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Journal of Pediatric Endocrinology and Metabolism

Editor-in-Chief: Kiess, Wieland

Ed. by Bereket, Abdullah / Darendeliler, Feyza / Dattani, Mehul / Gustafsson, Jan / Luo, Fei Hong / Mericq, Veronica / Ogata, Tsutomu / Toppari, Jorma


IMPACT FACTOR 2017: 1.086

CiteScore 2017: 1.07

SCImago Journal Rank (SJR) 2017: 0.465
Source Normalized Impact per Paper (SNIP) 2017: 0.580

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2191-0251
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Volume 30, Issue 5

Issues

Trends in the prevalence of extreme obesity among Korean children and adolescents from 2001 to 2014

Hyo-Kyoung Nam / Hye Ryun Kim / Young-Jun Rhie / Kee-Hyoung Lee
  • Corresponding author
  • Department of Pediatrics, Korea University Anam Hospital, Korea University College of Medicine, Inchon-ro 73, Seongbuk-gu, Seoul 02841, Republic of Korea
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Published Online: 2017-04-22 | DOI: https://doi.org/10.1515/jpem-2016-0456

Abstract

Background:

We assessed nationwide trends in extreme obesity prevalence and its impact on metabolic syndrome in Korean youth.

Methods:

Data from 19,593 youth (10,271 boys) aged 2–19 were obtained from the Korean National Health and Nutrition Examination Surveys (2001–2014). The prevalence of extreme obesity and the odds ratio of metabolic syndrome were calculated. Questionnaires on body weight perceptions and weight control behaviors were administered.

Results:

The prevalence of extreme obesity increased significantly among boys (p<0.05). The odds ratios of extreme obesity on metabolic syndrome compared with obesity were 3.781 and 1.979 in boys and girls, respectively. Obese teenage girls with appropriate weight perception attempted to lose weight more frequently than obese teenage boys did.

Conclusions:

Although the prevalence of childhood obesity in Korea was similar since early 2000s, extreme obesity prevalence has increased, especially among teenage boys. Considering greater morbidity risks, preventing progression to extreme obesity is crucial.

Keywords: body mass index; metabolic syndrome; pediatric obesity; prevalence; trends

References

  • 1.

    Bluher S, Meigen C, Gausche R, Keller E, Pfaffle R, et al. Age-specific stabilization in obesity prevalence in German children: a cross-sectional study from 1999 to 2008. Int J Pediatr Obes 2011;6:e199–206.Web of ScienceCrossrefGoogle Scholar

  • 2.

    Peneau S, Salanave B, Maillard-Teyssier L, Rolland-Cachera MF, Vergnaud AC, et al. Prevalence of overweight in 6- to 15-year-old children in central/western France from 1996 to 2006: trends toward stabilization. Int J Obes (Lond) 2009;33:401–7.Web of ScienceGoogle Scholar

  • 3.

    Day SE, Konty KJ, Leventer-Roberts M, Nonas C, Harris TG. Severe obesity among children in New York City public elementary and middle schools, school years 2006–07 through 2010–11. Prev Chronic Dis 2014;11:E118.Google Scholar

  • 4.

    Ells LJ, Hancock C, Copley VR, Mead E, Dinsdale H, et al. Prevalence of severe childhood obesity in England: 2006–2013. Arch Dis Child 2015;100:631–6.Web of ScienceGoogle Scholar

  • 5.

    Barlow SE, Expert C. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics 2007;120(Suppl 4):S164–92.Web of ScienceGoogle Scholar

  • 6.

    Kiess W, Penke M, Sergeyev E, Neef M, Adler M, et al. Childhood obesity at the crossroads. J Pediatr Endocrinol Metab 2015;28:481–4.CrossrefWeb of ScienceGoogle Scholar

  • 7.

    Hesse MB, Young G, Murray RD. Evaluating health risk using a continuous metabolic syndrome score in obese children. J Pediatr Endocrinol Metab 2016;29:451–8.Web of ScienceCrossrefGoogle Scholar

  • 8.

    Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev 2008;9:474–88.Web of ScienceCrossrefGoogle Scholar

  • 9.

    Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. J Am Med Assoc 2013;309:71–82.Web of ScienceGoogle Scholar

  • 10.

    Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, et al. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 2014;43:69–77.Web of ScienceGoogle Scholar

  • 11.

    KCDC (Korea Centers for Disease Control and Prevention). Korean National Health and Nutrition Examination Survery. Available at: http://knhanes.cdc.go.kr/. Accessed 17 Oct 2016.

  • 12.

    Korean Center for Disease Control and Prevension, The Korean Pediatric Society, Committee for Korean Children and Adolescents Growth Standard. 2007 Korean Children and Adolescents Growth Standard.

  • 13.

    Flegal KM, Wei R, Ogden CL, Freedman DS, Johnson CL, et al. Characterizing extreme values of body mass index-for-age by using the 2000 Centers for Disease Control and Prevention growth charts. Am J Clin Nutr 2009;90:1314–20.Web of ScienceGoogle Scholar

  • 14.

    Cook S, Weitzman M, Auinger P, Nguyen M, Dietz WH. Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988–1994. Arch Pediatr Adolesc Med 2003;157:821–7.Google Scholar

  • 15.

    Bassett J. International Diabetes Institute; World Health Organization Regional Office for the Western Pacific; International Association for the Study of Obesity; International Obesity Task Force. The Asia-Pacific perspective: redefining obesity and its treatment. Melbourne: Health Communication Australia, 2000.Google Scholar

  • 16.

    Expert Panel on Detection Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). J Am Med Assoc 2001;285:2486–97.Google Scholar

  • 17.

    Khang YH, Park MJ. Trends in obesity among Korean children using four different criteria. Int J Pediatr Obes 2011;6:206–14.Web of ScienceCrossrefGoogle Scholar

  • 18.

    Bahk J, Khang YH. Trends in Measures of Childhood Obesity in Korea From 1998 to 2012. J Epidemiol 2016;26:199–207.Web of ScienceGoogle Scholar

  • 19.

    Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, et al. Assessment of child and adolescent overweight and obesity. Pediatrics 2007;120(Suppl 4):S193–228.Web of ScienceGoogle Scholar

  • 20.

    Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. Br Med J 2000;320:1240–3.Google Scholar

  • 21.

    Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, et al. Prevalence of overweight and obesity in the United States, 1999–2004. J Am Med Assoc 2006;295:1549–55.Google Scholar

  • 22.

    Ogden CL, Carroll MD, Lawman HG, Fryar CD, Kruszon-Moran D, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988–1994 through 2013–2014. J Am Med Assoc 2016;315:2292–9.Web of ScienceGoogle Scholar

  • 23.

    Olds TS, Tomkinson GR, Ferrar KE, Maher CA. Trends in the prevalence of childhood overweight and obesity in Australia between 1985 and 2008. Int J Obes (Lond) 2010;34:57–66.Web of ScienceGoogle Scholar

  • 24.

    Stamatakis E, Wardle J, Cole TJ. Childhood obesity and overweight prevalence trends in England: evidence for growing socioeconomic disparities. Int J Obes (Lond) 2010;34:41–7.Web of ScienceGoogle Scholar

  • 25.

    Ebbeling CB, Ludwig DS. Tracking pediatric obesity: an index of uncertainty? J Am Med Assoc 2008;299:2442–3.Google Scholar

  • 26.

    Park MJ, Boston BA, Oh M, Jee SH. Prevalence and trends of metabolic syndrome among Korean adolescents: from the Korean NHANES survey, 1998–2005. J Pediatr 2009;155:529–34.Google Scholar

  • 27.

    Kelly AS, Barlow SE, Rao G, Inge TH, Hayman LL, et al. Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches: a scientific statement from the American Heart Association. Circulation 2013;128:1689–712.Web of ScienceGoogle Scholar

  • 28.

    Skelton JA, Cook SR, Auinger P, Klein JD, Barlow SE. Prevalence and trends of severe obesity among US children and adolescents. Acad Pediatr 2009;9:322–9.Web of ScienceCrossrefGoogle Scholar

  • 29.

    Koebnick C, Smith N, Coleman KJ, Getahun D, Reynolds K, et al. Prevalence of extreme obesity in a multiethnic cohort of children and adolescents. J Pediatr 2010;157:26–31 e2.Google Scholar

  • 30.

    Lo JC, Maring B, Chandra M, Daniels SR, Sinaiko A, et al. Prevalence of obesity and extreme obesity in children aged 3–5 years. Pediatr Obes 2014;9:167–75.Web of ScienceCrossrefGoogle Scholar

  • 31.

    Modi AC, Loux TJ, Bell SK, Harmon CM, Inge TH, et al. Weight-specific health-related quality of life in adolescents with extreme obesity. Obesity (Silver Spring) 2008;16:2266–71.CrossrefWeb of ScienceGoogle Scholar

  • 32.

    Puhl RM, Peterson JL, Luedicke J. Weight-based victimization: bullying experiences of weight loss treatment-seeking youth. Pediatrics 2013;131:e1–9.Web of ScienceGoogle Scholar

  • 33.

    Skinner AC, Perrin EM, Moss LA, Skelton JA. Cardiometabolic risks and severity of obesity in children and young adults. N Engl J Med 2015;373:1307–17.Web of ScienceGoogle Scholar

About the article

Corresponding author: Kee-Hyoung Lee, MD, PhD, Department of Pediatrics, Korea University Anam Hospital, Korea University College of Medicine, Inchon-ro 73, Seongbuk-gu, Seoul 02841, Republic of Korea, Phone: +82-2-920-6604, Fax: +82-2-922-7476


Received: 2016-12-07

Accepted: 2017-03-06

Published Online: 2017-04-22

Published in Print: 2017-05-01


Author contributions: Nam HK, Lee KH designed this study. Nam HK, Kim HR, Rhie YJ, Lee KH conducted data analysis and drafted the manuscript. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

Research funding: None declared.

Employment or leadership: None declared.

Honorarium: None declared.

Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.


Citation Information: Journal of Pediatric Endocrinology and Metabolism, Volume 30, Issue 5, Pages 517–523, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: https://doi.org/10.1515/jpem-2016-0456.

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