Asian Nurs Res.  2015 Dec;9(4):298-304. 10.1016/j.anr.2015.07.004.

Factors Affecting Underweight and Obesity Among Elementary School Children in South Korea

Affiliations
  • 1Red Cross College of Nursing, Chung-ang University, Seoul, South Korea.
  • 2Department of Nursing, Inha University, Incheon, South Korea. okkyung@inha.ac.kr

Abstract

PURPOSE
The purpose of the study was to determine factors associated with underweight and obesity in elementary school children in Korea.
METHODS
Study participants included 4,895 children attending 59 elementary schools across Korea. Children were grouped into underweight [< 5% body mass index (BMI)-for-age], normal weight (5%-85% BMI-for-age), and overweight/obese (> or = 85% BMI-for age). The questionnaire included demographic characteristics, health status, and diet and exercise behavior of children, and environmental characteristics of schools.
RESULTS
Twelve percent of the children were overweight or obese. The results showed that demographic (age and gender), health status (atopic dermatitis and poor subjective health), and the characteristics of diet and exercise (unbalanced diet and diet experiences) were associated with underweight (p < .05), while demographic (age and gender), health status (poor subjective health), behavioral characteristics (fast food consumption and diet experiences), and school environmental characteristics (rural area) were associated with overweight/obesity (p < .05).
CONCLUSIONS
Programs and interventions to reduce underweight and overweight/obesity in Korean elementary schools must consider behavioral and environmental characteristics of children.

Keyword

body mass index; child; fast foods

MeSH Terms

Age Factors
Body Mass Index
Body Weight
Child
Child Behavior/*psychology
*Diet
*Exercise
*Feeding Behavior/psychology
Female
Health Status
Humans
Male
Obesity/epidemiology/*psychology
Republic of Korea
Sex Factors
Socioeconomic Factors
Surveys and Questionnaires
Thinness/epidemiology/*psychology
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