Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지
DOI QR코드

DOI QR Code

Relationships between Obesity and Dietary Habits of Preschool Children and Their Parents in Dongducheon Based on the Nutrition Quotient (NQ)

어린이 영양지수를 활용한 동두천시 지역의 유아 및 부모의 식습관과 유아의 비만과의 관련성

  • Kim, Ji-Myung (Food and Nutrition Major, Division of Food Science and Culinary Arts, Shinhan University) ;
  • Song, Hye Jeong (Food and Nutrition Major, Division of Food Science and Culinary Arts, Shinhan University) ;
  • Ahn, Young Ji (Food and Nutrition Major, Division of Food Science and Culinary Arts, Shinhan University)
  • 김지명 (신한대학교 식품조리과학부 식품영양전공) ;
  • 송혜정 (신한대학교 식품조리과학부 식품영양전공) ;
  • 안영지 (신한대학교 식품조리과학부 식품영양전공)
  • Received : 2018.05.30
  • Accepted : 2018.06.21
  • Published : 2018.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was conducted to investigate the associations between obesity and the children's Nutrition Quotient (NQ) and to further examine the relationships between NQ and mini dietary assessment (MDA) of their parents. Methods: The subjects were 355 children aged 3 to 5 years and their parents in Dongducheon. We collected parental-reported NQ questionnaires for children and MDA of parents. Anthropometric measurements, height, weight and BMI by BIA were measured in children. Overweight and obesity were determined according to age- and sex-specific BMI percentile from the 2007 Korean national growth chart. Statistical analyses consisted of the chi-squared test, ANOVA, partial correlations and logistic regression analysis adjustments for parents BMI. Results: Approximately 20.8% of preschool children were classified as overweight or obese. Underweight children showed a significantly higher score for balance than overweight children. The NQ of the children was $61.9{\pm}11.6$, and NQ scores and their parents' MDA did not exhibit any significant differences according to degree of obesity. After adjusting for parent's BMI, children's BMI was significantly correlated with balance and moderation among NQ factors. Parent's MDA showed significant correlation with their children's NQ, balance, diversity, moderation, regularity, practice and NQ grade, except for diversity of father. Additionally, NQ grade had a significantly increased (150.1%) odds ratio (OR) of being overweight (95% CI 1.008-2.234). Conclusions: These results show that NQ for children is influenced by their parents' MDA and BMI. Furthermore, our findings support the association between overweight prevention and improvement of NQ grade among preschool children.

Keywords

References

  1. National Health Insurance Service. 2016 Obesity white paper. Seoul: National Health Insurance Service; 2016.
  2. de Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 2010; 92(5): 1257-1264. https://doi.org/10.3945/ajcn.2010.29786
  3. Ku JO, Kim JH, Byun KW, Shon JM, Lee JW, Lee JH, Choi YS. Nutrition for lifecycle. Goyang: Powerbook; 2016. p. 188-195.
  4. Bae JM, Kang MH. Age difference in association between obesity and nutrition quotient scores of preschoolers and school children. J Nutr Health 2016; 49(6): 447-458. https://doi.org/10.4163/jnh.2016.49.6.447
  5. Baker JL, Olsen LW, Sorensen TI. Childhood body mass index and the risk of coronary heart disease in adulthood. N Engl J Med 2007; 357(23): 2329-2337. https://doi.org/10.1056/NEJMoa072515
  6. Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 1998; 101(S2): 518-525.
  7. Park HS, Yim KS, Cho SI. Parent-offspring relationship and familial aggregation of obesity-related phenotype and nutrition intake in adolescents family in urban area. J Korean Acad Fam Med 2003; 24(6): 532-540.
  8. Kang MH, Lee JS, Kim HY, Kwon S, Choi YS, Chung HR et al. Selecting items of a food behavior checklist for the development of Nutrition Quotient (NQ) for children. Korean J Nutr 2012; 45(4): 372-389. https://doi.org/10.4163/kjn.2012.45.4.372
  9. Kim HY, Kwon S, Lee JS, Choi YS, Chung HR, Kwak TK et al. Development of a Nutrition Quotient (NQ) equation modeling for children and the evaluation of its construct validity. Korean J Nutr 2012; 45(4): 390-399. https://doi.org/10.4163/kjn.2012.45.4.390
  10. Yoo JS, Choi YS. Evaluation of items for the food behavior checklist and nutrition quotient score on children in rural areas of Gyeongbuk. J Nutr Health 2013; 46(5): 427-439 https://doi.org/10.4163/jnh.2013.46.5.427
  11. Kim JR, Lim HS. Relationships between children's nutrition quotient and the practice of the dietary guidelines of elementary school students and their mothers. J Nutr Health 2015; 48(1): 58-70. https://doi.org/10.4163/jnh.2015.48.1.58
  12. Boo MN, Cho SK, Park K. Evaluation of dietary behavior and nutritional status of elementary school students in Jeju using nutrition quotient. J Nutr Health 2015; 48(4): 335-343. https://doi.org/10.4163/jnh.2015.48.4.335
  13. Lim JY, Kim JH, Min SH, Lee MH, Lee MJ. Evaluation of dietary behavior among elementary school students in Seoul area using nutrition quotient for children. Korean J Food Cook Sci 2016; 32(1): 84-95. https://doi.org/10.9724/kfcs.2016.32.1.84
  14. Lee SJ, Kim YN. Evaluation of the diet and nutritional states of elementary and middle school students in the Daegu area by using nutrition quotient for children. J Nutr Health 2013; 46(5): 440-446. https://doi.org/10.4163/jnh.2013.46.5.440
  15. Kim JH, Jung YH. Evaluation of food behavior and nutritional status of preschool children in Nowon-gu of Seoul by using nutrition quotient(NQ). Korean J Community Nutr 19(1): 1-11. https://doi.org/10.5720/kjcn.2014.19.1.1
  16. Choi Y, You Y, Go KA, Tserendejid Z, You HJ, Lee JE et al. The prevalence of obesity and the level of adherence to the Korean dietary action guides in Korean preschool children. Nutr Res Pract 2013; 7(3): 207-215. https://doi.org/10.4162/nrp.2013.7.3.207
  17. Lee JS, Kang MH, Kwak TK, Chung HR, Kwon SH, Kim HY et al. Development of nutrition quotient for Korean preschoolers (NQ-P): item selection and validation of factor structure. J Nutr Health 2016; 49(5): 378-394. https://doi.org/10.4163/jnh.2016.49.5.378
  18. Kim WY, Cho MS, Lee HS. Development and validation of mini dietary assessment index for Koreans. Korean J Nutr 2003; 36(1): 83-92.
  19. Korea Centers for Disease Control and Prevention, The Korean Pediatric Society. Growth chart for Korean children and adolescents. Seoul: The Korean Pediatric Society; 2007.
  20. Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention. 2015 Health behavior and chronic disease statistics: National health and nutrition survey 6th period 3rd year and youth health behavior online survey 11th period [2015]. Sejong: Korea Centers for Disease Control and Prevention; 2016.
  21. Jang HB, Park JY, Lee HJ, Kang JH, Park KH, Song J. Association between parental socioeconomic level, overweight, and eating habits with diet quality in Korean sixth grade school children. Korean J Nutr 2011; 44(5): 416-427. https://doi.org/10.4163/kjn.2011.44.5.416

Cited by

  1. 유아의 영양상태에 영향을 미치는 식행동 유형 분석 : 어린이 식행동 검사 (DBT)와 어린이 영양지수 (NQ) 활용 vol.52, pp.6, 2019, https://doi.org/10.4163/jnh.2019.52.6.604
  2. 세종시 유치원의 식생활지도 실태에 대한 영양사와 학부모의 인식 vol.33, pp.4, 2018, https://doi.org/10.9799/ksfan.2020.33.4.406
  3. 유아의 까다로운 식습관과 성장상태 및 식생활과의 관련성 vol.26, pp.1, 2018, https://doi.org/10.5720/kjcn.2021.26.1.1
  4. 대전에 거주하는 미취학 아동과 그 어머니의 식행동 및 이들의 관련성: 영양지수를 활용하여 vol.26, pp.1, 2021, https://doi.org/10.5720/kjcn.2021.26.1.12
  5. Evaluation of dietary behaviors of preschool children in Seoul and Gyeonggi-do associated with the level of parents' health consciousness: using nutrition quotient for preschoolers (NQ-P) vol.15, pp.2, 2018, https://doi.org/10.4162/nrp.2021.15.2.248
  6. 광주광역시 유아의 체중별 식행동과 영양지수 vol.36, pp.4, 2021, https://doi.org/10.7318/kjfc/2021.36.4.412