The purpose of this study was to investigate differences in the
prevalence of obesity among Korean adolescents and to determine the relationship
of obesity prevalence with weekly frequency of physical education (PE) classes.
In 2009, 72,399 students from grades 7 to 12 participated in the fifth Korea
Youth Risk Behavior Web-based Survey (KYRBWS-V) project. Body mass index
(BMI) and the frequency of PE classes attended were assessed by the KYRBWS-
V. BMI was computed to classify the participants as underweight, normal
weight, overweight, and obese. The association between the frequency of
PE classes and BMI were examined using one-way ANOVA and logistic regression
analysis. The differences in the weekly frequency of PE classes and the
BMI values among both the boys and girls were significant (p < 0.001).
A post-hoc test showed that underweight boys and girls attended the PE classes
more frequently (p < 0.001), and overweight girls attended these classes
less frequently (p < 0.01) than the other groups did; moreover, obese
boys and girls, compared to boys and girls in the other groups, attended
less number of PE classes per week while at school (p < 0.05). Besides,
the odds ratio (95% confidence interval, CI) for normal-weight vs. underweight
boys attending 1 PE class, 2 PE classes, and > 3 PE classes per week were
1.168 (1.011-1.349, p = 0.035), 1.621 (1.450-1.812, p < 0.001), and 3.023
(2.704-3.381, p < 0.001), respectively, compared with those for boys
who did not attend PE classes. The OR (95% CI) of normal-weight vs. obese
boys attending > 3 PE classes attended across normal vs. obese boys was 0.862
(0.762-0.974, p = 0.017), compared with those of boys who did not attend
PE classes. The OR (95% CI) for normal-weight vs. underweight girls who
attended 2 PE classes and > 3 PE classes per week were 1.235 (1.131-1.349,
p < 0.001) and 2.238 (2.048-2.446, p < 0.001), respectively, compared
with those of girls who did not attend PE classes. The OR (95% CI) of for
normal-weight vs. overweight girls who attended > 3 PE classes per week were
0.886 (0.787- 0.997, p = 0.045) and 0.772 (0.679-0.878, p < 0.001), respectively,
compared with those of girls who did not attend PE classes. The OR (95%
CI) for normal-weight vs. obese girls who attended 2 PE classes and > 3 PE
classes per week were 0.788 (0.675-0.919, p = 0.002) and 0.709 (0.599-0.838,
p < 0.001), respectively, compared with those of girls who did not attend
the PE class. Increase in the frequency of PE classes should be considered
in any attempt for curbing weight-related problems in Korean adolescents.
Key words: Prevalence of obesity, physical education class, adolescents. |
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