Journal of the Korean Society of Food Culture (한국식생활문화학회지)

Korean Society of Food Culture (한국식생활문화학회)
권호 표지

Changes of Food Habits and Anxiety Level of Obese Children on Body Weight Control Program

체중조절 프로그램에 참여한 비만아동들의 식습관과 불안 수준의 변화

  • Kim, Kyung-Hee (Department of Food & Nutrition, College of Liberal Arts, Duksung Women's University)
  • 김경희 (덕성여자대학교 교양학부 식품영양학 전공)
  • Published : 2004.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the changes of food habits and anxiety level of obese children on body weight control program. The body weight control program included nutrition education, psychotherapy and exercise for weekly session during 9 months. The results from this study were as follows. A total of 27 obese children(boys 44.4%, girls 55.6%) participated in this study. The average age of children was 11.7 years, average height and weight were 141.7cm and 48.1kg respectively. $R{\ddot{o}}hrer$ index(RI) of children was significantly decreased from 167 to 163(p<0.001) and BMI was significantly decreased from 24.5 to 23.9 (p<0.01) after body weight control program. This study also found obesity index(OI) was significantly decreased from 133% to 128%(p<0.01) of 18 children after program. There was not significant difference in food habits score but frequency of overeating, and eating frequency of meats were significantly decreased(p<0.05) after body weight control program. Also depression score significantly decreased after body weight control program(p<0.001) and there was significant negative correlation(r=-0.552) between food habits and anxiety level. The factors analysis of anxiety items indicated that children had feelings more calm and sate after program(p<0.05). Therefore continuous and practical nutritional education and psychotherapy to change food habits and anxiety level are necessary to decrease child obesity. These results suggest that body weight control program including nutrition education, exercise and psychotherapy may be effective physiological and psychological body health of obese children.

Keywords

References

  1. Kim KH. The Effects of Adolescent Girls Self-Esteem, the Prooccupation to be Thinner, and Dieting on Binge Eating. Korean J. Health Psycho. 4(1): 155-165, 1999
  2. Kim KH, Kim HK, Lee DS, Park JH. An Investigation of Child Obesity and Living Environment : A Suggestion for Developing Norms to Measure Obesity. The Kor. J. Physical Education 34(2): 259-276, 1995
  3. Mossberg HO. 40-Year Follow-up of Overweight Children. Lancet 2: 491-489, 1989
  4. Must A. Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long-term Morbidity and Mortality of Overweight Adolecents : A Follow-up of the Harvard Growth Study of 1922-1935. New England J. Med. 327: 1350-1355, 1992 https://doi.org/10.1056/NEJM199211053271904
  5. Nieto FJ, Szklo M, Comstock GW. Childhood Weight and Growth Rate as Predictors of Adult Mortality. American J. Epidemiology 136:201-213, 1992 https://doi.org/10.1093/oxfordjournals.aje.a116486
  6. Ruderman N, Chisholm D, Pi-Sunyer X, Schneider S. The Metabolically Obese, Normal-Weight Individual Revisited. Diabetes 47: 699-713, 1998 https://doi.org/10.2337/diabetes.47.5.699
  7. Smoak CG, Burke GL, Webber LS, Harsha DW, Srinivasan SS, Berenson. Relation of Obesity to Clustering of Cardiovascular Disease Risk Factors in Children and Young Adult : The Bogalusa Heart Study. Am. J. Epidemiol. 125: 364-372, 1987 https://doi.org/10.1093/oxfordjournals.aje.a114543
  8. Newman WP, Freedman DS, Voors AW. Serum Lipoproteins and Systolic Blood Pressure are Related to Atherosclerosis in Early Life : The Bogalusa Heart Study. Engl. J. Med. 314: 138-143, 1986 https://doi.org/10.1056/NEJM198601163140302
  9. Kang YJ, Hong CH, Hang YJ. The Prevalence of Childhood and Adolescent Obesity Over the Last 18years in Seoul Area. Kor. J. Nutrition 30(7): 832-830, 1997
  10. Dark SJ, Kim AJ. A Retrospective Study on the States of Obesity and Eating and Weight Control Behaviors of Elementary School Children in Inchon. J. of Kor. Dietetic Association 6(1): 44-52, 2000
  11. Phanner P, Marcheschi M. Psychological Aspects of Childhood Obesity, In : Giorgi PL, Suskind RM, Catassi C ed, The Obese Child. pp 149-154 Karger, 1992
  12. Stunkard AJ, Wadden TA. Psychological Aspects of Severe Obesity. Am. J. Clin. Nutri. 55: 524-532, 1992
  13. Lee JS. Childhood Obesity and Prevention Strategies. The Kor J. of Physical Education 4(2): 297-311, 2000
  14. Lee HW. Treatment and Prevention of Childhood Obesity. The J. of Child Education 7(1): 253-269, 1998
  15. Friedman MA, Brownell KD. Psychological Correlates of Obesity : Moving to the Next Research Generation, Psychological Bulletin. 117: 3-20, 1995 https://doi.org/10.1037/0033-2909.117.1.3
  16. Brooke OG, Abernethy E. Obesity in Children, Human Nutrition. Applied Nutrition 39A: 304-314, 1985
  17. Scott RL, Baroffio JR. An MMPI Analysis of Similarities and Difference in Three Classifications of Eating Disorders:Anorexia Nerversa, Bulimia, Morbid Obesity. J. of Clin. Psychology, 42: 708-713, 1986 https://doi.org/10.1002/1097-4679(198609)42:5<708::AID-JCLP2270420505>3.0.CO;2-C
  18. Hafner RJ, Watts JM & Rogers J. Psychological Status of Mobidly Obese Women Before Gastric Restriction Surgery. J. of Psychosomatic Research, 31: 607-612, 1987 https://doi.org/10.1016/0022-3999(87)90039-0
  19. Wadden TA, Foster GD, Stunkard AJ, Linowitz JR. Dissatisfaction with Weight and Figure in Obese Girls:Discontent but Not Depression. International J. of Obesity, 13: 89-97, 1989
  20. Striege-Moore RH, Silberstein LR, Rodin J. Toward an Understanding of Risk Factors for Bulimia. American Psychologist, 41: 246-263, 1986 https://doi.org/10.1037/0003-066X.41.3.246
  21. Zwann M, Mitchell JE, Seim HC, Specker SM, Pyle RL, Raymond NC, Crosby RB. Eating Related and General Psychopathology in Obese Female with Binge Eating Disorder. International J. of Eating Disorder, 15: 43-52, 1994 https://doi.org/10.1002/1098-108X(199401)15:1<43::AID-EAT2260150106>3.0.CO;2-6
  22. Gwak JY, The Relationships Among Body-Esteem, Self-Esteem and Depression According to Elementary School Children's Weight, Chunbuk University Masters Degree Thesis, 1999
  23. Lee SH, Hyun MH. The Effects of Obesity, Body Image Satisfaction and Binge Eating on Depression in Middle School Girls. Korean J Health Psycho. 6(1): 195-207, 2001
  24. Kang JW, Park CW, Park HW, Park YR. Relation Between Depression Trends and Body Weight in Teen-Age Girls. J. Korean Acad. Fam. Med. 15(9): 639-647, 1994
  25. Beck AT. Cognitive Therapy and the emotional disorders. New York : International Universities Press, 1976
  26. Davison GC, Neale JM. Abnormal Psychology(4th ed.). New York : Wiley & Sons, 1986
  27. Kim KH. Changes of Obesity and Depression Level of Obese Children on Body Weight Control Program. Korean J. Food Culture, 18(4): 396-405, 2003
  28. Korean Pediatric Association. 1999
  29. Park YS, Lee JW, Seo JS, Lee BK, Lee HS. Nutrition Education & Counseling, Kyomoon Press, 2000
  30. Kwak EH. Cognitive Bias in Generalized Anxiety. Yonsei University Doctors Degree Thesis, 1989
  31. Hong SM. Nutritional Assessment & Counseling of Human. Jisung Press, 1998
  32. Cho KJ. The Research Study on the Food Habits According to Obesity Index of Primary School Children in Busan. Korean J. Food Culture 19(1): 106-117, 2004