노인의 우울증에 영향을 미치는 요인: 국민건강영양조사 제7기 자료
Factors Influencing Depressive Symptoms in the Elderly: Using the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-1)
1
조회
0
다운로드
23
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study was to identify the factors influencing depressive symptoms in older adults. Methods: A cross-sectional design was used. Data were drawn from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-1). The final data of 1,447 older adults over 65 years were analyzed using Chi-square test, Mann-Whitney U test, and multiple logistic regression. Results: The study participants of 9.2% reported depressive symptoms. By physical activity domains, active leisure time physical activity was 6.1%, active work-related physical activity was 2.4%, and active transport physical activity was 26.7%. Transport (travel to and from places) physical activity was inversely associated with risk of depressive symptoms. Factors associated with increased risk of depressive symptoms included marital status, household monthly income, stress, and chronic diseases. Conclusions: Promoting participation of transport physical activity may serve as a important intervention strategy in reducing the risk of developing depression in the elderly.
Abstract
Objectives: The purpose of this study was to identify the factors influencing depressive symptoms in older adults. Methods: A cross-sectional design was used. Data were drawn from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-1). The final data of 1,447 older adults over 65 years were analyzed using Chi-square test, Mann-Whitney U test, and multiple logistic regression. Results: The study participants of 9.2% reported depressive symptoms. By physical activity domains, active leisure time physical activity was 6.1%, active work-related physical activity was 2.4%, and active transport physical activity was 26.7%. Transport (travel to and from places) physical activity was inversely associated with risk of depressive symptoms. Factors associated with increased risk of depressive symptoms included marital status, household monthly income, stress, and chronic diseases. Conclusions: Promoting participation of transport physical activity may serve as a important intervention strategy in reducing the risk of developing depression in the elderly.
참고문헌 (34)
- GBD 2017 Disease and Injury Incidence and Prevalence Collaborators, "Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017", Lancet, 392(10159), pp.1789~1858 (2018)[DOI]
- Barnett A, "Relationships between the neighborhood environment and depression in older adults : a systematic review and meta-analysis", Int Psychogeriatr, 30(8), pp.1153~1176 (2018)[DOI]
- "Mental health of older adults"[URL]
- 2017The survey on the actual conditions of older person in Korea, "Jeong KH", Ministry of Health and Welfare, ~ (2017)
- 김명일, "노년기 우울에 관한 연구: 다층모형 적용을 통한 개인 및 지역자원 효과 검증", 보건사회연구, 39(2), pp.192~221 (2019), 한국보건사회연구원[DOI]
- Joshi S, "Beyond METs : types of physical activity and depression among older adults", Age Ageing, 45(1), pp.103~109 (2016)[DOI]
- Chi SH, "Combined association of leisure-time physical activity and fruit and vegetable consumption with depressive symptoms in older Taiwanese: results of a national cohort study", Geriatr Gerontol Int, 16(2), pp.244~251 (2016)[DOI]
- 고정은, "노인우울에 영향을 미치는 요인에 대한 다층분석", 정신건강과 사회복지, 40(1), pp.322~351 (2012), 한국정신건강사회복지학회
- Mammen G, "Physical activity and the prevention of depression : a systematic review of prospective studies", Am J Prev Med, 45(5), pp.649~657 (2013)[DOI]
- Lee H, "Physical activity and depressive symptoms in older adults", Geriatr Nurs, 35(1), pp.37~41 (2014)[DOI]
- Hu G, "Occupational, commuting and leisure-time physical activity in relation to coronary heart disease among middle-aged Finnish men and women", Atherosclerosis, 194(2), pp.490~497 (2007)[DOI]
- Junga Lee, "Development of the Korean Global Physical Activity Questionnaire: reliability and validity study", Global Health Promotion, 27(3), pp.44~55 (2020), SAGE Publications[DOI]
- Abu-Omar K, "Relation of leisure-time, occupational, domestic, and commuting physical activity to health indicators in Europe", Prev Med, 47(3), pp.319~323 (2008)[DOI]
- Chen L, "Relationships of leisure-time and non-leisure-time physical activity with depressive symp-toms : a population-based study of Taiwanese older adults", Int J Behav Nutr Phys Act, 9, pp.28~ (2012)[DOI]
- White RL, "Domain-specific physical activity and mental health : a meta-analysis", Am J Prev Med, 52(5), pp.653~666 (2017)[DOI]
- Kuwahara K, "Associations of leisure-time, occupational, and commuting physical activity with risk of depressive symptoms among Japanese workers : a cohort study", Int J Behav Nutr Phys Act, 12, pp.119~ (2015)[DOI]
- Werneck AO, "Independent relationships between different domains of physical activity and depressive symptoms among 60, 202 Brazilian adults", Gen Hosp Psychiatr, 64, pp.26~32 (2020)[DOI]
- Kim H, "The association between health-related quality of life and leisure-time, occupational and commuting physical activity in Korean workers: the sixth Korea National Health and Nutrition Examination Survey, 2014 and 2015", Korean J Fam Pract, 8(4), pp.616~622 (2018)[DOI]
- 박세윤, "한국인의 일, 여가, 이동시간 신체활동, 비활동과 스트레스 인지, 주관적 건강인지 및 건강관련 삶의 질의 관계", 한국체육학회지, 57(2), pp.331~344 (2018), 한국체육학회
- "Korea Health Statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ-1)"[URL]
- Han CS, "Validation of the patient health questionnaire-9 Korean version in the elderly population : the Ansan Geriatric study", Compr Psychiatr, 49(2), pp.218~223 (2008)[DOI]
- Armstrong T, "Development of the World Health Organization global physical activity questionnaire(GPAQ)", J Public Health, 14, pp.66~70 (2006)[DOI]
- "Global physical activity questionnaire (GPAQ) analysis guide"[URL]
- World Health Organization, "Global recommendations on physical activity for health", World Health Organization, ~ (2010)
- "Physical activity" (2018)[URL]
- "Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2)"[URL]
- Scholes S, "Education-related disparities in reported physical activity during leisure-time, active transportation, and work among US adults: repeated cross-sectional analysis from the National Health and Nutrition Examination Surveys, 2007 to 2016", BMC Public Health, 18(1), pp.926~ (2018)[DOI]
- Gao J, "Association between social and built environments and leisure-time physical activity among Chinese older adults : a multilevel analysis", BMC Public Health, 15, pp.1317~ (2015)[DOI]
- 김봉정, "읍면지역 성인의 여가시간 신체활동에 영향을 미치는 개인적, 사회적 환경 요인", 한국보건간호학회지, 32(1), pp.56~68 (2018), 한국보건간호학회[DOI]
- Mäki-Opas TE, "The contribution of travel-related urban zones, cycling and pedestrian networks and green space to commuting physical activity among adults–a cross-sectional population-based study using geographical information systems", BMC Public Health, 16(1), pp.760~ (2016)[DOI]
- Oenning NSX, "Occupational factors associated with major depressive disorder : a Brazilian population-based study", J Affect Disord, 240, pp.48~56 (2018)[DOI]
- Kim J, "Demographic and environmental factors associated with mental health : a cross-sectional study", Int J Environ Res Public Health, 14(4), pp.431~ (2017)[DOI]
- 이인정, "초고령 노인의 스트레스 요인과 대응방식이 우울에 미치는 영향", 보건사회연구, 34(4), pp.264~294 (2014), 한국보건사회연구원[DOI]
- 손정남, "지역사회 거주 노인의 우울증상에 영향하는 요인", 정신간호학회지, 22(2), pp.107~116 (2013), 한국정신간호학회
