국내 아동 비 만 중재 연구 의 동향 분석 
 doi : https : / / doi . org / 10 . 4094 / chnr . 2017 . 23 . 1 . 81 
 Jiyoung Park 1 , Hyunhee Ma , 2 , Yu - nah Lee 2 and Hee Oh 3 
 박지영 1 , 마현 희 , 2 , 이유나 2 and 오희 3 
 이 논문 은 2015 년 도 정부 ( 미래 창조 과학부 ) 의 재원 으로 한국연구재단 의 지원 을 받 아 수행 된 연구 임 ( No . 2015 R 1 C 1 A 1 A 01052892 ) . 
 This work was supported by a National Research Foundation of Korea ( NRF ) grant funded by the Korea government ( MSIP ) ( No . 2015 R 1 C 1 A 1 A 01052892 ) . 
 received : 2016 December 14 , rev - recd : 2017 January 18 , accepted : 2017 January 18 . 
 Keywords : 아 동비 만 , 중재 연구 , 동향 
 Keywords : Childhood obesity , Intervention study , Trends 
 Participants Children 157 ( 81 . 8 ) 9 ( 69 . 2 ) 44 ( 80 . 0 ) 55 ( 75 . 3 ) 49 ( 96 . 1 ) 
 Children · Parents · Teacher 34 ( 17 . 7 ) 4 ( 30 . 8 ) 11 ( 20 . 0 ) 17 ( 23 . 3 ) 2 ( 3 . 9 ) 
 Children · Parents 1 ( 0 . 5 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 1 . 4 ) 0 ( 0 . 0 ) 
 Children ' s age Infant 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 
 Toddler 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 
 Preschooler 1 ( 0 . 5 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 1 . 4 ) 0 ( 0 . 0 ) 
 Schooler 177 ( 92 . 2 ) 12 ( 92 . 3 ) 51 ( 92 . 7 ) 64 ( 87 . 7 ) 50 ( 98 . 0 ) 
 Adolescent 9 ( 4 . 7 ) 1 ( 7 . 7 ) 4 ( 7 . 3 ) 3 ( 4 . 1 ) 1 ( 2 . 0 ) 
 Schooler · Adolescent 4 ( 2 . 1 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 1 . 4 ) 0 ( 0 . 0 ) 
 Not clear 1 ( 0 . 5 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 4 ( 5 . 5 ) 0 ( 0 . 0 ) 
 Children ' s gender Boy 55 ( 28 . 6 ) 3 ( 23 . 1 ) 11 ( 20 . 0 ) 28 ( 38 . 4 ) 13 ( 17 . 8 ) 
 Girl 16 ( 8 . 3 ) 1 ( 7 . 7 ) 7 ( 12 . 7 ) 2 ( 2 . 7 ) 6 ( 11 . 8 ) 
 Boy · Girl : not stated 89 ( 46 . 4 ) 9 ( 69 . 2 ) 32 ( 58 . 2 ) 30 ( 41 . 1 ) 18 ( 35 . 3 ) 
 Not clear 32 ( 16 . 7 ) 0 ( 0 . 0 ) 5 ( 9 . 1 ) 13 ( 25 . 5 ) 14 ( 27 . 5 ) 
 Children ' s weight status Normal weight 1 ( 0 . 5 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 2 . 0 ) 
 Over weight · Obesity 171 ( 89 . 1 ) 11 ( 84 . 6 ) 52 ( 94 . 5 ) 62 ( 84 . 9 ) 46 ( 90 . 2 ) 
 Normal - Over weight · Obesity 14 ( 7 . 3 ) 1 ( 7 . 7 ) 2 ( 3 . 6 ) 7 ( 9 . 6 ) 4 ( 7 . 8 ) 
 Not clear 6 ( 3 . 1 ) 1 ( 7 . 7 ) 1 ( 1 . 8 ) 4 ( 5 . 5 ) 0 ( 0 . 0 ) 
 Total 192 ( 100 . 0 ) 13 ( 100 . 0 ) 55 ( 100 . 0 ) 73 ( 100 . 0 ) 51 ( 100 . 0 ) 
 Conceptual framework Yes 7 ( 3 . 6 ) 0 ( 0 . 0 ) 3 ( 5 . 5 ) 1 ( 1 . 4 ) 3 ( 5 . 9 ) 
 No 185 ( 96 . 4 ) 13 ( 100 . 0 ) 52 ( 94 . 5 ) 72 ( 98 . 6 ) 48 ( 94 . 1 ) 
 Experimental design True - experimental 28 ( 14 . 6 ) 0 ( 0 . 0 ) 5 ( 9 . 1 ) 14 ( 19 . 2 ) 9 ( 17 . 6 ) 
 Quasi - experimental 89 ( 46 . 4 ) 7 ( 53 . 8 ) 28 ( 50 . 9 ) 24 ( 32 . 9 ) 30 ( 58 . 8 ) 
 Pre - experimental 75 ( 39 . 1 ) 6 ( 46 . 2 ) 22 ( 40 . 0 ) 35 ( 47 . 9 ) 12 ( 23 . 5 ) 
 Research quality Randomization Yes 28 ( 14 . 6 ) 0 ( 0 . 0 ) 5 ( 9 . 1 ) 14 ( 19 . 2 ) 9 ( 17 . 6 ) 
 No / Not clear 164 ( 85 . 4 ) 13 ( 100 . 0 ) 50 ( 90 . 9 ) 59 ( 80 . 8 ) 42 ( 82 . 4 ) 
 Allocation of concealment Yes 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 
 No / Not clear 192 ( 100 . 0 ) 13 ( 100 . 0 ) 55 ( 100 . 0 ) 73 ( 100 . 0 ) 51 ( 100 . 0 ) 
 Blindness Yes 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 
 Intention to treat analysis Yes 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 
 Types of intervention for children Single Excercise 84 ( 43 . 8 ) 3 ( 23 . 1 ) 19 ( 34 . 5 ) 28 ( 38 . 4 ) 34 ( 66 . 7 ) 
 Behaviour 26 ( 13 . 5 ) 1 ( 7 . 7 ) 13 ( 23 . 6 ) 8 ( 11 . 0 ) 4 ( 7 . 8 ) 
 Others 1 ( 0 . 5 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 2 . 0 ) 
 Subtotal 111 ( 57 . 8 ) 4 ( 30 . 8 ) 32 ( 58 . 1 ) 36 ( 49 . 4 ) 39 ( 76 . 5 ) 
 Multiple Excercise · Diet 8 ( 4 . 2 ) 2 ( 15 . 4 ) 2 ( 3 . 6 ) 2 ( 2 . 7 ) 2 ( 3 . 9 ) 
 Excercise · Behaviour 60 ( 31 . 3 ) 6 ( 46 . 2 ) 18 ( 32 . 7 ) 29 ( 39 . 7 ) 7 ( 13 . 7 ) 
 Exercise · Others 2 ( 1 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 1 . 4 ) 1 ( 2 . 0 ) 
 Excercise · Diet · Behaviour 8 ( 4 . 2 ) 0 ( 0 . 0 ) 3 ( 5 . 5 ) 3 ( 4 . 1 ) 2 ( 3 . 9 ) 
 Excercise · Behaviour · Others 2 ( 1 . 0 ) 1 ( 7 . 7 ) 0 ( 0 . 0 ) 1 ( 1 . 4 ) 0 ( 0 . 0 ) 
 Excercise · Diet · Behaviour · Others 1 ( 0 . 5 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 1 . 4 ) 0 ( 0 . 0 ) 
 Subtotal 81 ( 42 . 2 ) 9 ( 69 . 3 ) 23 ( 41 . 8 ) 37 ( 50 . 7 ) 12 ( 23 . 5 ) 
 Delivery method for children On - line 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 
 Off - line 189 ( 98 . 4 ) 13 ( 100 . 0 ) 55 ( 100 . 0 ) 71 ( 97 . 3 ) 50 ( 98 . 0 ) 
 On - line · Off - line 3 ( 1 . 6 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 2 ( 2 . 7 ) 1 ( 2 . 0 ) 
 Intervention period ( M ± SD ) 12 . 64 ± 9 . 48 11 . 18 ± 5 . 11 12 . 00 ± 7 . 71 12 . 17 ± 10 . 55 12 . 64 ± 10 . 31 
 Intervention provider Teacher · Researcher · Research assistant , others 92 ( 47 . 9 ) 8 ( 61 . 5 ) 29 ( 52 . 7 ) 43 ( 58 . 9 ) 12 ( 23 . 5 ) 
 Not clear 100 ( 52 . 1 ) 5 ( 38 . 5 ) 26 ( 47 . 3 ) 30 ( 41 . 1 ) 39 ( 76 . 5 ) 
 Intervention place Home 2 ( 1 . 0 ) 0 ( 0 . 0 ) 2 ( 3 . 6 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 
 School 44 ( 22 . 9 ) 3 ( 23 . 1 ) 8 ( 14 . 5 ) 20 ( 27 . 4 ) 13 ( 25 . 5 ) 
 Community 25 ( 13 . 0 ) 0 ( 0 . 0 ) 7 ( 12 . 7 ) 10 ( 13 . 7 ) 8 ( 15 . 7 ) 
 School · Community 2 ( 1 . 0 ) 2 ( 15 . 4 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 
 Others 5 ( 2 . 6 ) 1 ( 7 . 7 ) 2 ( 3 . 6 ) 2 ( 2 . 7 ) 0 ( 0 . 0 ) 
 Not clear 114 ( 59 . 4 ) 7 ( 53 . 8 ) 36 ( 65 . 5 ) 41 ( 56 . 2 ) 30 ( 58 . 8 ) 
 Level of outcome Children 184 ( 95 . 8 ) 13 ( 100 . 0 ) 53 ( 96 . 4 ) 67 ( 91 . 8 ) 51 ( 100 . 0 ) 
 Children · Parents 7 ( 3 . 6 ) 0 ( 0 . 0 ) 2 ( 3 . 6 ) 5 ( 6 . 8 ) 0 ( 0 . 0 ) 
 Children · Parents · Teacher 1 ( 0 . 5 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 1 . 4 ) 0 ( 0 . 0 ) 
 Types of outcome for children Single Physiological 117 ( 60 . 9 ) 7 ( 53 . 8 ) 27 ( 49 . 1 ) 45 ( 61 . 6 ) 38 ( 74 . 5 ) 
 Psychosocial 6 ( 3 . 1 ) 0 ( 0 . 0 ) 2 ( 3 . 6 ) 1 ( 1 . 4 ) 3 ( 5 . 9 ) 
 Lifestyle 4 ( 2 . 1 ) 0 ( 0 . 0 ) 2 ( 3 . 6 ) 2 ( 2 . 7 ) 0 ( 0 . 0 ) 
 Subtotal 127 ( 66 . 1 ) 7 ( 53 . 8 ) 31 ( 56 . 3 ) 48 ( 65 . 7 ) 41 ( 80 . 4 ) 
 Multiple Physiological · Psychosocial 15 ( 7 . 8 ) 0 ( 0 . 0 ) 6 ( 10 . 9 ) 3 ( 4 . 1 ) 6 ( 11 . 8 ) 
 Physiological · Lifestyle 13 ( 6 . 8 ) 2 ( 15 . 4 ) 5 ( 9 . 1 ) 6 ( 8 . 2 ) 0 ( 0 . 0 ) 
 Psychosocial · Lifestyle 2 ( 1 . 0 ) 0 ( 0 . 0 ) 1 ( 1 . 8 ) 1 ( 1 . 4 ) 0 ( 0 . 0 ) 
 Psychosocial · Others 1 ( 0 . 5 ) 0 ( 0 . 0 ) 1 ( 1 . 8 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 
 Physiological · Psychosocial · Lifestyle 32 ( 16 . 7 ) 4 ( 30 . 8 ) 10 ( 18 . 2 ) 15 ( 20 . 5 ) 3 ( 5 . 9 ) 
 Physiological · Psychosocial · Lifestyle · Others 2 ( 1 . 0 ) 0 ( 0 . 0 ) 1 ( 1 . 8 ) 0 ( 0 . 0 ) 1 ( 2 . 0 ) 
 Subtotal 65 ( 33 . 8 ) 6 ( 46 . 2 ) 24 ( 43 . 6 ) 25 ( 34 . 2 ) 10 ( 19 . 7 ) 
 Fllow - up Yes 10 ( 5 . 2 ) 1 ( 7 . 7 ) 4 ( 7 . 3 ) 3 ( 4 . 1 ) 2 ( 3 . 9 ) 
 No 182 ( 94 . 8 ) 12 ( 92 . 3 ) 51 ( 92 . 7 ) 70 ( 95 . 9 ) 49 ( 96 . 1 ) 
 Types of outcome for parent Psychosocial 2 ( 25 . 0 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 2 ( 33 . 3 ) 0 ( 0 . 0 ) 
 Physiological · Lifestyle 2 ( 25 . 0 ) 0 ( 0 . 0 ) 1 ( 50 . 0 ) 1 ( 16 . 7 ) 0 ( 0 . 0 ) 
 Psychosocial · Lifestyle 2 ( 25 . 0 ) 0 ( 0 . 0 ) 1 ( 50 . 0 ) 1 ( 16 . 7 ) 0 ( 0 . 0 ) 
 Lifestyle · Others 1 ( 12 . 5 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 16 . 7 ) 0 ( 0 . 0 ) 
 Others 1 ( 12 . 5 ) 0 ( 0 . 0 ) 0 ( 0 . 0 ) 1 ( 16 . 7 ) 0 ( 0 . 0 ) 
 Total 8 ( 100 . 0 ) 0 ( 0 . 0 ) 2 ( 100 . 0 ) 6 ( 100 . 0 ) 0 ( 0 . 0 )