Park Eun Hye, Oh Min-Su, Kim Sorina, Lee Juyeon, Kang Ki Soo
Department of Pediatrics, Jeju National University School of Medicine, Jeju, Korea.
Pediatr Gastroenterol Hepatol Nutr. 2018 Apr;21(2):127-133. doi: 10.5223/pghn.2018.21.2.127. Epub 2018 Apr 13.
For 3 consecutive years from 2012-2014, we analyzed the causative factors for why the Jeju Island had the highest obesity prevalences of school children among the 15 provinces in Korea.
From our analysis of 28,026 elementary school children with obesity or normal weight in the 15 provinces, we analyzed 12 factors related to eating habits, exercise habits, lifestyle, and mental health. The differences between the obese and normal weight children were researched. Finally, Jeju was compared with Seoul, which has the lowest obesity prevalence in school age children. Statistical analysis was performed using the chi square test of PASW Statistics ver. 18.0.
Compared to the normal weight group, the obese group had significantly higher rates of consuming soft drinks (<0.001), fast food intake (=0.019), skipping breakfast (<0.001), insufficient sleep (<0.001), bullying experiences (=0.001) and runaway impulses (=0.012). Compared to Seoul, Jeju Island had significantly higher rates of Ramen intake (3.4% vs. 5.4%, =0.021) and meat intake (46.0% vs. 52.9%, =0.003). On the other hand, Jeju Island was significantly lower than was Seoul in their fruit intake (83.4% vs. 67.1%, <0.001), vegetable intake (71.4% vs. 64.2%, =0.001), and intense physical activity (63.4% vs. 47.7%, <0.001). Meanwhile, insufficient sleep (15.4% vs. 9.6%, <0.001) and runaway impulses (5.6% vs. 3.3%, =0.027) in children were significantly lower in Jeju Island than in Seoul.
The results of the obesity factor analysis of elementary school students in Jeju Island can be used as useful educational material for lowering the obesity prevalence in Jeju community.
在2012年至2014年连续3年期间，我们分析了济州岛在韩国15个省份中为何拥有小学生最高肥胖率的致病因素。
通过对15个省份中28,026名肥胖或体重正常的小学生进行分析，我们研究了与饮食习惯、运动习惯、生活方式和心理健康相关的12个因素。对肥胖儿童和体重正常儿童之间的差异进行了研究。最后，将济州岛与学龄儿童肥胖率最低的首尔进行了比较。使用PASW Statistics 18.0版本的卡方检验进行统计分析。
与体重正常组相比，肥胖组饮用软饮料（<0.001）、摄入快餐（=0.019）、不吃早餐（<0.001）、睡眠不足（<0.001）、受欺凌经历（=0.001）和离家出走冲动（=0.012）的发生率显著更高。与首尔相比，济州岛拉面摄入量（3.4%对5.4%，=0.021）和肉类摄入量（46.0%对52.9%，=0.003）的发生率显著更高。另一方面，济州岛的水果摄入量（83.4%对67.1%，<0.001）、蔬菜摄入量（71.4%对64.2%，=0.001）和剧烈体育活动（63.4%对47.7%，<0.001）显著低于首尔。同时，济州岛儿童睡眠不足（15.4%对9.6%，<0.001）和离家出走冲动（5.6%对3.3%，=0.027）的发生率显著低于首尔。
济州岛小学生肥胖因素分析的结果可作为降低济州岛社区肥胖率的有用教育材料。
