Journal List > J Nutr Health > v.49(2) > 1081482

J Nutr Health. 2016 Apr;49(2):99-110. Korean.
Published online April 30, 2016.  https://doi.org/10.4163/jnh.2016.49.2.99
© 2016 The Korean Nutrition Society
Health and nutritional status of Korean underweight women in their twenties: Based on the 2010~2012 Korea National Health and Nutrition Examination Survey
Sa Rang Jeong,1 Sunghee Kim,1 and Yoon Jung Yang2
1Deparment of Clinical Nutrition, Dongduk Women's University, Seoul 02748, Korea.
2Deparment of Food and Nutrition, Dongduk Women's University, Seoul 02748, Korea.

To whom correspondence should be addressed. tel: +82-2-940-4465, Email: yjyang@dongduk.ac.kr
Received March 01, 2016; Revised March 30, 2016; Accepted April 01, 2016.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

The current study was conducted in order to identify health and nutritional status of Korean underweight women in their twenties by comparing with normal, overweight, and obese women.

Methods

Data from the 2010~2012 Korea National Health and Nutrition Examination Survey were used in this study. Subjects were 897 women aged 20~29 years. Subjects were classified according to underweight, normal weight, overweight, and obese groups based on body mass index. Health status was assessed using data from the health questionnaire and examination. Nutritional status was assessed using data from 24-hour dietary recall and a food frequency questionnaire.

Results

The underweight group had higher education and exercised less than the obese group. Means of blood chemistry and blood pressure of the underweight group did not differ from those of the normal weight group. Means of fasting glucose, insulin, lipid profiles, blood cell counts, and blood pressure in the underweight group were different from those of the overweight or obese group. Proportions of delivery, breast feeding, and irregular menstruation in the underweight group were lower compared with the other groups. Except retinol intake, means of nutrient intake did not differ among four groups. There were significant differences among four groups in the intakes of cereals and eggs and frequency of consumption of dairy products.

Conclusion

The current findings showed that health and nutritional status of underweight women in their twenties did not differ from those of normal weight women. In particular, health status of underweight women in their twenties was better than that of obese women of the same ages. Further study on health and nutritional status of extremely underweight women is necessary.

Keywords: underweight; women; twenties; health status; nutritional status

Tables


Table 1
General characteristics of the study subjects by degree of obesity
Click for larger image


Table 2
Socioeconomic factors of the subjects by degree of obesity
Click for larger image


Table 3
Weight control trial and subjective body images of the subjects by degree of obesity
Click for larger image


Table 4
Complete blood cell count, blood chemistry and blood pressure of the subjects by degree of obesity
Click for larger image


Table 5
Female history and prevalance of disease of the subjects by degree of obesity
Click for larger image


Table 6
Nutrient intake, CPF ratio, Acceptable Macronutrient Distribution Range of the subjects by degree of obesity
Click for larger image


Table 7
Food consumption of the subjects estimated by 24-hr recall
Click for larger image


Table 8
Food consumption frequency of the subjects estimated by food frequency questionnaire
Click for larger image

Notes

This study was supported by the Dongduk Women's University Grant.

References
1. Kim MR, Kim HC. A study on diet behaviors and related factors in dieting college students. J East Asian Soc Diet Life 2008;18(1):135–148.
2. Park EJ, Kim NS. Obesity and underweight among Korean women. Health Welf Policy Forum 2014;(213):91–100.
3. Park HY. In: Lifestyles, dietary behavior, weight control behaviors, obsession to lose weight, obesity stress and depression of female adolescents who want to have very low BMI [dissertation]. Pocheon: Daejin University; 2011.
4. Koo JO, Park S. Analysis of BMI, body composition, weight control, dietary behaviors of adult women. Korean J Community Nutr 2011;16(4):454–465.
5. Kim KH. Comparisons of dietary, living habits and blood parameters in underweight and overweight university students. Korean J Food Cult 2006;21(4):366–374.
6. Choi KS, Shin KO, Chung KH. Dietary habits, nutrition status, and health of female students. Korean J Food Nutr 2012;25(4):719–728.
7. Kim IS, Yu HH, Han HS. Effects of nutrition knowledge, dietary attitude, dietary habits and life style on the health of college students in the Chungnam area. Korean J Community Nutr 2002;7(1):45–57.
8. Park YS, Kwon MK. A study on the nutritional status and eating behaviors of underweight adolescent females, aged 15 to 19 years, using data from 2001 NHANS of Korea. J Korean Home Econ Assoc 2007;45(10):1–11.
9. Yoon JS, Lee MJ. Calcium status and bone mineral density by the level of sodium intake in young women. Korean J Community Nutr 2013;18(2):125–133.
10. Kwon MK, Park YS. A stydy on nutritional status and eating behaviors of underweight adolescent boys using 2001 NHANS of Korea. Korean J Community Nutr 2007;12(3):235–246.
11. Jee SH, Sull JW, Park J, Lee SY, Ohrr H, Guallar E, Samet JM, Samet M. Body-mass index and mortality in Korean men and women. N Engl J Med 2006;355(8):779–787.
12. Flegal KM, Graubard BI, Williamson DF, Gail MH. Cause-specific excess deaths associated with underweight, overweight, and obesity. JAMA 2007;298(17):2028–2037.
13. Bolúmar F, Olsen J, Rebagliato M, Sáez-Lloret I, Bisanti L. European Study Group on Infertility and Subfecundity. Body mass index and delayed conception: a European Multicenter Study on Infertility and Subfecundity. Am J Epidemiol 2000;151(11):1072–1079.
14. Son YJ, Kim G. The relationship between obesity, self-esteem and depressive symptoms of adult women in Korea. Korean J Obes 2012;21(2):89–98.
15. Helgstrand S, Andersen AM. Maternal underweight and the risk of spontaneous abortion. Acta Obstet Gynecol Scand 2005;84(12):1197–1201.
16. Lee HA, Park EA, Kim YJ, Lee HY, Hong YS, Chang NS, Oh SY, Ha EH, Park HS. Interaction effects of pre-pregnancy body mass index and gestational weight gain on offspring's overweight. J Korean Soc Matern Child Health 2011;15(1):82–91.
17. Park HS, Oh SW, Kang JH, Park YW, Choi JM, Kim YS, Choi WH, Yoo HJ, Kim YS. Prevalenced and associated factors with metabolic syndrome in south Korea-from the Korean national health and nutrition examination survey, 1998. J Korean Soc Study Obes 2003;12(1):1–14.
18. Wang SB, Cho YC. Body mass index and subsequent risk of hypertension, hyperglycemia and hypercholesterolemia in health checkup examinees. J Korea Acad Ind Coop Soc 2011;12(6):2677–2684.
19. Kim ES, Jekal YS, Jeon JY. Effect of change in level of obsity and cardio-respiratory fitness on the risk factors of chronic disease among male high school students. Korean J Phys Educ 2009;48(4):525–533.
20. Yun YH, Park K. Underweight related factors in school-aged children in Daegu. J Korean Soc Food Sci Nutr 2013;42(10):1592–1599.
21. Bae YJ. Evaluation of nutrient and food intake status, and dietary quality in Korean female adults according to obesity: based on 2007-2009 Korean National Health and Nutrition Examination Survey. Korean J Nutr 2012;45(2):140–149.
22. Paek EJ, Kim JY. The relationship between educational attainment and obesity among Korean adults: focusing on age variations. J Korean Soc Health Educ Promot 2013;30(5):91–100.
23. Jang HK. In: Dietary risk factors related to obesity and metabolic syndrome among low-income women: using data from the fourth Korea National Health and Nutrition Examination Survey [dissertation]. Daegu: Keimyung University; 2014.
24. Sakurai Y, Umeda T, Shinchi K, Honjo S, Wakabayashi K, Todoroki I, Nishikawa H, Ogawa S, Katsurada M. Relation of total and beverage-specific alcohol intake to body mass index and waist-to-hip ratio: a study of self-defense officials in Japan. Eur J Epidemiol 1997;13(8):893–898.
25. Suter PM, Tremblay A. Is alcohol consumption a risk factor for weight gain and obesity? Crit Rev Clin Lab Sci 2005;42(3):197–227.
26. Liu S, Serdula MK, Williamson DF, Mokdad AH, Byers T. A prospective study of alcohol intake and change in body weight among US adults. Am J Epidemiol 1994;140(10):912–920.
27. Lee DK, Jang KH, Song HS, Kim SW. Weight change in the postpartum period. J Korean Orient Med 2004;25(1):205–212.
28. Ahn HS, Lee LH. The relationships between obese index and major risk factors in patients with cardiovascular disease. Korean J Nutr 1993;26(9):1071–1084.
29. Park SJ, Lee GS, Lee HJ. The effects of the obesity and physical activity on the prevalence of hypertension in Korean adults. J East Asian Soc Diet Life 2015;25(3):432–439.
30. Kim JY. In: Risk stratification of metabolic syndrome according to obesity, abdominal obesity and gender in Korean adults [dissertation]. Seoul: Korea University; 2014.
31. Seo SM, Kim JH. The effect of blood lipids and estrogen level according to aerobic exercise in female university students on menstrual cycle. Korean J Sports Sci 2010;19(1):919–928.
32. Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesity-induced hypertension. Hypertens Res 2010;33(5):386–393.
33. Kim MS, Kweon DC, Bae YJ. Evaluation of nutrient and food intake status, and dietary quality according to abdominal obesity based on waist circumference in Korean adults: based on 2010-2012 Korean National Health and Nutrition Examination Survey. J Nutr Health 2014;47(6):403–415.
34. Kim DH, Lee JM, Choi SW. Comparison of blood sugar, blood lipid, and blood pressure according to obesity in type 2 diabetic patients with hypertension. Korean J Sports Sci 2010;19(4):1361–1368.
35. Resnicow K, Morley-Kotchen J, Wynder E. Plasma cholesterol levels of 6585 children in the United States: results of the know your body screening in five states. Pediatrics 1989;84(6):969–976.
36. Micozzi MS, Albanes D, Stevens RG. Relation of body size and composition to clinical biochemical and hematologic indices in US men and women. Am J Clin Nutr 1989;50(6):1276–1281.
37. Jin X. In: The differences in nutritional state according to the presence of anemia and body mass index level in Korean premenopausal women: using data from 2008 Korea National Health & Nutrition Examination Survey [dissertation]. Chungnam: Chungnam University; 2012.
38. Kwon MK. In: A study on characteristics of nutrient intakes, food intakes and food habits of underweight adolescents [dissertation]. Asan: Soonchunhyang University; 2007.
39. Kim MK, Lee GC. Weight reduction dieting survey and satisfaction degree and diet related knowledge among adult women by age. J Korean Soc Food Sci Nutr 2006;35(5):572–582.