DOI QR코드

DOI QR Code

Effects of Nutritional Education and Physical Exercise Program on Nutritional and Health Status of Obese Children in Busan Metropolitan City

  • Hwang, Hye-Jin (Department of Food and Nutrition, Dongeui University) ;
  • Jin, Hye-Young (Department of Food and Nutrition, Dongeui University) ;
  • Chung, Eun-Jung (General Education, Kangnam University) ;
  • Kim, Soo-Yeon (Department of Food and Nutrition, Yonsei University) ;
  • Kwak, Yi-Sub (Department of Physical Education, Dongeui University)
  • Published : 2008.12.31

Abstract

The objective of this study was to investigate the effects of a nutritional education and physical exercise program on obese children (47 boys and 36 girls). The nutritional education and physical exercise program was provided for 6 weeks and dietary habits, nutrient intake and hematological profiles were measured before and after the program. The BMI (body mass index, $kg/m^2$) in male children was significantly reduced to $24.58{\pm}2.81$ from $25.89{\pm}3.27$ (p<0.01) and it was significantly reduced to $24.29{\pm}3.51$ from $25.21{\pm}3.59$ in female children after the completion of nutritional education and exercise program. Body fat in male children was remarkably reduced to $32.69{\pm}7.74%$ after education from $37.38{\pm}9.21%$ (p<0.001). After the program total cholesterol concentration in male children was reduced to $176.48{\pm}29.10\;mg/dL$ from $196.03{\pm}29.10\;mg/dL$, whereas there was no significant difference in females before and after the nutritional education and exercise program. The grasping power of male children (p<0.05) and backmuscle strength of male (p<0.05) and female children (p<0.001) were significantly increased after the exercise program. The nutrient intakes that were different before and after the nutrition education were calories (p<0.05) and carbohydrate (p<0.05) in male children, and a significant increase in intake of vitamin A (p<0.05) was found in female children. There was a significant difference in meal time regularity before and after program. The findings of this study showed that there was a significant decrease in both body fat and weight, in addition to normalization of hematological profiles after the completion of nutrition education and physical exercise programs.

References

  1. Jeon HJ, Chung HJ. 2003. A study on the necessity of school education for child obesity part 1 -A basic investigation for guideline of nutritional, physical education-. Korean J Food Nutr 16: 197-202
  2. Lee HS, Choi JS, Kim WY. 2005. Effect of nutrition education for weight control on the dietary behavior, anthropoetry, body composition, and serum levels of adipocytokinase in the elementary obese children. Korean J Food Culture 20: 323-330
  3. Drenick EJ, Bale GS, Silzter F. 1980. Excessive mortality and causes of death in morbility obese man. JAMA 243: 443-445 https://doi.org/10.1001/jama.243.5.443
  4. Bae YJ, Kim EY, Cho HK, Kim MH, Choi MK, Sung MK, Sung CJ. 2006. Relation among dietary habits, nutrient intakes and bone mineral density in Korean normal and obese elementary students. Korean J Community Nutr 11: 14-24
  5. Mills JK, Andrianopoulos GD. 1993. The relationship between children onset obesity and psychopathology in adulthood. J Psychol 127: 548-551
  6. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. 1999. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 103: 1175-1182 https://doi.org/10.1542/peds.103.6.1175
  7. Shin EK, Lee HS, Lee YK. 2004b. Effect of nutrition program in obese children and their parents (II)-Focus on nutrition knowledge, eating behaviors, food habit and nutrient intakes. Korean J Community Nutrition 9: 578-588
  8. Latner JD, Stunkard AJ. 2003. Getting worse: the stigmatization of obese children. Obes Res 11: 452-456 https://doi.org/10.1038/oby.2003.61
  9. Shin EK, Lee HS, Lee YK. 2004a. Effect of nutrition education program in obese children and their parents (I)-Focus on anthropometric values and serum biochemical index-. Korean J Community Nutrition 95: 566-577
  10. Friedwald ET, Levy RI, Fredrickson DA. 1972. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultra centrifuge. Clin Chem 18: 499-502
  11. Lee HO. 2000. A study of dietary intake and biochemical status of obese children in Anyang. Korean J Food & Nutr 13: 273-280
  12. Freedman DS, Burke GL, Harsha DW. 1985. Relationship of changes in obesity to serum lipid and lipoprotein changes in childhood and adolescence. JAMA 254: 515-520 https://doi.org/10.1001/jama.254.4.515
  13. Kim SK, Kim GE, Kim SY. 1998. A study on relations of obesity to the serum lipid and insulin concentrations in the elementary school children. Korean J Nutr 31: 159-165
  14. Kim EK, Chi KA, Um YS, Park TS. 2002. Fatty acid composition of serum phospholipids in obese children compared with age and sex-matched normal weight children. Korean J Nutr 35: 60-68
  15. Choi HC, Seo JS. 2003. Nutruent intakes and obesity factors of obese children and the effect of nutrition education program. Korean J Community Nutrition 8: 477-484
  16. Kim HA, Kim EK. 1996. A study on effects of weight control program in obese children. Korean J Nutr 29: 307-320
  17. Ko YH, Lee AR. 2006. Effects of aerobic exercise withnutrition education on body composition, physical fitness, and liver function of obese elementary school students. Korea Sport Res 17: 415-422
  18. Kim EK, Lee AR, Kim JJ, Kim MH, Kim JS, Moon HK. 2000. The difference of biochemical status, dietary habits and dietary behaviors according to obesity degree among obese children. J Korean Diet Assoc 6: 161-170
  19. Her ES, Lee KH, Jang DS, Lee JY, Lee JH, Ju J, Yoon SY. 1999. A study food habits, food behaviors and nutrition knowledge among obese children in Changwon (1). J Korean Diet Assoc 5: 153-163
  20. Lim HG, Nam HK. 1998. A survey of life style habits of obese school children. J Korean Soc School Health 11: 99-110
  21. Hyman FN, Sempo E, Saltman J, Glinsman W. 1993. Evidence for success of calorie restriction in weight loss and control. Summary of data from industry. Ann Intern Med 119: 681-687 https://doi.org/10.7326/0003-4819-119-7_Part_2-199310011-00011
  22. Fitxwater SL, Weinsier RL, Wooldeidge NH, Brich R, Bartolucci AA. 1991. Evaluation of long term weight changes after a multidiscriplinary weight control program. J Am Diet Assoc 91: 421-426