아동·청소년 인구집단에서 복부비만과 심혈관건강 : 제 5기 국민건강영양조사 자료 이용
- 주제(키워드) obesity , abdominal obesity , cardiovascular health , adolescents
- 발행기관 고려대학교 대학원
- 지도교수 추진아
- 발행년도 2017
- 학위수여년월 2017. 2
- 학위구분 석사
- 학과 대학원 간호학과
- 세부전공 간호과학 전공
- 원문페이지 57 p
- 실제URI http://www.dcollection.net/handler/korea/000000071749
- 본문언어 한국어
- 제출원본 000045900846
초록/요약
Purpose: The purpose of this study was to examine the associations between abdominal obesity and cardiovascular health among childhood population group in Korea. Methods: Using data of the 2010-2012 Korea National Health and Nutrition Examination Survey(KNHNES), a total of 2,363 boys and girls were included in the present analysis. Obesity was classified into normal(<85), overweight(≥85) and obese(≥95) groups based on percentile of body mass index(BMI), abdominal obesity was divided into normal group(<0.5) and obesity group(≥0.5) based on waist circumference / height ratio(WHtR). Cardiovascular health was divided into seven sub - factors and one integrated factor. Seven sub-factors were included blood pressue(systolic/diastolic), total cholesterol(TC), high-density lipoprotein(HDL-C), low-density lipoprotein(LDL-C), triglycerides(TG) and glucose fasting, the integrated factor was referred to the sum of the seven sub-factors to be calculated based on the following formula(z = [value-mean] / standard deviation). The data was analyzed by covariance linear regression analysis after adjusting the sociodemographic characteristics of children and adolescents' socioeconomic characteristics. Results: Obesity based on BMI was 7.2% and there was no difference between boys and girls. Abdominal obesity based on WHtR was 11.4%. The prevalence of girls was 8.0%, and the prevalence of boys was 14.4%, and there was a significant difference between boys and girls. It means a statistically significant difference in cardiovascular health between the seven sub-factors and the integrated factor in the obese group according to BMI. In the 'WHtR', the relationship was also similar to the above pattern. This suggests that the cardiovascular health factor was found to be statistically significantly worse in the obese group compared to the normal group after adjusting for BMI in the 13-18 year-old adolescents population. And this pattern was particularly significant in boys. Conclusions: Among a Korean childhood population group, 'WHtR' abdominal obesity indicator was significantly associated with cardiovascular health. In particular, the 'WHtR' in the 13-18 year old boy population group independently is reflected cardiovascular health risks after adjusting for BMI. Thus, the 'WHtR' in childhood population can reflect stronger cardiovascular health than BMI. Therefore, it is necessary to consider this as an indicator of nursing care for the early prevention of cardiovascular disease and health promotion for the school age child and adolescent population group.
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Ⅰ. 서론 1
1. 연구의 필요성 1
2. 연구의 목적 3
3. 용어의 정의 4
Ⅱ. 문헌고찰 6
1. 아동·청소년의 비만 6
2. 아동·청소년의 심혈관건강 8
3. 아동·청소년의 비만과 심혈관건강 10
4. 아동·청소년의 심혈관건강 관련 요인 13
Ⅲ. 연구방법 15
1. 연구설계 15
2. 연구참여자 15
3. 자료수집 15
4. 연구도구 16
5. 자료분석 18
Ⅳ. 연구결과 20
1. 연구 참여자의 일반적 특성 20
2. 아동· 청소년 인구집단의 비만도와 심혈관건강과의 관련성 22
3. 아동· 청소년 인구집단의 복부비만과 심혈관건강과의 관련성 26
Ⅴ. 논의 32
Ⅵ. 결론 및 제언 36
Ⅶ. 참고문헌 37
Ⅷ. 부록 47
Ⅸ. Abstract 50
