청소년기 학생들의 비만도 및 합병증

Abstract

[한글]

최근 소아 비만증은 영양장애의 하나로 인식되고 있으며 점차 증가하는 추세이다. 본 연구의 목적은 청소년기 비만증을 예방할 수 있는 향후 대책을 세우는 기초적인 자료로 삼기 위해 서울지역과 제주시를 대상으로 비만증의 빈도를 조사하였고, 비만아를 대상으

로 체지방률, 합병증, 식습관 등을 조사하였다.

서울 및 제주시 남녀 중학교 4개교에서 남학생 1,234명, 여학생 3,321명, 총 4,555명을 대상으로 하여 신체검사시 신장과 체중을 측정한 후 비만도를 산출하였다. 총 대상아의 11.6%에 해당하는 비만아 530명중 275명과 정상 체중군 275명을 대상으로 하여 적외선 분광분석기(Futrex-5000A body fat and fitness computer)로 체지방률을 비교 분석하였으며 추적이 가능하였던 31명의 비만아에 대해 당부하검사, 혈압측정, 생화학적 검사를 시행하였으며 운동량 및 식습관을 조사하였다.

비만증의 빈도는 11.6%로 남아 12.4%, 여아 11.4%였으며 서울지역이 11.4%, 제주시가 13.2 %였으나 지역간의 유의한 차이는 없었다. 적외선 분광분석기로 측정한 체지방률은 정상 체중군이 25.3±5.7%(평균±표준편차), 경도 비만군이 32.9±4.8%, 중등도 비만군이 35.6±4.6%, 고도 비만군이 37.2±4.0%였다. 추적 가능하였던 31명의 합병증은 고지혈증이 29.0%로 가장 많았으며, 고혈압, 간효소치의 상승, 당불내성, 당뇨병 순으로 관갈되꼈다

. 식습관 조사상 total calorie intake / total energy expenditure 비율은 1.10으로 열량 섭취가 에너지 소모보다 많았으며 섭취한 음식물의 열량 성분 비율중 지방이 23.3%로 지방 섭취가 비교적 많았다.

소아 비만증은 성인 비만증과 고혈압, 당뇨병같은 만성 질환의 주된 원인이 되므로 소아 비만증을 예방하기 위해서는 식생활 습관과 운동량에 대한 세심한 관찰이 필요하며 학교신체검사를 포함한 정기적 검진을 통해 비만증을 조기에 발견하여 비만도에 따른 적절한 검사와 치료가 필요하다.

Incidence and complications of obesity in pubescent school children

Boo Hyun Han

Department of Medical Science The Graduate School, Yonsei University

(Directed by Professor Duk Hi Kim)

In recent years, obesity in children has become one of the major nutritional

problems, and the trend is that the number of obese children is increasing. The

purpose of this research is to examine the incidence of obesity in pubescent school

children in Seoul and Cheju, and to analyze body fat component, complications and

eating habits of those obese children in order to obtain basic information for

prevention of obesity in children in the future.

The total number of 4,555 junior high school students from 4 schools consisting

of 1,234 boys and 3,321 girls were examined based on their height and weight. For

those chi wren, obesity index was calculated based on the 50th percentile obtained

from standard weight for height of children proposed by the Korean Pediatric

Association in 1985. The body fat component was measured and compared between 275

children of 530 obese children (11.6%) and 275 children from the control group by

Futrex-5000A body fat and fitness computer. Of those children, oral glucose

tolerance test, blood pressure, and biochemical studies were performed on 31

children whose follow-up was possible, and their exercise load and eating habits

were examined.

It was found that 11.6% of the subject children were obese, which consisted of

12.4% in boys and 11.4% in girls. The study showed 11.4% obesity ratio in Seoul and

13.2% obesity ratio in Cheju, but the difference was insignificant. Body fat

component was 25.3±5.7% (mean±SD) for control group, 32.9±4.8% for mild obesity

group, 35.6±4.6% for moderate obesity group, and 37.2±4.0% for severe obesity

group. The morbidity of complications of those 31 children whose follow-up was

possible showed the highest percentage of 29.0% in hyperlipidemia, and lower

percentage in hypertension, elevated AST and/or ALT, glucose intolerance, diabetes,

respectively. The eating habit analysis showed the total calorie intake / total

energy expenditure ratio of 1.10 which is higher in calories than energy

consumption, and the flood intake evaluation showed that 23.3%of fat was contained

in total calorie intake.

The childhood obesity becomes the primary cause of adult obesity, ypertension and

diabetes, and therefore, eating habits and exercise load should be carefully

observed in order to prevent childhood obesity. In addition to the health care

provided currently by schools, regular physical check-up should be undertaken for

early diagnosis to conduct appropriate tests and treatment.

[영문]

In recent years, obesity in children has become one of the major nutritional problems, and the trend is that the number of obese children is increasing. The purpose of this research is to examine the incidence of obesity in pubescent school children in Seoul and Cheju, and to analyze body fat component, complications and eating habits of those obese children in order to obtain basic information for prevention of obesity in children in the future.

The total number of 4,555 junior high school students from 4 schools consisting of 1,234 boys and 3,321 girls were examined based on their height and weight. For those chi wren, obesity index was calculated based on the 50th percentile obtained

from standard weight for height of children proposed by the Korean Pediatric Association in 1985. The body fat component was measured and compared between 275 children of 530 obese children (11.6%) and 275 children from the control group by Futrex-5000A body fat and fitness computer. Of those children, oral glucose

tolerance test, blood pressure, and biochemical studies were performed on 31 children whose follow-up was possible, and their exercise load and eating habits were examined.

It was found that 11.6% of the subject children were obese, which consisted of 12.4% in boys and 11.4% in girls. The study showed 11.4% obesity ratio in Seoul and 13.2% obesity ratio in Cheju, but the difference was insignificant. Body fat component was 25.3±5.7% (mean±SD) for control group, 32.9±4.8% for mild obesity group, 35.6±4.6% for moderate obesity group, and 37.2±4.0% for severe obesity group. The morbidity of complications of those 31 children whose follow-up was

possible showed the highest percentage of 29.0% in hyperlipidemia, and lower percentage in hypertension, elevated AST and/or ALT, glucose intolerance, diabetes, respectively. The eating habit analysis showed the total calorie intake / total

energy expenditure ratio of 1.10 which is higher in calories than energy consumption, and the flood intake evaluation showed that 23.3%of fat was contained in total calorie intake.

The childhood obesity becomes the primary cause of adult obesity, ypertension and diabetes, and therefore, eating habits and exercise load should be carefully observed in order to prevent childhood obesity. In addition to the health care

provided currently by schools, regular physical check-up should be undertaken for early diagnosis to conduct appropriate tests and treatment.