Koo Jae Ok
(Department of Home Economics, Korea National Open University)
,
Kim Soon Ki
(Department of Pediatrics, College of Medicine, Inha University)
,
Shin Dong Mi
(Department of Biochemistry, College of Medicine, Hanyang University)
This study was conducted to evaluate nutritional status of school children by biochemical assessment method. Subjects were 308 school children from 4th to 6th grade living in Bucheon city. Their blood glucose, total protein, albumin, total cholesterol, and triglyceride (TG) concentrations were deter...
This study was conducted to evaluate nutritional status of school children by biochemical assessment method. Subjects were 308 school children from 4th to 6th grade living in Bucheon city. Their blood glucose, total protein, albumin, total cholesterol, and triglyceride (TG) concentrations were determined. Mean blood glucose concentration was 77.56 mg/dl and $81.2\%$ of children had normal blood glucose concentration. The average proportion of hypoglycemia was $18.8\%$ among the three grades and prevalence of hypoglycemia in 4th grade school children was highest ($21.8\%$). Mean serum total protein and albumin levels were 7.14g/dl and 4.35g/dl, respectively, and all the subjects except only one were in normal range of total protein and albumin. Mean serum TG and total cholesterol concentrations were 145.82mg/dl and 94.50mg/dl. Serum TG and total cholesterol levels showed same pattern that the concentrations decreased in proportion to grade. Especially, there was significant difference between grades in serum total cholesterol. Furthermore, $11.7\%$ of 4th, $6.8\%$ of 5th, and $2.8\%$ of 6th grade school children have borderline hypertriglycemia or hypertriglycemia, risk factors of obesity or cardiovascular disease later in life. Taken together, there was conflict phenomenon that undernutrition of hypertriglycemia and overnutrition of hypertriglycemia existed together. Therefore, it is needed to develop discriminating and personalized nutritional feeding, counseling, and education program to cover the children of under- or over- nutritional status.
This study was conducted to evaluate nutritional status of school children by biochemical assessment method. Subjects were 308 school children from 4th to 6th grade living in Bucheon city. Their blood glucose, total protein, albumin, total cholesterol, and triglyceride (TG) concentrations were determined. Mean blood glucose concentration was 77.56 mg/dl and $81.2\%$ of children had normal blood glucose concentration. The average proportion of hypoglycemia was $18.8\%$ among the three grades and prevalence of hypoglycemia in 4th grade school children was highest ($21.8\%$). Mean serum total protein and albumin levels were 7.14g/dl and 4.35g/dl, respectively, and all the subjects except only one were in normal range of total protein and albumin. Mean serum TG and total cholesterol concentrations were 145.82mg/dl and 94.50mg/dl. Serum TG and total cholesterol levels showed same pattern that the concentrations decreased in proportion to grade. Especially, there was significant difference between grades in serum total cholesterol. Furthermore, $11.7\%$ of 4th, $6.8\%$ of 5th, and $2.8\%$ of 6th grade school children have borderline hypertriglycemia or hypertriglycemia, risk factors of obesity or cardiovascular disease later in life. Taken together, there was conflict phenomenon that undernutrition of hypertriglycemia and overnutrition of hypertriglycemia existed together. Therefore, it is needed to develop discriminating and personalized nutritional feeding, counseling, and education program to cover the children of under- or over- nutritional status.
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제안 방법
The children had been chosen as subjects of Health Promotion Project ofBucheon. With a questionnaire regarding their demographic characteristics, the height and weight of the subjects were measured.
대상 데이터
Subjects for this study were three hundred and eight elementary school children in Bucheon City, whose grades were fourth (n = 78), fifth (n = 89), and sixth (n = 141). The children had been chosen as subjects of Health Promotion Project ofBucheon.
데이터처리
Mean and standard deviation (SD) for each measurement were calculated and significances were analyzed by t-statistics using SAS (Statistical Analysis System) program.
성능/효과
1) Mean blood glucose concentration was 77.56mg/dl and 81.2% of children had normal blood glucose concentration. The average proportion of hypoglycemia was 18.
Mean serum glucose, total protein, albumin, total cholesterol, and TG concentrations in the different grade are shown in Table 1. The concentrations oftotal protein, albumin and TG were not significantly different ； however, those of blood glucose and total cholesterol showed significant difference between grades. Frequency of the children in each category of blood glucose, total protein, and albumin levels are shown in Table 2.
2) Mean serum total protein and albumin levels were 7.14g/ dl and 4.35g/dl, respectively, and there was no significant difference between grades. All the subjects except only one were in normal range of total protein and albumin,
The concentrations oftotal protein, albumin and TG were not significantly different ； however, those of blood glucose and total cholesterol showed significant difference between grades. Frequency of the children in each category of blood glucose, total protein, and albumin levels are shown in Table 2. There were no children classified to hyperglycemia ； however, 21.7% of 4th grade, 20.2% of 5th grade, and 16.3% of 6th grade children were hypoglycemia. Although the range of 70 - 120mg/dl of blood glucose are regarded normal, the children in the lower part of normal range(70 — 80 mg/dl) were 47.
3) Mean serum TG and total cholesterol concentrations were 145.82mg/dl and 94.50mg/dl and there were same pattern that the concentrations decreased by grade. Especially, there was significant difference between grades in serum total cholesterol.
In conclusion, about 19% of school children revealed to have hypoglycemia and the percentage of borderline hyperlipidemia or hyperlipidemia reached to nearly 12% in maximum. In other words, there was conflict phenomenon that undernutrition and overnutrition existed together.
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