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1. ³ÁÀDÅÙ³XÇ ´ÌÉÄ¼ „½ìÓ”² 229…º É È´ÌÉ 46…º(20.1%), ÈÁÀ´ÌÉ 115…º(50.2%), ü¬´ÌÉ 24…º(10.5%), D¾Ì¹ 44…º(19.2%)<Ç\¸ ˜°ÀÐ¬°ä². 1ÁÄ¼ÐÅ 0µx¹ „½ìÓÐÅÁ ¨°ÇDÅÙ³@Ç 117…º<Ç\¸ È´ÌÉ 18…º(15.4%), ÈÁÀ´ÌÉ 62…º(53.0%), ü¬´ÌÉ10…º(8.5%), D¾Ì¹ 27…º(23.1%)tÇÈÅà¬, ìÅÇDÅÙ³@Ç 112…º<Ç\¸ È´ÌÉ 28…º(25.0%), ÈÁÀ´ÌÉ 53…º(47.3%), ü¬´ÌÉ14…º(12.5%), D¾Ì¹ 17…º(15.2%)tÇÈÅä².
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; Obesity is one of the most wide and serious problems in modern public health. Especially childhood obesity prevalence increases rapidly and speedily because the over nutrition and the drop in physical activity make the most obesity reasons. Obesity occurs various problems to all age groups. Childhood Obesity is specially easy to continue to the adult obesity and it becomes the main reason to occur the chronic diseases while it becomes easily to make the complex of self appearance and the drop of self-esteem in their growing up period that is developing the notion of self enough to appear the spiritual and psychological problems at the same time. But school obesity prevention and management program remain to be passive yet, so obesity prevention program needs to practice much more actively.
The purpose of this study aimed to supply the basic data of obesity prevention and management program to be useful of the actual scene of elementary school. For this purpose, the general specific character, which was concerned with obesity of elementary school pupil, was researched so that the obesity increasing period might be found in vertical analysis of height, weight, and BMI for the elementary school 1st to 6th grade.
The subjects of this study were the 6th gr< ade 229 pupils of G elementary school in Seoul Metropolitan City and the data were collected from Sept.1, 2002 to Sept.25, 2002. And data were analyzed as lean, normal, overweight, and obesity in use of the Standard Body Weight of Korean Children while the general specific characters were investigated by questionnaires consisted of 15 questions. Height, weight, and BMI of the subject the 1st to 6th grade of elementary school were used in the record of Pupil s Health Records.
The data were analyzed as Real Number, Percentage, X²-test, Mean, Variation, F-test(Anova), and T-test in use of SPSS statistical program.
The study results were as follows:
1. The whole Distribution of the subject were lean 46 pupils (20.1%), normal 115 pupils (50.2%), overweight 24 pupils (10.5%), and obesity 44 pupils (19.2%) while lean was shown a little more than obesity. In the Distribution of sex distinction, 117 boys out of total pupils 229 were lean 18(15.4%), normal 62(53.0%), overweight 10(8.5%), and obesity 27(23.1%) while 112 girls were lean 28(25.0%), normal 53(47.3%), overweight 14(12.5%), and obesity 17(15.2%). Boys were higher rate than girls in obesity, but girls were higher rate than boys in lean. Obesity group was shown as mild obesity 20 pupils (45.5%), moderate obesity 20 pupils (45.5%), and severe obesity 4 pupils (9.1%).
2. The general specific character according to obesity index was shown feeding method before weaning diet to be the attentive difference (p=0.044) as normal group showed much breast-fed, overweight and obesity showed much mixed-milk, and lean showed much powdered milk in rate. Also obesity pupils who have obesity brother or sister showed more than pupils who have not as showing the attentive difference (p=0.017).
3. At the time of birth, weight and obesity index didn t show the attentive difference (p=0.068) statistically as obesity 3.52kg, overweight 3.43kg, normal 3.33kg, and lean 3.29kg while average difference was shown in order of obesity, overweight, normal, and lean as the same weight as of elementary school 6th grade.
4. The height change of the whole subject increased 29.833 from the 1st grade 119.623 to the 6th grade 149.453. The whole pupils increasing yearly showed the highest in the period of the 5th-6th grade while boys showed the highest in the period of the 5th-6th grade and girls showed the highest in the period of the 4th-5th grade. Boys average height showed higher than girls in the 1st, 2nd, 3rd grade while girls average height showed higher than boys in the 4th, 5th, 6th grade, so height crossing period should be read as the 3rd - 4th grade period. In the whole grade of elementary school, the height difference according to obesity index was not shown and the difference among the four groups of lean, normal, overweight, and obesity in the 6th grade was not also shown the attentive difference as p=0.989.
5. The weight change of the whole subject was increased two times nearly from the 1st grade 22.933 to the 6th grade 44.883. The highest rate period in increasing yearly was showed as the 5th-6th grade period to all boys and girls. Boys were increased 5.533 and girls were increased 6.233. The weight was showed as boys were heavier in the 1st - 5th grade but the 6th grade was not showed any difference specially except girls were 0.493 more, so weight crossing period should be read as the 5th-6th grade period. Weight difference according to obesity index was shown the attentive difference (p=0.000) through the whole grade while the 6th grade was shown lean 36.433, normal 42.343, overweight 48.433, obesity 56.353 to be the attentive difference (p=0.000) among the 4 groups. This should be read as the weight difference among the 4 groups had continued from the 1st grade.
6. The BMI change of the whole subject was increased from the 1st grade 15.97 to the 6th grade 19.78 and the change was increased continuously according to the grade. The increase yearly of the whole pupils was shown the highest in the 3rd-4th grade period while boys were the highest in the 3rd-4th grade period and girls were the<V
highest in the 5th-6th grade period. Through the whole period of the elementary school, boys BMI were higher then girls so the crossing period of boys and girls was not showed in BMI. The difference of BMI according to obesity index was showed through the grade as the attentive difference (p=0.000) while the 6th grade BMI according to obesity index was showed lean 16.24, normal 18.76, overweight 21.63, obesity 25.17 to be the attentive difference (p=0.000) among the 4 groups. This result should be read as the obesity index was increased and the difference among the 4 groups became larger after the 3rd grade, so obesity prevention and management program should perform actively from the low grade of the elementary school.
The results of this study are suggested as follows:
1. In this study, lean pupils rate was higher than obesity so health management and various studies for lean pupils should be carried out.
2. In this study, the subject of obesity index was the elementary school pupils, but the longer period -from the entrance of the elementary school to the graduation of the high school- of the whole school age period should be researched vertically.
3. The differentiated programs according to obesity prevalence, just like lean, normal, overweight, obesity and the like, should be developed in order to use them as obesity prevention and management program at the actual scene of school. More over it, the health education and the school health business should be activated still more in order to maintain the suitable weight and the healthful life.~http://dspace.ewha.ac.kr/handle/2015.oak/194558;
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