본문 바로가기
KERD
논문KCI 등재

국내 성인 여성의 체질량지수 및 체형 인식과 우울의 연관성: 국민건강영양조사 자료를 이용하여

Association Between Body Mass Index, Body Shape Perception and Depression in Korean Female Population: The Korean National Health and Nutrition Examination Survey

2

조회

0

다운로드

4

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objectives: The purpose of this study was to investigate the association between body mass index (BMI) and body shape perception and depression. Methods: This study was based on data from 2016, 2018, and 2020 Korean National Health and Nutrition Examination Survey (KNHANES). The subjects were 7,302 adult female aged 19 to 65. We performed chi-square test with the RaoScott correction and Logistic regression analyses to examine the association among BMI, body shape perception, and depression. Results: All demographic variables such as age, household income, education, marital status, medical service satisfaction, body shape perception, medical conditions except drinking problem, smoking and physical activity were correlated with depression. The rate of depression decreased from underweight to normal weight and overweight, and increased from obesity to severe obesity (p<0.001). And people who perceived themselves thin or overweight had more depression than normal (p<0.001). Conclusions: The results of this study suggest that appropriate body mass index and normal body shape perception have a positive effect on mental health.

Abstract

Objectives: The purpose of this study was to investigate the association between body mass index (BMI) and body shape perception and depression. Methods: This study was based on data from 2016, 2018, and 2020 Korean National Health and Nutrition Examination Survey (KNHANES). The subjects were 7,302 adult female aged 19 to 65. We performed chi-square test with the RaoScott correction and Logistic regression analyses to examine the association among BMI, body shape perception, and depression. Results: All demographic variables such as age, household income, education, marital status, medical service satisfaction, body shape perception, medical conditions except drinking problem, smoking and physical activity were correlated with depression. The rate of depression decreased from underweight to normal weight and overweight, and increased from obesity to severe obesity (p<0.001). And people who perceived themselves thin or overweight had more depression than normal (p<0.001). Conclusions: The results of this study suggest that appropriate body mass index and normal body shape perception have a positive effect on mental health.

참고문헌 (23)

  1. Becker ES, "Obesity and mental illness in a representative sample of young women", Int J Obes Relat Metab Disord, 25(Suppl 1), pp.S5~S9 (2001)
  2. Han TS, "Quality of life in relation to overweight and body fat distribution", Am J Public Health, 88, pp.1814~1820 (1998)
  3. Rudisill C, "Are healthcare costs from obesity associated with body mass index, comorbidity or depression? Cohort study using electronic health records", Clin Obes, 6, pp.225~231 (2016)
  4. Park D, "Underweight: another risk factor for cardiovascular disease?: a cross-sectional 2013 behavioral risk factor surveillance system (BRFSS) study of 491,773 individuals in the USA", Medicine (Baltimore), 96, pp.e8769~ (2017)
  5. Lorem GF, "What is the impact of underweight on self-reported health trajectories and mortality rates: a cohort study", Health Qual Life Outcomes, 15, pp.191~ (2017)
  6. Anguita-Ruiz A, "Body mass index interacts with a genetic-risk score for depression increasing the risk of the disease in high-susceptibility individuals", Transl Psychiatry, 12, pp.30~ (2022)
  7. Mulugeta A, "Depression increases the genetic susceptibility to high body mass index: evidence from UK Biobank", Depress Anxiety, 36, pp.1154~1162 (2019)
  8. Rivera M, "Interaction between the FTO gene, body mass index and depression: meta-analysis of 13701 individuals", Br J Psychiatry, 211, pp.70~76 (2017)
  9. Desai RA, "Gender differences in the association between body mass index and psychopathology", CNS Spectr, 14, pp.372~383 (2009)
  10. Chae WR, "Comorbid depression and obesity among adults in Germany: effects of age, sex, and socioeconomic status", J Affect Disord, 299, pp.383~392 (2022)
  11. Palinkas LA, "Depressive symptoms in overweight and obese older adults: a test of the “jolly fat” hypothesis", J Psychosom Res, 40, pp.59~66 (1996)
  12. de Wit LM, "Depression and body mass index, a u-shaped association", BMC Public Health, 9, pp.14~ (2009)
  13. Istvan J, "Body weight and psychological distress in NHANES I", Int J Obes Relat Metab Disord, 16, pp.999~1003 (1992)
  14. Gavin AR, "The association between obesity, depression, and educational attainment in women:the mediating role of body image dissatisfaction", J Psychosom Res, 69, pp.573~581 (2010)
  15. Richard A, "Is body weight dissatisfaction a predictor of depression independent of body mass index, sex and age? Results of a cross-sectional study", BMC Public Health, 16, pp.863~ (2016)
  16. Kuan PX, "Gender differences in body mass index, body weight perception and weight loss strategies among undergraduates in Universiti Malaysia Sarawak", Malays J Nutr, 17, pp.67~75 (2011)
  17. Lemon SC, "Contributions of weight perceptions to weight loss attempts: differences by body mass index and gender", Body Image, 6, pp.90~96 (2009)
  18. James DC, "Gender differences in body mass index and weight loss strategies among African Americans", J Am Diet Assoc, 103, pp.1360~1362 (2003)
  19. Crisp AH, "‘Jolly fat’revisited", J Psychosom Res, 24, pp.233~241 (1980)
  20. Pellas J, "Accuracy in detecting major depressive episodes in older adults using the Swedish versions of the GDS-15 and PHQ-9", Ups J Med Sci, 126, pp.e7848~ (2021)
  21. Liu X, "Stay slim or get fat?: an examination of the “jolly fat” effect in Chinese older adults", Risk Manag Healthc Policy, 14, pp.1271~1279 (2021)
  22. Dichtel LE, "Neuroactive steroids and affective symptoms in women across the weight spectrum", Neuropsychopharmacology, 43, pp.1436~1444 (2018)
  23. Edinoff AN, "Brexanolone, a GABAA modulator, in the treatment of postpartum depression in adults: a comprehensive review", Front Psychiatry, 12, pp.699740~ (2021)

관련 논문AI추천

이 간행물의 다른 논문 (2건)