Background It has been reported that the abdominal obesity can cause various metabolic abnormalities not only in adults but also in adolescents. This study was conducted to investigate lifestyle habits related to abdominal obesity in Korean adolescents. Methods: This study is a cross-sectional study on 561 adolescents (305 boys and 256 girls) aged 12-18 years from the Korean National Health and Nutrition Examination Survey 2005. The abdominal obesity was defined as waist circumference at or above the 90th percentile for each age and gender based on the 2007 growth chart for Korean children. The frequency of physical activity, screen time, and the intake amount of energy and macronutrients were investigated as lifestyle habits. Results: The prevalence of abdominal obesity in Korean adolescents aged 12-18 years was 9.1% (Boys, 9.4%; Girls, 8.7%). The mean of daily screen time was 4.3 ± 0.1 hours (Boys, 4.4 ± 0.2 hours; Girls, 4.2 ± 0.2 hours). The subjects with daily screen time ≥ 5 hours had a 3.0 times increased risk of abdominal obesity compared to subjects with daily screen time < 3 hours (P-value = 0.004). The adjusted odds ratio of fat intake ≥ 35% of energy was 2.57 (95% confidence interval, 1.16 to 5.68; P-value = 0.020) with fat intake < 25% of energy as reference. The relationship between long screen time and abdominal obesity was observed in girls and high fat intake was related to abdominal obesity in boys. Conclusion: This study shows that abdominal obesity in Korean adolescents is associated to long screen time and high fat intake.
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Background Children of obese parents are more likely to be obese themselves. Parental lifestyle habits could induce or aggravate children's obesity. This study was conducted to assess the relationship between parental lifestyle habits and children's overweight. Methods: Children who were enrolled in this study were first grade students from elementary schools in Gwacheon and Seoul. A total of 121 children (50 overweight children and 71 normal weight children) and their parents underwent anthropometric measurements and also were surveyed by a questionnaire. Results: The children of obese parents were more likely to be diagnosed as overweight compared to the children whose parents were normal weight (Father: P=0.037, Mother: P=0.001). Among the paternal lifestyle habits, hours of watching TV or computer usage (adjusted odd ratio =2.08, 95% CI=0.90∼4.80) and eating frequency of soda, ice cream, cake and chips (adjusted OR=5.77, 95% CI=1.65∼20.22) were found to be related to their children being overweight. Among the maternal lifestyle habits, hours of watching TV or computer usage (adjusted OR=2.35, 95% CI=0.99∼5.58), the frequency of eating breakfast (adjusted OR: 2.48, 95% CI=1.07∼5.75) and the frequency of overeating (adjusted OR: 2.15, 95% CI=0.91∼5.11) were found to be related to their children being overweight. Additive adjustment of children's lifestyle habits made the relationship between maternal lifestyle habits and children's overweight reduced. However, the odds ratio of paternal lifestyle habits was not reduced. Conclusion: Parental obesigenic lifestyle habits were related to children's overweight. Maternal lifestyle habits could affect her children's weight via an effect on her children's lifestyle habits. (J Korean Acad Fam Med 2008; 29:395-404)