우리나라 학생들에서 두통과 생활 습관과의 관계
Relationship between Lifestyle and Headache in Korean Students
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목 적 : 소아 청소년에서의 두통은 흔한 만성 질환중의 하나이고, 유병율은 10-28%로 알려져 있다.학생들의 두통 유병율이 높아져 감에도 불구하고 생활 습관과 두통과의 관계에 대한 연구는 많지 않다.이번 연구는 한국 학생들의 생활 습관을 조사하였고반복적인 두통과 생활습관과의 관계를 분석하였다. 방 법 : 이 연구는 단면적이고 무작위적으로 한국의 5,039명의 학생을 대상으로 하였으며 국제 두통분류 제 2 판에 따른 설문지를 만들어 자료를 수집하였다. 수집된 자료를 토대로 운동, 규칙적인 식사, 물섭취량, 카페인 섭취 여부, 수면 시간에 따른 두통여부를 조사 하였다. 결 과 : 운동 빈도수가 많을수록 반복적인 두통 발생은 통계적으로 유의하게 낮았다(P =0.03). 운동을하는 학생들은 운동을 하지 않는 학생들에 비해 반복적인 두통이 통계적으로 유의하게 적었다(P =0.02).규칙적인 식사를 하면 반복적인 두통 발생이 통계적으로 유의하게 낮았으며(P <0.0001), 두통이 1/2로줄었다(odds ratio=0.5). 물의 섭취량과 반복적인두통과의 관계는 물을 많이 마실수록 반복적인 두통이 통계적으로 유의하게 적었다(P =0.0002). 카페인을 마시면 통계학적으로 유의하게 반복적 두통을일으킨다(P <0.0001). 수면 시간이 짧을수록 반복적인 두통이 통계적으로 유의하게 증가한다(P <0.0001). 결 론 : 한국 학생들의 생활 습관은 두통과 의미 있는 관계가 있으며, 학생들의 두통 발생을 줄이고 두통이 있는 학생들의 통증을 완화시키기 위해 생활 습관을 바꾸는 것이 중요하다고 생각한다.
Abstract
Purpose : Despite the high prevalence of headaches in students, their lifestyles have not been well examined. We examined correlation between lifestyle and headache in Korean students. Methods : We conducted a cross-sectional, school-based study from a randomized and proportional sample of 5,360 male and female students. The questionnaires include demographic data, lifestyle, in addition to specific questions about headache according to International Classification of Headache Disorder Ⅱ (ICHD-Ⅱ) criteria. Valid questionnaires were returned by 94.1% (5,039, boys 2,405, girls 2,634) of the sample. Modified criteria changed the item 'duration' in migraine (>1 hour instead of 4 hours). We analyzed the data in terms of exercise, regular eating, sleep time, fluid intake, and caffeine intake. Results : Students on regular exercise have less headache (P =0.03). Students who eat regularly have less recurrent headache (P <0.0001, odds ratio=0.5). Students sleep more have less headache (P <0.0001). Students take more fluid have less headache (P =0.0002). Students take more caffeine have more headache (P =0.0001). Conclusion : There seem to be a significant relationship between life style and headache in school children in South Korea. We suggest that changing the lifestyles or habits should be considered to manage and prevent headaches in school children.
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