J Prev Med Public Health.  2015 Nov;48(6):310-318. 10.3961/jpmph.15.001.

The Relationship of Socioeconomic and Behavioral Risk Factors With Trends of Overweight in Korea

Affiliations
  • 1Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA. mina.silberberg@duke.edu
  • 2Duke Clinical Research Institute, Duke University, Durham, NC, USA.
  • 3Duke Global Health Institute, Duke University, Durham, NC, USA.

Abstract


OBJECTIVES
Previous studies have shown that overweight (including obesity) has increased significantly in Korea in recent decades. However, it remains unclear whether this change has been uniform among all Koreans and to what extent socioeconomic and behavioral factors have contributed to this increase.
METHODS
Changes in overweight were estimated using data from the 1998, 2001, 2005, 2007-2009, and 2010-2012 Korea National Health and Nutrition Examination Survey (n=55 761).
RESULTS
Overweight increased significantly among men but not among women between 1998 and 2012. Changes in socioeconomic and behavioral factors over the time period were not associated with overall trends for both men and women. However, we found significant differences in the prevalence of overweight relative to key risk factors. For men, overweight increased at a significantly greater rate among the non-exercising (predicted probability [PP] from 0.23 to 0.32] and high-calorie (PP from 0.18 to 0.37) groups compared to their active and lower-calorie counterparts, respectively. For women, overweight increased only among the non-exercising (PP from 0.27 to 0.28) and low-income (PP from 0.31 to 0.36) groups during this period.
CONCLUSIONS
These findings suggest that programs aimed at reducing overweight should target Korean men and women in specific socioeconomic and behavioral risk groups differentially.

Keyword

Obesity; Overweight; Socioeconomic factors; Health Behavior; Trends; Korea

MeSH Terms

Adult
Aged
Exercise
Female
*Health Behavior
Humans
Male
Middle Aged
Nutrition Surveys
Obesity/epidemiology
Odds Ratio
Overweight/*epidemiology
Prevalence
Republic of Korea/epidemiology
Risk Factors
*Socioeconomic Factors
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