Relationship between Obesity and Lifestyle Factors in Young Korean Women: the Seventh Korea National Health and Nutrition Examination Survey 2016

Jeon Won Kwak; Chan Hee Jeon; Min Ho Kwak; Jeong Hyeon Kim; Yong Soon Park

doi:10.15384/kjhp.2019.19.1.9

Journal List > Korean J Health Promot > v.19(1) > 1120091

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Kwak, Jeon, Kwak, Kim, and Park: Relationship between Obesity and Lifestyle Factors in Young Korean Women: the Seventh Korea National Health and Nutrition Examination Survey 2016

Original Article

Korean Journal of Health Promotion 2019; 19(1): 9-15.

Published online: 31 March 2019

DOI: https://doi.org/10.15384/kjhp.2019.19.1.9

Relationship between Obesity and Lifestyle Factors in Young Korean Women: the Seventh Korea National Health and Nutrition Examination Survey 2016

Jeon Won Kwak¹, Chan Hee Jeon¹, Min Ho Kwak², Jeong Hyeon Kim¹, Yong Soon Park¹

¹Department of Family Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.

²Department of Educational Psychology, University of Georgia, Athens, GA, USA.

Corresponding author: Yong Soon Park, MD, MPH, PhD. Department of Family Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, 77 Sakju-ro, Chuncheon 24253, Korea. Tel: +82-33-240-5311, Fax: +82-33-240-5440, pyongs@hanmail.net

Received 5 January 2019 Revised 29 January 2019 Accepted 11 February 2019

Korean Society for Health Promotion and Disease Prevention

(open-access, http://creativecommons.org/licenses/by-nc/3.0/):

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

Background

The purpose of this study was to examine whether lifestyle-related factors are associated with obesity in a selected sample of young Korean women.

Methods

This cross-sectional study involved 822 women aged 19–39 years who participated in the Seventh Korea National Health and Nutrition Examination Survey conducted in 2016. Obesity status was defined as general and abdominal obesity. Multiple logistic regression analyses were used to evaluate the association between lifestyle-related factors and obesity status.

Results

The prevalence of obesity was 20.3% for general obesity and 17.4% for abdominal obesity. There were negative associations between the energy intake/body weight ratio and general and abdominal obesity. High-risk drinking was significantly associated with general obesity (adjusted odds ratio, 1.747; 95% confidence interval, 1.112–2.745), but was not associated with abdominal obesity.

Conclusions

Among young Korean women aged 19–39 years, high-risk drinking may be a risk factor for general obesity.

Keywords: Obesity, Health behavior, Alcohol drinking, Women, KNHANES

Figures and Tables

Table 1

General characteristics of the study population according to obesity status

Values are presented as mean±standard error or weighted % (standard error).

^aP-values were determined using the Student's t-test or chi-square test.

Table 2

Multiple logistic regression analyses of the relation between obesity status and lifestyle factors among young Korean women

Values are presented as odds ratio (95% confidence interval). Adjusted for age, marital status, household income, and job status.

References

1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014; 384(9945):766–781.

2. Baik I. Forecasting obesity prevalence in Korean adults for the years 2020 and 2030 by the analysis of contributing factors. Nutr Res Pract. 2018; 12(3):251–257.

3. So WY, Seo DI. Lifestyle factors and obesity among Korean adults. Iran J Public Health. 2013; 42(2):114–119.

4. Koh-banerjee P, Chu NF, Spiegelman D, Rosner B, Colditz G, Willett W, et al. Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16 587 US men. Am J Clin Nutr. 2003; 78(4):719–727.

5. Chang AK, Choi JY. Factors influencing BMI classifications of Korean adults. J Phys Ther Sci. 2015; 27(5):1565–1570.

6. Park SE, Kim HM, Kim DH, Kim J, Cha BS, Kim DJ. The association between sleep duration and general and abdominal obesity in Koreans: data from the Korean national health and nutrition examination survey, 2001 and 2005. Obesity (Silver Spring). 2009; 17(4):767–771.

7. Sutin AR, Zonderman AB. Depressive symptoms are associated with weight gain among women. Psychol Med. 2012; 42(11):2351–2360.

8. Shin HY, Kang HT. Recent trends in the prevalence of underweight, overweight, and obesity in Korean adults: The Korean national health and nutrition examination survey from 1998 to 2014. J Epidemiol. 2017; 27(9):413–419.

9. Faw MH. Young adults' strategies for managing social support during weight-loss attempts. Qual Health Res. 2014; 24(2):267–278.

10. Wane S, van Uffelen JG, Brown W. Determinants of weight gain in young women: a review of the literature. J Womens Health (Larchmt). 2010; 19(7):1327–1340.

11. Whatnall MC, Collins CE, Callister R, Hutchesson MJ. Associations between unhealthy diet and lifestyle behaviours and increased cardiovascular disease risk in young overweight and obese women. Healthcare (Basel). 2016; 4(3):57.

12. Kim W, Kim S. Women's alcohol use and alcoholism in Korea. Subst Use Misuse. 2008; 43(8-9):1078–1087.

13. Choe SA, Yoo S, Jekarl J, Kim KK. Recent trend and associated factors of harmful alcohol use based on age and gender in Korea. J Korean Med Sci. 2018; 33(4):e23.

14. Singh GK, Kogan MD, Van Dyck PC, Siahpush M. Racial/ethnic, socioeconomic, and behavioral determinants of childhood and adolescent obesity in the United States: analyzing independent and joint associations. Ann Epidemiol. 2008; 18(9):682–695.

15. Chung WC, Cho YG, Kang JH, Park HA, Kim KW, Kang JH, et al. Lifestyle habits related to abdominal obesity in Korean adolescents. Korean J Fam Med. 2010; 31(7):547–554.

16. World Health Organization. Global Physical Activity Questionnaire (GPAQ) Analysis Guide [Internet]. Geneva: World Health Organization;2012. Accessed Jan 4, 2019. Available from: https://www.who.int/ncds/surveillance/steps/resources/GPAQ_Analysis_Guide.pdf.

17. World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization;2010.

18. Ryu M, Kimm H, Jo J, Lee SJ, Jee SH. Association between alcohol intake and abdominal obesity among the Korean population. Epidemiol Health. 2010; 32:e2010007.

19. Wannamethee SG, Shaper AG. Alcohol, body weight, and weight gain in middle-aged men. Am J Clin Nutr. 2003; 77(5):1312–1317.

20. Arif AA, Rohrer JE. Patterns of alcohol drinking and its association with obesity: data from the third national health and nutrition examination survey, 1988-1994. BMC Public Health. 2005; 5:126.

21. Hagnäs MP, Jokelainen J, Cederberg-Tamminen H, Niemelä S, Mikkola I, Härkönen P, et al. Alcohol consumption and binge drinking in young men as predictors of body composition changes during military service. Alcohol Alcohol. 2017; 52(3):365–371.

22. Colditz GA, Giovannucci E, Rimm EB, Stampfer MJ, Rosner B, Speizer FE, et al. Alcohol intake in relation to diet and obesity in women and men. Am J Clin Nutr. 1991; 54(1):49–55.

23. Yoon NH, Yoo S, Kwon S. Influence of highly accessible urban food environment on weight management: a qualitative study in Seoul. Int J Environ Res Public Health. 2018; 15(4):755.

24. Crouse JR, Gerson CD, Decarli LM, Lieber CS. Role of acetate in the reduction of plasma free fatty acids produced by ethanol in man. J Lipid Res. 1968; 9(4):509–512.

25. Tolstrup JS, Halkjaer J, Heitmann BL, Tjønneland AM, Overvad K, Sørensen TI, et al. Alcohol drinking frequency in relation to subsequent changes in waist circumference. Am J Clin Nutr. 2008; 87(4):957–963.

26. Yoshita K, Arai Y, Nozue M, Komatsu K, Ohnishi H, Saitoh S, et al. Total energy intake and intake of three major nutrients by body mass index in Japan: NIPPON DATA80 and NIPPON DATA90. J Epidemiol. 2010; 20:Suppl 3. S515–S523.

27. Noh JW, Kwon YD, Yang Y, Cheon J, Kim J. Relationship between body image and weight status in east Asian countries: comparison between South Korea and Taiwan. BMC Public Health. 2018; 18(1):814.

28. Johansson G, Wikman A, Ahrén AM, Hallmans G, Johansson I. Underreporting of energy intake in repeated 24-hour recalls related to gender, age, weight status, day of interview, educational level, reported food intake, smoking habits and area of living. Public Health Nutr. 2001; 4(4):919–927.

29. Lee O, Lee DC, Lee S, Kim YS. Associations between physical activity and obesity defined by waist-to-height ratio and body mass Index in the Korean population. PLoS One. 2016; 11(7):e0158245.

30. Meyer KA, Wall MM, Larson NI, Laska MN, Neumark-Sztainer D. Sleep duration and BMI in a sample of young adults. Obesity (Silver Spring). 2012; 20(6):1279–1287.

TOOLS

Similar articles