Choi Mi-Ja, Jo Hyun-Ju, Kim Mi-Kyung
Department of Food and Nutrition, Keimyung University, Daegu 42601, Korea.
Department of Medicinal and Health Food, World Cyber College, Namyangju 12771, Korea.
Clin Nutr Res. 2020 Jan 29;9(1):32-42. doi: 10.7762/cnr.2020.9.1.32. eCollection 2020 Jan.
This study was conducted to analyze the biochemical index, nutrient intakes, nutrition label use, diet-related factors and weight control behavior of Korean female adolescents at the age of 12 to 18 according to body mass index (BMI) by using the results of the 2010 and 2011 Korea National Health and Nutrition Examination Surveys. The obese group had higher waist circumference (p < 0.001) and systolic blood pressure (p < 0.01) than the normal group. In the biochemical index, the obese group had lower serum high-density lipoprotein-cholesterol level (p < 0.001), while their triglyceride level was higher than the normal group (p < 0.01). Nutrient intake according to BMI was not significantly different except carbohydrate, and calcium intake was about 53% of recommended nutrient intake in all study subjects. The nutrition label was recognized in more than 90% of all groups. But actual nutrition label use was below 50% in all groups and the underweight group was the lowest (p < 0.05). In the result for subjective body image perception, even in the group with normal BMI, 25.3% recognized themselves as obese, and 75.3% said they were trying to lose weight, indicating that many female teens actually think their bodies are obese. In conclusion, obese female adolescents have high systolic blood pressure and serum triglyceride concentrations, which requires obesity prevention education. And a large number of female adolescents with normal BMI thought they were obese and tried to lose weight. Therefore, education on healthy weight and calcium intake is necessary.
本研究利用2010年和2011年韩国国民健康与营养检查调查结果,根据体重指数(BMI)分析12至18岁韩国女性青少年的生化指标、营养素摄入量、营养标签使用情况、饮食相关因素及体重控制行为。肥胖组的腰围(p<0.001)和收缩压(p<0.01)均高于正常组。在生化指标方面,肥胖组的血清高密度脂蛋白胆固醇水平较低(p<0.001),而甘油三酯水平高于正常组(p<0.01)。除碳水化合物外,不同BMI组的营养素摄入量无显著差异,所有研究对象的钙摄入量约为推荐营养素摄入量的53%。所有组中超过90%的人认识营养标签。但所有组的实际营养标签使用率均低于50%,体重过轻组最低(p<0.05)。在主观身体形象认知结果中,即使是BMI正常的组,也有25.3%的人认为自己肥胖,75.3%的人表示正在尝试减肥,这表明许多女性青少年实际上认为自己的身体肥胖。总之,肥胖的女性青少年收缩压和血清甘油三酯浓度较高,这需要进行肥胖预防教育。而且大量BMI正常的女性青少年认为自己肥胖并试图减肥。因此,有必要开展关于健康体重和钙摄入的教育。