Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2015 | Research article

Trends in childhood obesity and central adiposity between 1998-2001 and 2010-2012 according to household income and urbanity in Korea

Authors: Jinwook Bahk, Young-Ho Khang

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

This study examined trends in body mass index (BMI), waist circumference (WC), and childhood overweight and obesity prevalence between 1998–2001 and 2010–2012 according to household income and urbanity among nationally representative Korean children and adolescents aged 10-19.

Methods

The repeated cross-sectional data from Korean National Health and Nutrition Examination Surveys in 1998-2001 and 2010-2012 were used. Gender specific trends in age-adjusted means of WC and BMI by household equivalized income and urbanity were compared between years. The age-standardized prevalence of childhood overweight and obesity was calculated using three international criteria (International Obesity Task Force, World Health Organization, US Centers for Disease Control and Prevention) and a Korean national reference standard.

Results

Among boys, overall BMI and overweight prevalence increased between 1998–2001 and 2010–2012, while overall WC decreased. Clear gender differences were found in the relationship of childhood obesity metrics with household income and urbanity and the time trends of those relationships. Positive relationships between these parameters were found for boys while negative relationships appeared for girls. In addition, compared with the childhood obesity prevalence among boys in rural areas, the prevalence among boys in urban areas were slightly lower in 1998–2001 but became greater in 2010–2012.

Conclusions

This study revealed gender difference in the association of childhood obesity with household income and urbanity and its time trends. The long-term gender-specific monitoring of socioeconomic and urban-rural differences in childhood obesity measures is warranted in South Korea.
Appendix
Available only for authorised users
Literature
1.
go back to reference Park MH, Falconer C, Viner RM, Kinra S. The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obes Rev. 2012;13(11):985–1000.CrossRefPubMed Park MH, Falconer C, Viner RM, Kinra S. The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obes Rev. 2012;13(11):985–1000.CrossRefPubMed
2.
go back to reference Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes. 2011;35(7):891–8.CrossRef Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes. 2011;35(7):891–8.CrossRef
3.
go back to reference Olds T, Maher C, Zumin S, Péneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6(5-6):342–60.CrossRefPubMed Olds T, Maher C, Zumin S, Péneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6(5-6):342–60.CrossRefPubMed
4.
go back to reference Stamatakis E, Wardle J, Cole TJ. Childhood obesity and overweight prevalence trends in England: evidence for growing socioeconomic disparities. Int J Obes. 2010;34(1):41–7.CrossRef Stamatakis E, Wardle J, Cole TJ. Childhood obesity and overweight prevalence trends in England: evidence for growing socioeconomic disparities. Int J Obes. 2010;34(1):41–7.CrossRef
5.
go back to reference Rokholm B, Baker JL, Sørensen TI. The levelling off of the obesity epidemic since the year 1999-a review of evidence and perspectives. Obes Rev. 2010;11(12):835–46.CrossRefPubMed Rokholm B, Baker JL, Sørensen TI. The levelling off of the obesity epidemic since the year 1999-a review of evidence and perspectives. Obes Rev. 2010;11(12):835–46.CrossRefPubMed
6.
go back to reference Murer SB, Saarsalu S, Zimmermann MB, Aeberli I. Pediatric adiposity stabilized in Switzerland between 1999 and 2012. Eur J Nutr. 2014;53(3):865–75.CrossRefPubMed Murer SB, Saarsalu S, Zimmermann MB, Aeberli I. Pediatric adiposity stabilized in Switzerland between 1999 and 2012. Eur J Nutr. 2014;53(3):865–75.CrossRefPubMed
7.
go back to reference Schonbeck Y, Talma H, van Dommelen P, Bakker B, Buitendijk SE, HiraSing RA, et al. Increase in prevalence of overweight in Dutch children and adolescents: a comparison of nationwide growth studies in 1980, 1997 and 2009. PLoS One. 2011;6(11):8.CrossRef Schonbeck Y, Talma H, van Dommelen P, Bakker B, Buitendijk SE, HiraSing RA, et al. Increase in prevalence of overweight in Dutch children and adolescents: a comparison of nationwide growth studies in 1980, 1997 and 2009. PLoS One. 2011;6(11):8.CrossRef
8.
go back to reference Lobstein T, Baur L, Uauy R, IASO International Obesity TaskForce. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5 Suppl 1:4–104. Lobstein T, Baur L, Uauy R, IASO International Obesity TaskForce. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5 Suppl 1:4–104.
9.
go back to reference Taylor RW, Jones IE, Williams SM, Goulding A. Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fatmass, as measured by dual-energy X-ray absorptiometry, in children aged 3–19 y. Am J Clin Nutr. 2000;72(2):490–5.PubMed Taylor RW, Jones IE, Williams SM, Goulding A. Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fatmass, as measured by dual-energy X-ray absorptiometry, in children aged 3–19 y. Am J Clin Nutr. 2000;72(2):490–5.PubMed
10.
go back to reference Reilly JJ, Kelly J, Wilson DC. Accuracy of simple clinical and epidemiological definitions of childhood obesity: systematic review and evidence appraisal. Obes Rev. 2010;11(9):645–55.CrossRefPubMed Reilly JJ, Kelly J, Wilson DC. Accuracy of simple clinical and epidemiological definitions of childhood obesity: systematic review and evidence appraisal. Obes Rev. 2010;11(9):645–55.CrossRefPubMed
11.
go back to reference Khang YH, Park MJ. Trends in obesity among Korean children using four different criteria. Int J Pediatr Obes. 2011;6(3-4):206–14.CrossRefPubMed Khang YH, Park MJ. Trends in obesity among Korean children using four different criteria. Int J Pediatr Obes. 2011;6(3-4):206–14.CrossRefPubMed
12.
go back to reference Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, et al. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol. 2014;43(1):69–77.CrossRefPubMedPubMedCentral Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, et al. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol. 2014;43(1):69–77.CrossRefPubMedPubMedCentral
13.
14.
go back to reference Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC Growth Charts for the United States: methods and development. Vital and health statistics Series 11, Data from the national health survey. 2002(246):1-190. Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC Growth Charts for the United States: methods and development. Vital and health statistics Series 11, Data from the national health survey. 2002(246):1-190.
15.
go back to reference Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320(7244):1240–3. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320(7244):1240–3.
16.
go back to reference KCDC, The Korean Pediatric Society, The Committee for the Development of Growth Standard for Korean Children and Adolescents. 2007 Korean children and adolescents growth standard (commentary for the development of 2007 growth chart). Government report online [in Korean]. Seoul: Korea Centers for Disease Control and Prevention; 2007. KCDC, The Korean Pediatric Society, The Committee for the Development of Growth Standard for Korean Children and Adolescents. 2007 Korean children and adolescents growth standard (commentary for the development of 2007 growth chart). Government report online [in Korean]. Seoul: Korea Centers for Disease Control and Prevention; 2007.
17.
go back to reference Spiegelman D, Hertzmark E. Easy SAS calculations for risk or prevalence ratios and differences. Am J Epidemiol. 2005;162(3):199–200. Spiegelman D, Hertzmark E. Easy SAS calculations for risk or prevalence ratios and differences. Am J Epidemiol. 2005;162(3):199–200.
18.
go back to reference Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990-2005. Obesity. 2008;16(2):275–84. Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990-2005. Obesity. 2008;16(2):275–84.
19.
go back to reference Gurzkowska B, Kulaga Z, Litwin M, Grajda A, Swiader A, Kulaga K, et al. The relationship between selected socioeconomic factors and basic anthropometric parameters of school-aged children and adolescents in Poland. Eur J Pediatr. 2014;173(1):45–52.CrossRefPubMed Gurzkowska B, Kulaga Z, Litwin M, Grajda A, Swiader A, Kulaga K, et al. The relationship between selected socioeconomic factors and basic anthropometric parameters of school-aged children and adolescents in Poland. Eur J Pediatr. 2014;173(1):45–52.CrossRefPubMed
20.
go back to reference Lim HJ, Wang YF. Body weight misperception patterns and their association with health-related factors among adolescents in South Korea. Obesity. 2013;21(12):2596–603.CrossRefPubMed Lim HJ, Wang YF. Body weight misperception patterns and their association with health-related factors among adolescents in South Korea. Obesity. 2013;21(12):2596–603.CrossRefPubMed
21.
go back to reference Lim HJ, Wang YF. Body weight misperception patterns and their association with health-related factors among adolescents in South Korea. Obesity. 2013;21(12):2596–603.CrossRefPubMed Lim HJ, Wang YF. Body weight misperception patterns and their association with health-related factors among adolescents in South Korea. Obesity. 2013;21(12):2596–603.CrossRefPubMed
22.
go back to reference Ha Y, Choi E, Seo Y, Kim TG. Relationships among subjective social status, weight perception, weight control behaviors, and weight status in adolescents: findings from the 2009 Korea Youth Risk Behaviors Web-Based Survey. J School Health. 2013;83(4):273–80.CrossRefPubMed Ha Y, Choi E, Seo Y, Kim TG. Relationships among subjective social status, weight perception, weight control behaviors, and weight status in adolescents: findings from the 2009 Korea Youth Risk Behaviors Web-Based Survey. J School Health. 2013;83(4):273–80.CrossRefPubMed
23.
go back to reference Lim H, Lee HJ, Park S, Kim CI, Joh HK, Oh SW. Weight misperception and its association with dieting methods and eating behaviors in South Korean adolescents. Nutr Res Pract. 2014;8(2):213–9.CrossRefPubMedPubMedCentral Lim H, Lee HJ, Park S, Kim CI, Joh HK, Oh SW. Weight misperception and its association with dieting methods and eating behaviors in South Korean adolescents. Nutr Res Pract. 2014;8(2):213–9.CrossRefPubMedPubMedCentral
24.
go back to reference Wardle J, Haase AM, Steptoe A. Body image and weight control in young adults: international comparisons in university students from 22 countries. Int J Obes. 2005;30(4):644–51.CrossRef Wardle J, Haase AM, Steptoe A. Body image and weight control in young adults: international comparisons in university students from 22 countries. Int J Obes. 2005;30(4):644–51.CrossRef
25.
26.
go back to reference Kim CY, Kim MH, Lee TJ, Son JI. Inequality in health: a Korean perspective. Seoul, Korea: Seoul University Press; 2015. Kim CY, Kim MH, Lee TJ, Son JI. Inequality in health: a Korean perspective. Seoul, Korea: Seoul University Press; 2015.
27.
go back to reference Ziyab AH, Karmaus W, Kurukulaaratchy RJ, Zhang H, Arshad SH. Developmental trajectories of Body Mass Index from infancy to 18 years of age: prenatal determinants and health consequences. J Epidemiol Community Health. 2014;68(10):934–41.CrossRefPubMedPubMedCentral Ziyab AH, Karmaus W, Kurukulaaratchy RJ, Zhang H, Arshad SH. Developmental trajectories of Body Mass Index from infancy to 18 years of age: prenatal determinants and health consequences. J Epidemiol Community Health. 2014;68(10):934–41.CrossRefPubMedPubMedCentral
28.
go back to reference Giskes K, van Lenthe FJ, Turrell G, Kamphuis CBM, Brug J, Mackenbach JP. Socioeconomic position at different stages of the life course and its influence on body weight and weight gain in adulthood: a longitudinal study with 13-year follow-up. Obesity. 2008;16(6):1377–81.CrossRefPubMed Giskes K, van Lenthe FJ, Turrell G, Kamphuis CBM, Brug J, Mackenbach JP. Socioeconomic position at different stages of the life course and its influence on body weight and weight gain in adulthood: a longitudinal study with 13-year follow-up. Obesity. 2008;16(6):1377–81.CrossRefPubMed
29.
go back to reference Khlat M, Jusot F, Ville I. Social origins, early hardship and obesity: a strong association in women, but not in men? Soc Sci Med. 2009;68(9):1692–9.CrossRefPubMed Khlat M, Jusot F, Ville I. Social origins, early hardship and obesity: a strong association in women, but not in men? Soc Sci Med. 2009;68(9):1692–9.CrossRefPubMed
30.
go back to reference Chapman BP, Fiscella K, Duberstein P, Coletta M, Kawachi I. Can the influence of childhood socioeconomic status on men’s and women’s adult body mass be explained by adult socioeconomic status or personality? Findings from a National sample. Health Psychol. 2009;28(4):419–27.CrossRefPubMedPubMedCentral Chapman BP, Fiscella K, Duberstein P, Coletta M, Kawachi I. Can the influence of childhood socioeconomic status on men’s and women’s adult body mass be explained by adult socioeconomic status or personality? Findings from a National sample. Health Psychol. 2009;28(4):419–27.CrossRefPubMedPubMedCentral
31.
go back to reference Lioret S, Touvier M, Dubuisson C, Dufour A, Calamassi-Tran G, Lafay L, et al. Trends in child overweight rates and energy intake in France from 1999 to 2007: relationships with socioeconomic status. Obesity. 2009;17(5):1092–100.CrossRefPubMed Lioret S, Touvier M, Dubuisson C, Dufour A, Calamassi-Tran G, Lafay L, et al. Trends in child overweight rates and energy intake in France from 1999 to 2007: relationships with socioeconomic status. Obesity. 2009;17(5):1092–100.CrossRefPubMed
32.
go back to reference Sundblom E, Petzold M, Rasmussen F, Callmer E, Lissner L. Childhood overweight and obesity prevalences levelling off in Stockholm but socioeconomic differences persist. Int J Obes. 2008;32(10):1525–30.CrossRef Sundblom E, Petzold M, Rasmussen F, Callmer E, Lissner L. Childhood overweight and obesity prevalences levelling off in Stockholm but socioeconomic differences persist. Int J Obes. 2008;32(10):1525–30.CrossRef
33.
go back to reference Song Y, Park MJ, Paik HY, Joung H. Secular trends in dietary patterns and obesity-related risk factors in Korean adolescents aged 10–19 years. Int J Obes. 2010;34(1):48–56.CrossRef Song Y, Park MJ, Paik HY, Joung H. Secular trends in dietary patterns and obesity-related risk factors in Korean adolescents aged 10–19 years. Int J Obes. 2010;34(1):48–56.CrossRef
34.
go back to reference Kim YK, Shin WS. A comparison study on perception of body image and dietary habits of high school students between urban and rural areas. Korean J Commun Nutr. 2008;13(2):153–63. Kim YK, Shin WS. A comparison study on perception of body image and dietary habits of high school students between urban and rural areas. Korean J Commun Nutr. 2008;13(2):153–63.
35.
go back to reference Park H, Park K, Kim MH, Kim GS, Chung S. Gender differences in relationship between fat-free mass index and fat mass index among Korean children using body composition chart. Yonsei Med J. 2011;52(6):948–52.CrossRefPubMedPubMedCentral Park H, Park K, Kim MH, Kim GS, Chung S. Gender differences in relationship between fat-free mass index and fat mass index among Korean children using body composition chart. Yonsei Med J. 2011;52(6):948–52.CrossRefPubMedPubMedCentral
36.
go back to reference El-Sayed AM, Scarborough P, Galea S. Socioeconomic inequalities in childhood obesity in the United Kingdom: a systematic review of the literature. Obes Facts. 2012;5(5):671–92.CrossRefPubMed El-Sayed AM, Scarborough P, Galea S. Socioeconomic inequalities in childhood obesity in the United Kingdom: a systematic review of the literature. Obes Facts. 2012;5(5):671–92.CrossRefPubMed
37.
go back to reference Bammann K, Gwozdz W, Lanfer A, Barba G, De Henauw S, Eiben G, et al. Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study. Pediatr Obes. 2013;8(1):1–12.CrossRefPubMed Bammann K, Gwozdz W, Lanfer A, Barba G, De Henauw S, Eiben G, et al. Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study. Pediatr Obes. 2013;8(1):1–12.CrossRefPubMed
38.
go back to reference 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):766–81.CrossRefPubMedPubMedCentral 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):766–81.CrossRefPubMedPubMedCentral
Metadata
Title
Trends in childhood obesity and central adiposity between 1998-2001 and 2010-2012 according to household income and urbanity in Korea
Authors
Jinwook Bahk
Young-Ho Khang
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2616-2

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue