Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children

Kim Yeri,Kim Jiye,Lee Bomi,Jung Seungyoun,Chung Seo-Jin,Kim Hyekyeong,Shin Nana,Kim Yuri 한국영양학회 2023 Nutrition Research and Practice Vol.17 No.4

BACKGROUND/OBJECTIVES: This study aimed to identif y preschool children’s eating behaviors associated with early childhood obesity and its multi-level, socio-ecological determinants. SUBJECTS/METHODS: In a cross-sectional study of 364 mothers of preschool children aged 3–5 years, these children’s healthy eating behaviors were assessed using a validated preschool nutrition quotient (NQ-P) questionnaire. The children’s over weight or obesity statuses were determined based on body mass index percentiles from the 2017 Korean National Growth Chart. The associations between the NQ-P score and risk of over weight or obesity were examined using multivariable logistic regression. The associations of individual, maternal, physical, and media environmental factors with the NQ-P score were also examined using multivariable linear regression. RESULTS: Preschool children with greater NQ-P scores were at a significantly lower risk of over weight or obesity (P < 0.01). The NQ-P score had a significantly positive association with maternal body mass index and an inverse association with household income (all P < 0.05). Maternal parenting and feeding practices exhibited associations with the NQ-P score. Positive associations were obser ved with “warm,” “structured,” and “autonomy-supportive” parenting as well as monitoring feeding practices (all P < 0.05). In addition, the NQ-P score had a significantly positive association with the childcare center’s anti-obesogenic environment, such as the provision of nutritional and physical-activity support and vicinity of the built food environment to the home, including access to good-quality food, fruits and vegetables, and low-fat foods (all P < 0.05). Regarding media environments, the NQ-P score demonstrated more significant associations with viewing and eating and/or cooking content displayed on online video platforms (all P < 0.05) than with that on television. CONCLUSIONS: Our findings confirm the significance of healthy eating behaviors in early- childhood-obesity prevention and underscore the importance of multilevel maternal, physical, and media environmental inter ventions that effectively guide eating behaviors in preschool children.

방과 후 순환운동이 지적장애 학생들의 자기결정력 및 운동수행능력에 미치는 영향

김한철(Kim Hancheol),심태영(Sim Taeyoung),김혜경(Kim Hyekyeong),정연택(Jeong Yeontaek),김성진(Kim Sungjin) 이화여자대학교 특수교육연구소 2011 특수교육 Vol.10 No.1

이 연구의 목적은 규칙적인 12주간 방과 후 순환운동을 통하여 지적장애 학생의 자기결정력과 운동수행능력의 발달가능성을 규명하고, 학교나 가정, 사회생활 속에서 성숙한 인격적 개체로서 존중받으며, 사회구성원으로서 역할을 성공적으로 수행해 나갈 수 있도록 하는데 있다. 연구대상은 A시에 거주하면서 B특수학교에 재학 중인 남자 경도 지적장애 학생 총 20명으로 참여집단 10명과 통제집단 10명을 단순무선 표본추출(simple random sampling)로 할당하여 순환운동에 참여하였다. 측정도구로 자기결정력은 학생을 자기결정력 평가척도(이영미, 2006), 교사용 자기결정력 평가척도(방명애, 2001) 질문지를 사용하였으며, 운동수행능력 검사도구는 김정권, 권기덕, 최영하(1987_에 의해서 한국에서도 표준화된 오세레츠키 운동능력 검사도구를 사용하였다. 측정된 자료는 PASW Version 18.0K 통계프로그램을 이용하여 집단별 자기결정력과 운동수행능력의 평균과 표준편차를 산출하였고, 측정 시기(사전ㆍ6주경과 후ㆍ사후)에 따른 변화를 반복측정에 의한 변량분석을 사용하였으며, 통계적 유의 수준은 .05로 설정하였다. 방과 후 운동 참여를 통한 자기결정력의 변화에서는 참여집단이 통제집단과 비교하여 자신에 대한 인식, 자신의 가치 존중, 계획의 변화, 실행의 변화, 결과에 대한 평가 및 총점의 변화 비교에서 평균점수가 2배 이상 증가하였으며, 참여집단의 변화는 6주보다 12주가 경과한 후 더 많은 증가 현상이 나타났다. 또한 운동수행능력의 변화에서는 참여집단이 통제집단에 비해 정적, 손동작, 일반동작의 협응 및 운동속도, 동시적 자발동작, 단일동작 수행능력 및 운동연령에 증가하였으며, 참여집단의 변화는 6주보다 12주가 경과한 후 증가 현상이 나타났다. 이상의 결과를 종합해 볼 때, 순환운동을 하면 자기결정력과 운동수행능력은 증가가 되는데, 이러한 긍정적인 결과를 가져오기 위해서는 12주 이상의 운동을 실시하였을 때 긍정적인 효과가 나타난다는 것을 알 수 있었다. The purpose of this research was to investigate the effect of the 12-weeks after-school rotating exercise program on self-determination and sports performance abilities of students with mild intellectual disabilities. Participants were 20 students with mild intellectual disabilities in a special-education school. Through simple random sampling, 10 students were placed in an experimental group and they were involved in the after-school rotating exercise program. The other 10 students were placed in a control group. The instruments used in this study were Korean-version of Self-Determination Student Scale (Lee, Youngmi, 2006), Self-Determination Teacher Perception Scale (Bang, MyungAe, 2001), and Standardized Oseresky Sports Ability Test (Kim, Jungkwon, Kwon, Kiduk, & Choi, Youngha, 1987). The data were analyzed using the two-way ANOVA with repeated measures in order to measure changes across time (before intervention after 6 weeks after intervention). The results of this study presented that students in the experimental group presented improved self-determination and sports performance abilities than those in a control group. These changes were more prominent after 12-weeks of the after-school rotating exercise program participation than after 6-weeks participation.

대사증후군 예방을 위한 모바일 헬스 애플리케이션의 개인맞춤형 콘텐츠 개발

김지예(Jiye Kim),강지완(Jiwan Kang),김하림(Harim Kim),고주연(Juyeun Ko),김혜경(Hyekyeong Kim),김유리(Yuri Kim),고광석(Kwangsuk Ko),이민수(Minsoo Lee) 한국보건교육건강증진학회 2018 보건교육건강증진학회지 Vol.35 No.3

Evaluation of Web Sites on Sexuality Education for the Adolescents

Hyekyeong Kim,Inok Moon 한국보건교육건강증진학회 2005 보건교육건강증진학회지 Vol.22 No.3

Objectives: The aim of this study was to assess the quality of the information and characteristics associated with information packaging, and develop suggestions for how this web site might be improved. Methods: The 50 sites were selected for evaluation. Inclusion criteria for evaluation were the purpose and the popularity of the sites. Two kinds of evaluation tool were employed for the analysis: one that evaluate the quality of information and the design of the web sites, and another that evaluate the covered contents. A scoring system allowed the sites point on yes/no basis on the evaluation items. The association between quality of the web sites on sexuality education and their site characteristics were assessed using ANOVA.Conclusions: Major conclusions were as follows. First, the scope and currency of the selected web sites were found to be appropriate. Second, the authority of the information was found to be the most serious problem of the selected sites. Third, the category of sexual behavior found to be the most frequently mentioned and sexual health was the second. The least mentioned category was personal skills. Finally, sites operated by private organization were found to have more accurate information and better design feature than those operated by public organization and/or individual.

Determination of Atmospheric Perfluorocarbon Background Concentrations of fL/L Range at the Western Coastal Area of Korea

HyeKyeong Kim,Sun Kyung Yea,Chul-Un Ro,Chong Bum Lee,Meongdo Jang,Gangwoong Lee,Eunjin Yoo,Jin-Seok Han 강원대학교 환경연구소 2002 環境硏究 Vol.19 No.-

Eating control and eating behavior modification to reduce abdominal obesity: a 12-month randomized controlled trial

Kim Soo Kyoung,Rodriguez Rocha Norma Patricia,Kim Hyekyeong 한국영양학회 2021 Nutrition Research and Practice Vol.15 No.1

BACKGROUND/OBJECTIVES: Abdominal obesity is associated with metabolic disorders, and, in recent years, its prevalence in Korea has continuously increased. The change of lifestyle, particularly diet, is critical for the reduction of abdominal obesity. This study evaluated the effectiveness of an intervention focused on dietary self-efficacy and behaviors on the improvement of abdominal obesity. SUBJECTS/METHODS: Abdominally obese adults with additional cardiovascular risk factors were recruited through 16 medical facilities in South Korea from the year 2013 to 2014. The participants were randomly divided into 2 groups: an intensive intervention group (IG) that received a multi-component intervention to reduce abdominal obesity, by mainly focusing on dietary attitude and dietary behavior change, and a minimal information intervention group (MG) that received a brief explanation of health status and a simple recommendation for a lifestyle change. The interventions were provided for 6 mon, and health examinations were conducted at baseline, 3-, 6-, and 12-mon follow-ups. A path analysis was conducted to identify the process governing the changes in abdominal obesity. RESULTS: The IG showed an improvement in self-efficacy for eating control and diet quality at 6-mon follow-up. Abdominal obesity improved in both groups. Waist circumference was observed to be decreased through the path of “improved self-efficacy for eating control in food availability—eating restriction—improved dietary quality” in IG. Most changes in follow-ups were not significantly different between two groups. CONCLUSIONS: The intensive program targeting the modification of dietary behavior influenced management of abdominal obesity, and the effect occurred through a step-by-step process of change in attitude and behavior. Generally, improvements were also seen in the MG, which supports the necessity of regular health check-ups and brief consultation. The results can be used for further development and implementation of more successful interventions.

Health Status and Associated Health Risks among Female Marriage Immigrants in Korea

Hyekyeong Kim,Seunghyun Yoo,Seon Cho,Eun-Joo Kwon 한국보건교육·건강증진학회 2010 보건교육건강증진학회지 Vol.27 No.5

목적: 본 연구는 외국인 여성결혼 이민자의 건강위험 요인 및 문제점을 파악함으로서 향후 외국인 여성결혼 이민자의 건강증진 프로그램 지원 및 정책 수립의 기초 자료를 제공하고자 하였다. 방법: 연구의 대상은 지역 보건소 및 동?면사무소 등에 등록된 외국인 여성결혼 이민자 중보건복지가족부의 무료건강검진사업 참여자 3,069명이다. 건강검진은 한국건강관리협회 15개 지부에서 2008년 7월부터 11월까지 5개월간 실시하였으며, 기초, 소변, 간기능, 당뇨, 고지혈증, 빈혈 등 총 21개 검사항목으로 구성되었다. 또한 검진과 함께 자기기입식 설문을 통한 건강행태조사를 실시하였다. 설문은 인구사회통계학적 특성, 식습관, 흡연 및 음주 습관, 신체활동 및 정신건강상태에 관한 항목으로 구성되었으며, 국어, 영어, 중어, 베트남어로 제작되었다. 결과: 결혼이민여성들의 건강문제는 연령과 출신국가에 따라 달랐으며, 건강행태 또한 출신국가, 연령, 한국 거주기간에 따라 다른 양상을 보였다. 질환 의심률은 연령이 높아질수록 유소견율이 증가하는 일반적인 경향을 확인할 수 있었다. 출신국가별로는 필리핀 이주 여성의 질환의심율이 54.7%로 전체 평균인 43.6%를 크게 상회하였고, 베트남 여성의 질환 유소견율이 낮았다. 일본출신 여성이 다른 국가 출신에 비해 건강한 식습관을 지니고 있는 것으로 조사되었다. 여성결혼이민자가 주 1회 이상 음주하는 비율이나 현재 흡연율은 대체로 낮은 수준이었다. 그러나 땀이 베일 정도의 운동을 1주동안 전혀 하지 않는다는 응답이 72.3%에 달해 평소 건강관리에 대한 관심이 더 필요한 것으로 보였다. 37.1%가 지난 한달 간 심한 스트레스를 경험한 것으로 응답하였으며, 국적별로는 중국출신(43.7%)의 스트레스 경험 비율이 높게 나타났다. 생활습관과 질환유소견율 관련성에서 규칙적으로 운동을 하는 경우 그렇지 않은 경우에 비해 비만(BMI) 및 고지혈증(총콜레스테롤) 유소견율이 높게 나타났다. 이러한 결과는 질환위험이 높다고 인식하는 사람일수록 생활습관 개선에 더 적극적인 것으로 보였다. 결론: 결혼이민자의 건강특성은 연령, 거주기간별, 출신국가별로 다양하므로 이러한 개인적 특성에 맞는 차별화된 건강증진 프로그램과 정책이 개발되어야 한다. 또한 결혼 이민자의 건강위험과 생활습관 실태 및 이들 간의 관련성을 파악하는 지속적인 검진과 연구가 수행되어 보다 실제적인 건강증진 전략개발을 위한 기초정보가 제공되어야 한다. Objectives: This study aims to identify health status and health risks among female marriage immigrants to Korea and to provide a basis for public health strategies to address their health issues. Methods: The participants of the study were 3,069 immigrant wives. The health examination was conducted by the Korea Association of Health Promotion (KAHP) in 2008. The participants also completed self-administered questionnaires on demographic characteristics, health-related behaviors and mental health. Results: Patterns of immigrant women's health problems differed by age and country of origin. Behavior patterns also differed by their heritage, age, and years of residence in Korea. Generally Vietnamese women fell in lower ranges of disease prevalence and health risk factors in the participant group and Japanese women presented most healthy eating habits. Filipina women showed relatively high disease prevalence than any other group. Conclusion: Immigration to Korea by marriage is relatively a new phenomenon, thus continuing surveillance and research are needed to identify health risks, behavior patterns, and their relationships. Interventions and policies for the health of migrant wives, their children and families are required.

보건단체에서 보건교육사의 활동 영역과 능력 개발

김혜경(Hyekyeong Kim) 한국보건교육건강증진학회 2010 보건교육건강증진학회지 Vol.27 No.2

최근 보건교육건강증진학회지 게재논문 동향 (2009-2011년)

김혜경(Hyekyeong Kim),권은주(Eunjoo Kwon) 한국보건교육건강증진학회 2012 보건교육건강증진학회지 Vol.29 No.4

건강행동 변화를 위한 보건 커뮤니케이션 전략 개발 : 금연을 위한 생태학적 접근전략의 적용

김혜경(Hyekyeong Kim) 한국보건교육건강증진학회 2010 보건교육건강증진학회지 Vol.27 No.4