Journal of the Korean Society of Food Culture (한국식생활문화학회지)

Korean Society of Food Culture (한국식생활문화학회)
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Associations of Eating Habits with Obesity and Nutrition Knowledge for Middle and High School Adolescents in Shanghai and Heze China

중국 상하이·허쩌 중·고등학생의 식습관과 비만도 및 영양지식과의 관련성 연구

  • Song, Yang (Department of Food & Nutrition, College of Human Ecology, Kyung Hee University) ;
  • Ahn, Hyo-Jin (Department of Food & Nutrition, College of Human Ecology, Kyung Hee University) ;
  • Choi, Ji-Hye (Department of Food & Nutrition, College of Human Ecology, Kyung Hee University) ;
  • Oh, Se-Young (Department of Food & Nutrition, College of Human Ecology, Kyung Hee University)
  • 송양 (경희대학교 생활과학대학 식품영양학과) ;
  • 안효진 (경희대학교 생활과학대학 식품영양학과) ;
  • 최지혜 (경희대학교 생활과학대학 식품영양학과) ;
  • 오세영 (경희대학교 생활과학대학 식품영양학과)
  • Received : 2014.07.07
  • Accepted : 2014.11.07
  • Published : 2014.12.31
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Abstract

The aim of this study was to investigate the relationships between eating habits and health among adolescents in Shanghai and Heze, China. A cross-sectional study was conducted in 2013 on 2,089 adolescents; 1,089 students were from Shanghai and 999 students from Heze region. Eating habits, weight, height, and nutritional knowledge were assessed using a self-administered questionnaire. Eating habits score was classified into two categories: healthy eating habits and unhealthy eating habits, based on "Korean Youth Risk Behavior Web-based Survey", for statistical data analysis. Associations between eating habits, BMI, and nutritional knowledge were examined using a general linear model with adjustment of potential confounding factors such as region, gender, age, parents' education level, and pocket money. Statistical analyses were performed using the SAS (version 9.3) program. Proportions of healthy eating habits group were 90.0% for breakfast (3-7 times/wk), 29.1% for fruit (${\geq}once/d$), 12.5% for vegetable (${\geq}3times/d$), 7.3% for milk (${\geq}2times/d$), 90.0% for fast food (<3 times/wk) consumption, respectively. The average BMI score was 20.1 (Shanghai 20.5 Heze 19.6), which is in the range of normal weight. Rates of obesity and overweight were 16.5% and 8.3% in Shanghai and Heze, respectively. There were significant negative correlations between intake frequencies of breakfast, fast food, biscuits, sugar, chocolate, and BMI score. Eating habits and nutritional knowledge score showed a significant positive correlation. These results showed better eating habits regarding eating regularity and consumption of fruits and soft drinks in Chinese adolescents compared with Korean adolescents, although cultural differences were not fully considered. This study demonstrated significant associations of BMI and nutritional knowledge with dietary behavior in Chinese adolescents in two regions of China. Further studies on Chinese adolescents from other regions in China should be considered.

Keywords

References

  1. Bae YJ. 2013. Evaluation of nutrient intake and meal variety with breakfast eating in Korean adolescents: analysis of data from the 2008-2009 National health and nutrition survey. Korean J. Community Nutr., 18(3):257-268 https://doi.org/10.5720/kjcn.2013.18.3.257
  2. Choi JY, Lee SS. 2009. Relation between dietary habit and nutrition knowledge, and attention deficit hyperactivity disorder in the middle school students in Seoul. Korean J. Nutr., 42(8):682-690 https://doi.org/10.4163/kjn.2009.42.8.682
  3. E-National Index. 2012. Available from http://www.index.go.kr
  4. Haerens L, Vereecken C, Maes L, De Bourdeaudhuij I. 2010. Relationship of physical activity and dietary habits with body mass index in the transition from childhood to adolescence: A 4-year longitudinal study. Public Health Nutr., 13(10):1722-1728 https://doi.org/10.1017/S1368980010002284
  5. Heze Statistics Bureau. 2012. Available from http://www.hztj.gov.cn
  6. Hong EJ, Koo NS. 2013. A comparison on dietary habit and foodservice satisfaction of high school students in urban and rural areas. Korean J. Human Ecol., 22(6):711-721 https://doi.org/10.5934/kjhe.2013.22.6.711
  7. Horikawa C, Kodama S, Yachi Y, Heianza Y, Hirasawa R, Ibe Y, Saito K, Shimano H, Yamada N, Sone H. 2011. Skipping breakfast and prevalence of overweight and obesity in asian and pacific regions: A meta-analysis. Prev. Med, 53(4):260-267 https://doi.org/10.1016/j.ypmed.2011.08.030
  8. Ji CY, Cheng TO. 2009. Epidemic increase in overweight and obesity in chinese children from 1985 to 2005. Int. J. Cardiol., 132(1):1-10 https://doi.org/10.1016/j.ijcard.2008.07.003
  9. Jia M, Wang C, Zhang Y, Zheng Y, Zhang L, Huang Y, Wang P. 2012. Sugary beverage intakes and obesity prevalence among junior high school students in beijing-a crosssectional research on SSBs intake. Asia Pac. J. Clin. Nutr., 21(3):425-430
  10. Korea National Health and Nutrition Examination Survey. 2012. Korea Health Statistics. Available from https://knhanes.cdc.go.kr/knhanes/index.do
  11. Li M, Dibley MJ, Sibbritt DW, Yan H. 2010. Dietary habits and overweight obesity in adolescents in xi'an city, China. Asia Pac. J. Clin. Nutr., 19(1):76-82
  12. Ma J. 2013. The main health problems facing adolescents in China and their corresponding contermeasures. Beijing Da Xue Xue Bao, 45(3):337-342
  13. Park EO. 2010. A comparative study of youth health risk behaviors by region: focused on metropolitan areas, medium sized and small city areas, and rural areas. J. Korean Acad. Nurs., 40(1):14-23 https://doi.org/10.4040/jkan.2010.40.1.14
  14. Powell LM. 2009. Fast food costs and adolescent body mass index: Evidence from panel data. J. Health Econ., 28(5):963-970 https://doi.org/10.1016/j.jhealeco.2009.06.009
  15. Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD. 2005. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J. Am. Diet Assoc., 105(5):743-760 https://doi.org/10.1016/j.jada.2005.02.007
  16. Cody RP, Smith JK. 2005. Applied statistics and the SAS programming language. Upper Saddle River, NJ : Prentice Hall
  17. Shanghai Statistics Bureau. 2012. Available from http://www.stats-sh.gov.cn
  18. Song Y, Wang H, Ma J, Wang Z. 2013. Secular trends of obesity prevalence in urban chinese children from 1985 to 2010: Gender disparity. PLoS ONE, 8(1):e53069 https://doi.org/10.1371/journal.pone.0053069
  19. Sung SH, Yu OK, Sohn HS, Cha YS. 2007. A comparison of dietary behaviors according to gender and obesity status of middle school students in Jeonju. J. Korean Soc. Food Sci. Nutr., 36(8):995-1009 https://doi.org/10.3746/jkfn.2007.36.8.995
  20. Taskar PR, Nicklas TA, O'Neil CE, Keast DR, Radcliffe JD, Cho S. 2010. The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: The national health and nutrition examination survey 1999-2006. J. Am. Diet Assoc., 110(6):869-878 https://doi.org/10.1016/j.jada.2010.03.023
  21. Wang LJ, Zhang ZZ, Chang Y, Wang X, Hou MJ, Wei J, Ling WH, Zhu HL. 2011. Comparison of dietary habits between migrant and local adolescents in Shenzhen, China. Asia Pac. J. Clin. Nutr., 20(4):624-631
  22. Wang Z, Zhai F, Zhang B, Popkin BM. 2012. Trends in chinese snacking behaviors and patterns and the social-demographic role between 1991 and 2009. Asia Pac. J. Clin. Nutr., 21(2):253-262
  23. WGOC & Ji CY. 2004. Body mass index reference norm for screening overweight and obesity in Chinese children and adolescents. Chin. J. Epidemiol., 25(2):97-102
  24. World Health Organization. 2014. Obesity and overweight. Available from http://www.who.int/mediacentre/factsheets/fs311/en
  25. Yeon JY, Shin KY, Lee SK, Lee HY, Kang BW, Park HK. 2013. A study on dietary habits, dody satisfaction and nutritional knowledge by body image of middle school girl students in Chungbuk area. Korean J. Community Nutr., 18(5):442-456 https://doi.org/10.5720/kjcn.2013.18.5.442
  26. Yu Z, Han S, Chu J, Xu Z, Zhu C, Guo X. 2012. Trends in overweight and obesity among children and adolescents in china from 1981 to 2010: A meta-analysis. PLoS ONE, 7(12):e51949 https://doi.org/10.1371/journal.pone.0051949
  27. Yu D, Zhang B, Zhao L, Wang H. 2008. Snacks consumption in Chinese children and adolescents at the ages of 3-17 years. Wei Sheng Yan Jiu, 37(6):710-3
  28. Zhang X, van der Lans I, Dagevos H. 2011. Impacts of fast food and the food retail environment on overweight and obesity in china: A multilevel latent class cluster approach. Public Health Nutr., 15(1):88-96
  29. Zheng JQ,Zhong Y,Li H,Yang CX,Wang HJ,Zhang C,Bai PQ. 2013. Investigation of dietary behavior of adolescents in Pudong New Area of Shanghai City in 2012. Occup. Health, 29(15):1853-1856
  30. Zhu SP, Ding YJ, Lu XF, Wang HW, Yang M, Wang JX, Chao XD, Zhao Z. 2008. Study on factors related to top 10 junk food consumption at 8 to 16 years of age, in haidian district of Beijing. Zhonghua Liu Xing Bing Xue Za Zhi, 29(8):757-762

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