The Analysis of Factors Causing the High Prevalence of Child Obesity in Jeju Island.

Purpose: For 3 consecutive years from 2012-2014, we analyzed the causative factors for why the Jeju Island had the highest obesity prevalences of school children among the 15 provinces in Korea.

Methods: From our analysis of 28,026 elementary school children with obesity or normal weight in the 15 provinces, we analyzed 12 factors related to eating habits, exercise habits, lifestyle, and mental health. The differences between the obese and normal weight children were researched. Finally, Jeju was compared with Seoul, which has the lowest obesity prevalence in school age children. Statistical analysis was performed using the chi square test of PASW Statistics ver. 18.0.

Results: Compared to the normal weight group, the obese group had significantly higher rates of consuming soft drinks (<0.001), fast food intake (=0.019), skipping breakfast (<0.001), insufficient sleep (<0.001), bullying experiences (=0.001) and runaway impulses (=0.012). Compared to Seoul, Jeju Island had significantly higher rates of Ramen intake (3.4% vs. 5.4%, =0.021) and meat intake (46.0% vs. 52.9%, =0.003). On the other hand, Jeju Island was significantly lower than was Seoul in their fruit intake (83.4% vs. 67.1%, <0.001), vegetable intake (71.4% vs. 64.2%, =0.001), and intense physical activity (63.4% vs. 47.7%, <0.001). Meanwhile, insufficient sleep (15.4% vs. 9.6%, <0.001) and runaway impulses (5.6% vs. 3.3%, =0.027) in children were significantly lower in Jeju Island than in Seoul.

Conclusion: The results of the obesity factor analysis of elementary school students in Jeju Island can be used as useful educational material for lowering the obesity prevalence in Jeju community.