Nutr Res Pract.  2007 Jun;1(2):126-130.

Relation of obesity-related attitudes, knowledge, and eating behaviors with body weight and body shape satisfaction in 5th-grade Korean children

• Lee S
• Ahn HS

Abstract

Obesity is a worldwide epidemic problem. The downward trend of an obesity onset age calls for research efforts on how to develop useful nutrition educational programs for children to maintain adequate body weight. Understanding the roles of objective and subjective body status in obesity-related attitudes, knowledge, and behaviors can provide important information. The current study aimed to examine obesity-related attitudes and knowledge and practices of eating behavior guidelines in relation to obesity and body shape satisfaction among children. The gender effect in the relations was also investigated. A self-administered survey was conducted with 260 fifth grade children at 2 public elementary schools in the suburbs of Seoul. Information on demographics, body size, body satisfaction, obesity-related attitudes and knowledge, and eating behaviors was collected. Study findings from one-way analysis of variance tests indicated no differences in mean scores of the attitudes, knowledge, and eating behaviors across the levels of obesity for both gender. The levels of body shape satisfaction was, however, found to be significantly related with the attitudes and eating behaviors in girls, while no such relation was seen in boys. Girls with lower body shape dissatisfaction had significantly more negative attitudes toward obesity which was not translated into practice of healthy eating behaviors. That is, contrary to general expectation, the level of practicing the eating behavior guidelines was significantly lower in those girls. While underlying reasons for this observation is not fully answered, gender-specific, body satisfaction-stratified, and behavior-focused approach in designing obesity prevention programs for elementary school girls is suggested efficient and useful.

Keyword

Children; obesity; body satisfaction; attitudes; eating behaviors

MeSH Terms

Age of Onset
Body Size
Body Weight*
Child*
Demography
Eating*
Feeding Behavior*
Female
Humans
Obesity
Seoul

Reference

1. Allison DB, Basile VC, Harold MA, Yuker E. The measurement of attitudes toward and beliefs about obese persons. Int J Eat Disord. 1991. 10:599–607.

2. Chen MY, Chou CC, Yang RJ. Considering the factors of gender and body weight in the promotion of healthy behavior among adolescents. J Nurs Res. 2005. 13:235–243.

3. Erickson SJ, Robinson TN, Haydel KF, Killen JD. Are overweight children unhappy?: Body mass index, depressive symptoms, and overweight concerns in elementary school children. Arch Pediatr Adolesc Med. 2000. 154:931–935.

4. Flegal KM, Troiano RP. Changes in the distribution of body mass index of adults and children in the US population. Int J Obes Relat Metab Disord. 2000. 24:807–818.

5. Flegal KM. The obesity epidemic in children and adults: current evidence and research issues. Med Sci Sports Exerc. 1999. 31:S509–S514.

6. Gibson RS. Principles of Nutritional Assessment. 1990. New York. USA: Oxford University Press Inc.;92–93.

7. Gordon-Larsen P. Obesity-related knowledge, attitudes, and behaviors in obese and non-obese urban Philadelphia female adolescents. Obes Res. 2001. 9:112–118.

8. Hill AJ, Draper E, Stack J. A weight on children's mind: body shape dissatisfactions at 9-years old. Int J Obes Relat Metab Disord. 1999. 18:383–389.

9. Kim HS, Kim HL, Hong SC. The prevalence and the factors associated with childhood and adolescent obesity in Jeju city. Journal of the Korean Society of Health Statistics. 2002. 27:66–80.

10. Korea Ministry of Health and Welfare (KMHW) & Korea Centers for Disease Control and Prevention (KCDC). 2005 Korea National Health and Nutrition Examination Survey-Health Examination Survey. 2006. Seoul. Republic of Korea:

11. Korea Ministry of Health and Welfare (KMHW) & Korea Health Industry Development Institute. Eating behavior guidelines for each age group. 2003. Seoul. Republic of Korea:

12. Korean Pediatric Association. 1998 growth standards for Korean infant and children. 2000. Seoul. Republic of Korea:

13. Kromeyer-Hauschild K, Zellner K, Jaeger U, Hoyer H. Prevalence of overweight and obesity among school children in Jena (Germany). Int J Obes Relat Metab Disord. 1999. 23:1143–1150.

14. Mikkilä V, Lahti-Koski M, Pietine P, Virtanen SM, Rimpelä M. Associates of obesity and weight dissatisfaction among Finnish adolescents. Public Health Nutr. 2003. 6:49–56.

15. Moreno LA, Sarria A, Fleta J, Rodríguez G, Bueno M. Trends in body mass index and overweight prevalence among children and adolescents in the region of Aragon (Spain) from 1985 to 1995. Int J Obes Relat Metab Disord. 2000. 24:925–931.

16. Neumark-Sztainer D, Story M, Resnick MD, Blum RW. Psychosocial concerns and weight control behaviors among overweight and nonoverweight Native American adolescents. J Am Diet Assoc. 1997. 97:598–604.

17. Nowar M, Speare R, Crawford D. Gender differences in adolescent weight and shape-related beliefs and behaviour. Journal of Paediatrics and Child Health. 1996. 32:148–152.

18. O'Dea JA, Wilson R. Socio-cognitive and nutritional factors associated with body mass index in children and adolescents: possibilities for childhood obesity prevention. Health Educ Res. 2006. 21:796–805.

19. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006. 295:1549–1555.

20. Price JH, O'connell JK, Kukulka G. Development of a short obesity knowledge scale using four different response formats. J Sch Health. 1985. 55:382–384.

21. Reilly JJ, Dorosty AR. Epidemic of obesity in UK children. Lancet. 1999. 354:1874–1875.

22. Rinderknecht K, Smith C. Body-image perceptions among urban Native American youth. Obes Res. 2002. 10:315–327.

23. Story M, Hauck FR, Broussard BA, White LL, Resnick MD, Blum RW. Weight perceptions and weight control practices in Native American and Alaska Native adolescents. Arch Pediatr Adolesc Med. 1994. 148:567–571.

24. Obesity and overweight. World Health Organization (WHO). 2006. Accessed on 02/23/2007. http://www.who.int/mediacentre/factsheets/fs311/en/index.html.