Lee Hae Jeong, Kim Sung Hoon, Choi Seo Heui, Lee Ju Suk
Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
Pediatr Gastroenterol Hepatol Nutr. 2017 Sep;20(3):186-193. doi: 10.5223/pghn.2017.20.3.186. Epub 2017 Sep 26.
Obesity is one of the most common health problems among children and its prevalence has increased in recent decades. Socioeconomic status (SES) is a well-known risk factor for childhood obesity although the associations were different across countries. Previous studies in other countries have reported a positive association between childhood obesity and SES in developing countries, and inverse correlation has been reported in developed countries. For this reason, we wanted to investigate the relationship between SES and obesity in Korean children.
Data were acquired 3,095 boys and girls who participated in the fifth Korea National Health and Nutrition Examination Survey, which was conducted from 2010 to 2012. Body mass index was calculated from measured anthropometric data using the 2007 Korean National Growth Charts.
Upon univariate analysis, we did not find any statistically significant differences in the parental employment status, monthly family income between children with and without obesity. Multiple logistic regression analysis showed childhood obesity was positively associated with maternal overweight (OR, 1.889; 95% CI, 1.079-3.309), maternal obesity (OR, 3.409; 95% CI, 2.228-5.215) and paternal obesity (OR, 2.135; 95% CI, 1.257-3.627).
The present study showed that socioeconomic status might not an important risk factor for obesity in Korean children. These results warrant further studies to clarify the association between SES and obesity in Korean children.
肥胖是儿童中最常见的健康问题之一,且近几十年来其患病率有所上升。社会经济地位(SES)是儿童肥胖的一个众所周知的风险因素,尽管不同国家之间的关联有所不同。其他国家先前的研究报告称,发展中国家儿童肥胖与SES之间存在正相关,而在发达国家则报告存在负相关。因此,我们想研究韩国儿童中SES与肥胖之间的关系。
数据来自于2010年至2012年进行的第五次韩国国家健康与营养检查调查中的3095名男孩和女孩。使用2007年韩国国家生长图表,根据测量的人体测量数据计算体重指数。
单因素分析时,我们未发现肥胖儿童与非肥胖儿童在父母就业状况、家庭月收入方面存在任何统计学上的显著差异。多因素逻辑回归分析显示,儿童肥胖与母亲超重(比值比[OR],1.889;95%置信区间[CI],1.079 - 3.309))、母亲肥胖(OR,3.409;95% CI,2.228 - 5.215)和父亲肥胖(OR,2.135;95% CI,1.257 - 3.627)呈正相关。
本研究表明,社会经济地位可能不是韩国儿童肥胖的重要风险因素。这些结果值得进一步研究以阐明韩国儿童中SES与肥胖之间的关联。