한국 성인에서 체형인식과 체중감량 노력 및 체중감량 행동의 14년간 추세: 2001년에서 2014년까지 국민건강영양조사 자료
Secular Trends for Body-shape Perception, Weight-loss Efforts, and Weight-loss Behaviors in Korean Adults Using the Korea National Health and Nutrition Examination Survey from 2001 to 2014
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초록
연구배경:2001년에서 2014년간 한국 성인의 체형인식, 체중감량 노력과 체중감량 행위 및 체중 관련 태도에 대한추세를 알아보고자 하였다. 방법:2001년에서 2014년까지 시행된 국민건강영양조사를 이용해 자가보고 설문지를 통한 체형인식, 체중감량 노력 및 체중감량 행위(2005-2014년)에 대해 19세 이상의 남성 26,480명과 여성 35,051명을 연구하였다. 성별에 따른 복합표본분석을 감안하여 다변량로지스틱회귀분석을 시행되었다. 결과:2001년에서 2014년 조사 기간 동안 연구 대상자 전체에서 부정확한 체형인식은 감소하고 체중감량 노력은 증가하는 경향을 보였으나 2005년에서 2014년 조사 기간 동안 여성에서 건강하지 못한 체중감량 행위가 증가하는 경향을 보였다. 다변량로지스틱회귀분석 결과, 남성에서 조사연도가 최근일수록 체형을 부정확하게 인식하는 경향이감소한 반면, 나이와 체중상태가 증가할수록 체형을 부정확하게 인식하는 경향이 증가하였다. 여성에서는 조사연도가 최근일수록, 학력과 소득수준이 높을수록 체형을 부정확하게 인식하는 경향이 감소한 반면, 나이와 체중상태가증가할수록 체형을 부정확하게 인식하는 경향이 증가하였다. 남녀 모두에서 나이가 증가할수록 체중감량 노력은 감소하는 경향이 있지만 조사연도가 최근일수록, 학력과 소득이 높을수록, 체중상태가 증가할수록 체중감량 노력도증가하는 경향을 보였다. 남성에서 학력이 높을수록 나이가 적을수록 건강한 체중감량 행위를 하는 경향이 있었고, 여성에서는 학력이 높을수록 체중이 증가할수록 건강한 체중감량 행위를 하는 경향이 있지만 조사연도가 최근일수록건강한 체중감량 행위가 감소하는 경향을 보였다. 결론: 국민건강영양조사 2001-2014년 자료에서 남녀 모두에서 부정확한 체형인식은 감소하고 체중감량 노력은 증가하는 추세이나, 2005-2014년 조사 기간 동안 여성에서 건강한 체중감량 행위는 감소하는 추세를 보였다.
Abstract
Background:The objective of study was to investigate secular trends for body-shape perception, weight-loss efforts, and weight-loss behaviors from 2001 to 2014 in Korean adults and factors related to those weight-related attitude. Methods:Self-reported body-shape perception, weight-loss efforts, and weight-loss behaviors were used in 26,480 men and 35,051 women aged 19 or older using the Korean National Health and Nutrition Survey from 2001 to 2014 (from 2005 to 2014 for weight-loss behaviors). Multivariable logistic regression analysis was conducted using complex sampling design in each sex. Results:Body-shape misperception tended to decrease from 2001 to 2014 and weight-loss efforts tended to increase over the period in all subjects, whereas unhealthy weight-loss behaviors tended to increase over the period in women. In multivariable logistic regression model, body-shape misperception in men was inversely associated with survey year, while positively associated with age and weight status. In women, body-shape misperception was inversely associated with survey year, education, and income, while positively associated with age and weight status. Weight-loss efforts in both sexes were inversely associated with age, while positively associated with survey year, education, income, and weight status. Healthy weight-loss behaviors were positively associated with education but inversely associated with age in men. In women, those behaviors were positively associated with education and weight status, while inversely associated with survey year. Conclusions:We found decreased body-shape misperception and increased weight-loss efforts in Korean men and women from 2001 to 2014, and decreased healthy weight-loss behaviors in women from 2005 to 2014.
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