search for



The Association between Physical Activity, Leisure Time Sedentary Behavior, and Self-Rated Health in Korean Adolescents: Findings from the Korea Youth Risk Behavior Survey, 2020
Korean J Sports Med 2022;40:30-38
Published online March 1, 2022;  https://doi.org/10.5763/kjsm.2022.40.1.30
© 2022 The Korean Society of Sports Medicine.

Namkuk Son, Hoyong Sung, Yeonsoo Kim

Department of Physical Education, College of Education, Seoul National University, Seoul, Korea
Correspondence to: Yeonsoo Kim
Department of Physical Education, College of Education, Seoul National University, Sports and Culture Research Bldg 71-1, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Korea
Tel: +82-880-7794, Fax: +82-872-2867, E-mail: kys0101@snu.ac.kr
Received August 24, 2021; Revised November 22, 2021; Accepted November 23, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: The purpose of this study was to examine the association between physical activity (PA), leisure time sedentary behavior (LTSB), and self-rated health (SRH) in Korean adolescents.
Methods: A cross-sectional analysis was conducted on 53,510 Korean middle and high school students from the Korea youth risk behavior survey, 2020. Complex samples logistic regression was performed to examine the association between PA, LTSB, and SRH.
Results: Students with lower levels of PA were significantly greater odds of having ‘fair and (very) poor’ SRH than those with higher levels of PA (moderate PA, ≥ 60 minutes on ≥ 5 days/week; vigorous PA, ≥ 20 minutes on ≥ 3 days/week; and resistance exercise, ≥ 3 days/week). Students with >4 hours/day of LTSB were significantly greater odds of having ‘fair and (very) poor’ SRH than those with ≤ 2 hours/day of LTSB. Students with ‘fair and (very) poor’ SRH were significantly greater odds of having obesity than those with ‘(very) good’ SRH.
Conclusion: The results of this study showed that PA is positively associated with SRH, and LTSB (≤ 2 vs. > 4 hours/day) is negatively associated with SRH in Korean adolescents. SRH was negatively associated with obesity after adjusting the covariates including PA and LTSB.
Keywords : Adolescent, Leisure time sedentary behavior, Physical activity, Self-rated health
꽌 濡

二쇨쟻 嫄닿컯씤吏(self-rated health) 떊泥댁쟻 嫄닿컯 諛 젙떊쟻 嫄닿컯쓣 룷븿븳 쟾諛섏쟻씤 嫄닿컯긽깭뿉 븳 二쇨쟻 씤떇쓣 쓽誘명븳떎1,2.

Wu 벑3 18꽭遺꽣 80꽭源뚯쓽 씪諛섏씤 18,000紐낆쓣 긽쑝濡 二쇨쟻 嫄닿컯씤吏 媛앷쟻 嫄닿컯긽깭쓽 뿰愿꽦쓣 遺꾩꽍븳 寃곌낵, 궙 닔以쓽 二쇨쟻 嫄닿컯씤吏뒗 떖뇤삁愿吏덊솚, 냼솕湲곗쭏솚, 룓吏덊솚 벑 쓽궗쓽 吏꾨떒뿉 쓽빐 媛앷쟻쑝濡 솗씤맂 吏덈퀝쓽 넂 쑀蹂묐쪧怨 쑀쓽븳 뿰愿꽦씠 엳뿀떎. 二쇨쟻 嫄닿컯씤吏뒗 씠 媛숈씠 媛앷쟻 嫄닿컯긽깭瑜 諛섏쁺븷 닔 엳湲 븣臾몄뿉 媛쒖씤쓽 쟾諛섏쟻씤 嫄닿컯긽깭瑜 醫낇빀쟻쑝濡 룊媛븯뒗 뜲 엳뼱 留ㅼ슦 以묒슂븯떎怨 븷 닔 엳떎.

二쇨쟻 嫄닿컯씤吏뒗 떎뼇븳 떊泥댁쟻 諛 젙떊쟻 嫄닿컯 臾몄젣 뿰愿꽦씠 엳쑝硫, 吏덈퀝 諛쒕퀝瑜 諛 궗留앸쪧뿉 븳 룆由쎌쟻씤 삁痢 슂씤씠떎4-6. 삉븳 泥냼뀈湲곕꽣 珥덇린 꽦씤湲곗뿉 씠瑜닿린源뚯 븞젙쟻씤 嫄닿컯 愿젴 痢≪젙諛⑸쾿씠 맆 닔 엳떎7,8. Vie 벑9 13꽭遺꽣 35꽭源뚯쓽 泥냼뀈 諛 珥덇린 꽦씤 23,679紐낆쓣 긽쑝濡 二쇨쟻 嫄닿컯씤吏 珥덇린 꽦씤湲(54꽭 誘몃쭔) 궗留앸쪧怨쇱쓽 뿰愿꽦쓣 醫낅떒쟻쑝濡 遺꾩꽍븳 뿰援ъ뿉꽌, 珥덇린 룊媛 떆 궙 닔以쓽 二쇨쟻 嫄닿컯씤吏瑜 蹂댁씤 洹몃9씠 넂 닔以쓣 蹂댁씤 洹몃9뿉 鍮꾪븯뿬 珥덇린 꽦씤湲곗뿉 궗留앺븷 쐞뿕꽦씠 쑀쓽븯寃 넂寃 굹궗떎怨 蹂닿퀬븯떎. 삉븳 궗留앹쓽 썝씤룄 二쇨쟻 嫄닿컯씤吏 닔以뿉 뵲씪 李⑥씠媛 엳뿀뒗뜲, 넂 닔以쓽 洹몃9뿉꽌뒗 醫낆뼇(34%), 援먰넻궗怨 벑 湲고 쇅쟻 썝씤(30%)쓽 鍮꾩쑉씠 넂븯怨, 궙 닔以쓽 洹몃9뿉꽌뒗 옄궡(23%), 湲고 쇅쟻 썝씤(21%), 븣 닔 뾾뒗 썝씤(17%)쓽 鍮꾩쑉씠 넂寃 굹궗떎. 뵲씪꽌 泥냼뀈湲곗뿉 二쇨쟻 嫄닿컯씤吏 닔以쓣 솗씤븯뿬 궙 닔以뿉 엳뒗 泥냼뀈뱾쓣 넂 닔以쑝濡 蹂솕떆궎湲 쐞븳 쟻젅븳 쓳씠 씠猷⑥뼱吏꾨떎硫 議곌린 궗留앸쪧씠 媛먯냼븷 닔 엳쓣 寃껋씠떎.

뿬윭 꽑뻾뿰援ъ뿉꽌 泥냼뀈쓽 二쇨쟻 嫄닿컯씤吏 닔以씠 궙 寃껋 떊泥댄솢룞 諛 醫뚯떇뻾룞 닔以怨 뿰愿꽦씠 엳떎怨 븯떎10-12. Granger 벑10씠 15꽭 泥냼뀈 13,783紐낆쓣 긽쑝濡 닔뻾븳 뿰援ъ뿉꽌, 理쒓렐 7씪 룞븞 븯猷⑥뿉 理쒖냼 1떆媛 씠긽쓽 솢룞쟻씤 떊泥댄솢룞쓣 닔뻾븳 궇씠 7씪씤 洹몃9씠 6씪 씠븯씤 洹몃9뿉 鍮꾪븯뿬 二쇨쟻 嫄닿컯씤吏 닔以씠 쑀쓽븯寃 넂寃 굹궗떎. Kantomaa 벑11씠 16꽭 泥냼뀈 7,063紐낆쓣 긽쑝濡 닔뻾븳 뿰援ъ뿉꽌뒗, 궗떦웾(metabolic equivalent of task)쓣 湲곗쑝濡 븳 떊泥댄솢룞 닔以怨 理쒕궛냼꽠痍⑤웾쓣 湲곗쑝濡 븳 떖룓泥대젰 닔以쓣 媛곴컖 꽦蹂꾩뿉 뵲씪 궪遺꾩쐞濡 굹늻뼱 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦쓣 遺꾩꽍븳 寃곌낵, 떊泥댄솢룞 諛 떖룓泥대젰 닔以씠 넂 寃껉낵 넂 닔以쓽 二쇨쟻 嫄닿컯씤吏 쑀쓽븳 뿰愿꽦씠 엳뿀떎. Husu 벑12 7꽭遺꽣 14꽭源뚯쓽 븘룞, 泥냼뀈 1,029紐낆쓣 긽쑝濡 媛앷쟻쑝濡 痢≪젙븳 醫뚯떇뻾룞 諛 떊泥댄솢룞怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦쓣 遺꾩꽍븯떎. 7씪 룞븞 媛냽룄怨(accelerometer)瑜 궗슜빐꽌 뼸뼱吏 뜲씠꽣媛 븯猷 10떆媛 씠긽씤 궇씠 4씪 씠긽씤 851紐낆쓽 뜲씠꽣瑜 遺꾩꽍븯쑝硫, 洹 寃곌낵 醫뚯떇뻾룞 닔以씠 넂쓣닔濡 二쇨쟻 嫄닿컯씤吏 닔以씠 넂쓣 媛뒫꽦씠 쑀쓽븯寃 媛먯냼븯怨, 븯猷 룊洹 嫄몄쓬닔(step)媛 留롮쓣닔濡 二쇨쟻 嫄닿컯씤吏 닔以씠 넂쓣 媛뒫꽦씠 쑀쓽븯寃 利앷븯떎.

Bélair 벑13씠 슦슱利앹씠 엳뒗 14–15꽭 泥냼뀈 9,702紐낆쓣 긽쑝濡 닔뻾븳 뿰援ъ뿉꽌뒗, 뿬媛떆媛 醫뚯떇뻾룞씠 븯猷 룊洹 2떆媛 珥덇낵씤 洹몃9씠 2떆媛 씠븯씤 洹몃9蹂대떎 以묐벑룄 닔以 씠긽쓽 슦슱利앷낵 遺덉븞 利앹긽씠 엳쓣 媛뒫꽦씠 쑀쓽븯寃 넂寃 굹궗떎. 씠뒗 뿬媛떆媛 醫뚯떇뻾룞 닔以씠 泥냼뀈쓽 젙떊嫄닿컯 닔以怨쇰룄 뿰愿꽦씠 엳쓬쓣 굹궡뒗 寃껋씠떎. Tebar 벑14씠 룊洹 뿰졊 14.3꽭 泥냼뀈 100,873紐낆쓣 긽쑝濡 닔뻾븳 뿰援ъ뿉꽌뒗, 븯猷 룊洹 4떆媛 씠긽쓽 醫뚯떇떆媛꾩씠 二쇰떦 300遺 씠긽쓽 떊泥댄솢룞 닔뻾怨쇰뒗 룆由쎌쟻쑝濡 궙 닔以쓽 二쇨쟻 嫄닿컯씤吏 쑀쓽븳 뿰愿꽦씠 엳뿀떎.

씠 媛숈씠 뿬윭 꽑뻾뿰援щ뱾쓽 寃곌낵瑜 넻븯뿬 떊泥댄솢룞 諛 뿬媛떆媛 醫뚯떇뻾룞 닔以씠 泥냼뀈쓽 떊泥댁쟻 諛 젙떊쟻 嫄닿컯쓣 룷븿븳 二쇨쟻 嫄닿컯씤吏뿉 쁺뼢쓣 誘몄튇떎뒗 寃껋쓣 븣 닔 엳떎. 洹몃윭굹 븳援 泥냼뀈쓣 긽쑝濡 떊泥댄솢룞 諛 븰뒿紐⑹쟻 씠쇅쓽 뿬媛떆媛 醫뚯떇뻾룞 닔以怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦쓣 遺꾩꽍븳 뿰援щ뒗 留ㅼ슦 遺議깊븳 떎젙씠떎. 뵲씪꽌 蹂 뿰援ъ쓽 紐⑹쟻 븳援 泥냼뀈쓽 떊泥댄솢룞 諛 뿬媛떆媛 醫뚯떇뻾룞怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦쓣 솗씤븯뒗 寃껋씠떎.

뿰援щ갑踰

1. 뿰援щ긽

蹂 뿰援щ뒗 젣16李(2020뀈) 泥냼뀈嫄닿컯뻾깭議곗궗 썝떆옄猷15瑜 遺꾩꽍븯쑝硫, 뿰援ъ쭊씠 냼냽맂 븰援 깮紐낆쑄由ъ쐞썝쉶쓽 떖쓽 硫댁젣 듅씤쓣 諛쏆븯떎(No. E2107/002-001). 씠 議곗궗뒗 슦由щ굹씪 以묓븰援 1븰뀈遺꽣 怨좊벑븰援 3븰뀈源뚯쓽 븰깮뱾쓣 긽쑝濡 떊泥댄솢룞, 젙떊嫄닿컯, 씉뿰, 쓬二 벑 嫄닿컯뻾깭 愿젴맂 슂씤뱾쓽 쁽솴쓣 뙆븙븯湲 쐞빐 닔뻾븯뒗 씡紐낆꽦 옄湲 湲곗엯떇 삩씪씤 議곗궗씠떎16. 以묓븰援 398媛쒓탳 怨좊벑븰援 395媛쒓탳 벑 珥 793媛쒓탳 54,948紐낆쓽 븰깮씠 議곗궗뿉 李몄뿬븯쑝硫, 씠以 理쒓렐 7씪 룞븞 븯猷 60遺 씠긽 떊泥댄솢룞 李몄뿬 씪닔, 怨좉컯룄 떊泥댄솢룞 李몄뿬 씪닔, 洹쇰젰 媛뺥솕 슫룞 李몄뿬 씪닔, 二쇱쨷 諛 二쇰쭚뿉 븠븘꽌 蹂대궦 떆媛 벑쓽 빆紐⑹뿉꽌 寃곗륫移섍 뾾뒗 53,510紐낆쓣 理쒖쥌 遺꾩꽍긽옄濡 꽑젙븯떎.

2. 뿰援 蹂씤

1) 떊泥댄솢룞

떊泥댄솢룞 ‘理쒓렐 7씪 룞븞 닔뻾븳 以묎컯룄 떊泥댄솢룞, 怨좉컯룄 떊泥댄솢룞, 洹몃━怨 洹쇰젰 媛뺥솕 슫룞 씪닔’媛 닔吏묐릺뿀떎. 떊泥댄솢룞 닔以쓽 援щ텇 泥냼뀈嫄닿컯뻾깭議곗궗 썝떆옄猷 씠슜吏移⑥꽌16쓽 吏몴 젙쓽뿉 뵲씪 援щ텇븯떎. 以묎컯룄 떊泥댄솢룞 ‘理쒓렐 7씪 룞븞 떖옣諛뺣룞씠 룊긽떆蹂대떎 利앷븯嫄곕굹, 닲씠 李 젙룄쓽 떊泥댄솢룞쓣 븯猷⑥뿉 珥앺빀 60遺 씠긽 븳 궇씠 5씪 씠긽’, 怨좉컯룄 떊泥댄솢룞 ‘理쒓렐 7씪 룞븞 怨좉컯룄 떊泥댄솢룞(議곌퉭, 異뺢뎄, 냽援, 깭沅뚮룄, 벑궛, 鍮좊Ⅸ 냽룄쓽 옄쟾嫄 湲, 鍮좊Ⅸ 닔쁺, 臾닿굅슫 臾쇨굔 굹瑜닿린 벑)쓣 20遺 씠긽 븳 궇씠 3씪 씠긽’, 洹쇰젰 媛뺥솕 슫룞 ‘理쒓렐 7씪 룞븞 洹쇰젰 媛뺥솕 슫룞(뙏援쏀렣湲, 쐵紐몄씪쑝궎湲, 뿭湲 뱾湲, 븘졊, 泥좊큺, 룊뻾遊 벑)쓣 븳 궇씠 3씪 씠긽’쓣 湲곗쑝濡 븯뿬 湲곗쓣 異⑹”븳 洹몃9怨 異⑹”븯吏 紐삵븳 洹몃9쑝濡 援щ텇븯떎.

2) 뿬媛떆媛 醫뚯떇뻾룞

뿬媛떆媛 醫뚯떇뻾룞 ‘理쒓렐 7씪 룞븞 븯猷 룊洹 二쇱쨷 諛 二쇰쭚뿉 븰뒿紐⑹쟻 씠쇅(TV 蹂닿린, 寃뚯엫, 씤꽣꽬, 닔떎뼥湲, 씠룞 以 븠븘엳湲 벑) 솢룞쓣 紐⑹쟻쑝濡 븠븘꽌 蹂대궦 떆媛(遺)’씠 닔吏묐릺뿀떎. 二쇱쨷 諛 二쇰쭚濡 援щ텇븯뿬 닔吏묐릺뿀湲 븣臾몄뿉, 씠瑜 ‘7씪 룞븞 븯猷 룊洹 븰뒿紐⑹쟻 씠쇅 븠븘꽌 蹂대궦 떆媛(遺)’쑝濡 굹궡湲 쐞븯뿬 ‘[(二쇱쨷 븯猷 룊洹 븰뒿紐⑹쟻 씠쇅 븠븘꽌 蹂대궦 떆媛×5)竊(二쇰쭚 븯猷 룊洹 븰뒿紐⑹쟻 씠쇅 븠븘꽌 蹂대궦 떆媛×2)]÷7’濡 솚궛븯뿬 遺꾩꽍뿉 궗슜븯떎. 꽭怨꾨낫嫄닿린援(World Health Organization)뿉꽌 諛쒗몴븳 떊泥댄솢룞怨 醫뚯떇뻾룞뿉 愿븳 媛씠뱶씪씤17뿉뒗 5–17꽭 궗씠쓽 븘룞 諛 泥냼뀈씠 뿬媛떆媛꾩뿉 醫뚯떇뻾룞쑝濡 쁺긽쓣 蹂대뒗 떆媛(recreational screen time)쓽 뼇쓣 젣븳빐빞 븳떎怨 沅뚯옣븯怨 엳쑝굹, 援ъ껜쟻씤 沅뚯옣 醫뚯떇뻾룞 떆媛꾩 젣떆븯吏 븡븯떎. 洹몃윭굹 罹먮굹떎 샇二쇱뿉꽌뒗 5–17꽭 궗씠쓽 븘룞 諛 泥냼뀈씠 뿬媛떆媛꾩뿉 醫뚯떇뻾룞쑝濡 쁺긽쓣 蹂대뒗 떆媛꾩씠 2떆媛꾩쓣 珥덇낵븯吏 븡룄濡 沅뚯옣븯怨 엳떎18,19. 씠윭븳 꽑뻾뿰援щ뱾쓣 李멸퀬븯뿬 蹂 뿰援ъ뿉꽌뒗 뿬媛떆媛 醫뚯떇뻾룞뿉꽌 洹몃9 媛꾩쓽 援щ텇 湲곗쓣 븰뒿紐⑹쟻 씠쇅 醫뚯떇뻾룞 떆媛꾩씠 븯猷 룊洹 2떆媛 씠븯, 2떆媛 珥덇낵–4떆媛 씠븯, 洹몃━怨 4떆媛 珥덇낵씤 꽭 洹몃9쑝濡 援щ텇븯떎.

3) 二쇨쟻 嫄닿컯씤吏

二쇨쟻 嫄닿컯씤吏뒗 룊긽떆 옄떊쓽 嫄닿컯긽깭뿉 븯뿬 ‘留ㅼ슦 嫄닿컯븳 렪씠떎’, ‘嫄닿컯븳 렪씠떎’, ‘蹂댄넻씠떎’, ‘嫄닿컯븯吏 紐삵븳 렪씠떎’, ‘留ㅼ슦 嫄닿컯븯吏 紐삵븳 렪씠떎’ 벑 떎꽢 媛吏 寃쎌슦濡 援щ텇븯뿬 닔吏묐릺뿀떎. 蹂 뿰援ъ뿉꽌뒗 泥냼뀈嫄닿컯뻾깭議곗궗 썝떆옄猷 씠슜吏移⑥꽌16 吏몴젙쓽뿉 뵲씪 嫄닿컯븳 렪 씠긽씠씪怨 깮媛곹븯뒗 洹몃9怨 蹂댄넻 씠븯씪怨 깮媛곹븯뒗 洹몃9쑝濡 援щ텇븯떎.

4) 怨듬씤

꽑뻾뿰援щ뱾20-22쓣 李멸퀬븯뿬 泥냼뀈쓽 떊泥댄솢룞 諛 뿬媛떆媛 醫뚯떇뻾룞怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦뿉 샎 蹂닔濡 옉슜븷 닔 엳뒗 슂씤뱾(꽦蹂, 븰뀈, 媛젙 寃쎌젣 긽깭, 씉뿰 뿬遺, 쓬二 뿬遺, 怨쇱껜以/鍮꾨쭔 뿬遺)쓣 怨듬씤쑝濡 吏젙븯떎. 씠 슂씤뱾 씠쇅뿉 異붽쟻쑝濡 떊泥댄솢룞怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦쓣 遺꾩꽍븷 븣뒗 뿬媛떆媛 醫뚯떇뻾룞쓣 怨듬씤쑝濡 吏젙븯쑝硫, 뿬媛떆媛 醫뚯떇뻾룞怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦쓣 遺꾩꽍븷 븣뒗 떊泥댄솢룞(以묎컯룄, 怨좉컯룄, 洹쇰젰 媛뺥솕 슫룞)쓣 怨듬씤쑝濡 吏젙븯떎. 二쇨쟻 嫄닿컯씤吏 鍮꾨쭔 쑀蹂묎낵쓽 뿰愿꽦쓣 遺꾩꽍븷 븣뒗 븵꽌 湲곗닠븳 紐⑤뱺 蹂씤쓣 怨듬씤쑝濡 吏젙븯떎.

3. 옄猷뚮텇꽍 諛⑸쾿

蹂듯빀몴蹂몄꽕怨꾨줈 씠猷⑥뼱吏 泥냼뀈嫄닿컯뻾깭議곗궗 옄猷뚮 遺꾩꽍븯湲 쐞븯뿬 泥냼뀈嫄닿컯뻾깭議곗궗 썝떆옄猷 씠슜吏移⑥꽌16뿉 뵲씪 蹂듯빀몴蹂몄꽕怨 遺꾩꽍쓣 떎떆븯떎. 怨꾩링蹂닔뿉 넻빀썑痢, 援곗쭛蹂닔뿉 吏묐씫, 몴蹂 媛以묎컪뿉 媛以묒튂瑜 媛곴컖 吏젙븯뿬 遺꾩꽍 怨꾪쉷뙆씪쓣 옉꽦븯쑝硫, 떊泥댄솢룞 諛 뿬媛떆媛 醫뚯떇뻾룞 愿젴 꽕臾 臾명빆뿉 寃곗륫移섍 뾾뒗 궗엺쓣 遺紐⑥쭛떒 蹂닔濡 꽕젙븯떎. 蹂듯빀몴蹂 鍮덈룄遺꾩꽍 諛 援먯감遺꾩꽍쓣 넻븯뿬 꽦蹂꾩뿉 뵲瑜 븰뀈, 媛젙 寃쎌젣 긽깭, 씉뿰 뿬遺, 쓬二 뿬遺, 怨쇱껜以/鍮꾨쭔 뿬遺뿉 븳 媛以묐릺吏 븡 鍮덈룄 異붿젙 鍮꾩쑉(weighted %)쓣 굹궡뿀떎. 삉븳 蹂듯빀몴蹂 濡쒖뒪떛 쉶洹遺꾩꽍쓣 넻븯뿬 떊泥댄솢룞 諛 뿬媛떆媛 醫뚯떇뻾룞怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦, 二쇨쟻 嫄닿컯씤吏 鍮꾨쭔 쑀蹂묎낵쓽 뿰愿꽦쓣 遺꾩꽍븯쑝硫, 援먯감鍮(odds ratio) 怨듬씤쓣 蹂댁젙븳 援먯감鍮(covariate-adjusted odds ratio) 諛 95% 떊猶곌뎄媛(confidence interval, CI)쓣 굹궡뿀떎. 넻怨꾨텇꽍뿉 궗슜븳 봽濡쒓렇옩 IBM SPSS version 26.0 (IBM Corp., Armonk, NY, USA) 봽濡쒓렇옩씠硫, 쑀쓽닔以(α) 0.05濡 꽕젙븯떎.

寃 怨

뿰援щ긽옄쓽 굹씠, 뿬媛떆媛 醫뚯떇뻾룞 떆媛(二쇱쨷, 二쇰쭚, 씪二쇱씪 룊洹), 떊泥댄솢룞(以묎컯룄, 怨좉컯룄, 洹쇰젰슫룞) 닔뻾 씪닔 諛 泥댁쭏웾吏닔뿉 븳 異붿젙맂 룊洹좉컪怨 몴以삤李⑤ Table 1뿉 굹궡뿀떎. 뿬媛떆媛 醫뚯떇뻾룞 궓븰깮怨 뿬븰깮쓽 룊洹 떆媛꾩씠 쑀궗븯쑝굹, 떊泥댄솢룞 닔以 궓븰깮씠 뜑 넂 寃껋쑝濡 굹궗떎. 꽦蹂꾩뿉 뵲瑜 븰뀈, 媛젙 寃쎌젣 긽깭, 쓬二 뿬遺, 씉뿰 뿬遺, 怨쇱껜以/鍮꾨쭔 뿬遺뿉 븳 媛以묐릺吏 븡 鍮덈룄 異붿젙 鍮꾩쑉쓣 Table 2뿉 굹궡뿀떎. 븰뀈 鍮꾩쑉 紐⑤뱺 븰뀈뿉꽌 궓븰깮怨 뿬븰깮쓽 鍮꾩쑉씠 쑀궗븯怨, 媛젙 寃쎌젣 긽깭뒗 궓븰깮怨 뿬븰깮 紐⑤몢 以묎컙 젙룄 닔以쑝濡 깮媛곹븯뒗 鍮꾩쑉씠 媛옣 넂寃 굹궗쑝硫 궙 닔以쑝濡 깮媛곹븯뒗 鍮꾩쑉씠 媛옣 궙寃 굹궗떎. 理쒓렐 30씪 룞븞 1옍 씠긽 닠쓣 留덉떊 궇씠 븯猷 씠긽씤 쓬二쇱옄쓽 鍮꾩쑉 궓븰깮씠 12.0%, 뿬븰깮씠 9.1%濡 굹궗떎. 삉븳 理쒓렐 30씪 룞븞 씪諛 떞諛(沅먮젴)굹 븸긽삎 쟾옄떞諛 삉뒗 沅먮젴삎 쟾옄떞諛(媛뿴떞諛)瑜 븳 踰덉씠씪룄 뵾슫 궇씠 븯猷 씠긽씤 씉뿰옄쓽 鍮꾩쑉 궓븰깮씠 6.6%, 뿬븰깮씠 2.8%濡 굹궗떎. 泥댁쭏웾吏닔뒗 2017뀈 냼븘泥냼뀈 꽦옣룄몴23 뿰졊蹂 泥댁쭏웾吏닔 諛깅텇쐞닔瑜 湲곗쑝濡 븯뿬 蹂몄씤쓽 굹씠(썡졊 湲곗) 媛숈 궗엺뱾쓽 洹몃9뿉꽌 85% 씠긽 95% 誘몃쭔뿉 빐떦맆 寃쎌슦 怨쇱껜以묒쑝濡, 95% 씠긽뿉 빐떦맆 寃쎌슦 鍮꾨쭔쑝濡 援щ텇븯떎. 怨쇱껜以묒 궓븰깮씠 11.6%, 뿬븰깮씠 8.7%濡 굹궗쑝硫, 鍮꾨쭔 궓븰깮씠 15.9%, 뿬븰깮씠 8.5%濡 굹굹 怨쇱껜以/鍮꾨쭔 紐⑤몢 궓븰깮쓽 鍮꾩쑉씠 뜑 넂寃 굹궗떎.

Table 1 . Characteristics of participants

VariableMaleFemaleTotal
No. of subjects27,67725,83353,510
Age (yr)15.20±0.0415.18±0.0415.19±0.02
LTSB (min/day)
Weekdays226.18±1.40230.54±1.46228.27±1.10
Weekend324.27±1.89322.60±1.98323.46±1.43
Every day of the week254.20±1.39256.84±1.50255.47±1.10
PA (day/wk)
Moderate PA≥60 min/day (0 to 7 days, 8-point scale)2.34±0.021.32±0.021.85±0.02
Vigorous PA≥20 min/day (0 to 5 days, 6-point scale)2.08±0.021.09±0.011.60±0.02
Resistance exercise (0 to 5 days, 6-point scale)1.96±0.020.69±0.011.35±0.02
Body mass index (kg/m2)22.29±0.0320.64±0.0321.50±0.03

Values are presented as mean±standard error.

LTSB: leisure time sedentary behavior, PA: physical activity.


Table 2 . Descriptive of covariates

VariableMaleFemaleTotal
Grade
Middle school (1st)5,007 (17.8)4,773 (18.0)9,780 (17.9)
Middle school (2nd)4,717 (16.1)4,574 (16.1)9,291 (16.1)
Middle school (3rd)4,768 (15.5)4,347 (15.5)9,115 (15.5)
High school (1st)4,511 (16.9)4,196 (16.9)8,707 (16.9)
High school (2nd)4,503 (17.0)4,163 (17.0)8,666 (17.0)
High school (3rd)4,171 (16.7)3,780 (16.4)7,951 (16.5)
Household economic status
High3,430 (12.7)2,419 (9.6)5,849 (11.2)
Mid-high7,909 (29.4)7,031 (28.0)14,940 (28.7)
Middle12,730 (45.3)12,995 (50.1)25,725 (47.6)
Mid-low2,922 (10.3)2,853 (10.5)5,775 (10.4)
Low686 (2.4)535 (1.9)1,221 (2.2)
Alcohol drinking*
No24,367 (88.0)23,451 (90.9)47,818 (89.4)
Yes3,310 (12.0)2,382 (9.1)5,692 (10.6)
Smoking
No25,859 (93.4)25,070 (97.2)50,929 (95.2)
Yes1,818 (6.6)763 (2.8)2,581 (4.8)
Body mass index
Normal or underweight19,440 (72.5)20,669 (82.8)40,109 (77.5)
Overweight3,177 (11.6)2,233 (8.7)5,410 (10.2)
Obese4,416 (15.9)2,204 (8.5)6,620 (12.3)

Values are presented as number (weighted %).

*No: never drank before or did not drink in the last 30 days, Yes: drank more than 1 glass in the last 30 days. No: never smoked before or did not smoke in the last 30 days, Yes: smoked at least 1 cigarette (including electronic cigarette and heated tobacco) in the last 30 days. Normal or underweight: <85% of each monthly age group, Overweight: ≥85% and <95% of each monthly age group, Obese: ≥95% of each monthly age group.



떊泥댄솢룞, 뿬媛떆媛 醫뚯떇뻾룞 諛 泥댁쭏웾吏닔뿉 븳 二쇨쟻 嫄닿컯씤吏 닔以뿉 뵲瑜 媛以묐릺吏 븡 鍮덈룄 異붿젙 鍮꾩쑉 Table 3뿉 굹궡뿀떎. 以묎컯룄 떊泥댄솢룞쓣 븯猷 60遺 씠긽, 二 5씪 씠긽 떎泥쒗븳 궗엺쓽 鍮꾩쑉 二쇨쟻 嫄닿컯씤吏 닔以씠 넂 븰깮씠 16.6%, 궙 븰깮씠 8.1%濡 굹궗쑝硫, 怨좉컯룄 떊泥댄솢룞쓣 븯猷 20遺 씠긽, 二 3씪 씠긽 떎泥쒗븳 궗엺쓽 鍮꾩쑉 二쇨쟻 嫄닿컯씤吏 닔以씠 넂 븰깮씠 31.7%, 궙 븰깮씠 17.9%濡 굹궗떎. 삉븳 洹쇰젰 媛뺥솕 슫룞쓣 二 3씪 씠긽 떎泥쒗븳 궗엺쓽 鍮꾩쑉 二쇨쟻 嫄닿컯씤吏 닔以씠 넂 븰깮씠 28.0%, 궙 븰깮씠 14.8%濡 굹굹 떊泥댄솢룞 愿젴 꽭 媛吏 쁺뿭뿉꽌 二쇨쟻 嫄닿컯씤吏 닔以씠 넂 븰깮쓽 떎泥 鍮꾩쑉씠 뜑 넂寃 굹궗떎. 꽭 媛吏 떊泥댄솢룞 媛곴컖쓽 湲곗쓣 紐⑤몢 異⑹”븳 궗엺쓽 鍮꾩쑉 二쇨쟻 嫄닿컯씤吏 닔以씠 넂 븰깮씠 11.0%, 궙 븰깮씠 4.1%濡 굹궗쑝硫, 꽭 媛吏 떊泥댄솢룞뿉꽌 紐⑤몢 湲곗쓣 異⑹”떆궎吏 紐삵븳 궗엺쓽 鍮꾩쑉 二쇨쟻 嫄닿컯씤吏 닔以씠 넂 븰깮씠 58.3%, 궙 븰깮씠 74.5%濡 굹궗떎.

Table 3 . Descriptive of PA, LTSB, and self-rated health

VariableGood*Fair and poor*Total
Moderate PA≥60 min/day (day/wk)
≥56,529 (16.6)1,374 (8.1)7,903 (14.0)
<530,915 (83.4)14,692 (91.9)45,607 (86.0)
Vigorous PA≥20 min/day (day/wk)
≥312,279 (31.7)2,974 (17.9)15,253 (27.5)
<325,165 (68.3)13,092 (82.1)38,257 (72.5)
RE (day/wk)
≥310,794 (28.0)2,424 (14.8)13,218 (24.0)
<326,650 (72.0)13,642 (85.2)40,292 (76.0)
No. of meeting PA and RE criteria
34,373 (11.0)694 (4.1)5,067 (8.9)
1−211,657 (30.6)3,496 (21.5)15,153 (27.8)
021,414 (58.3)11,876 (74.5)33,290 (63.2)
LTSB (hr/day)
≤27,554 (20.3)3,087 (19.4)10,641 (20.1)
>2 and ≤414,093 (38.0)5,515 (34.9)19,608 (37.1)
>415,797 (41.6)7,464 (45.6)23,261 (42.8)
Body mass index
Normal or underweight28,787 (79.0)11,322 (73.8)40,109 (77.5)
Overweight3,837 (10.2)1,573 (10.2)5,410 (10.2)
Obese4,099 (10.8)2,521 (16.0)6,620 (12.3)

Values are presented as number (weighted %).

PA: physical activity, RE: resistance exercise, LTSB: leisure time sedentary behavior.

*Good: ‘very good’ and ‘good’ of self-rated health, Fair and poor: ‘fair’, ‘poor’, and ‘very poor’ of self-rated health. Normal or underweight: <85% of each monthly age group, Overweight: ≥85% and <95% of each monthly age group, Obese: ≥95% of each monthly age group.



뿬媛떆媛 醫뚯떇뻾룞뿉꽌뒗 理쒓렐 7씪 룞븞 븯猷 룊洹 븰뒿 씠쇅쓽 紐⑹쟻쑝濡 븠븘꽌 蹂대궦 떆媛꾩씠 2떆媛 씠븯씤 궗엺쓽 鍮꾩쑉씠 二쇨쟻 嫄닿컯씤吏媛 넂 븰깮 20.3%, 궙 븰깮 19.4%濡 굹궗쑝硫, 4떆媛 珥덇낵씤 궗엺쓽 鍮꾩쑉 二쇨쟻 嫄닿컯씤吏媛 넂 븰깮씠 41.6%, 궙 븰깮씠 45.6%濡 굹궗떎. 泥댁쭏웾吏닔뒗 鍮꾨쭔뿉 빐떦릺뒗 궗엺쓽 鍮꾩쑉씠 二쇨쟻 嫄닿컯씤吏媛 넂 븰깮 10.8%, 궙 븰깮 16.0%濡 굹궗떎.

떊泥댄솢룞 諛 뿬媛떆媛 醫뚯떇뻾룞怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦뿉 븳 遺꾩꽍寃곌낵뒗 Table 4뿉 굹궡뿀떎. 븯猷 60遺 씠긽쓽 以묎컯룄 떊泥댄솢룞쓣 二 5씪 誘몃쭔쑝濡 떎떆븯뒗 洹몃9씠 二 5씪 씠긽 떎떆븯뒗 洹몃9蹂대떎 二쇨쟻 嫄닿컯씤吏媛 ‘蹂댄넻 씠븯’濡 굹궇 援먯감鍮꾨뒗 2.28 (95% CI, 2.14–2.43)濡 굹궗怨, 꽦蹂, 븰뀈, 씉뿰 諛 쓬二 뿬遺, 媛젙 寃쎌젣 긽깭, 怨쇱껜以/鍮꾨쭔 뿬遺, 뿬媛떆媛 醫뚯떇뻾룞 벑 怨듬씤씠 蹂댁젙맂 援먯감鍮꾨뒗 2.07 (95% CI, 1.93–2.21)濡 쑀쓽븯寃 넂寃 굹궗떎. 븯猷 20遺 씠긽쓽 怨좉컯룄 떊泥댄솢룞쓣 二 3씪 誘몃쭔 떎떆븯뒗 洹몃9씠 二 3씪 씠긽 떎떆븯뒗 洹몃9蹂대떎 二쇨쟻 嫄닿컯씤吏媛 ‘蹂댄넻 씠븯’濡 굹궇 援먯감鍮꾨뒗 2.12 (95% CI, 2.02–2.23), 怨듬씤씠 蹂댁젙맂 援먯감鍮꾨뒗 1.92(95% CI, 1.82–2.01)濡 쑀쓽븯寃 넂寃 굹궗떎. 洹쇰젰 媛뺥솕 슫룞쓣 二 3씪 誘몃쭔 떎떆븯뒗 洹몃9씠 二 3씪 씠긽 떎떆븯뒗 洹몃9蹂대떎 二쇨쟻 嫄닿컯씤吏媛 ‘蹂댄넻 씠븯’濡 굹궇 援먯감鍮꾨뒗 2.24 (95% CI, 2.12–2.36), 怨듬씤씠 蹂댁젙맂 援먯감鍮꾨뒗 1.96 (95% CI, 1.85–2.07)濡 쑀쓽븯寃 넂寃 굹궗떎. 꽭 媛吏 떊泥댄솢룞 湲곗쓣 紐⑤몢 誘몄땐議깊븳 洹몃9씠 紐⑤몢 異⑹”븳 洹몃9뿉 鍮꾪븯뿬 二쇨쟻 嫄닿컯씤吏媛 ‘蹂댄넻 씠븯’濡 굹궇 援먯감鍮꾨뒗 3.47 (95% CI, 3.17–3.79), 怨듬씤씠 蹂댁젙맂 援먯감鍮꾨뒗 3.08 (95% CI, 2.81–3.39)濡 쑀쓽븯寃 넂寃 굹궗떎. 삉븳 꽭 媛吏 떊泥댄솢룞 湲곗 以 1, 2媛吏留 異⑹”븳 洹몃9씠 꽭 媛吏 紐⑤몢 異⑹”븳 洹몃9뿉 鍮꾪븯뿬 二쇨쟻 嫄닿컯씤吏媛 ‘蹂댄넻 씠븯’濡 굹궇 援먯감鍮꾨뒗 1.90 (95% CI, 1.74–2.08), 怨듬씤씠 蹂댁젙맂 援먯감鍮꾨뒗 1.88 (95% CI, 1.71–2.06)濡 쑀쓽븯寃 넂寃 굹궗떎.

Table 4 . Relationships between PA, LTSB, and self-rated health

VariableReference group (OR=1)Comparison groupOR (95% CI) for ‘fair and poor’ self-rated health

OR (95% CI)Covariate-adjusted OR* (95% CI)
Moderate PA≥60 min/day (day/wk)≥5<52.28 (2.14−2.43)2.07 (1.93−2.21)
Vigorous PA≥20 min/day (day/wk)≥3<32.12 (2.02−2.23)1.92 (1.82−2.01)
RE (day/wk)≥3<32.24 (2.12−2.36)1.96 (1.85−2.07)
No. of meeting PA and RE criteria303.47 (3.17−3.79)3.08 (2.81−3.39)
31−21.90 (1.74−2.08)1.88 (1.71−2.06)
LTSB (hr/day)≤2>2 and ≤40.96 (0.91−1.02)0.95 (0.90−1.00)
≤2>41.15 (1.09−1.21)1.07 (1.01−1.12)

OR: odds ratio, CI: confidence interval, PA: physical activity, RE: resistance exercise, LTSB: leisure time sedentary behavior.

*Covariates: sex, grade, alcohol drinking, smoking, household economic status, body mass index竊딯TSB (for moderate/vigorous PA and RE), moderate/vigorous PA and RE (for LTSB). Statistically significant.



뿬媛떆媛 醫뚯떇뻾룞 理쒓렐 7씪 룞븞 븯猷 룊洹 ‘2떆媛 珥덇낵–4떆媛 씠븯’씤 洹몃9씠 ‘2떆媛 씠븯’씤 洹몃9뿉 鍮꾪븯뿬 二쇨쟻 嫄닿컯씤吏媛 ‘蹂댄넻 씠븯’濡 굹궇 援먯감鍮꾧 0.96 (95% CI, 0.91–1.02)쑝濡 굹궗怨, 꽦蹂, 븰뀈, 씉뿰 諛 쓬二 뿬遺, 媛젙 寃쎌젣 긽깭, 怨쇱껜以/鍮꾨쭔 뿬遺, 떊泥댄솢룞(以묎컯룄, 怨좉컯룄, 洹쇰젰 媛뺥솕 슫룞) 벑 怨듬씤씠 蹂댁젙맂 援먯감鍮꾨뒗 0.95 (95% CI, 0.90–1.00)濡 紐⑤몢 쑀쓽븳 李⑥씠媛 뾾뒗 寃껋쑝濡 굹궗떎. 洹몃윭굹 ‘4떆媛 珥덇낵’ 洹몃9씠 ‘2떆媛 씠븯’ 洹몃9뿉 鍮꾪븯뿬 二쇨쟻 嫄닿컯씤吏媛 ‘蹂댄넻 씠븯’濡 굹궇 援먯감鍮꾨뒗 1.15 (95% CI, 1.09–1.21), 怨듬씤씠 蹂댁젙맂 援먯감鍮꾨뒗 1.07 (95% CI, 1.01–1.12)濡 쑀쓽븯寃 넂寃 굹궗떎.

二쇨쟻 嫄닿컯씤吏 鍮꾨쭔 쑀蹂묎낵쓽 뿰愿꽦뿉 븳 遺꾩꽍寃곌낵뒗 Table 5뿉 굹궡뿀떎. 二쇨쟻 嫄닿컯씤吏 닔以씠 궙 洹몃9씠 넂 洹몃9뿉 鍮꾪븯뿬 鍮꾨쭔씪 援먯감鍮꾧 1.57 (95% CI, 1.49–1.66), 꽦蹂, 븰뀈, 씉뿰 諛 쓬二 뿬遺, 媛젙 寃쎌젣 긽깭, 떊泥댄솢룞(以묎컯룄, 怨좉컯룄, 洹쇰젰 媛뺥솕 슫룞), 뿬媛떆媛 醫뚯떇뻾룞 떆媛 벑 怨듬씤씠 蹂댁젙맂 援먯감鍮꾨뒗 1.65 (95% CI, 1.56–1.74)濡 쑀쓽븯寃 넂寃 굹궗떎.

Table 5 . Relationships between self-rated health and obesity

VariableReference group (OR=1)Comparison groupORs (95% CI) for obesity*

OR (95% CI)Covariate-adjusted OR (95% CI)
Self-rated health,§GoodFair and poor1.57 (1.49?1.66)1.65 (1.56?1.74)

OR: odds ratio, CI: confidence interval.

*Obesity: the body mass index is 95% or more of each monthly age group. Covariates: sex, grade, alcohol drinking, smoking, household economic status, moderate/vigorous physical activity, resistance exercise, leisure time sedentary behavior. Good: 쁵ery good and 쁤ood of self-rated health, Fair and poor: 쁣air, 쁯oor, and 쁵ery poor of self-rated health. §Statistically significant.


怨 李

蹂 뿰援 寃곌낵 븳援 泥냼뀈쓽 떊泥댄솢룞 닔以씠 二쇨쟻 嫄닿컯씤吏 닔以怨 젙쟻씤 뿰愿꽦씠 엳뿀쑝硫, 4떆媛꾩쓣 珥덇낵븯뒗 뿬媛떆媛 醫뚯떇뻾룞 2떆媛 씠븯씪 寃쎌슦 鍮꾧탳븯뿬 泥냼뀈쓽 二쇨쟻 嫄닿컯씤吏 닔以怨 遺쟻씤 뿰愿꽦씠 엳쓬쓣 굹궡뿀떎. 삉븳 二쇨쟻 嫄닿컯씤吏 닔以怨 鍮꾨쭔 쑀蹂묎낵쓽 뿰愿꽦쓣 遺꾩꽍븳 寃곌낵, 떊泥댄솢룞 닔以怨 뿬媛떆媛 醫뚯떇뻾룞 닔以씠 蹂댁젙맂 씠썑뿉룄 鍮꾨쭔 쑀蹂묎낵 쑀쓽븳 遺쟻 뿰愿꽦씠 엳뿀떎. 씠뒗 씠윭븳 蹂씤뱾怨 룆由쎌쟻쑝濡 二쇨쟻 嫄닿컯씤吏 닔以씠 鍮꾨쭔 쑀蹂묒뿉 쁺뼢쓣 誘몄튂뒗 슂씤씠 맆 닔 엳쓬쓣 쓽誘명븳떎.

Lachytova 벑24씠 14–16꽭 泥냼뀈 1,111紐낆쓣 긽쑝濡 닔뻾븳 뿰援ъ뿉꽌뒗 닲씠 媛걯怨 씠 굹뒗 닔以쓽 怨좉컯룄 떊泥댄솢룞쓣 留ㅼ씪 닔뻾븳 洹몃9씠 二 1쉶 誘몃쭔쑝濡 닔뻾븳 洹몃9蹂대떎 二쇨쟻 嫄닿컯씤吏媛 ‘嫄닿컯븳 렪(good) 씠긽’뿉 빐떦맆 援먯감鍮(怨듬씤: 꽦蹂, 泥댁쭏웾吏닔, 젙떊 嫄닿컯, 뿬媛떆媛 醫뚯떇뻾룞)媛 8.04 (95% CI, 1.62–39.85)濡 굹궗怨, 二 4–6쉶, 二 2–3쉶, 二 1쉶 닔뻾븳 洹몃9 媛곴컖 3.67 (95% CI, 1.14–11.78), 1.35 (95% CI, 0.57–3.18), 0.94 (95% CI, 0.35–2.55)濡 굹궗떎. 씠뒗 씪二쇱씪뿉 4–6쉶 씠긽 怨좉컯룄 떊泥댄솢룞쓣 닔뻾븳 寃쎌슦 1쉶 誘몃쭔씪 寃쎌슦뿉 鍮꾪븯뿬 二쇨쟻 嫄닿컯씤吏 닔以씠 쑀쓽븯寃 넂寃 굹궃 寃껋쑝濡, 몢 蹂씤 媛꾩뿉 젙쟻 뿰愿꽦씠 엳떎뒗 寃껋쓣 쓽誘명븳떎. 삉븳 뿬媛떆媛 醫뚯떇뻾룞뿉꽌뒗 븯猷⑥뿉 2떆媛 誘몃쭔쑝濡 븠븘꽌 TV瑜 떆泥븳 洹몃9씠 2떆媛 씠긽씤 洹몃9蹂대떎 二쇨쟻 嫄닿컯씤吏媛 ‘嫄닿컯븳 렪(good) 씠긽’뿉 빐떦맆 援먯감鍮(怨듬씤: 꽦蹂, 泥댁쭏웾吏닔, 젙떊 嫄닿컯, 떊泥댄솢룞)媛 2.56 (95% CI, 1.37–4.79)쑝濡 쑀쓽븯寃 넂寃 굹굹 몢 蹂씤 媛꾩뿉 遺쟻 뿰愿꽦씠 엳뒗 寃껋쑝濡 굹궗떎.

12–17꽭 泥냼뀈 7,725紐낆쓣 긽쑝濡 닔뻾븳 Herman 벑2쓽 뿰援ъ뿉꽌뒗, 솢룞쟻씤 洹몃9(≥3.0 kilocalories per kilogram per day, KKD)뿉 鍮꾪븯뿬 以묎컙 닔以쑝濡 솢룞쟻씤 洹몃9(1.5–2.9 KKD)怨 鍮꾪솢룞쟻씤 洹몃9(<1.5 KKD)쓽 二쇨쟻 嫄닿컯씤吏媛 ‘嫄닿컯븳 렪(good) 씠븯’濡 굹궇 援먯감鍮(怨듬씤: 굹씠, 씤醫, 媛援ъ< 븰젰, 씉뿰 뿬遺, 泥댁쭏웾吏닔, 뿬媛떆媛 醫뚯떇뻾룞)媛 궓옄 泥냼뀈 1.59 (95% CI, 1.33–1.90), 2.09 (95% CI, 1.75–2.50), 뿬옄 泥냼뀈 1.31 (95% CI, 1.09–1.59), 1.99 (95% CI, 1.67–2.36)濡 쑀쓽븯寃 넂寃 굹굹 몢 蹂씤 媛꾩뿉 젙쟻 뿰愿꽦씠 엳뒗 寃껋쑝濡 굹궗떎. 삉븳 뿬媛떆媛 醫뚯떇뻾룞뿉꽌뒗 TV 떆泥 삉뒗 씤꽣꽬 궗슜 諛 寃뚯엫쓣 紐⑹쟻쑝濡 而댄벂꽣瑜 궗슜븯뒗 떆媛꾩씠 븯猷 2떆媛 씠븯씤 洹몃9뿉 鍮꾪븯뿬, 2떆媛 珥덇낵씤 洹몃9쓽 二쇨쟻 嫄닿컯씤吏媛 ‘嫄닿컯븳 렪(good) 씠븯’濡 굹궇 援먯감鍮(怨듬씤: 굹씠, 씤醫, 媛援ъ< 븰젰, 씉뿰 뿬遺, 泥댁쭏웾吏닔, 떊泥댄솢룞)媛 궓옄 泥냼뀈 1.28 (95% CI, 1.08–1.52), 뿬옄 泥냼뀈 1.32 (95% CI, 1.13–1.54)濡 쑀쓽븯寃 넂寃 굹굹 몢 蹂씤 媛꾩뿉 遺쟻 뿰愿꽦씠 엳뒗 寃껋쑝濡 굹궗떎.

Zhang 벑1 泥닿퀎쟻 怨좎같 諛 硫뷀遺꾩꽍 뿰援ъ뿉꽌 1946뀈遺꽣 2019뀈 궗씠뿉 諛쒗몴맂 븘룞 諛 泥냼뀈쓽 떊泥댄솢룞 諛 醫뚯떇뻾룞怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦쓣 뿰援ы븳 68媛쒖쓽 끉臾몄쓣 遺꾩꽍븯떎. 洹 寃곌낵 븘룞 諛 泥냼뀈쓽 떊泥댄솢룞怨 二쇨쟻 嫄닿컯씤吏 닔以怨쇱쓽 뿰愿꽦쓣 떎猷 62媛쒖쓽 끉臾 以 떎닔씤 58媛쒖쓽 끉臾몄뿉꽌 몢 蹂씤 媛꾩뿉 쑀쓽븳 젙쟻 뿰愿꽦씠 굹궗떎怨 븯떎. 삉븳 醫뚯떇뻾룞怨 二쇨쟻 嫄닿컯씤吏쓽 뿰愿꽦쓣 떎猷 30媛쒖쓽 끉臾 以 21媛쒖쓽 끉臾몄뿉꽌 몢 蹂씤 媛꾩뿉 쑀쓽븳 遺쟻 뿰愿꽦씠 굹궗떎怨 븯떎.

씠 媛숈씠 뿬윭 꽑뻾뿰援ъ뿉꽌 泥냼뀈쓽 떊泥댄솢룞怨 二쇨쟻 嫄닿컯씤吏 닔以 젙쟻 뿰愿꽦씠, 뿬媛떆媛 醫뚯떇뻾룞쓣 룷븿븳 醫뚯떇뻾룞怨 二쇨쟻 嫄닿컯씤吏 닔以 遺쟻 뿰愿꽦씠 엳떎怨 븯쑝硫, 蹂 뿰援ъ뿉꽌룄 씠 媛숈 寃곌낵媛 굹궗떎.

씠윭븳 寃곌낵媛 굹궃 씠쑀뒗 떊泥댄솢룞 利앷 뿬媛떆媛 醫뚯떇뻾룞 媛먯냼媛 泥냼뀈뱾쓽 二쇨쟻 嫄닿컯씤吏뿉 쁺뼢쓣 誘몄튂뒗 떊泥댁쟻 諛 젙떊쟻 嫄닿컯 愿젴 슂씤뱾뿉 븳 湲띿젙쟻씤 슚怨 븣臾몄씪 寃껋씠씪怨 깮媛곷맂떎. 꽭怨꾨낫嫄닿린援ъ뿉꽌뒗 5–17꽭 궗씠쓽 븘룞 諛 泥냼뀈뿉寃 씪二쇱씪뿉 븯猷 룊洹 60遺 씠긽쓽 以?怨좉컯룄 쑀궛냼 떊泥댄솢룞쓣 떎떆븷 寃껋쓣 沅뚯옣븯怨 엳쑝硫, 怨좉컯룄 쑀궛냼 떊泥댄솢룞怨 洹쇰젰 媛뺥솕 슫룞 二 3씪 씠긽 떎떆븷 寃껋쓣 沅뚯옣븯怨 엳떎17. 솢룞웾怨 媛뺣룄媛 넂 닔以쓽 떊泥댄솢룞 븘룞 諛 泥냼뀈쓽 떖룓泥대젰, 洹쇰젰, 堉 嫄닿컯, 떖옣궗 嫄닿컯쓣 룷븿븳 嫄닿컯 愿젴 슂씤뱾뿉 湲띿젙쟻씤 슚怨쇰 굹궡뒗 寃껉낵 뿰愿꽦씠 엳쑝硫, 鍮꾨쭔 삁諛, 슦슱利 媛먯냼, 씤吏뒫젰 諛 븰뾽 꽦痍⑤룄 뼢긽뿉룄 湲띿젙쟻씤 슚怨쇰 굹궦떎怨 븯떎17,25,26. 삉븳 醫뚯떇뻾룞 ‘援먯쑁, 媛젙, 吏뿭궗쉶 諛 援먰넻 솚寃쎌뿉꽌 源⑥뼱엳뒗 룞븞 궙 닔以쓽 뿉꼫吏 냼鍮꾧 슂援щ릺뒗 븠嫄곕굹 늻슫 옄꽭濡 蹂대궦 떆媛’쑝濡 젙쓽븯쑝硫, 醫뚯떇뻾룞 닔以씠 넂 寃껉낵 泥댁諛⑸웾 利앷, 떖옣궗 嫄닿컯 빟솕, 泥대젰 빟솕, 移쒖궗쉶쟻 뻾룞 빟솕, 닔硫댁떆媛 媛먯냼, 硫댁뿭湲곕뒫 빟솕 벑 嫄닿컯 愿젴 슂씤쓽 빟솕 뿰愿꽦씠 엳떎怨 븯떎17,27. 뵲씪꽌 븘룞 諛 泥냼뀈씠 醫뚯떇뻾룞쑝濡 蹂대궡뒗 떆媛꾩쓽 뼇쓣 젣븳빐빞 븯硫, 듅엳 뿬媛떆媛꾩뿉 醫뚯떇뻾룞쑝濡 쁺긽쓣 蹂대뒗 떆媛꾩쓽 뼇쓣 젣븳빐빞 븳떎怨 븯떎17. 씠뒗 떊泥댄솢룞 닔以씠 넂쓣닔濡, 洹몃━怨 뿬媛떆媛 醫뚯떇뻾룞 닔以 궙쓣닔濡 泥냼뀈쓽 嫄닿컯 愿젴 슂씤뿉 湲띿젙쟻씤 쁺뼢쓣 誘몄튌 닔 엳쓬쓣 쓽誘명븳떎. 洹몃윭굹 떊泥댄솢룞 援ъ껜쟻씤 沅뚯옣 닔以쓣 젣떆븯怨 엳뒗 諛섎㈃, 뿬媛떆媛 醫뚯떇뻾룞 洹몃젃吏 紐삵븳 떎젙씠떎. 뵲씪꽌 吏냽쟻씤 뿰援щ 넻븯뿬 泥냼뀈쓽 二쇨쟻 嫄닿컯씤吏瑜 룷븿븳 嫄닿컯 愿젴 슂씤뿉 湲띿젙쟻씤 슚怨쇰 誘몄튌 닔 엳뒗 뿬媛떆媛 醫뚯떇뻾룞 떆媛꾩뿉 븳 沅뚯옣 닔以씠 꽕젙릺뼱빞 븷 寃껋씠떎.

蹂 뿰援ъ쓽 젣븳젏 슒떒쟻 遺꾩꽍 뿰援ъ씠湲 븣臾몄뿉 븳援 泥냼뀈쓽 떊泥댄솢룞 諛 뿬媛떆媛 醫뚯떇뻾룞怨 二쇨쟻 嫄닿컯씤吏 닔以怨쇱쓽 씤怨쇨怨꾨 諛앺옄 닔 뾾떎뒗 젏씠떎. 삉븳 떊泥댄솢룞쓽 寃쎌슦 떎젣 닔뻾븳 떊泥댄솢룞쓽 醫낅쪟, 媛뺣룄, 鍮덈룄, 吏냽떆媛꾩쓣 紐낇솗븯寃 솗씤븷 닔 뾾떎뒗 젏, 洹몃━怨 뿬媛떆媛 醫뚯떇뻾룞 떆媛꾩쓽 寃쎌슦 뿰援щ긽옄뱾쓽 湲곗뼲뿉 쓽議댄빐빞 븯湲 븣臾몄뿉 媛앷쟻쑝濡 痢≪젙맂 寃쎌슦뿉 鍮꾪븯뿬 遺젙솗븷 닔 엳뒗 떒젏씠 엳떎뒗 寃껊룄 蹂 뿰援ъ쓽 젣븳젏씠떎. 뵲씪꽌 異뷀썑뿉뒗 씠윭븳 젣븳젏뱾쓣 蹂댁셿븳 醫낅떒쟻 遺꾩꽍 뿰援 諛 떊泥댄솢룞怨 뿬媛떆媛 醫뚯떇뻾룞쓣 媛앷쟻쑝濡 痢≪젙븷 닔 엳뒗 諛⑸쾿쓣 궗슜븳 뿰援щ 닔뻾빐빞 븷 寃껋씠떎.

Conflict of Interest

No potential conflict of interest relevant to this article was reported.

Author Contributions

Conceptualization: NS, YK. Data curation: NS. Formal analysis: NS, HS. Writing–original draft: NS. Writing–review & editing: HS, YK.

References
  1. Zhang T, Lu G, Wu XY. Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis. BMC Public Health 2020;20:1343.
    Pubmed KoreaMed CrossRef
  2. Herman KM, Hopman WM, Sabiston CM. Physical activity, screen time and self-rated health and mental health in Canadian adolescents. Prev Med 2015;73:112-6.
    Pubmed CrossRef
  3. Wu S, Wang R, Zhao Y, et al. The relationship between self-rated health and objective health status: a population-based study. BMC Public Health 2013;13:320.
    Pubmed KoreaMed CrossRef
  4. Herman KM, Sabiston CM, Tremblay A, Paradis G. Self-rated health in children at risk for obesity: associations of physical activity, sedentary behaviour, and BMI. J Phys Act Health 2014;11:543-52.
    Pubmed CrossRef
  5. Burström B, Fredlund P. Self rated health: Is it as good a predictor of subsequent mortality among adults in lower as well as in higher social classes? J Epidemiol Community Health 2001;55:836-40.
    Pubmed KoreaMed CrossRef
  6. Halford C, Wallman T, Welin L, et al. Effects of self-rated health on sick leave, disability pension, hospital admissions and mortality: a population-based longitudinal study of nearly 15,000 observations among Swedish women and men. BMC Public Health 2012;12:1103.
    Pubmed KoreaMed CrossRef
  7. Breidablik HJ, Meland E, Lydersen S. Self-rated health during adolescence: stability and predictors of change (Young-HUNT study, Norway). Eur J Public Health 2009;19:73-8.
    Pubmed KoreaMed CrossRef
  8. Vie TL, Hufthammer KO, Holmen TL, Meland E, Breidablik HJ. Is self-rated health a stable and predictive factor for allostatic load in early adulthood?: findings from the Nord Trøndelag Health Study (HUNT). Soc Sci Med 2014;117:1-9.
    Pubmed CrossRef
  9. Vie TL, Hufthammer KO, Meland E, Breidablik HJ. Self-rated health (SRH) in young people and causes of death and mortality in young adulthood: a prospective registry-based Norwegian HUNT-study. SSM Popul Health 2019;7:100364.
    Pubmed KoreaMed CrossRef
  10. Granger E, Williams G, Di Nardo F, Harrison A, Verma A. The relationship between physical activity and self-rated health status in European adolescents: results of the EURO-URHIS 2 survey. Eur J Public Health 2017;27(Suppl 2):107-11.
    Pubmed CrossRef
  11. Kantomaa MT, Tammelin T, Ebeling H, Stamatakis E, Taanila A. High levels of physical activity and cardiorespiratory fitness are associated with good self-rated health in adolescents. J Phys Act Health 2015;12:266-72.
    Pubmed CrossRef
  12. Husu P, Vähä-Ypyä H, Vasankari T. Objectively measured sedentary behavior and physical activity of Finnish 7- to 14-year-old children- associations with perceived health status: a cross-sectional study. BMC Public Health 2016;16:338.
    Pubmed KoreaMed CrossRef
  13. Bélair MA, Kohen DE, Kingsbury M, Colman I. Relationship between leisure time physical activity, sedentary behaviour and symptoms of depression and anxiety: evidence from a population-based sample of Canadian adolescents. BMJ Open 2018;8:e021119.
    Pubmed KoreaMed CrossRef
  14. Tebar WR, Werneck AO, Silva DR, et al. Poor self-rated health is associated with sedentary behavior regardless of physical activity in adolescents: PeNSE study. Ment Health Phys Act 2021;20:100384.
    CrossRef
  15. Korea Centers for Disease Control and Prevention. The 16th Korea youth risk behavior survey, 2020 [Internet]. Cheongju, Korea:Korea Centers for Disease Control and Prevention; 2020 [cited 2021 Jun 2].
  16. Korea Centers for Disease Control and Prevention. Guideline for using of raw data of the 16th Korea youth risk behavior, 2020 [Internet]. Cheongju, Korea:Korea Centers for Disease Control and Prevention; 2021 [cited 2021 Jun 2].
  17. World Health Organization (WHO). WHO guidelines on physical activity and sedentary behaviour [Internet]. Geneva, Switzerland:WHO; 2020 [cited 2021 Jun 2].
  18. Tremblay MS, Carson V, Chaput JP, et al. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab 2016;41(6 Suppl 3):S311-27.
    Pubmed CrossRef
  19. Department of Health, Australian Government. Physical activity and exercise guidelines for all Australians [Internet]. Commonwealth of Australia; 2021 [cited 2021 Jun 2].
  20. Kwon HJ, Cho KO, Oh JW, Lee O, Kim YS. Association between levels of physical activity and self-rated health in Korean adolescents: the 2009 Korea Youth Risk Behavior Web-based Survey. Korean J Phys Educ 2012;51:253-61.
  21. Kwon M, Lee J. The effects of sedentary behavior on subjective health in Korean adolescents. J Korean Soc Sch Health 2019;32:125-34.
  22. Elinder LS, Sundblom E, Rosendahl KI. Low physical activity is a predictor of thinness and low self-rated health: gender differences in a Swedish cohort. J Adolesc Health 2011;48:481-6.
    Pubmed CrossRef
  23. Korea Centers for Disease Control and Prevention. The 2017 Korean national growth charts for children and adolescents [Internet]. Cheongju, Korea:Korea Centers for Disease Control and Prevention; 2017 [cited 2021 Jun 2].
  24. Lachytova M, Katreniakova Z, Mikula P, Jendrichovsky M, Nagyova I. Associations between self-rated health, mental health problems and physical inactivity among urban adolescents. Eur J Public Health 2017;27:984-9.
    Pubmed CrossRef
  25. Chaput JP, Willumsen J, Bull F, et al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5-17 years: summary of the evidence. Int J Behav Nutr Phys Act 2020;17:141.
    Pubmed KoreaMed CrossRef
  26. Lee SW, Kim JW, Kim YT, Jeong SH, Kim YS. Obesity in Korean middle-high school students and their associations with physical activity patterns. J Korean J Sports Med 2007;25:151-8.
  27. Kim GH, Park DY, Lee O, Kim YS. Associations between allergic rhinitis and frequency of muscular exercise and sitting time in Korean adolescent from the 2016 Korean Youth's Risk Behavior Web-Based Study. Korean J Sports Med 2019;37:47-53.
    CrossRef