청소년의 수면시간과 체질량 지수의 관계
Association between Sleep Duration and Body Mass Index among South Korean Adolescents
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연구배경: 최근 비만 발생의 위험요인으로 수면시간에대한 관심이 증가하고 있다. 수면시간과 비만과의 관계에대한 연구는 주로 성인을 대상으로 이루어졌고, 몇 편 있는청소년 대상 연구는 다양한 교란변수를 연구에 포함시키지못하였다는 제한점이 있다. 본 연구의 목적은 청소년의 수면시간과 체질량지수 간의 관련성을 밝히는 것이다. 방법: 본 연구는 2013년 청소년건강행태온라인조사 원시자료를 이용한 이차분석 연구이다. 분석에 사용된 표본학생의 수는 59,367명이고, 성, 연령, 어머니 교육수준, 경제수준, 학업성취도, 흡연, 음주, 식이습관, 운동, 인터넷 사용,스트레스, 주관적 건강상태에 관한 자료를 분석에 이용하였다. SPSS version 21을 이용하여, χ2-test, ANOVA, logisticregression analysis를 시행하였다. 결과: 연구결과, 수면시간이 5시간 미만인 집단에서 비만의 비율은 11.0%이나 5-6시간 미만 집단에서는 10.8%, 6-7시간 미만 집단에서는 10.4%, 7-8시간 미만 집단에서는9.1%, 8시간 이상인 집단에서는 8.4%로, 수면시간이 증가할수록 비만 비율이 감소하는 경향을 나타냈다. 청소년의수면시간과 체질량지수 간 독립적 관련성을 파악할 수 있는 logistic regression analysis 결과, 수면시간이 8시간 이상인 그룹에 비하여 5시간 미만 그룹의 비만 위험비는 1.19,5-6시간 미만 그룹의 비만 위험비는 1.19, 6-7시간 미만 그룹의 비만 위험비는 1.19, 7-8시간 미만 그룹의 비만 위험비는 1.11인 것으로 나타났다. 결론: 본 연구는 8시간 이상의 수면시간이 비만의 위험을낮춤을 보여준다. 향후 수면의 질적인 면을 포함하는 대규모의 전향적 연구를 통하여 비만과 수면시간의 관계를 확증할 필요가 있으며, 나아가 비만의 위험도를 낮출 수 있는가장 적절한 수면시간 및 그 기전에 대한 연구가 진행될 필요가 있다.
Abstract
Background: Recently, there has been a growing interest in sleep duration as a risk factor for obesity. The linkbetween sleep duration and obesity has been well established in adults, but there are limited studies inadolescents. Also, little research had been done involving South Korean adolescents. This study aimed to investigatethe relationship between sleep duration and body mass index in South Korea adolescents. Methods: This was a secondary analysis of the data collected from the 2013 Korean Youth Risk BehaviorWeb-based Survey. The sample included 59,367 adolescents. The questionnaires used for this study assessedgender, age, mother's education level, academic performance, smoking, alcohol use, eating behaviors,physical activity, duration of internet use, perceived stress level, and perceived health status. Data were analyzedwith χ²-test, ANOVA, and logistic regression analysis using SPSS Version 21. Results: The percentage of obese subjects was the greatest among respondents reporting less than 5 h ofsleep (11.0%) and the lowest among those reporting 8 or more hours of sleep (8.4%). In the results of logisticregression analysis, compared with sleep duration of 8h or more, the adjusted odds ratio was 1.11 for 7-8 h,1.19 for 6-7 h, 1.19 for 5-6 h, and 1.19 for <5 h of sleep, with other factors controlled. Conclusions: The results of this study showed that a shortsleep duration is significantly associated with obesityamong South Korea adolescents. In managing obesity in this population, health professionals should attend tohow much sleep they are getting.
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