Increasing interests have been shown in associations between socioeconomic status (SES) and obesity in relation to health inequality. The research objectives were 1) to examine associations between SES and child obesity (including overweight) in Korea over 10 years and 2) to explore possible underlying mechanisms of relationships between SES and obesity. This study used the nationally representative data (KNHA-NES) from 1998, 2005, to 2009. Children (10-18 year-old) were grouped by household income (low, middle-low, middle-high and high) adjusted for the number of family members. Z-scores of height, weight, and BMI for each child were calculated from measured anthropometric data using the 2007 Korean national growth charts. No statistically significant associations were found, however, changes in association patterns were noted. The lower SES group showed shorter height as well as lighter weight among Korean children. More research should be conducted to understand the effects of socioeconomic status on child obesity.
KeywordsSocioeconomic StatusObesityKoreaChildren
De Onis, M., Blossner, M. and Borghi, E. (2010) Global prevalence and trends of overweight and obesity among preschool children. The American Journal of Clinical Nutrition, 92, 1257-1264. http://dx.doi.org/10.3945/ajcn.2010.29786
Wang, Y. and Lobstein, T. (2006) Worldwide trends in childhood overweight and obesity. International Journal of Pediatric Obesity, 1, 11-25. http://dx.doi.org/10.1080/17477160600586747
Deshmukh-Taskar, P., Nicklas, T.A., Morales, M., Yang, S.J., Zakeri, I. and Berenson, G.S. (2006) Tracking of overweight status from childhood to young adulthood: The Bogalusa Heart Study. European Journal of Clinical Nutrition, 60, 48-57. http://dx.doi.org/10.1038/sj.ejcn.1602266
Singh, A., Mulder, C., Twisk, J.W.R., Van Mechelen, W. and Chinapaw, M.J.M. (2008) Tracking of childhood overweight into adulthood: A systematic review of the literature. Obesity Reviews, 9, 474-488. http://dx.doi.org/10.1111/j.1467-789X.2008.00475.x
Power, C. and Thomas, C. (2011) Changes in BMI, duration of overweight and obesity, and glucose metabolism: 45 years of follow-up of a birth cohort. Diabetes Care, 34, 1986-1991. http://dx.doi.org/10.2337/dc10-1482
Srinivasan, S.R., Bao, W., Wattigney, W.A. and Berenson, G.S. (1996) Adolescent overweight is associated with adult overweight and related multiple cardiovascular risk factors: The Bogalusa Heart Study. Metabolism: Clinical and Experimental, 45, 235-240. http://dx.doi.org/10.1016/S0026-0495(96)90060-8
Sinaiko, A.R., Donahue, R.P., Jacobs, D.R. and Prineas, R.J. (1999) Relation of weight and rate of increase in weight during childhood and adolescence to body size, blood pressure, fasting insulin, and lipids in young adults: The Minneapolis Children’s Blood Pressure Study. Circulation, 99, 1471-1476. http://dx.doi.org/10.1161/01.CIR.99.11.1471
Law, C., Power, C., Graham, H. and Merrick, D. (2007) Obesity and health inequalities. Obesity Reviews, 8, 19-22. http://dx.doi.org/10.1111/j.1467-789X.2007.00312.x
Sobal, J. and Stunkard, A.J. (1989) Socioeconomic status and obesity: A review of the literature. Psychological Bulletin, 105, 260-275. http://dx.doi.org/10.1037/0033-2909.105.2.260
Wang, Y. (2001) Cross-national comparison of childhood obesity: The epidemic and the relationship between obesity and socioeconomic status. International Journal of Epidemiology, 30, 1129-1136. http://dx.doi.org/10.1093/ije/30.5.1129
Wang, Y., Monteiro, C. and Popkin, B.M. (2002) Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. The American Journal of Clinical Nutrition, 75, 971-977.
Johnson, C.A., Xie, B., Liu, C., Reynolds, K.D., Chou, C.P., Koprowski, C., Gallaher, P., Sprutj-Metz, D., Guo, Q., Sun, P., Gong, J. and Palmer, P. (2006) Socio-demographic and cultural comparison of overweight and obesity risk and prevalence in adolescents in Southern California and Wuhan, China. Journal of Adolescent Health, 39, e1-e8.
Dinsa, G.D., Goryakin, Y., Fumagali, E. and Suhrche, M. (2012) Obesity and socioeconomic status in developing countries: A systematic review. Obesity Reviews, 13, 1067-1079. http://dx.doi.org/10.1111/j.1467-789X.2012.01017.x
El-Sayed, A.M., Scarborough, P. and Galea, S. (2012) Socioeconomic inequalities in childhood obesity in the United Kingdom: A systematic review of the literature. Obesity Facts, 5, 671-692. http://dx.doi.org/10.1159/000343611
Shrewsbury, V. and Wardle, J. (2008) Socioeconomic status and adiposity in childhood: A systematic review of cross-sectional studies 1990-2005. Obesity, 16, 275-284. http://dx.doi.org/10.1038/oby.2007.35
Bammann, K., Gwozdz, W., Lanfer, A., Barba, G., de Henauw, S., Eiben, G., Fernandez-Alvira, J.M., Kovacs, E., Lissner, L., Morento, L.A., Tornaritis, M., Veidebaum, T. and Pigeiot, I. (2012) Socioeconomic factors and childhood overweight in Europe: Results from the multi-centre IDEFICS study. Pediatric Obesity, 8, 1-12. http://dx.doi.org/10.1111/j.2047-6310.2012.00075.x
Yoo, S., Cho, H.J. and Khang, Y.H. (2010) General and abdominal obesity in South Korea, 1998-2007: Gender and socioeconomic differences. Preventive Medicine, 51, 460-465. http://dx.doi.org/10.1016/j.ypmed.2010.10.004
Kwon, Y., Oh, S., Park, S. and Park, Y. (2010) Association between household income and overweight of Korean and American children: Trends and differences. Nutrition Research, 30, 470-476. http://dx.doi.org/10.1016/j.nutres.2010.06.015
Oh, I.H., Cho, Y., Park, S.Y., Oh, C., Choe, B.K., Choi, J.M. and Yoon, T.Y. (2011) Relationship between socioeconomic variables and obesity in Korean adolescents. Journal of Epidemiology, 21, 263-270. http://dx.doi.org/10.2188/jea.JE20100099
Korea Centers for Disease Control and Prevention (1999) The 1998 Korea national health and nutrition examination survey. KCDC, Korea.
Korea Centers for Disease Control and Prevention (2006) The 2005 Korea national health and nutrition examination survey. KCDC, Korea.
Korea Centers for Disease Control and Prevention (2010) The 2009 Korea national health and nutrition examination survey. KCDC, Korea.
Korea Center for Disease Control and Prevention and the Korean Pediatric Society (2007) 2007 Korean national growth charts. KCDC, Korea.
Joh, H.K., Oh, J., Lee, H.J. and Kawachi, I. (2013) Gender and socioeconomic status in relation to weight perception and weight control behavior in Korean adults. Obesity Facts, 6, 17-27. http://dx.doi.org/10.1159/000346805
Rossen, L.M. and Schoendorf, K.C. (2012) Measuring health disparities: Trends in racial-ethnic and socioeconomic disparities in obesity among 2-to 18-year-old youth in the United States, 2001-2010. Annals of Epidemiology, 22, 698-704. http://dx.doi.org/10.1016/j.annepidem.2012.07.005
Cecil, J., Watt, P., Murrie, I., Wrieden, W., Wallis, D., Hetherington, M.M., Bolton-Smith, C. and Palmer, C.N. (2005) Childhood obesity and socioeconomic status: A novel role for height growth limitation. International Journal of Obesity, 29, 1199-1120. http://dx.doi.org/10.1038/sj.ijo.0803055