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Yoonsuk Jekal, YoonMyung Kim, Ji Eun Yun, Eun Sung Kim, Masayo Naruse, Ji Hye Park, Dong Hoon Lee, Seung-youn Hong, Sun Ha Jee and Justin Y. Jeon

Background:

Few studies have been conducted to explore the associations of fatness and fitness during adolescence with risk factors of metabolic syndrome (MetS) during adulthood, particularly in Asians.

Methods:

Adolescent anthropometric and fitness data were collected during the participants’ high school years (N = 15,896) and their corresponding health examination data from adulthood were taken from the National Health Insurance Corporation (NHIC) in Korea. A total of 1,006 participants (6.3%) were analyzed in the study.

Results:

The odds ratios (ORs) for being overweight (BMI ≥ 25 kg/m2) during adulthood was 11.87 (95% CI: 4.19–33.59) in men and 8.44 (95% CI: 1.78–40.02) in women, respectively, in the fattest group vs. the leanest group during adolescence. Participants with low fitness levels during adolescence were more likely to be overweight and have abnormal MetS risk factors in adulthood vs. those with high fitness levels. Joint exposure analyses of fatness and fitness showed that male participants who were more fat and unfit during adolescence had 4.11 (95% CI: 1.19–14.14) and 3.04 (95% CI: 1.17–11.12) times higher risk of having abnormal glucose and MetS risks during adulthood, respectively.

Conclusions:

Fatness and fitness levels during adolescence appear to be significantly associated with the MetS risk factors and prevalence in adulthood in Koreans.

Open access

Yoonkyung Song, Hyuk In Yang, Eun-Young Lee, Mi-Seong Yu, Min Jae Kang, Hyun Joo Kang, Wook Song, YeonSoo Kim, Hyon Park, Han Joo Lee, Sang-hoon Suh, John C. Spence and Justin Y. Jeon

Background:

South Korea’s 2016 Report Card on Physical Activity for Children and Youth is the first assessment of physical activity according to the indicators set by Active Healthy Kids Global Alliance.

Methods:

National surveys were used as preferred sources of data. This was then supported by peer-reviewed papers and government reports identified by a systematic search of the literature written in English or Korean. A Research Working Group then graded indicators based on the collected evidence.

Results:

Each indicator was graded as follows: Overall Physical Activity, D-; Organized Sport and Physical Activity Participation, C-; Active Transport, C+; Sedentary Behavior, F; School, D; Government and Investment, C; Active Play, Physical Literacy, Family and Peers, and Community and Built Environment were graded INC (incomplete) due to lack of available evidence.

Conclusions:

Though the final grades of key indicators for South Korean children and youth are not satisfactory, increasing interests and investments have been demonstrated at a national level. More evidence is required for comprehensive assessment on all indicators to better inform policy and practice. This should be accompanied by the use of consistent criteria to contribute to global efforts for active healthy kids.

Open access

Jung-Woo Oh, JungJun Lim, Sang-Hwa Lee, Yu-sun Jin, Bumjo Oh, Chung Gun Lee, Deok Hwan Lee, Eun-Young Lee, Han Joo Lee, Hyon Park, Hyun Joo Kang, Justin Y. Jeon, Mi-Seong Yu, Sang-Hoon Suh, SeJung Park, So Jung Lee, Soo Jung Park, Wook Song, Yewon Yu, Yoonkyung Song, Youngwon Kim and Yeon Soo Kim