Hong Yong Hee, Chae Hyun Wook, Lee Hae Sang, Kang Eungu, Ahn Moon Bae, Kang Da Hi, Kim Min Jee, Rhie Young-Jun
Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Bucheon, South Korea.
Department of Pediatrics, Yonsei University College of Medicine, Seoul, South Korea.
Obes Res Clin Pract. 2025 May-Jun;19(3):261-269. doi: 10.1016/j.orcp.2025.04.004. Epub 2025 May 1.
In South Korea, the prevalence of adolescents living with obesity (ALwO) is rising.
To evaluate perceptions, attitudes, behaviors, and obstacles to effective obesity care among ALwO, caregivers, and healthcare professionals (HCPs) in South Korea.
ACTION Teens (NCT05013359) was a multinational, cross-sectional survey conducted in 2021. Data from South Korean participants are reported (476 ALwO, 523 caregivers, 200 HCPs).
Most ALwO/caregivers acknowledged that they/their ALwO had overweight, obesity or severe obesity (95 %/88 %, respectively) and were concerned about weight impacting their/their ALwO's future health (94 %/91 %, respectively). The predominant information source on weight management for ALwO/caregivers was YouTube (62 %/35 %, respectively). Most HCPs (87 %) indicated obesity had a strong impact on overall health; fewer ALwO (70 %) and caregivers (62 %) provided the same responses. ALwO recognized the societal challenges associated with overweight/obesity (versus healthy weight), with 50 %, 37 %, and 36 % reporting that overweight/obesity makes it harder to get a job, make friends, and perform well at school, respectively (compared with 41 %, 28 %, and 26 % of caregivers). A higher proportion of ALwO (80 %) than caregivers (45 %) thought weight loss was completely the ALwO's responsibility. While 82 % of ALwO reported they had made a recent weight-loss attempt, only 60 % of caregivers reported that their ALwO had made a recent weight-loss attempt; HCPs thought that, on average, 35 % of their ALwO patients had attempted to lose weight.
Disparities in respondents' perceptions and attitudes toward obesity underscore the need for enhanced communication and increased understanding of obesity to improve healthcare strategies for South Korean ALwO.
在韩国,青少年肥胖症患者(ALwO)的患病率正在上升。
评估韩国青少年肥胖症患者、照顾者和医疗保健专业人员(HCPs)对有效肥胖症护理的认知、态度、行为和障碍。
“行动青少年”(NCT05013359)是一项于2021年开展的跨国横断面调查。报告了韩国参与者的数据(476名青少年肥胖症患者、523名照顾者、200名医疗保健专业人员)。
大多数青少年肥胖症患者/照顾者承认他们自己/他们所照顾的青少年肥胖症患者超重、肥胖或重度肥胖(分别为95%/88%),并担心体重会影响他们自己/他们所照顾的青少年肥胖症患者未来的健康(分别为94%/91%)。青少年肥胖症患者/照顾者获取体重管理信息的主要来源是YouTube(分别为62%/35%)。大多数医疗保健专业人员(87%)表示肥胖对整体健康有很大影响;而只有较少的青少年肥胖症患者(70%)和照顾者(62%)持相同看法。青少年肥胖症患者认识到与超重/肥胖(相对于健康体重)相关的社会挑战,分别有50%、37%和36%的人表示超重/肥胖会使找工作、交朋友和在学校表现良好变得更难(相比之下,照顾者的这一比例分别为41%、28%和26%)。认为减肥完全是青少年肥胖症患者自己责任的青少年肥胖症患者比例(80%)高于照顾者(45%)。虽然82%的青少年肥胖症患者报告他们最近尝试过减肥,但只有60%的照顾者报告他们所照顾的青少年肥胖症患者最近尝试过减肥;医疗保健专业人员认为,他们的青少年肥胖症患者平均有35%尝试过减肥。
受访者对肥胖症的认知和态度存在差异,这突出表明需要加强沟通并增进对肥胖症的了解,以改善针对韩国青少年肥胖症患者的医疗保健策略。