Korean J Pediatr.
2008 Jun;51(6):576-583. 10.3345/kjp.2008.51.6.576.
Assessment of modifiable lifestyle factors for obese children and adolescents through questionnaires
- Affiliations
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- 1The Committee on Nutrition, The Korean Pediatrics Society, Korea.
- 2Department of Pediatrics, Ewha Womans University School of Medicine, Korea. jwseo@ewha.ac.kr
- 3Department of Pediatrics, Hallym University College of Medicine, Korea.
- 4Department of Preventive Medicine, Ewha Womans University School of Medicine, Korea.
- 5Department of Pediatrics, Seoul National University College of Medicine, Korea.
- 6Department of Pediatrics, Hanyang University College of Medicine, Korea.
- 7Department of Pediatrics, Chungnam National University College of Medicine, Korea.
- 8Department of Pediatrics, Gil Medical Center, Gachon Medical School, Korea.
- 9Department of Pediatrics, Konkuk University School of Medicine, Korea.
- 10Kim, Sim & Cho's Pediatric Clinic, Korea.
- 11Department of Pediatrics, Kyungpook National University School of Medicine, Korea.
- KMID: 2280292
- DOI: http://doi.org/10.3345/kjp.2008.51.6.576
Abstract
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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.
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