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The Changes in Obesity Prevalence and Dietary Habits in Korean Adults by Residential Area during the Last 10 Years – B ased on the 4th (2007-2009) and the 7th (2016-2018) Korea National Health and Nutrition Examination Survey Data
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최근 10년 간 거주 지역에 따른 한국 성인의 식생활 및 비만 유병률 변화 : 제4기(2007~2009)와 제7기(2016~2018) 국민건강영양조사 자료를 이용하여

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Type
Academic journal
Author
Da-Mee Kim (덕성여자대학교) Kyung-Hee Kim (덕성여자대학교)
Journal
The Korean Society Of Community Nutrition KOREAN JOURNAL OF COMMUNITY NUTRITION Vol.26 No.1 KCI Accredited Journals SCOPUS
Published
2021.2
Pages
37 - 47 (11page)

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The Changes in Obesity Prevalence and Dietary Habits in Korean Adults by Residential Area during the Last 10 Years – B ased on the 4th (2007-2009) and the 7th (2016-2018) Korea National Health and Nutrition Examination Survey Data
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Objectives: The purpose of this study was to discover the changes in obesity prevalence and dietary habits in Korean adults residing in various residential areas during the last 10 years.
Methods: Data on Korean adults aged 19 years and above was obtained from the 4<SUP>th</SUP> (2007-2009) and the 7<SUP>th</SUP> (2016-2018) Korea National Health and Nutrition Examination Survey. The subjects were classified into metropolitan (4<SUP>th</SUP>: n=5,977, 7<SUP>th</SUP>: n=6,651), urban (4<SUP>th</SUP>:n=4,511, 7<SUP>th</SUP>: n=5,512) and rural (4<SUP>th</SUP>: n=3,566, 7<SUP>th</SUP>: n=2,570) based on their residence. The general characteristics, nutrient intake, intake amount, food groups, and healthy dietary factors were analyzed. The association between residential areas and obesity prevalence were analyzed by multiple logistic regression.
Results: In urban and rural areas, the obesity rate increased in the 7<SUP>th</SUP> survey compared to the 4<SUP>th</SUP> survey, excluding the metropolitan area. The carbohydrate intake decreased, and lipid intake increased in the 7<SUP>th</SUP> survey compared to the 4th survey. Over the same period, the intake of cereals and vegetables decreased, and the intake of meat and processed foods increased. Rural residents had a higher intake of cereals and vegetables, and a lower intake of milk and processed foods than those in metropolitan areas and urban residents. The proportion of subjects who practiced a healthy diet increased in the 7<SUP>th</SUP> survey compared to the 4<SUP>th</SUP> survey. In the 4<SUP>th</SUP> survey, there was no relationship seen between the prevalence of obesity and the subject’s residential area, but in the 7<SUP>th</SUP> survey, the odds ratio of obesity was higher in rural areas than in the metropolitan areas, confirming the regional gap (OR: 1.16, 95% CI=1.00-1.36, P=0.044).
Conclusions: This study showed that the obesity prevalence increased in rural residents compared to metropolitan residents, indicating a gap between the regions. The nutrient intake and intake of food groups changed in the 10 years under consideration, and there were differences seen between regions. Therefore, it is necessary to formulate a policy that will reduce obesity prevalence and health inequalities between regions.
#KNHANES #residential area #obesity prevalence #dietary habits #practicing a healthy diet

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ABSTRACT
서론
연구대상 및 방법
결과
고찰
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References

References (33)

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Williams EP / 2015 / Overweight and obesity : Prevalence, consequences, and causes of a growing public health problem / Curr Obes Rep 4(3):363~370 google schola Guh DP / 2009 / The incidence of co-morbidities related to obesity and overweight : a systematic review and meta-analysis / BMC Public Health 9(88):1~20 google schola De Wit LM / 2009 / Depression and body mass index, a u-shaped association / BMC Public Health 9(14):1~6 google schola Visscher TL / 2001 / The public health impact of obesity / Ann Rev Public Health 22(1):355~375 google schola Reidpath DD / 2002 / Relationship between body mass index and the use of healthcare services in Australia / Obes Res 10(6):526~531 google schola

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