Nam Hyo-Kyoung, Kim Hye Ryun, Rhie Young-Jun, Lee Kee-Hyoung
Department of Pediatrics, College of Medicine, Korea University, Seoul.
Department of Pediatrics, Korea University Anam Hospital, Korea University College of Medicine, Inchon-ro 73, Seongbuk-gu, Seoul 02841.
J Pediatr Endocrinol Metab. 2017 May 1;30(5):517-523. doi: 10.1515/jpem-2016-0456.
We assessed nationwide trends in extreme obesity prevalence and its impact on metabolic syndrome in Korean youth.
Data from 19,593 youth (10,271 boys) aged 2-19 were obtained from the Korean National Health and Nutrition Examination Surveys (2001-2014). The prevalence of extreme obesity and the odds ratio of metabolic syndrome were calculated. Questionnaires on body weight perceptions and weight control behaviors were administered.
The prevalence of extreme obesity increased significantly among boys (p<0.05). The odds ratios of extreme obesity on metabolic syndrome compared with obesity were 3.781 and 1.979 in boys and girls, respectively. Obese teenage girls with appropriate weight perception attempted to lose weight more frequently than obese teenage boys did.
Although the prevalence of childhood obesity in Korea was similar since early 2000s, extreme obesity prevalence has increased, especially among teenage boys. Considering greater morbidity risks, preventing progression to extreme obesity is crucial.
我们评估了韩国青少年中极端肥胖患病率的全国趋势及其对代谢综合征的影响。
从韩国国家健康与营养检查调查（2001 - 2014年）中获取了19593名2至19岁青少年（10271名男孩）的数据。计算了极端肥胖的患病率和代谢综合征的比值比。发放了关于体重认知和体重控制行为的问卷。
男孩中极端肥胖的患病率显著增加（p<0.05）。与肥胖相比，男孩和女孩中极端肥胖对代谢综合征的比值比分别为3.781和1.979。体重认知适当的肥胖少女比肥胖少男更频繁地尝试减肥。
尽管自21世纪初以来韩国儿童肥胖的患病率相似，但极端肥胖的患病率有所上升，尤其是在青少年男孩中。考虑到更高的发病风险，预防发展为极端肥胖至关重要。
