Trends in the prevalence of extreme obesity among Korean children and adolescents from 2001 to 2014
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Hyo-Kyoung Nam
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.
Acknowledgments
This study uses data from the Korea Centers for Disease Control and Prevention (KCDC) that conducted the Korean National Health and Nutrition Examination Surveys (KNHANES) and provided the data. This study did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors.
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.
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:e199–206.10.3109/17477166.2010.526305Search in Google Scholar PubMed
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;33:401–7.10.1038/ijo.2009.31Search in Google Scholar PubMed
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:E118.10.5888/pcd11.130439Search in Google Scholar PubMed PubMed Central
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;100:631–6.10.1136/archdischild-2014-307036Search in Google Scholar PubMed
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):S164–92.10.1542/peds.2007-2329CSearch in Google Scholar PubMed
6. Kiess W, Penke M, Sergeyev E, Neef M, Adler M, et al. Childhood obesity at the crossroads. J Pediatr Endocrinol Metab 2015;28:481–4.10.1515/jpem-2015-0168Search in Google Scholar PubMed
7. Hesse MB, Young G, Murray RD. Evaluating health risk using a continuous metabolic syndrome score in obese children. J Pediatr Endocrinol Metab 2016;29:451–8.10.1515/jpem-2015-0271Search in Google Scholar PubMed
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;9:474–88.10.1111/j.1467-789X.2008.00475.xSearch in Google Scholar PubMed
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;309:71–82.10.1001/jama.2012.113905Search in Google Scholar PubMed PubMed Central
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;43:69–77.10.1093/ije/dyt228Search in Google Scholar PubMed PubMed Central
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.Search in Google Scholar
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.Search in Google Scholar
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;90:1314–20.10.3945/ajcn.2009.28335Search in Google Scholar PubMed
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;157:821–7.10.1001/archpedi.157.8.821Search in Google Scholar PubMed
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.Search in 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;285:2486–97.10.1001/jama.285.19.2486Search in Google Scholar PubMed
17. Khang YH, Park MJ. Trends in obesity among Korean children using four different criteria. Int J Pediatr Obes 2011;6:206–14.10.3109/17477166.2010.490270Search in Google Scholar PubMed
18. Bahk J, Khang YH. Trends in Measures of Childhood Obesity in Korea From 1998 to 2012. J Epidemiol 2016;26:199–207.10.2188/jea.JE20140270Search in Google Scholar PubMed PubMed Central
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):S193–228.10.1542/peds.2007-2329DSearch in Google Scholar PubMed
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;320:1240–3.10.1136/bmj.320.7244.1240Search in Google Scholar PubMed PubMed Central
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;295:1549–55.10.1001/jama.295.13.1549Search in Google Scholar PubMed
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;315:2292–9.10.1001/jama.2016.6361Search in Google Scholar PubMed PubMed Central
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;34:57–66.10.1038/ijo.2009.211Search in Google Scholar PubMed
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;34:41–7.10.1038/ijo.2009.217Search in Google Scholar PubMed PubMed Central
25. Ebbeling CB, Ludwig DS. Tracking pediatric obesity: an index of uncertainty? J Am Med Assoc 2008;299:2442–3.10.1001/jama.299.20.2442Search in Google Scholar PubMed
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;155:529–34.10.1016/j.jpeds.2009.03.063Search in Google Scholar PubMed
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;128:1689–712.10.1161/CIR.0b013e3182a5cfb3Search in Google Scholar PubMed
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;9:322–9.10.1016/j.acap.2009.04.005Search in Google Scholar PubMed PubMed Central
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 e2.10.1016/j.jpeds.2010.01.025Search in Google Scholar PubMed PubMed Central
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;9:167–75.10.1111/j.2047-6310.2013.00154.xSearch in Google Scholar PubMed PubMed Central
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;16:2266–71.10.1038/oby.2008.347Search in Google Scholar PubMed PubMed Central
32. Puhl RM, Peterson JL, Luedicke J. Weight-based victimization: bullying experiences of weight loss treatment-seeking youth. Pediatrics 2013;131:e1–9.10.1542/peds.2012-1106Search in Google Scholar PubMed
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;373:1307–17.10.1056/NEJMoa1502821Search in Google Scholar PubMed
©2017 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Review
- Imaging methods for bone mass evaluation during childhood and adolescence: an update
- Original Articles
- Risk factors for overweight and obesity in children aged 2–6 years
- Copy number variations in “classical” obesity candidate genes are not frequently associated with severe early-onset obesity in children
- Trends in the prevalence of extreme obesity among Korean children and adolescents from 2001 to 2014
- Plasma but not serum brain-derived neurotrophic factor concentration is decreased by oral glucose tolerance test-induced hyperglycemia in children
- Environmental and genetic determinants of two vitamin D metabolites in healthy Australian children
- Evaluation of vitamin D prophylaxis in 3–36-month-old infants and children
- Possible effects of neonatal vitamin B12 status on TSH-screening program: a cross-sectional study from Turkey
- Effects of L-thyroxine treatment on heart functions in infants with congenital hypothyroidism
- Hyperandrogenism in adolescent girls: relationship with the somatotrophic axis
- Plasma kisspeptin and ghrelin levels in puberty variant cases
- Genotype-phenotype correlation in paediatric pheochromocytoma and paraganglioma: a single centre experience from India
- Short Communication
- Provider variability in the initial diagnosis and treatment of congenital hypothyroidism
- Case Reports
- Giant parathyroid adenoma associated with severe hypercalcemia in an adolescent patient
- Personalized precision medicine in extreme preterm infants with transient neonatal diabetes mellitus
- Pseudohypoaldosteronism types I and II: little more than a name in common
- Primary pigmented nodular adrenocortical disease: literature review and case report of a 6-year-old boy
Articles in the same Issue
- Frontmatter
- Review
- Imaging methods for bone mass evaluation during childhood and adolescence: an update
- Original Articles
- Risk factors for overweight and obesity in children aged 2–6 years
- Copy number variations in “classical” obesity candidate genes are not frequently associated with severe early-onset obesity in children
- Trends in the prevalence of extreme obesity among Korean children and adolescents from 2001 to 2014
- Plasma but not serum brain-derived neurotrophic factor concentration is decreased by oral glucose tolerance test-induced hyperglycemia in children
- Environmental and genetic determinants of two vitamin D metabolites in healthy Australian children
- Evaluation of vitamin D prophylaxis in 3–36-month-old infants and children
- Possible effects of neonatal vitamin B12 status on TSH-screening program: a cross-sectional study from Turkey
- Effects of L-thyroxine treatment on heart functions in infants with congenital hypothyroidism
- Hyperandrogenism in adolescent girls: relationship with the somatotrophic axis
- Plasma kisspeptin and ghrelin levels in puberty variant cases
- Genotype-phenotype correlation in paediatric pheochromocytoma and paraganglioma: a single centre experience from India
- Short Communication
- Provider variability in the initial diagnosis and treatment of congenital hypothyroidism
- Case Reports
- Giant parathyroid adenoma associated with severe hypercalcemia in an adolescent patient
- Personalized precision medicine in extreme preterm infants with transient neonatal diabetes mellitus
- Pseudohypoaldosteronism types I and II: little more than a name in common
- Primary pigmented nodular adrenocortical disease: literature review and case report of a 6-year-old boy
