SuJin Song; Hyojune Song

doi:10.5720/kjcn.2019.24.6.465

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Dietary and Lifestyle Factors Associated with Weight Status among Korean Adolescents from Multicultural Families: Using Data from the 2017–2018 Korea Youth Risk Behavior Surveys: SuJin Song, Hyojune Song; Korean Journal of Community Nutrition 2019;24(6):465-475.
DOI: https://doi.org/10.5720/kjcn.2019.24.6.465
Published online: December 31, 2019

¹Department of Food and Nutrition, Hannam University, Daejeon, Korea, Assistant Professor.

²Department of Multicultural Education, Hanyang University, Seoul, Korea, Graduate student.

Corresponding author: SuJin Song. Department of Food and Nutrition, Hannam University. 1646 Yuseong-daero, Yuseong-gu, Daejeon 34054, Korea. Tel: (042) 629-8791, Fax: (042) 629-8789, sjsong@hnu.k

• Received: October 16, 2019 • Revised: November 6, 2019 • Accepted: November 6, 2019

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.

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Abstract
Acknowledgments
Acknowledgments
REFERENCES

Abstract

Objectives
This study investigated dietary and lifestyle factors associated with the weight status among Korean adolescents in multicultural families.
Methods
This cross-sectional study analyzed 1,751 multicultural families' adolescents who participated in the 2017–2018 Korea Youth Risk Behavior Surveys. Information on dietary and lifestyle factors was self-reported using a web-based questionnaire and this information included breakfast and foods consumption, perceived health status, alcohol drinking, smoking, physical activity, and weight control efforts. Body mass index (BMI) was calculated based on the self-reported height and body weight (kg/m²). Weight status was assessed according to the 2017 Korean National Growth Chart: underweight (weight-for-age <5^th percentiles), overweight (85^th≤ BMI-for-age <95^th percentiles), and obese (BMI-for-age ≥95^th percentiles). Multiple logistic regression analysis was performed to examine the dietary and lifestyle factors associated with weight status after adjustment for covariates.
Results
Among Korean adolescents from multicultural families, the prevalence of overweight/obesity was 20.9%, whereas about 7% of adolescents were underweight. The weight status did not show differences according to gender, school level, area of residence, and household income. Compared to adolescents who did not have breakfast during the previous week, those who had breakfast 3–4 days/week and ≥5 days/week had a 42% (p=0.021) and a 37% (p=0.009) lower prevalence of overweight/obesity, respectively. The adolescents who frequently consumed carbonated soft drinks (≥5 times/week) showed an odds ratio (OR) of 1.69 (95% CI=1.01–2.83) for overweight/obesity relative to those adolescents who did not consume carbonated soft drinks. The OR of being underweight for adolescents who ate fast food ≥3 times/week was 1.97 (95% CI=1.04–3.71) compared to those adolescents who had not eaten fast food during the previous week.
Conclusions
Dietary and lifestyle factors were associated with overweight/obesity as well as underweight among Korean adolescents in multicultural families. Our findings could be used to design and provide nutrition interventions for this specific population.
Keywords: adolescents; multicultural family; dietary factors; weight status; overweight/obesity

Acknowledgments

This research was supported by a fund by Research of Korea Centers for Disease Control and Prevention (Research Promotion Project for Investigation of Causes and Solutions of Regional Health Disparities) and the National Research Foundation of Korea grant funded by the Korea government (MSIT) (No. NRF-2019R1F1A1059866).

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Fig. 1

Weight status by sociodemographic characteristics among Korean adolescents from multicultural families. All analyses accounted for the complex sampling design effect and appropriate sampling weights. Weight status was assessed according to the 2017 Korean National Growth Chart: underweight (weight-for-age <5^th percentiles), overweight (85^th≤ BMI-for-age <95^th percentiles), and obese (BMI-for-age ≥95^th percentiles). P-values were obtained from the chi-square test.

Table 1

Sociodemographic characteristics of the study subjects by sex¹⁾

SE, standard error.

1) All analyses accounted for the complex sampling design effect and appropriate sampling weights.

2) P-values were obtained from the chi-square test.

Table 2

Dietary and lifestyle factors by sex and school level among Korean adolescents from multicultural families¹⁾

SE, standard error.

1) All analyses accounted for the complex sampling design effect and appropriate sampling weights.

2) P-values were obtained from the chi-square test.

3) n=863.

Table 3

Associations of dietary and lifestyle factors with weight status among Korean adolescents from multicultural families^{1, 2)}

95% CI, 95% confidence interval; OR, odds ratio; Ref, reference.

1) All analyses accounted for the complex sampling design effect and appropriate sampling weights.

2) OR (95% CI) and P-values were obtained from the multiple logistic regression models after adjustment for sex, age, living area, household income, alcohol drinking, smoking, physical activity, and weight control, where applicable.

3) Underweight n=57, overweight/obese n=177.

Figure & Data

REFERENCES

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Dietary and Lifestyle Factors Associated with Weight Status among Korean Adolescents from Multicultural Families: Using Data from the 2017–2018 Korea Youth Risk Behavior Surveys

Korean J Community Nutr. 2019;24(6):465-475. Published online December 31, 2019

DOI: https://doi.org/10.5720/kjcn.2019.24.6.465

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Dietary and Lifestyle Factors Associated with Weight Status among Korean Adolescents from Multicultural Families: Using Data from the 2017–2018 Korea Youth Risk Behavior Surveys

Fig. 1 Weight status by sociodemographic characteristics among Korean adolescents from multicultural families. All analyses accounted for the complex sampling design effect and appropriate sampling weights. Weight status was assessed according to the 2017 Korean National Growth Chart: underweight (weight-for-age <5th percentiles), overweight (85th≤ BMI-for-age <95th percentiles), and obese (BMI-for-age ≥95th percentiles). P-values were obtained from the chi-square test.

Fig. 1

Dietary and Lifestyle Factors Associated with Weight Status among Korean Adolescents from Multicultural Families: Using Data from the 2017–2018 Korea Youth Risk Behavior Surveys

Table 1

Sociodemographic characteristics of the study subjects by sex¹⁾

SE, standard error.

1) All analyses accounted for the complex sampling design effect and appropriate sampling weights.

2) P-values were obtained from the chi-square test.

Table 2

Dietary and lifestyle factors by sex and school level among Korean adolescents from multicultural families¹⁾

SE, standard error.

1) All analyses accounted for the complex sampling design effect and appropriate sampling weights.

2) P-values were obtained from the chi-square test.

3) n=863.

Table 3

Associations of dietary and lifestyle factors with weight status among Korean adolescents from multicultural families^{1, 2)}

95% CI, 95% confidence interval; OR, odds ratio; Ref, reference.

1) All analyses accounted for the complex sampling design effect and appropriate sampling weights.

3) Underweight n=57, overweight/obese n=177.

Table 1 Sociodemographic characteristics of the study subjects by sex1)

SE, standard error.

1) All analyses accounted for the complex sampling design effect and appropriate sampling weights.

2) P-values were obtained from the chi-square test.

Table 2 Dietary and lifestyle factors by sex and school level among Korean adolescents from multicultural families1)

SE, standard error.

1) All analyses accounted for the complex sampling design effect and appropriate sampling weights.

2) P-values were obtained from the chi-square test.

3) n=863.

Table 3 Associations of dietary and lifestyle factors with weight status among Korean adolescents from multicultural families1, 2)

95% CI, 95% confidence interval; OR, odds ratio; Ref, reference.

1) All analyses accounted for the complex sampling design effect and appropriate sampling weights.

3) Underweight n=57, overweight/obese n=177.