An Investigation on Korean Adolescents’ Dietary Consumption: Focused on Sociodemographic Characteristics, Physical Health, and Mental Health
Abstract
:1. Introduction
2. Materials and Methods
2.1. Sample and Survey Administration
2.2. Measurement
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
- Das, J.K.; Salam, R.A.; Thornburg, K.L.; Prentice, A.M.; Campisi, S.; Lassi, Z.S.; Bhutta, Z.A. Nutrition in adolescents: Physiology, metabolism, and nutritional needs. Ann. N. Y. Acad. Sci. 2017, 1393, 21–33. [Google Scholar] [CrossRef] [PubMed]
- Park, M.H.; Falconer, C.; Viner, R.M.; Kinra, S. The impact of childhood obesity on morbidity and mortality in adulthood: A systematic review. Obes. Rev. 2012, 13, 985–1000. [Google Scholar] [CrossRef]
- Wijnhoven, T.M.; van Raaij, J.M.; Spinelli, A.; Starc, G.; Hassapidou, M.; Spiroski, I.; Breda, J. WHO European Childhood Obesity Surveillance Initiative: Body mass index and level of overweight among 6–9-year-old children from school year 2007/2008 to school year 2009/2010. BMC Public Health 2014, 14, 806. [Google Scholar] [CrossRef] [Green Version]
- Yoo, J.Y.; Kim, Y.N. Survey of cookie consumption and nutrition labelling of cookie consumed in high school students. Korean J. Community Nutr. 2009, 14, 147–157. [Google Scholar]
- Story, M.; Neumark-Sztainer, D.; French, S. Individual and environmental influences on adolescent eating behaviors. J. Acad. Nutr. Diet. 2002, 102, S40–S51. [Google Scholar] [CrossRef]
- Kim, H.; Seo, S. Factors influencing on intention to intake fruit: Moderating effect of fruit intake habit. J. Nutr. Health 2014, 47, 134–144. [Google Scholar] [CrossRef] [Green Version]
- Kaushik, J.S.; Narang, M.; Parakh, A. Fast food consumption in children. Indian Pediatr. 2011, 48, 97–101. [Google Scholar] [CrossRef]
- Niemeier, H.M.; Raynor, H.A.; Lloyd-Richardson, E.E.; Rogers, M.L.; Wing, R.R. Fast food consumption and breakfast skipping: Predictors of weight gain from adolescence to adulthood in a nationally representative sample. J. Adolesc. Health 2006, 39, 842–849. [Google Scholar] [CrossRef]
- Kwon, Y.S.; Kim, Y. Fruit and vegetable intake of Korean children and adolescents according to cooking location and daily meal: Study based on 2010 and 2011 Korea National Health and Nutrition Examination Survey data. Asia Pac. J. Clin. Nutr. 2018, 27, 217–230. [Google Scholar]
- Lim, H.; Lee, H.J.; Choue, R.; Wang, Y. Trends in fast-food and sugar-sweetened beverage consumption and their association with social environmental status in South Korea. J. Acad Nutr. Diet. 2018, 118, 1228–1236. [Google Scholar] [CrossRef] [PubMed]
- Lambert, J.; Agostoni, C.; Elmadfa, I.; Hulshof, K.; Krause, E.; Livingstone, B.; Samartín, S. Dietary intake and nutritional status of children and adolescents in Europe. Br. J. Nutr. 2004, 92, S147–S211. [Google Scholar] [CrossRef] [Green Version]
- Noonan, R.J. Poverty, weight status, and dietary intake among UK adolescents. Int. J. Environ. Res. Public Health 2018, 15, 1224. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Iannotti, R.J.; Wang, J. Trends in physical activity, sedentary behavior, diet, and BMI among US adolescents, 2001–2009. Pediatrics 2013, 132, 606–614. [Google Scholar] [CrossRef] [Green Version]
- Patrick, K.; Norman, G.J.; Calfas, K.J.; Sallis, J.F.; Zabinski, M.F.; Rupp, J.; Cella, J. Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence. Arch. Pediatr. Adolesc. Med. 2004, 158, 385–390. [Google Scholar] [CrossRef] [Green Version]
- Amahmid, O.; El Guamri, Y.; Rakibi, Y.; Yazidi, M.; Razoki, B.; Kaid Rassou, K.; Belghyti, D. Nutrition education in school curriculum: Impact on adolescents’ attitudes and dietary behaviours. Int. J. Health Promot. Educ. 2020, 58, 242–258. [Google Scholar] [CrossRef]
- Baldasso, J.G.; Galante, A.P.; de Piano Ganen, A. Impact of actions of food and nutrition education program in a population of adolescents. Rev. De Nutr. 2016, 29, 65–75. [Google Scholar] [CrossRef] [Green Version]
- Loprinzi, P.D.; Smit, E.; Mahoney, S. Physical activity and dietary behavior in US adults and their combined influence on health. Mayo Clin. Proc. 2014, 89, 190–198. [Google Scholar] [CrossRef]
- Yoo, J.S.; Chin, J.H.; Kim, M.J.; Jang, K.J. College students’ dietary behavior, health-related lifestyles and nutrient intake status by physical activity levels using international physical activity questionnaire (IPAQ) in Incheon area. J. Nutr. Health 2008, 41, 818–831. [Google Scholar]
- Cartwright, M.; Wardle, J.; Steggles, N.; Simon, A.E.; Croker, H.; Jarvis, M.J. Stress and dietary practices in adolescents. Health Psychol. 2003, 22, 362. [Google Scholar] [CrossRef]
- Jääskeläinen, A.; Nevanperä, N.; Remes, J.; Rahkonen, F.; Järvelin, M.R.; Laitinen, J. Stress-related eating, obesity and associated behavioural traits in adolescents: A prospective population-based cohort study. BMC Public Health 2014, 14, 321. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kinard, B.R.; Webster, C. Factors influencing unhealthy eating behaviour in US adolescents. Int. J. Consum. Stud. 2012, 36, 23–29. [Google Scholar] [CrossRef]
- Barbosa Filho, V.C.; Campos, W.D.; Lopes, A.D.S. Epidemiology of physical inactivity, sedentary behaviors, and unhealthy eating habits among brazilian adolescents a systematic review. Cien. Saude Colet. 2014, 19, 173–194. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Lee, C.Y.; Lin, W.T.; Tsai, S.; Hung, Y.C.; Wu, P.W.; Yang, Y.C.; Lee, C.H. Association of parental overweight and cardiometabolic diseases and pediatric adiposity and lifestyle factors with cardiovascular risk factor clustering in adolescents. Nutrients 2016, 8, 567. [Google Scholar] [CrossRef] [PubMed]
- Marshall, T.A. Preventing dental caries associated with sugar-sweetened beverages. J. Am. Dent. Assoc. 2013, 144, 1148–1152. [Google Scholar] [CrossRef] [PubMed]
- MFDS (Ministry of Food and Drug Safety). Check out the Phrases Containing High Caffeine Once More. 2017. Available online: https://www.mfds.go.kr/brd/m_227/view.do?seq=27563 (accessed on 1 March 2021).
- Korea Consumer Agency. Energy Drink Caffeine Content, More Than 50% of the Daily Intake Limit for Adolescents. 2013. Available online: https://www.kca.go.kr/home/sub.do?menukey=4002&mode=view&no=1001449587 (accessed on 1 March 2021).
- Ha, K.; Chung, S.; Joung, H.; Song, Y. Dietary sugar intake and dietary behaviors in Korea: A pooled study of 2599 children and adolescents aged 9–14 years. Nutr. Res. Pract. 2016, 10, 537–545. [Google Scholar] [CrossRef] [Green Version]
- Arganini, C.; Saba, A.; Comitato, R.; Virgili, F.; Turrini, A. Gender differences in food choice and dietary intake in modern western societies. Public Health-Soc. Behav. Health 2012, 4, 83–102. [Google Scholar]
- Steptoe, A.; Wardle, J.; Cui, W.; Bellisle, F.; Zotti, A.M.; Baranyai, R.; Sanderman, R. Trends in Smoking, Diet, Physical Exercise, and Attitudes toward Health in European University Students from 13 Countries, 1990–2000. Prev. Med. 2002, 35, 97–104. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Wardle, J.; Griffith, J. Socioeconomic status and weight control practices in British adults. J. Epidemiol. Community Health 2001, 55, 185–190. [Google Scholar] [CrossRef] [Green Version]
- Hwang, J.Y.; Ru, S.Y.; Ryu, H.K.; Park, H.J.; Kim, W.Y. Socioeconomic factors relating to obesity and inadequate nutrient intake in women in low income families residing in Seoul. J. Nutr. Health 2009, 42, 171–182. [Google Scholar] [CrossRef] [Green Version]
- Jang, H.B.; Park, J.Y.; Lee, H.J.; Kang, J.H.; Park, K.H.; Song, J.H. Association between parental socioeconomic level, overweight, and eating habits with diet quality in Korean sixth grade school children. J. Nutr. Health 2011, 44, 416–427. [Google Scholar] [CrossRef] [Green Version]
- Mullie, P.; Clarys, P.; Hulens, M.; Vansant, G. Dietary patterns and socioeconomic position. Eur. J. Clin. Nutr. 2010, 64, 231–238. [Google Scholar] [CrossRef]
- Shahar, D.; Shai, I.; Vardi, H.; Shahar, A.; Fraser, D. Diet and eating habits in high and low socioeconomic groups. Nutrition 2005, 21, 559–566. [Google Scholar] [CrossRef]
- Drewnowski, A.; Specter, S.E. Poverty and obesity: The role of energy density and energy costs. Am. J. Clin. Nutr. 2004, 79, 6–16. [Google Scholar] [CrossRef]
- Inglis, V.; Ball, K.; Crawford, D. Why do women of low socioeconomic status have poorer dietary behaviours than women of higher socioeconomic status? A qualitative exploration. Appetite 2005, 45, 334–343. [Google Scholar] [CrossRef] [Green Version]
- Jung, B.M.; Choi, I.S. A study on obesity and food habit of adolescents in Yeosu, Jeonnam area. Korean J. Community Nutr. 2003, 8, 129–137. [Google Scholar]
- Huang, C.J.; Hu, H.T.; Fan, Y.C.; Liao, Y.M.; Tsai, P.S. Associations of breakfast skipping with obesity and health-related quality of life: Evidence from a national survey in Taiwan. Int. J. Obes. 2010, 34, 720–725. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Epstein, L.H.; Gordy, C.C.; Raynor, H.A.; Beddome, M.; Kilanowski, C.K.; Paluch, R. Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity. Obes. Res. 2001, 9, 171–178. [Google Scholar] [CrossRef]
- Marques-Vidal, P.; Goncalves, A.; Dias, C.M. Milk intake is inversely related to obesity in men and in young women: Data from the Portuguese Health Interview Survey 1998–1999. Int. J. Obes. 2006, 30, 88–93. [Google Scholar] [CrossRef] [Green Version]
- KHIDI (Korea Health Industry Development Institute). Sugar Database Compilation for Commonly Consumed Foods. 2015. Available online: https://www.khidi.or.kr/board/view?linkId=24301184&menuId=MENU02171 (accessed on 1 March 2021).
- Shim, J.S.; Kang, N.H.; Lee, J.S.; Kim, K.N.; Chung, H.K.; Chung, H.R.; Chang, M.J. Socioeconomic burden of sugar-sweetened beverages consumption in Korea. Nutr. Res. Pract. 2019, 13, 134–140. [Google Scholar] [CrossRef] [Green Version]
- Duffey, K.J.; Popkin, B.M. Shifts in patterns and consumption of beverages between 1965 and 2002. Obesity 2007, 15, 2739–2747. [Google Scholar] [CrossRef] [PubMed]
- Ock, S.M.; Kim, C.M.; Ock, C.M.; Choi, W.S. Bone Acquisition Related Health Behavior Factors and Nutritional Uptake in High School Girl Student. J. Korean Acad. Fam. Med. 2002, 23, 905–916. [Google Scholar]
- Jeong, J.H.; Kim, S.H. A survey of dietary behavior and fast food consumption by high school students in Seoul. J. Korean Home Econ. Assoc. 2001, 39, 111–124. [Google Scholar]
- Burrows, T.; Goldman, S.; Pursey, K.; Lim, R. Is there an association between dietary intake and academic achievement: A systematic review. J. Hum. Nutr. Diet. 2017, 30, 117–140. [Google Scholar] [CrossRef]
- Lee, M.S.; Hyun, W.J.; Song, K.H. Dietary behavior status and its association with study-related factors in middle school students in Gyeonggi area. J. Nutr. Health 2018, 51, 455–464. [Google Scholar] [CrossRef] [Green Version]
- Kim, S.A.; Lee, B.H. Relationships between the nutrient intake status, dietary habits, academic stress and academic achievement in the elementary school children in Bucheon-si. J. Nutr. Health 2008, 41, 786–796. [Google Scholar]
- Lien, L. Is breakfast consumption related to mental distress and academic performance in adolescents? Public Health Nutr. 2007, 10, 422–428. [Google Scholar] [CrossRef] [Green Version]
- Harada, T.; Hirotani, M.; Maeda, M.; Nomura, H.; Takeuchi, H. Correlation between breakfast tryptophan content and morningness–eveningness in Japanese infants and students aged 0–15 years. J. Physiol. Anthropol. 2007, 26, 201–207. [Google Scholar] [CrossRef] [Green Version]
- Yang, Y.M.; Huh, E.; Jeong, E.; Lee, J.J.; Choi, E.J. An analysis of consumption patterns of high-caffeined energy drinks and adverse effects by surveys from students at middle and high schools in Korea. Yakhak Hoeji 2014, 58, 387–396. [Google Scholar]
- Arria, A.M.; Bugbee, B.A.; Caldeira, K.M.; Vincent, K.B. Evidence and knowledge gaps for the association between energy drink use and high-risk behaviors among adolescents and young adults. Nutr. Rev. 2014, 72, 87–97. [Google Scholar] [CrossRef] [Green Version]
- Korea Consumer Agency. Survey on Safety of Energy Drink. Consumer Safety Reports. 2013. Available online: https://www.kca.go.kr/smartconsumer/sub.do?menukey=7301&mode=view&no=1001450750 (accessed on 1 March 2021).
- Schneider, M.B.; Benjamin, H.J.; Bhatia, J.J.S.; Abrams, S.A.; De Ferranti, S.D.; Silverstein, J. Sports drinks and energy drinks for children and adolescents: Are they appropriate? Pediatrics 2011, 127, 1182–1189. [Google Scholar]
- Oddy, W.H.; O’Sullivan, T.A. Energy drinks for children and adolescents. Brit. Med. J. 2009, 339, b5268. [Google Scholar] [CrossRef]
- OECD. Results from Programme for International Student Assessmwnt 2015 Students’ Well-Being. 2017. Available online: https://www.oecd.org/pisa/PISA2015-Students-Well-being-Country-note-Korea.pdf (accessed on 1 March 2021).
- Gillman, M.W.; Pinto, B.M.; Tennstedt, S.; Glanz, K.; Marcus, B.; Friedman, R.H. Relationships of physical activity with dietary behaviors among adults. Prev. Med. 2001, 32, 295–301. [Google Scholar] [CrossRef]
- Rhew, I.; Yasui, Y.; Sorensen, B.; Ulrich, C.M.; Neuhouser, M.L.; Tworoger, S.S.; McTiernan, A. Effects of an exercise intervention on other health behaviors in overweight/obese post-menopausal women. Contemp. Clin. Trials. 2007, 28, 472–481. [Google Scholar] [CrossRef]
- Burton-Freeman, B. Dietary fiber and energy regulation. J. Nutr. 2000, 130, 272S–275S. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kim, J.G. Perception of body weight control and dietary habits in college students according to exercise regularity. J. Coach. Sci. 2012, 14, 115–123. [Google Scholar]
- Moreno-Gómez, C.; Romaguera-Bosch, D.; Tauler-Riera, P.; Bennasar-Veny, M.; Pericas-Beltran, J.; Martinez-Andreu, S.; Aguilo-Pons, A. Clustering of lifestyle factors in Spanish university students: The relationship between smoking, alcohol consumption, physical activity and diet quality. Public Health Nutr. 2012, 15, 2131–2139. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Blundell, J.E.; Stubbs, R.J.; Hughes, D.A.; Whybrow, S.; King, N.A. Cross talk between physical activity and appetite control: Does physical activity stimulate appetite? Proc. Nutr. Soc. 2003, 62, 651–661. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Finlayson, G.; Bryant, E.; Blundell, J.E.; King, N.A. Acute compensatory eating following exercise is associated with implicit hedonic wanting for food. Physiol. Behav. 2009, 97, 62–67. [Google Scholar] [CrossRef]
- Lluch, A.; King, N.A.; Blundell, J.E. Exercise in dietary restrained women: No effect on energy intake but change in hedonic ratings. Eur. J. Clin. Nutr. 1998, 52, 300–307. [Google Scholar] [CrossRef] [Green Version]
- Westerterp-Plantenga, M.S.; Verwegen, C.R.; IJedema, M.J.; Wijckmans, N.E.; Saris, W.H. Acute effects of exercise or sauna on appetite in obese and nonobese men. Physiol. Behav. 1997, 62, 1345–1354. [Google Scholar] [CrossRef]
- Errisuriz, V.L.; Pasch, K.E.; Perry, C.L. Perceived stress and dietary choices: The moderating role of stress management. Eat. Behav. 2016, 22, 211–216. [Google Scholar] [CrossRef]
- Teegarden, S.L.; Bale, T.L. Effects of stress on dietary preference and intake are dependent on access and stress sensitivity. Physiol. Behav. 2008, 93, 713–723. [Google Scholar] [CrossRef] [Green Version]
- Paans, N.P.; Gibson-Smith, D.; Bot, M.; van Strien, T.; Brouwer, I.A.; Visser, M.; Penninx, B.W. Depression and eating styles are independently associated with dietary intake. Appetite 2019, 134, 103–110. [Google Scholar] [CrossRef]
- Hong, S.A.; Peltzer, K. Dietary behaviour, psychological well-being and mental distress among adolescents in Korea. Child Adolesc. Psychiatry Ment. Health 2017, 11, 56. [Google Scholar] [CrossRef] [Green Version]
- Michael, S.L.; Lowry, R.; Merlo, C.; Cooper, A.C.; Hyde, E.T.; McKeon, R. Physical activity, sedentary, and dietary behaviors associated with indicators of mental health and suicide risk. Prev. Med. Rep. 2020, 19, 101153. [Google Scholar] [CrossRef] [PubMed]
- Oliver, G.; Wardle, J.; Gibson, E.L. Stress and food choice: A laboratory study. Psychosom. Med. 2000, 62, 853–865. [Google Scholar] [CrossRef]
- Schutz, Y.; Garrow, J.S. Energy and Substrate Balance, and Weight Regulation, 10th ed.; Elsevier Churchill Livingstone: London, UK, 2000; pp. 137–148. [Google Scholar]
- Whitaker, K.M.; Sharpe, P.A.; Wilcox, S.; Hutto, B.E. Depressive symptoms are associated with dietary intake but not physical activity among overweight and obese women from disadvantaged neighborhoods. Nutr. Res. 2014, 34, 294–301. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Jeffery, R.W.; Linde, J.A.; Simon, G.E.; Ludman, E.J.; Rohde, P.; Ichikawa, L.E.; Finch, E.A. Reported food choices in older women in relation to body mass index and depressive symptoms. Appetite 2009, 52, 238–240. [Google Scholar] [CrossRef] [Green Version]
- Wurtman, J.J. Depression and weight gain: The serotonin connection. J. Affect. Disord. 1993, 29, 183–192. [Google Scholar] [CrossRef]
- Hedley, A.A.; Ogden, C.L.; Johnson, C.L.; Carroll, M.D.; Curtin, L.R.; Flegal, K.M. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA 2004, 291, 2847–2850. [Google Scholar] [CrossRef] [Green Version]
- Lobstein, T.; Frelut, M.L. Prevalence of overweight among children in Europe. Obes. Rev. 2003, 4, 195–200. [Google Scholar] [CrossRef] [PubMed]
Variable | Question | Analytic Coding | |
---|---|---|---|
Gender | What is your gender? | (1) Boys (2) Girls | |
Economy status | What is your family’s economy status? | (1) Low (2) Middle (3) High | |
BMI | kg/m2 | (1) Underweight (2) Normal (3) Overweight (4) Obesity | |
Academic achievement | During the last 12 months, how are your academic grades? | (1) Low (2) Middle (3) High | |
Physical health | Physical activity | How many days have you experienced heart rate being higher than usual or have you done cardio exercise more than 60 min during the last 7 days? | (1) Not in the last 7 days (2) 1 day (3) 2 days (4) 3 days (5) 4 days (6) 5 days (7) 6 days (8) 7 days |
Enough sleep | Have you had enough sleep to recover from fatigue during the last 7 days? | (1) Not enough at all (2) Not enough (3) Okay (4) Enough (5) Very enough | |
Mental health | Stress | How often do you feel stressed out? | (1) Not at all (2) Not so much (3) A little (4) Often (5) Very often |
Depression experience | During the last 12 months, have you ever felt sad or desperate enough to quit your daily activities for the entire 2 weeks? | (1) No (2) Yes | |
Suicide attempts | During the last 12 months, have you ever seriously considered suicide? | (1) No (2) Yes |
Characteristics | Items | 2015 | 2017 | 2019 | p-Value (χ2) |
---|---|---|---|---|---|
N (%) | N (%) | N (%) | |||
Gender | Boys | 35,204 (51.7) | 31,624 (50.8) | 29,841 (52.1) | 0.995 (0.380) |
Girls | 32,839 (48.3) | 30,652 (49.2) | 27,462 (47.9) | ||
Grade | Middle school 1st | 10,786 (15.9) | 10,189 (16.4) | 9738 (17.0) | 0.001 (357.785) |
Middle school 2nd | 11,442 (16.8) | 10,377 (16.7) | 9665 (16.9) | ||
Middle school 3rd | 12,071 (17.7) | 10,319 (16.6) | 9981 (17.4) | ||
High school 1st | 11,122 (16.3) | 10,165 (16.3) | 9273 (16.2) | ||
High school 2nd | 11,113 (16.3) | 10,800 (17.3) | 9044 (15.8) | ||
High school 3rd | 11,509 (16.9) | 10,426 (16.7) | 9602 (16.8) | ||
Economy status | Low | 359 (0.5) | 8892 (14.3) | 7341 (12.8) | 0.001 (0.19) |
Middle | 2332 (3.5) | 28,582 (45.9) | 27,457 (47.9) | ||
High | 65,352 (96.0) | 24,802 (39.8) | 22,505 (39.3) | ||
BMI | Underweight | 15,013 (23.2) | 12,557 (21.3) | 11,541 (21.2) | 0.001 (649.696) |
Normal range | 34,821 (54.0) | 30,959 (52.4) | 27,639 (50.8) | ||
Overweight | 7538 (11.7) | 7184 (12.2) | 6671 (12.3) | ||
Obese | 7171 (11.1) | 8334 (14.1) | 8580 (15.7) | ||
Breakfast | No intake | 10,076 (14.8) | 10,946 (17.6) | 11,444 (20.0) | 0.001 (1275.892) |
Low (1~2/week) | 9044 (13.3) | 8712 (14.0) | 9103 (15.9) | ||
Middle (3~5/week) | 16,230 (23.9) | 15,014 (24.1) | 14,489 (25.3) | ||
High (6~7/week) | 32,693 (48.0) | 27,604 (44.3) | 22,267 (38.8) | ||
Vegetable | No intake | 2528 (3.7) | 2597 (4.1) | 2331 (4.1) | 0.001 (577.729) |
Low (1~4/week) | 27,304 (40.1) | 24,779 (39.8) | 24,756 (43.2) | ||
Middle (5~7/week) | 17,879 (26.3) | 16,982 (27.3) | 16,412 (28.6) | ||
High (≥2/day) | 20,332 (29.9) | 17,918 (28.8) | 13,804 (24.1) | ||
Milk | No intake | 10,231 (15.1) | 9047 (14.5) | 8890 (15.5) | 0.001 (576.749) |
Low (1~4/week) | 28,528 (41.9) | 28,532 (45.8) | 27,209 (47.5) | ||
Middle (5~7/week) | 21,634 (31.8) | 18,950 (30.5) | 16,225 (28.3) | ||
High (≥2/day) | 7650 (11.2) | 5746 (9.2) | 4979 (8.7) | ||
Fruit | No intake | 6209 (9.1) | 6242 (10.0) | 6234 (10.9) | 0.001 (200.743) |
Low (1~4/week) | 39,102 (57.5) | 35,264 (56.6) | 33,332 (58.1) | ||
Middle (5~7/week) | 15,635 (23.0) | 14,420 (23.2) | 12,598 (22.0) | ||
High (≥2/day) | 7097 (10.4) | 6348 (10.2) | 5139 (9.0) | ||
Fast food | No intake | 17,718 (26.0) | 12,646 (20.3) | 10,517 (18.3) | 0.001 (1633.073) |
Low (1~4/week) | 48,454 (71.2) | 47,216 (75.8) | 43,647 (76.2) | ||
Middle (5~7/week) | 1573 (2.3) | 2084 (3.4) | 2702 (4.7) | ||
High (≥2/day) | 298 (0.5) | 330 (0.5) | 437 (0.8) | ||
Carbonated beverage | ≦2 drinks | 48,892 (71.9) | 41,423 (66.5) | 36,147 (63.1) | 0.001 (1087.498) |
>2 drinks | 19,151 (28.1) | 20,853 (33.5) | 21,156 (36.9) | ||
Caffeinated beverage | ≦2 drinks | 65,851 (96.8) | 57,404 (92.2) | 50,504 (88.1) | 0.001 (3616.815) |
>2 drinks | 2192 (3.2) | 4872 (7.8) | 6799 (11.9) | ||
Total | 68,043(100) | 62,276 (100) | 57,303 (100) |
Characteristics | Mean (SD) | ||||
---|---|---|---|---|---|
2015 | 2017 | 2019 | |||
Physical health | Physical activity | 2.96 (2.097) | 2.93 (2.092) | 3.03 (2.129) | |
enough sleep | 2.88 (1.123) | 2.78 (1.138) | 2.67 (1.122) | ||
Mental health | Stress | 3.19 (0.948) | 3.23 (0.979) | 3.28 (0.992) | |
Depression experience | Frequency, N (%) | ||||
Never | 52,149 (76.6) | 46,664 (74.9) | 41,275 (72.0) | ||
Experience | 15,894 (23.4) | 15,612 (25.1) | 16,028 (28.0) | ||
Total | 68,043 (100) | 62,276 (100) | 57,303 (100) | ||
Suicide attempts | Never | 66,381 (97.6) | 60,642 (97.4) | 55,572 (97.0) | |
Attempts | 1662 (2.4) | 1634 (2.6) | 1731 (3.0) | ||
Total | 68,043 (100) | 62,276 (100) | 57,303 (100) |
Dietary Intakes | Breakfast | Vegetable | Milk | Fruit | Fast Food | Carbonated Beverage | Caffeinated Beverage | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Gender | No Intake | Intake | No Intake | Intake | No Intake | Intake | No Intake | Intake | No Intake | Intake | <2 Cups | ≥2 Cups | <2 Cups | ≥2 Cups | |
Boys | 17.5% | 82.5% | 3.6% | 96.4% | 12.1% | 87.9% | 10.7% | 89.3% | 20.4% | 79.6% | 60.2% | 39.8% | 91.8% | 8.2% | |
Girls | 16.9% | 83.1% | 4.4% | 95.6% | 18.9% | 81.1% | 8.9% | 91.1% | 22.4% | 77.6% | 75.1% | 24.9% | 93.3% | 6.7% | |
p(F) | 0.004(8.306) | 0.001(62.432) | 0.001(839.611) | 0.001(122.896) | 0.001(68.649) | 0.001(2440.094) | 0.001(56.581) |
Dietary Intakes | Breakfast | Vegetable | Milk | Fruit | Fast Food | Carbonated Beverage | Caffeinated Beverage | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Economy Status | No Intake | Intake | No Intake | Intake | No Intake | Intake | No Intake | Intake | No Intake | Intake | <2 Cups | ≥2 Cups | <2 Cups | ≥2 Cups | |
Low | 21.8% | 78.2% | 5.7% | 94.3% | 18.1% | 81.9% | 16.2% | 83.8% | 20.5% | 79.5% | 62.7% | 37.3% | 88.9% | 11.1% | |
Middle | 18.8% | 81.2% | 4.2% | 95.8% | 16.0% | 84.0% | 10.7% | 89.3% | 18.8% | 81.2% | 65.6% | 34.4% | 91.1% | 8.9% | |
High | 15.7% | 84.3% | 3.7% | 96.3% | 14.7% | 85.3% | 8.5% | 91.5% | 22.7% | 77.3% | 68.8% | 31.2% | 93.7% | 6.3% | |
p(F) | 0.001 (246.934) | 0.001 (67.630) | 0.001 (56.954) | 0.001 (423.427) | 0.001 (149.387) | 0.001 (124.953) | 0.001 (306.922) |
Dietary Intakes | Breakfast | Vegetable | Milk | Fruit | Fast Food | Carbonated Beverage | Caffeinated Beverage | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
BMI | No Intake | Intake | No Intake | Intake | No Intake | Intake | No Intake | Intake | No Intake | Intake | <2 Cups | ≥2 Cups | <2 Cups | ≥2 Cups | |
Underweight | 16.7% | 83.3% | 4.3% | 95.7% | 15.3% | 84.7% | 8.9% | 91.1% | 21.4% | 78.6% | 66.7% | 33.1% | 94.1% | 5.9% | |
Normal range | 17.1% | 82.9% | 3.9% | 96.1% | 15.6% | 84.4% | 9.4% | 90.6% | 20.9% | 79.1% | 68.3% | 31.7% | 92.7% | 7.3% | |
Overweight | 17.1% | 82.9% | 3.7% | 96.3% | 14.8% | 85.2% | 10.1% | 89.9% | 21.9% | 78.1% | 68.1% | 31.9% | 92.1% | 7.9% | |
Obese | 17.9% | 82.1% | 3.4% | 96.6% | 15.2% | 84.8% | 11.7% | 88.3% | 22.4% | 77.6% | 65.7% | 34.3% | 91.0% | 9.0% | |
p(F) | 0.001 (5.354) | 0.001 (10.464) | 0.046 (2.676) | 0.001 (48.722) | 0.001 (10.102) | 0.001 (23.592) | 0.001 (72.972) |
Dietary Intakes | Breakfast | Vegetable | Milk | Fruit | Fast Food | Carbonated Beverage | Caffeinated Beverage | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Academic Achievement | No Intake | Intake | No Intake | Intake | No Intake | Intake | No Intake | Intake | No Intake | Intake | <2 Cups | ≥2 Cups | <2 Cups | ≥2 Cups | |
Low | 26.0% | 74.0% | 7.3% | 92.7% | 18.8% | 81.2% | 17.6% | 82.4% | 18.7% | 81.3% | 56.5% | 43.5% | 89.1% | 10.9% | |
Middle | 16.8% | 83.2% | 3.7% | 96.3% | 15.4% | 84.6% | 9.5% | 90.5% | 21.5% | 78.5% | 68.1% | 31.9% | 93.0% | 7.0% | |
High | 14.7% | 85.3% | 3.9% | 96.1% | 13.1% | 86.9% | 7.3% | 92.7% | 22.1% | 77.9% | 68.6% | 31.4% | 90.9% | 9.1% | |
p(F) | 0.001 (390.589) | 0.001 (197.375) | 0.001 (99.529) | 0.001 (560.192) | 0.001 (33.831) | 0.001 (359.175) | 0.001 (184.932) |
D.V. | Breakfast a | Vegetable b | Milk c | Fruit d | |||||
---|---|---|---|---|---|---|---|---|---|
I.V. | OR (95% CI) | p-Value | OR (95% CI) | p-Value | OR (95% CI) | p-Value | OR (95% CI) | p-Value | |
Physical health | Physical activity | 1.045 (1.038~1.051) | 0.001 | 1.154 (1.137~1.171) | 0.001 | 1.154 (1.145~1.163) | 0.001 | 1.091 (1.081~1.101) | 0.001 |
Enough sleep | 1.082 (1.069~1.095) | 0.001 | 1.099 (1.071~1.127) | 0.001 | 1.081 (1.067~1.095) | 0.001 | 1.077 (1.061~1.094) | 0.001 | |
Mental health | Stress | 0.959 (0.945~0.973) | 0.001 | 0.885 (0.855~0.910) | 0.001 | 0.908 (0.894~0.922) | 0.001 | 0.852 (0.836~0.868) | 0.001 |
Depression | 0.889 (0.863~0.915) | 0.001 | 0.932 (0.884~0.982) | 0.001 | 1.006 (0.975~1.038) | 0.723 | 0.984 (0.948~1.021) | 0.391 | |
Suicide attempts | 0.761 (0.711~0.814) | 0.001 | 0.552 (0.496~0.615) | 0.001 | 0.940 (0.871~1.014) | 0.110 | 0.696 (0.644~0.753) | 0.001 |
D.V. | Fast Food e | Carbonated Beverage f | Caffeinated Beverage g | ||||
---|---|---|---|---|---|---|---|
I.V. | OR (95% CI) | p-Value | OR (95% CI) | p-Value | OR (95% CI) | p-Value | |
Physical health | Physical activity | 1.011 (1.005~1.016) | 0.001 | 1.076 (1.070~1.081) | 0.001 | 1.068 (1.059~1.077) | 0.001 |
Enough sleep | 0.924 (0.914~0.934) | 0.001 | 0.951 (0.942~0.961) | 0.001 | 0.818 (0.802~0.834) | 0.001 | |
Mental health | Stress | 1.009 (0.996~1.023) | 0.155 | 1.042 (1.030~1.054) | 0.001 | 1.209 (1.181~1.238) | 0.001 |
Depression | 1.204 (1.169~1.239) | 0.001 | 1.173 (1.144~1.202) | 0.001 | 1.445 (1.386~1.505) | 0.001 | |
Suicide attempts | 0.905 (0.843~0.972) | 0.006 | 1.308 (1.231~1.389) | 0.001 | 1.842 (1.702~1.994) | 0.001 |
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Yim, H.-R.; Yun, H.J.; Lee, J.H. An Investigation on Korean Adolescents’ Dietary Consumption: Focused on Sociodemographic Characteristics, Physical Health, and Mental Health. Int. J. Environ. Res. Public Health 2021, 18, 9773. https://doi.org/10.3390/ijerph18189773
Yim H-R, Yun HJ, Lee JH. An Investigation on Korean Adolescents’ Dietary Consumption: Focused on Sociodemographic Characteristics, Physical Health, and Mental Health. International Journal of Environmental Research and Public Health. 2021; 18(18):9773. https://doi.org/10.3390/ijerph18189773
Chicago/Turabian StyleYim, Hui-Rang, Hyun Ju Yun, and Jee Hye Lee. 2021. "An Investigation on Korean Adolescents’ Dietary Consumption: Focused on Sociodemographic Characteristics, Physical Health, and Mental Health" International Journal of Environmental Research and Public Health 18, no. 18: 9773. https://doi.org/10.3390/ijerph18189773