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"Environment"

Original Articles

Differences and determinants of dietary intake according to living arrangements in older adults: a cross-sectional study using the 2019, 2021, and 2023 Korea National Health and Nutrition Examination Surveys
Hyun-young Noh, Kang-in Seo, Kyae-hyung Kim
Received November 5, 2025  Accepted January 6, 2026  Published online June 26, 2026  
DOI: https://doi.org/10.4082/kjfm.25.0331    [Epub ahead of print]
Background
The nutritional status of older adults is closely related to their living arrangements and reflects social support and food accessibility. This study aimed to compare dietary intake between older adults living alone and those living with others and to identify the key socioeconomic, behavioral, and psychosocial determinants influencing nutrient intake.
Methods
Data were obtained from the 2019, 2021, and 2023 Korea National Health and Nutrition Examination surveys. Older adults aged ≥65 years were classified according to their living arrangements (living alone vs. living with others). Dietary intake was assessed using 24-hour dietary recall data. Group differences in daily energy and nutrient intake were analyzed using analysis of covariance, adjusted for age. Differences in energy and nutrient intake and their associated factors were examined according to the living arrangement (living alone vs. living with others).
Results
Older adults living alone had significantly lower daily energy and carbohydrate, protein, fat, and calcium intake than those living with others (all P<0.05). In the non-living-alone group, smoking status, quality of life, and food abundance were the key determinants of energy and nutrient intake. Among adults living alone, economic activity, smoking status, and food abundance were the most influential factors.
Conclusion
Living arrangements are a crucial contextual factor influencing dietary intake among older Koreans. Nutritional programs that improve food security and social participation may mitigate these disparities and support healthy aging.
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Alcohol use and its relation with demographic, environmental, and psychological factors among adolescents in Nabawan, Sabah
Selly Jaimon, Pravina Deligannu, Fredie Robinson
Korean J Fam Med 2025;46(4):278-287.   Published online June 7, 2024
DOI: https://doi.org/10.4082/kjfm.23.0262
Background
Adolescence is an essential stage of a child’s development, transitioning them into adulthood. During this time, they are vulnerable to various social issues, such as experimenting with alcohol, among others. Although alcohol consumption was proven to be detrimental to physical and cognitive development toward adulthood, and almost one in 10 Malaysian adolescents aged 13 years and above are current drinkers, studies concerning the driving factors are still scarce. This cross-sectional study aimed to determine alcohol use among 244 adolescents in Nabawan, Sabah.
Methods
This study assessed the associations between alcohol use and three potential factors: demographic, environmental, and psychological. Respondents who were selected through stratified proportionate random sampling answered a set of assessment tools.
Results
Results showed that 30.7% (95% confidence interval [CI], 24.91–36.48) of Nabawan adolescents use alcohol. Analysis revealed that older age adolescents 18 years and 19 years, respectively (adjusted odds ratio [aOR], 3.93; P=0.021; aOR, 5.38; P=0.003), having parents (aOR, 4.11; P=0.001) and peers (aOR, 11.57; P<0.001) who consume alcohol were significantly associated with alcohol use. Unexpectedly, good parental monitoring (aOR, 2.46; P=0.019) and discussing serious problems with parents (aOR, 3.86; P=0.001) were significantly associated with alcohol use.
Conclusion
Conclusively, policies on alcohol-related harm reduction and prevention should be developed, especially school-based programs, programs addressing family functioning, and parent-child communication, among others, should be further looked into. Future research on the school environment, adolescents’ drinking motives, and the development of practical adolescent-friendly alcohol screening tools are recommendations for improvements.

Citations

Citations to this article as recorded by  
  • A year of significant progress for the Korean Journal of Family Medicine
    Seung-Won Oh
    Korean Journal of Family Medicine.2026; 47(1): 1.     CrossRef
  • Health behaviors, lifestyle factors, and healthcare challenges in family medicine: a comprehensive review of recent evidence from Asian populations
    Joung Sik Son
    Korean Journal of Family Medicine.2025; 46(4): 215.     CrossRef
  • 6,476 View
  • 114 Download
  • 2 Web of Science
  • 2 Crossref

Review Article

Indices/Indicators Developed to Evaluate the “Creating Supportive Environments” Mechanism of the Ottawa Charter for Health Promotion: A Setting-Based Review on Healthy Environment Indices/ Indicators
Fatemeh Saadati, Haidar Nadrian, Nafiseh Ghassab-Abdollahi, Fariba Pashazadeh, Neda Gilani, Mohammad-Hossein Taghdisi
Korean J Fam Med 2023;44(5):261-267.   Published online July 12, 2023
DOI: https://doi.org/10.4082/kjfm.22.0215
This study aimed to identify the indices/indicators used for evaluating the “creating supportive environments” mechanism of the Ottawa Charter for Health Promotion, with a focus on built environments, in different settings. A search for literature with no time limit constraint was performed across Medline (via PubMed), Scopus, and Embase databases. Search terms included “Ottawa Charter,” “health promotion,” “supportive environments,” “built environments,” “index,” and “indicator.” we included the studies conducted on developing, identifying, and/or measuring health promotion indices/indicators associated with “built environments” in different settings. The review articles were excluded. Extracted data included the type of instrument used for measuring the index/indicator, the number of items, participants, settings, the purpose of indices/indicators, and a minimum of two associated examples of the indices domains/indicators. The key definitions and summarized information from studies are presented in tables. In total, 281 studies were included in the review, within which 36 indices/indicators associated with “built environment” were identified. The majority of the studies (77%) were performed in developed countries. Based on their application in different settings, the indices/indicators were categorized into seven groups: (1) Healthy Cities (n=5), (2) Healthy Municipalities and Communities (n=18), (3) Healthy Markets (n=3), (4) Healthy Villages (n=1), (5) Healthy Workplaces (n=4), (6) Health-Promoting Schools (n=3), and (7) Healthy Hospitals (n=3). Health promotion specialists, health policymakers, and social health researchers can use this collection of indices/indicators while designing/evaluating interventions to create supportive environments for health in various settings.

Citations

Citations to this article as recorded by  
  • The Role of Pharmacists in Health Promotion
    Pallav Dave
    Asian Journal of Dental and Health Sciences.2024; 4(2): 32.     CrossRef
  • 11,288 View
  • 150 Download
  • 1 Crossref
Original Articles
Do People Have Healthier Lifestyles in Greener Environments? An Analysis of the Association between Green Environments and Physical Activity in Seven Large Korean Cities
Ji-Young Park, Hee-Kang Shin, Jeong-Soon Choi, Hyung-Seok Oh, Kyung-Hyun Choi, Sang Min Park, Belong Cho
Korean J Fam Med 2013;34(1):58-63.   Published online January 28, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.1.58
Background

Recent studies suggest that neighborhood environments influence levels of health and disease in individuals. Evidence suggests that green environments have positive effects on physical and psychological health. In this study, we examined the association between public park per person (PPP) and physical activity in 7 large Korean cities with a population of over 1 million.

Methods

We obtained data from the third Korea National Health and Nutritional Survey and data on the area of PPP from the Korean national statistics office.

Results

Physical activity and adjusted mean of physical activity increased significantly with PPP. When stratified by family income, physical activity increased significantly in all groups in a PPP-dependent manner. Physical activity significantly increased as PPP increased (coefficient, 16.025; 95% confidence interval, 12.392 to 19.658) before and after adjustment for age, sex, and family income. Physical activity increased in all income groups including the low income group.

Conclusion

These results show that green park spaces independently promote physical activity and influence healthy lifestyles. Therefore, the importance of PPP for physical activity and health should be emphasized in urban planning.

Citations

Citations to this article as recorded by  
  • Urban green space and risk of cardiovascular disease and mortality among residents of the same area: updated retrospective cohort study in South Korea
    Sun Jae Park, Jun Hwan Kim, Sumin Seo, Jiwon Yu, Jihun Song, Hye Jun Kim, Sangwoo Park, Seogsong Jeong, Sang Min Park
    Revista Española de Cardiología (English Edition).2026; 79(6): 510.     CrossRef
  • Espacios verdes urbanos, riesgo cardiovascular y mortalidad entre los residentes de una misma zona: estudio de cohortes retrospectivo y actualizado en Corea del Sur
    Sun Jae Park, Jun Hwan Kim, Sumin Seo, Jiwon Yu, Jihun Song, Hye Jun Kim, Sangwoo Park, Seogsong Jeong, Sang Min Park
    Revista Española de Cardiología.2026; 79(6): 510.     CrossRef
  • Green space is associated with new-onset stroke among Chinese middle-aged and older adults: data from China Health and Retirement Longitudinal Study (CHARLS)
    Qiong Lu, Cheng Lian, Xinglin Chen
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • Associations Between the Built Environment and Physical Activity in Urban Asia: A Systematic Review
    Thitikorn Topothai, Chompoonut Topothai, Sarah Martine Edney, Shenglin Zheng, Zoey Tay, Viroj Tangcharoensathien, Falk Müller-Riemenschneider
    Journal of Physical Activity and Health.2025; : 1.     CrossRef
  • Assessment of Cultural Ecosystem Services and Well-Being: Testing a Method for Evaluating Natural Environment and Contact Types in the Harku Municipality, Estonia
    Fiona Nevzati, Mart Külvik, Joanna Storie, Liisa-Maria Tiidu, Simon Bell
    Sustainability.2023; 15(13): 10214.     CrossRef
  • Impact of Changed Use of Greenspace during COVID-19 Pandemic on Depression and Anxiety
    Seulkee Heo, Miraj U. Desai, Sarah R. Lowe, Michelle L. Bell
    International Journal of Environmental Research and Public Health.2021; 18(11): 5842.     CrossRef
  • Do persons with low socioeconomic status have less access to greenspace? Application of accessibility index to urban parks in Seoul, South Korea
    Seulkee Heo, Amruta Nori-Sarma, Sera Kim, Jong-Tae Lee, Michelle L Bell
    Environmental Research Letters.2021; 16(8): 084027.     CrossRef
  • Does the Connectivity of Urban Public Green Space Promote Its Use? An Empirical Study of Wuhan
    Yuping Dong, Helin Liu, Tianming Zheng
    International Journal of Environmental Research and Public Health.2020; 17(1): 297.     CrossRef
  • Association between urban green space and the risk of cardiovascular disease: A longitudinal study in seven Korean metropolitan areas
    Sumin Seo, Seulggie Choi, Kyuwoong Kim, Sung Min Kim, Sang Min Park
    Environment International.2019; 125: 51.     CrossRef
  • How Does the Built Environment in Compact Metropolitan Cities Affect Health? A Systematic Review of Korean Studies
    Dong Ha Kim, Seunghyun Yoo
    International Journal of Environmental Research and Public Health.2019; 16(16): 2921.     CrossRef
  • Correlates of Physical Activity Among Disadvantaged Groups: A Systematic Review
    Melinda Craike, Matthew Bourke, Toni A. Hilland, Glen Wiesner, Michaela C. Pascoe, Enrique Garcia Bengoechea, Alexandra G. Parker
    American Journal of Preventive Medicine.2019; 57(5): 700.     CrossRef
  • Effects of spatial scale on assessment of spatial equity of urban park provision
    Puay Yok Tan, Rosita Samsudin
    Landscape and Urban Planning.2017; 158: 139.     CrossRef
  • A conceptual framework for studying urban green spaces effects on health
    Liqing Zhang, Puay Yok Tan, Jessica A Diehl
    Journal of Urban Ecology.2017;[Epub]     CrossRef
  • Comments on Statistical Issues in March 2013
    Yong Gyu Park
    Korean Journal of Family Medicine.2013; 34(2): 156.     CrossRef
  • 6,121 View
  • 33 Download
  • 14 Crossref
Factors Related to Body Mass Index and Body Mass Index Change in Korean Children: Preliminary Results from the Obesity and Metabolic Disorders Cohort in Childhood
Hyun Hye Lee, Hyun Ah Park, Jae Heon Kang, Young Gyu Cho, Jin Kyun Park, Ran Lee, Ji Ye Yoon, Ok Hyun Kim
Korean J Fam Med 2012;33(3):134-143.   Published online May 24, 2012
DOI: https://doi.org/10.4082/kjfm.2012.33.3.134
Background

This preliminary study is to assess risk factors associated with children's body mass index (BMI) and their changes over a 2-year period based on the analysis of the Obesity and Metabolic Disorders Cohort in Childhood registry.

Methods

A total of 1,504 children comprised of 474 1st graders and 1,030 4th graders were included in the study. Data on physical activity, dietary intake, and socioeconomic status were obtained through self-administered questionnaires, and height and weight were measured annually for 2 years.

Results

In a cross-sectional analysis, BMI of 1st graders was associated with higher parental BMI (both P < 0.001) and frequent snack consumption (P = 0.049). BMI of 4th graders was additionally associated with shorter sleep duration (P = 0.001), lower household income (P = 0.016), higher fat intake (P = 0.017), and frequent meal skipping (P = 0.020). During a 2-year follow-up, BMI increased by 0.8 ± 1.4 kg/m2 in 1st graders and by 1.3 ± 1.4 kg/m2 in 4th graders. In a longitudinal analysis, higher exercise frequency (P = 0.007), shorter sleep duration (P = 0.027), lower household income (P = 0.002), and higher paternal BMI (P = 0.002, 0.043) were significant predictors of BMI changes in the 1st graders whereas only higher maternal BMI (P=0.035), and frequent snack consumption (P = 0.010) were predictors for the 4th graders BMI changes.

Conclusion

Our findings indicate that parental obesity, short sleep duration, low socioeconomic status, and frequent snacking are associated with BMI and BMI changes.

Citations

Citations to this article as recorded by  
  • Compositional data analysis of 24-hour movement behaviors as a predictor for cardiometabolic health outcomes among school-aged youth: A systematic review
    Kristen N. Moore, Stephanie Castillo, Kelsey L. McAlister, Tiffany M. Chapman, Rachel Crosley-Lyons, Britni R. Belcher
    Journal of Sports Sciences.2026; 44(6): 674.     CrossRef
  • Association between mothers’ working hours and metabolic syndrome in children and adolescents: data from the Korea National Health and Nutrition Examination Survey, 2016–2020
    Myoung-hye Lee, Joo-Eun Jeong, Hoon-Ki Park, Hwan-Sik Hwang, Kye-Yeung Park
    Korean Journal of Family Medicine.2025; 46(2): 84.     CrossRef
  • Effects of Socioeconomic Status on Nutrition and Nutrition Policy Studies in Asia
    Nobuko MURAYAMA
    Journal of Nutritional Science and Vitaminology.2022; 68(Supplement): S92.     CrossRef
  • Sleep and obesity among children: A systematic review of multiple sleep dimensions
    Bridget Morrissey, Elsie Taveras, Steven Allender, Claudia Strugnell
    Pediatric Obesity.2020;[Epub]     CrossRef
  • Sleep duration and incidence of obesity in infants, children, and adolescents: a systematic review and meta-analysis of prospective studies
    Michelle A Miller, Marlot Kruisbrink, Joanne Wallace, Chen Ji, Francesco P Cappuccio
    Sleep.2018;[Epub]     CrossRef
  • Effects of total fat intake on bodyweight in children
    Celeste E Naude, Marianne E Visser, Kim A Nguyen, Solange Durao, Anel Schoonees
    Cochrane Database of Systematic Reviews.2018;[Epub]     CrossRef
  • Effects of total fat intake on bodyweight in children
    Celeste E Naude, Marianne E Visser, Kim A Nguyen, Solange Durao, Anel Schoonees
    Cochrane Database of Systematic Reviews.2018;[Epub]     CrossRef
  • Sleep duration and obesity in children: A systematic review and meta‐analysis of prospective cohort studies
    Lian Li, Shuang Zhang, Yubei Huang, Kexin Chen
    Journal of Paediatrics and Child Health.2017; 53(4): 378.     CrossRef
  • Does Short Sleep Lead to Obesity Among Children and Adolescents? Current Understanding and Implications
    Herpreet Thind, Susan L. Davies, Terri Lewis, Dorothy Pekmezi, Retta Evans, Monica L. Baskin
    American Journal of Lifestyle Medicine.2015; 9(6): 428.     CrossRef
  • Habitual Sleep Duration and Risk of Childhood Obesity: Systematic Review and Dose-response Meta-analysis of Prospective Cohort Studies
    Huijuan Ruan, Pengcheng Xun, Wei Cai, Ka He, Qingya Tang
    Scientific Reports.2015;[Epub]     CrossRef
  • Clinical Characteristics and Metabolic Health Status of Obese Korean Children and Adolescents
    Sunyoung Chun, Saerom Lee, Hyo-Jae Son, Hye-Mi Noh, Hye-Young Oh, Han Byul Jang, Hye-Ja Lee, Jae-Heon Kang, Hong-Ji Song, Yu-Jin Paek, Kyung-Hee Park
    Korean Journal of Family Medicine.2015; 36(5): 233.     CrossRef
  • Family Factors and Body Mass Index Among Korean-American Preschoolers
    So Hyun Park, Mi Ja Kim, Chang Gi Park, Linda McCreary, Crystal Patil, Kathleen F. Norr
    Journal of Pediatric Nursing.2015; 30(6): e101.     CrossRef
  • Relationship between adhering to dietary guidelines and the risk of obesity in Korean children
    Soo Hyun Yu, YoonJu Song, Mijung Park, Shin Hye Kim, Sangah Shin, Hyojee Joung
    Nutrition Research and Practice.2014; 8(6): 705.     CrossRef
  • Mothers’ Working Hours and Children’s Obesity: Data from the Korean National Health and Nutrition Examination Survey, 2008–2010
    Goeun Lee, Hyoung-Ryoul Kim
    Annals of Occupational and Environmental Medicine.2013;[Epub]     CrossRef
  • Prevalence and determinants of obesity among primary school children in Dar es Salaam, Tanzania
    Alfa J Muhihi, Rose N M Mpembeni, Marina A Njelekela, Amani Anaeli, Omary Chillo, Sulende Kubhoja, Benjamin Lujani, Mwanamkuu Maghembe, Davis Ngarashi
    Archives of Public Health.2013;[Epub]     CrossRef
  • 7,156 View
  • 27 Download
  • 15 Crossref
Urine Cotinine and Environmental Tobacco Exposure in Korean Adolescents.
Hae Reung Lee, Hyeon Keun Kim, Jang Suk Yoo, Kyu Nam Kim, Seon Yeong Lee, Sun Mi Yoo, Hyo Bin Kim, Bong Seong Kim, Soo Jong Hong, Ja Hyeung Kim, So Yeon Lee, Moon Woo Seong, Do Hoon Lee
Korean J Fam Med 2009;30(1):31-38.   Published online January 10, 2009
DOI: https://doi.org/10.4082/kjfm.2009.30.1.31
Background
The aim of this study was to elucidate the relationship of environmental tobacco smoke (ETS) exposure and the urine cotinine concentrations in Korean adolescents. Methods: Study population was 1st grade adolescents (N=1467, girls 22.2%) recruited from four high schools, two from Seoul, one from Kangleung and one from Woolsan. We obtained information for active smoking and ETS exposure through self-reported questionnaire and urine cotinine concentrations. Results: The prevalence of active smoking was 6.9% in boys and 0.9% in girls. Median urine cotinine concentrations were 19.5 Ռg/L (range, 0-2341 Ռg/L) among smokers, and 0 Ռg/L (range, 0-1359 Ռg/L) among nonsmokers. The positive rate of urine cotinine among nonsmokers exposed to ETS was 2.9%. Boys were exposed to ETS at PC room (79.6%), home (39.4%), school (11.5%), and public places (5.9%); girls were exposed at home (40.9%), PC room (33.2%), public places (28.0%), and school (15.2%). The frequency and duration of ETS exposure were significantly larger and longer in boys than in girls. Boys contacted friends who smoked more than girls did (32.6% vs. 17.1%). Parents'smoking status was similar both in boys and girls. Any information about ETS exposure did not differ according to the detectable urine cotinine among nonsmoking adolescents. Conclusions: Low positive rateof urine cotinine and no association of urine cotinine with various ETS exposure history reflectthat urine cotinine may not a good marker for ETS exposure in Korean adolescents.

Citations

Citations to this article as recorded by  
  • Simultaneous analysis of cotinine and 8-OHdG in urine: A biomarker approach for smoking exposure and oxidative stress
    Na-Youn Park, Hyeryoung Koo, Jung Hoan Kim, Eun-Hee Lee, Kyoung-Mu Lee, Cheoljin Mun, Younglim Kho
    Environmental Analysis Health and Toxicology.2025; 40(2): e2025013.     CrossRef
  • Association between Second-hand Smoke Exposure and Urinary NNAL Level in Korean Adolescents
    Hyo-Sun You, Jae-woo Lee, Ye-seul Kim, Yonghwan Kim, Hyeong-Cheol Lee, Jin Young Hwang, Woojung Yang, Hee-Taik Kang
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Secondhand Smoke Exposure and Dysglycemia
    Su-Jin Bak, Hyo-Jin Sa, Eun-Jung Oh, Hyuk-Jung Kweon, Kyoung-Jin Kim, Jinyoung Shin, Jae-Kyung Choi
    Korean Journal of Family Practice.2021; 11(4): 256.     CrossRef
  • Exposure to Hookah and Cigarette Smoke in Children and Adolescents According to Their Socio-Economic Status: The CASPIAN-IV Study
    Roya Kelishadi, Armindokht Shahsanai, Mostafa Qorbani, Gelayol Ardalan, Parinaz Poursafa, Ramin Heshmat, Mohammad Esmaeil Motlagh
    Iranian Journal of Pediatrics.2016;[Epub]     CrossRef
  • The Correlation of Different Cotinine Levels With Questionnaire Results
    Myung Bae Park, Eun Woo Nam, Seon Kui Lee, Chun-Bae Kim, Chhabi Ranabhat
    Asia Pacific Journal of Public Health.2015; 27(5): 542.     CrossRef
  • Tolerance for and potential indicators of second-hand smoke exposure among nonsmokers: A comparison of self-reported and cotinine verified second-hand smoke exposure based on nationally representative data
    Bo Yoon Jeong, Min Kyung Lim, E Hwa Yun, Jin-Kyoung Oh, Eun Young Park, Do-Hoon Lee
    Preventive Medicine.2014; 67: 280.     CrossRef
  • Urine Cotinine for Assessing Tobacco Smoke Exposure in Korean: Analysis of the Korea National Health and Nutrition Examination Survey (KNHANES)
    Sungmo Jung, In Seon Lee, Sae Byol Kim, Chan Soo Moon, Ji Ye Jung, Young Ae Kang, Moo Suk Park, Young Sam Kim, Se Kyu Kim, Joon Chang, Eun Young Kim
    Tuberculosis and Respiratory Diseases.2012; 73(4): 210.     CrossRef
  • Association Between Environmental Tobacco Smoke Exposure of Children and Parental Socioeconomic Status: A Cross-Sectional Study in Korea
    O. Yi, H.-J. Kwon, D. Kim, H. Kim, M. Ha, S.-J. Hong, Y.-C. Hong, J.-H. Leem, J. Sakong, C. G. Lee, S.-Y. Kim, D. Kang
    Nicotine & Tobacco Research.2012; 14(5): 607.     CrossRef
  • The Biomarkers of Active and Passive Smoke Exposure
    Hye-Young Oh, Yu-Jin Paek
    Journal of the Korean Society for Research on Nicotine and Tobacco.2011; 2(2): 79.     CrossRef
  • Effect of environmental exposure to lead and tobacco smoke on inattentive and hyperactive symptoms and neurocognitive performance in children
    Soo‐Churl Cho, Boong‐Nyun Kim, Yun‐Chul Hong, Min‐Sup Shin, Hee Jeong Yoo, Jae‐Won Kim, Soo‐Young Bhang, In Hee Cho, Hyo‐Won Kim
    Journal of Child Psychology and Psychiatry.2010; 51(9): 1050.     CrossRef
  • 3,910 View
  • 32 Download
  • 10 Crossref
Psychosocial Factors and Familial Environments in Adolescent Obesity.
Jeong Ah Shin, Sang Pil Bae, Hyo Soon Kim, Hye Soon Park
J Korean Acad Fam Med 2002;23(8):1024-1032.   Published online August 10, 2002
Background
: Adolescent obesity has a high risk of developing into adult obesity and may cause many physical and psychological problems. The purpose of this study was to investigate familial environment and psychosocial factors of adolescent obesity.

Methods : A total of 1,153 students from one middle school located in suburban area were chosen as subjects. In this study, the obese group was defined to have an obesity index higher than 85 pecentile, compared to the normal weight group which ranged between 25 and 75 percentile. The questionnaires included items on familial environment and psychosocial factors, their parents' BMI, physical activity, self esteem inventory, depression self rating scale, and FACES III (family cohesion and adaptability scale III).

Results : Maternal BMI of the obese group was significantly higher than that of the normal weight group. The mean self esteem score of the obese group was significantly lower than that of the normal weight group. Depression self-rating score of the female obese group was significantly higher than that of the normal weight group. There was no difference in family functioning between the obese group and the normal weight group.

Conclusion : In multivariate analysis, there were significant correlations among adolescent obesity and higher maternal BMI and lower self-esteem. It will be necessary to evaluate and support the psychosocial factors in the management of adolescent obesity.
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  • 23 Download
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