비만아동의 영양섭취와 혈청 지질농도 및 철분영양지표

다국어 초록 (Multilingual Abstract)

This study was performed to compare nutrient intakes, diet quality and serum indices (TG, Total cholesterol, LDL-cholesterol, HDL-cholesterol, RBC, Hb, Hct, Serum iron, ferritin, MCV) of obese and normal weight children. The subjects were 149 children living in the Seoul and Gyeonggi areas. Each subject was assigned to one of such as normal weight group (15th ≤ BMI percentile < 85th, n = 82) or obese children (85th ≤ BMI percentile, n = 67) according to their percentile of BMI by The Korean Pediatric Society. Data on dietary intakes, body composition and serum indices were obtained. Differences of all the above variables were assessed. Energy, carbohydrate, fat, cholesterol, total fatty acid, SFA, MUFA, PUFA, phosphate, potassium, zinc, vitamin B1 and vitamin B6 intakes of girls in the obese group were higher than those of the normal weight group (p < 0.05). The intake of fiber was as insufficient as below 50% of KDRIs in both groups. Nutrient adequacy ratio of calcium, iron, phosphate, zinc and folate in obese boys were lower than those of normal weight boys (p < 0.05). Energy intakes of grain and milk and dairy food in the obese girl group (905.9 ± 344.5 kcal, 210.9 ± 166.4 kcal) were higher than those of normal weight girls (671.2 ± 360.7 kcal, 184.0 ± 103.5 kcal) (p < 0.05). HDL-cholesterol level of obese boys (52.7 ± 6.3 mg/dL) was significantly lower than that of normal weight boys (65.3 ± 15.6 mg/ dL). Serum iron level of obese boys and girls (boys: 79.4 ± 32.6 mg/dL, girls: 98.3 ± 16.2 mg/dL) was significantly lower than those of normal weight children (boys: 104.8 ± 38.6 mg/dL, girls: 106.7 ± 28.9 mg/dL) (p < 0.05). These results suggest that there should be sensible food selection and more intakes of fruit and vegetable are needed to improve the nutritional status in obese children. (Korean J Community Nutrition 11(5) : 575 ~ 586, 2006)

참고문헌 (Reference)

1 "The-predictive value of childhood body mas index value for overweight at age 35y" 810-819, 1994

2 "The status of nutrient intake and factors related to dislike of vegetables in elementary school students" 10 (10): 151-162, 2005

3 "The relationship between growth in in-fancy and growth in adolescence report of a longitudinal study among urban black adolescents" 693-711, 1976

4 "The food habits and energy and nutrient intake in overweight adolescents compared to those with normal weight" 44 (44): 203-208, 1996

5 "The Role of Dietary Calcium and Other Nutrients in Moderating Body Fat in Preschool Children" 25 : 559-566, 2001

6 "The International Obesity Task Force and globesity" 12 : 613-614, 2002

7 "Textbook of Pediatrics" 19911800-1824

8 "Tackling obesity in England" National Audit Ofice 104-114 108, 2001

9 "Sumary document of nutrition interven-tion in obesity" -35, 1991

10 Shin KO, "Study on the eating habits and growth development in Korean preschool children" 38 (38): 455-464, 2005

11 "Serum lipid profile and diet pattern in obese children in Seoul" 47-54, 1994

12 "Serum Leptin Levels in Obese Children" 41 (41): 953-959, 1998

13 "Revision of Dietary Guide-lines for Koreans dietary action guides for children" 2003

14 Ludwig DS, "Relation between con-sumption of sugar-sweetened drinks and childhood obesity" 17 (17): 505-508, 2001

15 "Prevalence of Iron Deficiency in Overweight and Obese Children and Adolescents" 27 (27): 416-418, 2003

16 "Potential Relationship betwen Children Obesity and Risk for Coronary Heart Disease in Kyungbuk Area" 34 (34): 664-670, 2001

17 "Overweight children and adolescens" 114 : 104-108, 2004

18 "Originals" 25 (25): 433-440, 1996

19 "Obesity, insulin resistance, diabetes,and cardiovascular risk in children" 107 : 1448-1453, 2003

20 "Obesity in children" 39 304-314, 1985

21 "Nutrient intakes and obesity-related factors of obese children and the effect of nutrition education program" 8 (8): 477-484, 2003

22 "National Health and Nutrition Examination Survey Report 2005" The Ministry of Health and Welfare 2006

23 "Longgitudinal Cal-cium Intake is Negatively Related to Childrens Body Fat Indexes" 103 : 1626-1631, 2003

24 "Iron deficiency and educational achievement in Thailand" 687-697, 1989

25 "Imunocompetence in obesity" 25-30, 1980

26 "Fod purchased away from home as a predictor" 2004

27 "Effect-evaluation on nutri-tion education in Related curriculums for elementary school children Kor J Comm Nutr 10" 10 (10): 795-804, 2005

28 "Dietary diversity in the US population" 1521-1531, 19911976-1980

29 "Dietary behaviors,health-related lifestyle and blod lipid profile of obese children in Incheon" 7 (7): 803-813, 2002

30 "Dietary Reference Intakes for Korean" 2005

31 "Diet, Physical Activity,and Sedentary Behaviors as Factors for Overweight in Adolescence" 158 (158): 385-390, 2004

32 "Dairy consumption, Obesity, and the Insulin Resistance Syndrome in Young Adult" 287 : 2081-2089, 2002

33 "Comparison of dietary intake among overweight and non-overweight schoolchildren" 25 (25): 1651-1655, 2001

34 "Clinical and Nutritional Examination in Obese Children and Adolescents Clinical and Nutritional Examination in Obese Children and Adolescents" 79 79-89, 19941994

35 "Childrens adaptations to a fat-reduced diet the dietary intervention study in children" 115 : 1723-173, 2005

36 "Childhood obesity a new pandemic of the new millenium" 110 : 1003-1007, 2002

37 "Body Growth Standard Value of Korean Pediatrics in 198" 1999

38 "Behavior alteration in iron deficiency" 331-359, 1988

39 "Association of con-sumption of fried food away from home with body mas index and diet quality in older children and adolescents" 116 (116): 518-524, 2005

40 "Annual deaths attributable to obesity in the United States" 282 : 1530-1538, 1999

41 "Adiposity rebound in children a simple indicator for predicting obesity" 129-135, 1984

42 "A study on the etiology of childhood obe-sity" 283-294, 1988

43 "A study on a relation of food ecology to obesity index of 5th grade in cheju city" 13 : 141-151, 1998

44 "A study of behavior and serum leptin levels in obese children" 7 (7): 475-483, 2002