Gender-specific weight-control behaviors : Utilizing the Narcotics Information Management System and Community Health Survey in 2020

Background: The prevalence of obesity and weight management differ by gender in Korea. This study aims to examine these differences by analyzing the patterns of pharmacological prescriptions of narcotic appetite suppressants and non-pharmacological weight control methods across genders. Methods: Thi...

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Main Authors: Kyung Sun Oh, Euna Han
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Infection and Public Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S1876034125001790
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author Kyung Sun Oh
Euna Han
author_facet Kyung Sun Oh
Euna Han
author_sort Kyung Sun Oh
collection DOAJ
description Background: The prevalence of obesity and weight management differ by gender in Korea. This study aims to examine these differences by analyzing the patterns of pharmacological prescriptions of narcotic appetite suppressants and non-pharmacological weight control methods across genders. Methods: This study utilized two datasets: the Community Health Survey (CHS), representing non-pharmacological interventions on a national scale, and the Narcotics Information Management System (NIMS), detailing pharmacological practices for weight control. The CHS provided data on obesity, physical activity, nutrition information, and lifestyle behaviors (smoking, drinking, walking), while NIMS data encompassed the use of narcotic appetite suppressants for weight management. A comparative analysis of the two data sources was conducted. Results: Obesity rates were higher among men in their 30 s (51.3 %) and 40 s (46.5 %), whereas women showed increased obesity in their 50 s (25.7 %) and 60 s (31.4 %). Weight control attempts were more prevalent among women, who were more likely to engage in nutritional interventions and pharmacological treatments, particularly opioid appetite suppressants. Over 60 % of these prescriptions were given to women in their 30 s and 40 s, with phendimetrazine and phentermine being the most commonly prescribed. In men, the use of narcotic appetite suppressants was positively associated with high levels of physical activity (β = 9.16, 95 % CI: 2.92–15.41), while in women, prescriptions were associated with favorable health behaviors (β = 11.63, 95 % CI: 3.54–19.73). Conclusions: It is vital to recommend gender- and age-specific weight control strategies, both non-pharmacological and pharmacological. To prevent misuse, societal consensus on the appropriate prescription of narcotic appetite suppressants is crucial.
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spelling doaj-art-c138136be7a3432ca2cefa5ce3e843f02025-08-20T02:44:50ZengElsevierJournal of Infection and Public Health1876-03412025-08-0118810283010.1016/j.jiph.2025.102830Gender-specific weight-control behaviors : Utilizing the Narcotics Information Management System and Community Health Survey in 2020Kyung Sun Oh0Euna Han1College of Pharmacy, Yeungnam University, 280, Daehak-ro, Gyeongsan-si, Gyeongsangbuk-do, Republic of KoreaCollege of Pharmacy, Yonsei Institute of Pharmaceutical Sciences, Yonsei University, Incheon, Republic of Korea; Correspondence to: College of Pharmacy, Yonsei Institute of Pharmaceutical Sciences, Yonsei University, 162-1 Songdo-Dong, Yeonsu-Gu, Incheon, Republic of Korea.Background: The prevalence of obesity and weight management differ by gender in Korea. This study aims to examine these differences by analyzing the patterns of pharmacological prescriptions of narcotic appetite suppressants and non-pharmacological weight control methods across genders. Methods: This study utilized two datasets: the Community Health Survey (CHS), representing non-pharmacological interventions on a national scale, and the Narcotics Information Management System (NIMS), detailing pharmacological practices for weight control. The CHS provided data on obesity, physical activity, nutrition information, and lifestyle behaviors (smoking, drinking, walking), while NIMS data encompassed the use of narcotic appetite suppressants for weight management. A comparative analysis of the two data sources was conducted. Results: Obesity rates were higher among men in their 30 s (51.3 %) and 40 s (46.5 %), whereas women showed increased obesity in their 50 s (25.7 %) and 60 s (31.4 %). Weight control attempts were more prevalent among women, who were more likely to engage in nutritional interventions and pharmacological treatments, particularly opioid appetite suppressants. Over 60 % of these prescriptions were given to women in their 30 s and 40 s, with phendimetrazine and phentermine being the most commonly prescribed. In men, the use of narcotic appetite suppressants was positively associated with high levels of physical activity (β = 9.16, 95 % CI: 2.92–15.41), while in women, prescriptions were associated with favorable health behaviors (β = 11.63, 95 % CI: 3.54–19.73). Conclusions: It is vital to recommend gender- and age-specific weight control strategies, both non-pharmacological and pharmacological. To prevent misuse, societal consensus on the appropriate prescription of narcotic appetite suppressants is crucial.http://www.sciencedirect.com/science/article/pii/S1876034125001790ObesityGenderWeight controlNarcotic appetite suppressant
spellingShingle Kyung Sun Oh
Euna Han
Gender-specific weight-control behaviors : Utilizing the Narcotics Information Management System and Community Health Survey in 2020
Journal of Infection and Public Health
Obesity
Gender
Weight control
Narcotic appetite suppressant
title Gender-specific weight-control behaviors : Utilizing the Narcotics Information Management System and Community Health Survey in 2020
title_full Gender-specific weight-control behaviors : Utilizing the Narcotics Information Management System and Community Health Survey in 2020
title_fullStr Gender-specific weight-control behaviors : Utilizing the Narcotics Information Management System and Community Health Survey in 2020
title_full_unstemmed Gender-specific weight-control behaviors : Utilizing the Narcotics Information Management System and Community Health Survey in 2020
title_short Gender-specific weight-control behaviors : Utilizing the Narcotics Information Management System and Community Health Survey in 2020
title_sort gender specific weight control behaviors utilizing the narcotics information management system and community health survey in 2020
topic Obesity
Gender
Weight control
Narcotic appetite suppressant
url http://www.sciencedirect.com/science/article/pii/S1876034125001790
work_keys_str_mv AT kyungsunoh genderspecificweightcontrolbehaviorsutilizingthenarcoticsinformationmanagementsystemandcommunityhealthsurveyin2020
AT eunahan genderspecificweightcontrolbehaviorsutilizingthenarcoticsinformationmanagementsystemandcommunityhealthsurveyin2020