본문 바로가기
KERD
논문KCI 등재

사상체질에 따른 식습관 행태와 건강관련 삶의 질과의 연관성

Association of Breakfast, Eating Frequency, and Energy Intake with Health-related Quality of Life According to Sasang Constitution: in Korean General Population

김지은|백영화|이시우|정경식
사상체질면역의학회 (The Society of Sasang Constitution and Immune Medicine)|2021.06|사상체질면역의학회지 (Journal of Sasang Constitution and Immune Medicine)|제33권 제2호|pp. 37-46|DOI https://doi.org/10.7730/JSCM.2021.33.2.37

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

Quality of lifeSasang ConstitutionSasang Constitutional medicineDietary pattern
주제분류한의학

초록

Background According to the Sasang constitutional medicine, eating habits according to the characteristics of Sasang Constitution (SC) types affect management of chronic diseases and health conditions. The aim of this study is to identify the association between eating habits, such as breakfast, eating frequency, and energy intake, according to SC, and quality of life. Method This study is a cross-sectional study of people aged 33 to 55 years, sampled by stratification based on population distribution. The SC types were classified into Taeeumin (TE), Soeumin (SE), and Soyangin (SY) using a structured questionnaire (KS-15). Items examined regarding eating habits were whether the subjects had breakfast; the frequency of eating such as breakfast, lunch, dinner, and after-dinner snacks; and energy intake surveyed using a food frequency questionnaire. As for quality of life, SF-12, which is widely used worldwide to assess health conditions, was utilized. A regression analysis was conducted on the relations between eating habits according to SC and quality of life. Results The SC distribution of the 3,895 subjects was 47% for TE, 22% for SE, and 31% for SY. The scores indicating quality of life differed for TE and SY depending on whether they ate breakfast and eating frequency groups, and those of SE varied depending on levels of energy intake. A regression analysis having adjusted all covariates demonstrated for TE a positive relation between the eating frequency of three times per day or more (compared to 1.5 to 3 meals per day) and quality of life (B=1.365, p<0.001). For SE, there was a negative association between low energy intake (compared to adequate energy intake) and quality of life (B=-1.642, p=0.004). Meanwhile, no relation was found between eating habits and quality of life for SY. Conclusion This study identified the association between eating habits according to SC types and quality of life. For TE, it was found to be important to eat evenly dispersed adequate amounts as opposed to overeating or binging at once. For SE, adequate energy intake affected good quality of life. This study suggests that eating habits based on SC improve quality of life, and health management customized for each constitution should be performed in the future through proper eating habits.

Abstract

Background According to the Sasang constitutional medicine, eating habits according to the characteristics of Sasang Constitution (SC) types affect management of chronic diseases and health conditions. The aim of this study is to identify the association between eating habits, such as breakfast, eating frequency, and energy intake, according to SC, and quality of life. Method This study is a cross-sectional study of people aged 33 to 55 years, sampled by stratification based on population distribution. The SC types were classified into Taeeumin (TE), Soeumin (SE), and Soyangin (SY) using a structured questionnaire (KS-15). Items examined regarding eating habits were whether the subjects had breakfast; the frequency of eating such as breakfast, lunch, dinner, and after-dinner snacks; and energy intake surveyed using a food frequency questionnaire. As for quality of life, SF-12, which is widely used worldwide to assess health conditions, was utilized. A regression analysis was conducted on the relations between eating habits according to SC and quality of life. Results The SC distribution of the 3,895 subjects was 47% for TE, 22% for SE, and 31% for SY. The scores indicating quality of life differed for TE and SY depending on whether they ate breakfast and eating frequency groups, and those of SE varied depending on levels of energy intake. A regression analysis having adjusted all covariates demonstrated for TE a positive relation between the eating frequency of three times per day or more (compared to 1.5 to 3 meals per day) and quality of life (B=1.365, p<0.001). For SE, there was a negative association between low energy intake (compared to adequate energy intake) and quality of life (B=-1.642, p=0.004). Meanwhile, no relation was found between eating habits and quality of life for SY. Conclusion This study identified the association between eating habits according to SC types and quality of life. For TE, it was found to be important to eat evenly dispersed adequate amounts as opposed to overeating or binging at once. For SE, adequate energy intake affected good quality of life. This study suggests that eating habits based on SC improve quality of life, and health management customized for each constitution should be performed in the future through proper eating habits.

참고문헌 (28)

  1. Lee J., "Longevity and Life Preservation in Oriental Medicine" (1996), Kyung Нее Univ. Press
  2. 한유리, "Systematic review of type-specific pathophysiological symptoms of Sasang typology", Integrative Medicine Research, 5(2), pp.83~98 (2016), 한국한의학연구원[DOI]
  3. Hong-Hee Won, "A Genome-Wide Scan for the Sasang Constitution in a Korean Family Suggests Significant Linkage at Chromosomes 8q11.22–23 and 11q22.1–3", The Journal of Alternative and Complementary Medicine, 15(7), pp.765~769 (2009), Mary Ann Liebert Inc[DOI]
  4. 이미경, "Investigation of Genetic Evidence for Sasang Constitution Types in South Korea", Genomics & Informatics, 7(2), pp.107~110 (2009), 한국유전체학회
  5. 유준상, "사상의학의 예방의학사상", 사상체질의학회지, 30(1), pp.7~13 (2018), 사상체질의학회[DOI]
  6. Teemu J. Niiranen, "Epidemiology of cardiovascular disease: recent novel outlooks on risk factors and clinical approaches", Expert Review of Cardiovascular Therapy, 14(7), pp.855~869 (2016), Informa UK Limited[DOI]
  7. 2019National Health Statistics, "Korea Centers for Disease Control and Prevention", Korea National Health and Nutrition Examination Survey, ~ (2019)
  8. Ashima K. Kant, "40-Year Trends in Meal and Snack Eating Behaviors of American Adults", Journal of the Academy of Nutrition and Dietetics, 115(1), pp.50~63 (2015), Elsevier BV[DOI]
  9. 윤성하, "Trends in energy intake among Korean adults, 1998-2015: Results from the Korea National Health and Nutrition Examination Survey", Nutrition Research and Practice, 11(2), pp.147~154 (2017), 한국영양학회
  10. Kyungho Ha, "Associations of Meal Timing and Frequency with Obesity and Metabolic Syndrome among Korean Adults", Nutrients, 11(10), pp.2437~ (2019), MDPI AG[DOI]
  11. Huang C, "Associations of breakfast skipping with obesity and health-related quality of life : evidence from a national survey in Taiwan", International journal of obesity, 34(4), pp.720~725 (2010)[DOI]
  12. 정경식, "사상체질과 식습관 특성에 따른 연구 동향", 사상체질의학회지, 31(2), pp.1~11 (2019), 사상체질의학회[DOI]
  13. Younghwa Baek, "Lifestyle, genomic types and non-communicable diseases in Korea: a protocol for the Korean Medicine Daejeon Citizen Cohort study (KDCC)", BMJ Open, 10(4), pp.e034499~ (2020), BMJ[DOI]
  14. 백영화, "체형, 성격, 소증 기반 단축형 사상체질 진단설문지(KS-15) 개발 및 타당도 연구", 사상체질의학회지, 27(2), pp.211~221 (2015), 사상체질의학회[DOI]
  15. Martha Tamez, "Higher eating frequency, but not skipping breakfast, is associated with higher odds of abdominal obesity in adults living in Puerto Rico", Nutrition Research, 73, pp.75~82 (2020), Elsevier BV[DOI]
  16. Korea National Health and Nutrition Examination Survey (KNHANES V-2), "Korea Health Statistics", Korea Centers for Disease Control and Prevention, ~ (2012)
  17. 이승재, "50세 이상 성인과 노인의 우울여부에 따른 식습관 및 식품섭취상태에 관한 연구", Journal of Nutrition and Health, 47(1), pp.67~76 (2014), 한국영양학회[DOI]
  18. 2020 Dietary reference intake for Koreans: Energy and Macronutrients, "The Korean Nutrition Society", 23~ (2020)
  19. Ware Jr JE, "A 12-Item Short-Form Health Survey : construction of scales and preliminary tests of reliability and validity", Medical care, 34(3), pp.220~233 (1996)[DOI]
  20. Timothy Armstrong, "Development of the World Health Organization Global Physical Activity Questionnaire (GPAQ)", Journal of Public Health, 14(2), pp.66~70 (2006), Springer Science and Business Media LLC[DOI]
  21. Development of the Korean Version of Global Physical Activity Questionnaire and Assessment of Reliability and Validity (Korea Centers for Disease Control and Prevention), , 1~105 (2013)
  22. Willett WC, "Not the time to abandon the food frequency questionnaire : point", Cancer Epidemiology and Prevention Biomarkers, 15(10), pp.1757~1758 (2006)[DOI]
  23. Willett W, "Nutritional epidemiology" (2013), Oxford university press
  24. 김연경, "65세 이상 노인에서 사상체질에 따른 식습관, 영양소 섭취상태 및 질병양상에 관한 연구(Ⅱ)", 대한지역사회영양학회지, 7(1), pp.76~85 (2002), 대한지역사회영양학회
  25. Jordan P. Mills, "Eating Frequency is Associated With Energy Intake but Not Obesity in Midlife Women", Obesity, 19(3), pp.552~559 (2011), Wiley[DOI]
  26. SE Drummond, "Evidence that eating frequency is inversely related to body weight status in male, but not female, non-obese adults reporting valid dietary intakes", International Journal of Obesity, 22(2), pp.105~112 (1998), Springer Science and Business Media LLC[DOI]
  27. 정경식, "사상체질에 따른 식습관과 주관적 건강상태와의 연관성", 동의생리병리학회지, 34(1), pp.53~59 (2020), 한의병리학회
  28. Rosario Ferrer-Cascales, "Eat or Skip Breakfast? The Important Role of Breakfast Quality for Health-Related Quality of Life, Stress and Depression in Spanish Adolescents", International Journal of Environmental Research and Public Health, 15(8), pp.1781~ (2018), MDPI AG[DOI]

관련 논문AI추천

사상체질에 따른 식습관과 주관적 건강상태와의 연관성김호석, 백영화, 이시우, 정경식한의병리학회 · 동의생리병리학회지2020 · 제34권 제1호성인 영양지수(Nutrition Quotient)를 이용한 사상체질에 따른 식습관 평가: 대전시민건강코호트박기현, 백영화, 이시우, 정경식, 황지윤사상체질면역의학회 · 사상체질면역의학회지2020 · 제32권 제4호사상체질과 식습관 특성에 따른 연구 동향백영화, 이시우, 정경식사상체질면역의학회 · 사상체질면역의학회지2019 · 제31권 제2호사상체질별 7대 건강행위와 주관적 건강상태의 연관성김윤영, 백영화, 이시우, 장은수사상체질면역의학회 · 사상체질면역의학회지2018 · 제30권 제1호우리나라 성인의 사상체질에 따른 식생활 상태와 신체구성의 상관성에 관한 단면분석연구김지은, 백영화, 이시우, 정경식사상체질면역의학회 · 사상체질면역의학회지2022 · 제34권 제1호사상체질에 따른 체질식품 기호도가 20대 성인남녀의 건강수준에 미치는 영향김윤영, 박기현, 유종향, 이시우사상체질면역의학회 · 사상체질면역의학회지2012 · 제24권 제2호

이 간행물의 다른 논문 (4건)

객관적인 생리심리 지표를 사용한 사상체질 진단 연구이미숙, 이수진, 백영화, 이시우, 김민성, 정경식, 채한, 황요순pp. 1-13단축형 사상체질 진단설문지(KS-15)의 베트남인 적용 예비연구김상혁, 이시우, 박기현, 정경식pp. 15-23대전시 여성과 베트남 이주여성의 단축형 사상체질진단 설문지(KS-15) 응답 비교백영화, 김호석, 장은수pp. 25-36수족냉증에 대한 전침치료의 사상체질별 효과 및 안전성: 다기관 무작위 대조군 연구김동일, 권나연, 이동녕, 유준상, 김형준pp. 47-64
원문 보기