J Nutr Health.  2015 Jun;48(3):228-235. 10.4163/jnh.2015.48.3.228.

The association of snack consumption, lifestyle factors, and pediatric obesity with dietary behavior patterns in male adolescents

Affiliations
  • 1Major of Food and Nutrition, School of Human Ecology, The Catholic University of Korea, Gyeonggi 420-743, Korea. yjsong@catholic.ac.kr
  • 2Department of Food Science and Human Nutrition, Michigan State University, MI 48824, USA.
  • 3Health Center, Osan High School, Seoul 140-823, Korea.

Abstract

PURPOSE
Along with the adaptation of a Western dietary pattern and low physical activity, pediatric obesity is increasing in Korea, especially for boys. The aim of this study was to identify dietary behavior patterns and examine the snack consumption, dietary habit, and pediatric obesity by pattern groups.
METHODS
Boys aged 15~19 years were recruited from one high school in Seoul. A questionnaire including dietary behaviors and lifestyle factors was administered and height and weight were measured. A total of 932 boys participated except boys who had missing or incomplete response (n = 30). Three dietary behavior patterns were identified by cluster analysis; 'Healthy pattern', 'Mixed pattern' and 'Unhealthy pattern'.
RESULTS
Snack consumption differed according to dietary behavior patterns group. The healthy and mixed patterns showed higher frequencies of white milk and fruit consumption while the unhealthy pattern as well as the mixed patterns showed higher frequencies of sweetened snack and ice cream consumption. Food availability at home of each food differed according to pattern groups but showed a similar trend with food consumption. Regarding dietary habits, the mixed pattern showed higher proportion of taking dietary supplement and eating dessert while the unhealthy pattern showed lower proportion of eating regular meals and appropriate amount of meals. When the healthy pattern was set as a reference group, the odds ratio of pediatric obesity was 1.11 (CI 0.65-1.87) in the mixed pattern group and 1.88 (CI 1.14-3.10) in the unhealthy pattern group.
CONCLUSION
In conclusion, dietary behaviors including snack consumption and lifestyle factors were connected. Unbalanced diet and undesirable dietary practice are important determinants in pediatric obesity.

Keyword

adolescents; dietary behavior pattern; snack consumption; lifestyle; obesity

MeSH Terms

Adolescent*
Diet
Dietary Supplements
Eating
Food Habits
Fruit
Humans
Ice Cream
Korea
Life Style*
Meals
Milk
Motor Activity
Obesity
Odds Ratio
Pediatric Obesity*
Surveys and Questionnaires
Seoul
Snacks*

Figure

  • Fig. 1 The odds ratio (95% CI) for pediatric overweight and obesity by dietary behavior patterns.


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