Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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소아청소년 비만상담에서 설문지를 이용한 중재 가능한 행동요인 탐색

Assessment of modifiable lifestyle factors for obese children and adolescents through questionnaires

  • 서정완 (대한소아과학회 영양위원회, 이화의대 소아과학교실) ;
  • 정지아 (대한소아과학회 영양위원회, 한림의대 소아과학교실) ;
  • 박혜숙 (대한소아과학회 영양위원회, 이화의대 예방의학교실) ;
  • 고재성 (대한소아과학회 영양위원회, 서울의대 소아과학교실) ;
  • 김용주 (대한소아과학회 영양위원회, 한양의대 소아과학교실) ;
  • 김재영 (대한소아과학회 영양위원회, 충북의대 소아과학교실) ;
  • 류일 (대한소아과학회 영양위원회, 가천의대 소아과학교실) ;
  • 배선환 (대한소아과학회 영양위원회, 건국의대 소아과학교실) ;
  • 심재건 (대한소아과학회 영양위원회, 늘푸른소아청소년과) ;
  • 양혜란 (대한소아과학회 영양위원회, 서울의대 소아과학교실) ;
  • 최병호 (대한소아과학회 영양위원회, 경북의대 소아과학교실) ;
  • 조기영 (대한소아과학회 영양위원회, 이화의대 소아과학교실)
  • Seo, Jeong Wan (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Ewha Womans University School of Medicine) ;
  • Jung, Ji A (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Hallym University College of Medicine) ;
  • Park, Hye Sook (The Committee on Nutrition, The Korean Pediatrics Society, Department of Preventive Medicine, Ewha Womans University School of Medicine) ;
  • Ko, Jae Sung (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Seoul National University College of Medicine) ;
  • Kim, Yong Joo (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Hanyang University College of Medicine) ;
  • Kim, Jae Young (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Chungbuk National University College of Medicine) ;
  • Ryoo, Eell (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Gil Medical Center, Gachon Medical School) ;
  • Bae, Sun Hwan (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Konkuk University School of Medicine) ;
  • Sim, Jae Geon (The Committee on Nutrition, The Korean Pediatrics Society, Kim, Sim & Cho's Pediatric Clinic) ;
  • Yang, Hye Ran (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Seoul National University College of Medicine) ;
  • Choe, Byung Ho (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Cho, Ky Young (The Committee on Nutrition, The Korean Pediatrics Society, Department of Pediatrics, Ewha Womans University School of Medicine)
  • 투고 : 2008.01.13
  • 심사 : 2008.04.08
  • 발행 : 2008.06.15
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초록

목 적 : 소아청소년 비만은 흔히 성인 비만으로 이어지며, 대사증후군 등의 합병증이 조기에 더 심하게 나타나는 것으로 알려져 있다. 본 연구는 소아청소년과 외래에서 설문지를 이용하여 중재할 수 있는 식습관과 신체활동습관을 파악하여 단시간에 효율적인 비만 상담이 이루어지는데 도움이 되고자 하였다. 방 법 : 2006년 5월에서 2007년 1월까지 10개 병원 진료실에 방문한 6에서 16세 사이의 소아(177명) 및 청소년(134명)을 대상으로 2006년 대한소아과학회 영양위원회에서 개발한 비만설문지를 작성하게 하였다. 2007년 대한소아과학회와 질병관리본부에서 발표한 새로운 소아청소년 신체 발육 표준치를 이용하여 정상군과 과체중군을 구분하여 통계 분석하였다. 결 과 : 청소년은 소아에 비하여 외식, 야식 횟수가 많았고 늦은 저녁, 불규칙한 식사와 공부, 컴퓨터 등의 좌식생활이 유의하게 더 많았다(P<0.05). 어머니의 비만이 있을 경우, 소아 과체중의 위험이 4.12배(95% 신뢰구간 : 1.63-10.45), 청소년 과체중의 위험이 3.48배(95% 신뢰구간 : 1.5-8.09) 높았다. 성인병 가족력은 소아와 청소년 과체중군에서 모두 유의하게 많았다(P<0.05). 잘못된 식습관을 가진 경우가 소아와 청소년 모두 과체중군에서 유의하게 많았다(P<0.05). 소아에서 왕성한 식욕 31배(95% 신뢰구간 : 3.57-268), 빨리 먹는 습관 5.71배(95% 신뢰구간 : 2.2-15.1), 배가 부를 때까지 먹는 습관 6.07배(95% 신뢰구간: 2.52-14.61), 기름진 음식을 선호하는 경우 6.07배(95% 신뢰구간: 2.52-14.62)의 과체중 위험도를 보였다. 청소년의 경우 왕성한 식욕 13.12배(95% 신뢰구간 : 1.4-122.8), 빨리 먹는 습관 4.44배(95% 신뢰구간 : 1.37-22.2), 한꺼번에 먹는 습관 2.58배(95% 신뢰구간 : 1.17-5.66), 배가 부를 때까지 먹는 습관 2.78배(95% 신뢰구간 : 1.22-6.32), 기름진 음식을 선호하는 경우 3.45배(95% 신뢰구간 : 1.52-7.85)의 과체중 위험도를 보였다. 하루 2시간 이상 컴퓨터를 사용하는 경우 청소년 과체중이 위험이 9.52배(95% 신뢰구간 : 1.14-79.33) 높았다. 결 론 : 소아청소년과 의사가 비만 상담 시 설문지를 이용하여 간편하게 생활습관을 파악하면, 개인특성에 맞추어 비만관리의 실제적인 방법을 제시할 수 있을 것으로 기대된다.

Purpose : The identification of specific behaviors conducive to overeating or inactivity is the cornerstone of obesity management. The Committee on Nutrition of the Korean Pediatric Society developed parent and self-reporting questionnaires about eating behavior and physical activity in 2006. The aim of this study was to evaluate the usefulness of the questionnaires in assessing modifiable lifestyle factors related to obesity. Methods : A retrospective chart review was performed for 177 children (6-11 years old) and 134 adolescents (12-16 years old) from 10 hospitals between May 2006 and January 2007 who had completed parent or self-reporting questionnaires. Cases were divided into normal and overweight groups at or above the age-gender-specific 85th percentile based on 2007 Korean national growth charts. Results : Compared to children, the adolescents tended to have a significantly more sedentary lifestvle and inappropriate dietary behaviors significantly (P<.05). Overweight mothers were significantly associated with overweight children and adolescents (P<.05). Being overweight was significantly associated with a family history of adult diseases for children and adolescents (P<.05). Inappropriate eating behaviors (strong appetite, eating fast, eating until they were full, binge eating, favoring greasy foods) were associated with being overweight in children and adolescents. Sedentary activity such as TV viewing and using a computer were significantly associated with overweight in children and adolescents (P<.05). Conclusion : Intervention to modify obesity-related lifestyle factors is needed before adolescence. These questionnaires are useful in identifying modifiable lifestyle factors and in individual counseling for overweight children and adolescents in pediatric clinics.

키워드

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피인용 문헌

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  2. Review on Revised Nutrition Guidelines of the Korea National Health Screening Program for Infants and Children vol.13, pp.suppl1, 2008, https://doi.org/10.5223/kjpgn.2010.13.suppl1.s1
  3. Obesity and Metabolic Syndrome among Children and Adolescents in Korea vol.53, pp.2, 2010, https://doi.org/10.5124/jkma.2010.53.2.142
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