measured for life-style behaviors related to physical activity, and some demographic and family history of disease as well. Subjects were categorized as obese when BMI was equal to or over 25kg/$m^2$, in which 19.7% resulted obesity. Using multivariate logistic regression, the association between the measured factors and obesity was assessed. The odds ratios (OR) for risk of obesity did not differ with either age or monthly income. Subjects who completed high school (OR = 0.36; 95% CI = 0.20 - 0.66) or university (OR = 0.34; 95% CI = 0.16 - 0.71) had lower risk of obesity than those with education below middle school. Those with moderate activity level at work (OR = 0.41; 95% CI = 0.24 - 0.72) showed lower risk of obesity than in inactive ones. The subjects watching TV more than 3.5 hr/day presented higher risk of obesity (OR = 2.46; 95% CI = 1.28 - 4.74), compared with those watching TV less than 1.5 hr/day. The higher risk of obesity observed in high level of leisure time activity than in low one was considered due to that physical activity at work and leisure-time might counteract each other. Educational level and activity at work or leisure-time activity or TV watching were jointed and categorized, and then OR for obesity was estimated. The extent of obesity risk at a given level of each work activity or leisure-time activity or TV watching was different depending the educational level, which was significantly high when educational level was below middle school. Educational difference had no effect on activity level at work. However, higher educational attainment increased the leisure activity and reduced TV watching (p<0.05), indicating that low education tended to contribute to more sedentary life-style. The findings of this study is concluded that low education was related to obesity in adult males, and its relation can partly be explained through acquiring inactive life-style behaviors. Individuals with low education might be more susceptible to the risk factors of obesity.



  1. N Eng J Med v.329 Social and economic consequences of overweight in adolescence and young adulthood Gortmaker,S.L.;Must,A.;Perrin,J.M.;Sobol,A.M.;Dietz,W.H.
  2. Am J Public Health v.82 Socioeconomic status and health: How education, income and occupation contribute to risk factors for cardiovascular disease Winkleby,M.A.;Jatulis,D.E.;frank,E.;Fortmann,S.P.
  3. Int J Obes v.24 Time spent waching television, sleep duration and obesity in adults living in Valencia, Spain Vioque,J.;Torres,A.;Quiles,J.
  4. J Psychosomatic Res v.53 Epidemiologic evidence for the relation between socioeconomic status and depression, obestity, and diabetes Everson,S.A.;Maty,S.C.;Lynch,J.W.;Kaplan,G.A.
  5. Int J Obes v.26 The relation of gender, race and socioeconomic status to obesity and obesity comorbidities in a sample of US adults Paeratakul,S.;Lovejoy,J.C.;Ryuan,D.H.;Bray,G.A.
  6. Eur J Epidemiol v.18 The contribution of lifestyle factors to socioeconomic differences in obesity in men and women-a population-based study in Sweden Molarius,A.
  7. Am J Public Health v.81 Television viewing and obesity in adult female Tucker,L.A.;Bagwell,M.
  8. Ann Epidemiol v.6 Television viewing and cardiovascular risk factors in young adults: The CARDIA study Sidney,S.;Sternfeld,B.;Haskell,W.L.;Jacobs,D.;Chesney,M.A.;Hulley,S.
  9. Int J Obes v.23 Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico Hernndez,B.;Gortmaker,SL.;Colitz,G.A.;Peterson,K.E.;Laird,N.M.;Parra-Cabrera S.
  10. Int J Obes v.22 Predictors of weight change in man: Results from the health professionals follow-up study Coakley,E.H.;Rimm,E.B.;Colditz,G.;Kawachi,I.;Willett,W.
  11. Korean J Nutr v.36 Association of obesity with television watching and physical activity in adult female Yoon,G.A.
  12. Korean J Community Nutr v.7 no.2 Television watching, family social class, parental overweight, and parental physical activity levels in relation to childhood overweight Yoon,G.A.
  13. N Eng J Med v.329 Obesity and socioeconomic status A complex relation Stunkard,A.J.;Sorensen,TIA
  14. Eur J Epidemiol v.16 Socioeconomic status, overweight and obesity in prepubertal children: A study in an area of Northem Italy Gnavi,R.;Spagnoli,T.D.;Galotto.C.;Pugliese,E.;Carta,A.;Cesari,L.
  15. Psychol Bull v.105 Socioeconomic status and obesity: a review of the literature Sobal,J.;Stunkard,A.J.
  16. Psychol Bull v.105 Socioeconomic status and obesity: a review of the literature Sobal,J.;Stunkard,A.J.
  17. Annu rev Public Health v.8 Socio/economic status and diease Marmot,M.G.;Kogevinas,M.;Elston,M.A.
  18. Int J Epedemiol v.30 Education, lifestyle factors and mortality from cardiovascular disease and cancer;A 25-year follow-up of Swedish 50-year-old men Kilander,L.;Berglund,L.;Boberg,M.;Vessby,B.;Lithell,H.
  19. Am J Public Helth v.86 Activity level and risk of overweight in male health professionals Ching,PLYH;Wilett,W.C.;Rimm,F.B.;Colditz,G.H.;Gortmaker,S.L.;Stamper,M.J.
  20. J Physical Education Recreation Dance v.58 National children and youth fitness survey: factors associated with health related fitness Pate,R.R.;Ross,J.G.
  21. JAMA v.272 Increasing prevalence of overweight among US adults Kuczmarski,R.J.;Flegal,K.M.;Campbell,S.M.;Jobnson,C.L.
  22. Am J Public Health v.79 Television viewing and obesity in adult males Tucker,L.A.;Friedman,G.M.
  23. J Am Diet Assoc v.90 Inactivity, diet and the fattening of America Gortmaker,S.L.;Dietz,W.H.Jr.;Cheung,WLY
  24. J Clin Epidemiol v.49 Trends in obesith differences by educational level in Spain Guitierrez-Fisac J.L.;Regidor,E.;Roderiguez,C.
  25. Soc Sci Med v.44 Why do poor people behave poorly? Variations in adult health behaviour and psychosocial characteristics, by stage of the socioeconomic lifecourse Lynch,J.W.;Kaplan,G.A.;Salonen,J.T.
  26. Int J Obes v.24 Weight gain and its correlates in Poland between 1983 and 1993 Dennis,B.H.;Pajak,A.;Pardo,B.;Davis,C.E.;Williams,O.D.;Piotrowski,W.
  27. J Epidemiol Commun Health v.55 Socie-economic status and weight control practices in British adults Wardle,J.;Griffth,J.
  28. Int Obes v.20 The influence of occupational and social factors on obesity and body fat distribution in middle-aged men Rosomona,R.;Lapidus,L.;Bjorntorp,P.