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중년기 폐경 여성에서 정신건강 특성과 대사증후군의 관련성

Association between Metabolic Syndrome and Psychological Characteristics in Korean Postmenopausal Women

김혜경|나은희|조한익|권은주|조숙행
대한임상건강증진학회 (Korean Society For Health Promotion And Disease Prevention)|2016.06|Korean Journal of Health Promotion|제16권 제2호|pp. 119-126|DOI http://dx.doi.org/10.15384/kjhp.2016.16.2.119

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참고문헌

키워드

정신건강우울DepressionAnxiety특성불안대사증후군Mental health폐경PostmenopauseMetabolic syndrome X
주제분류기타자연과학

초록

연구배경: 대사증후군은 중년기 폐경 여성에서 정신건강문제와 더불어 중요한 건강문제이다. 본 연구에서는 중년기 폐경 여성을 대상으로 대사증후군과 정신건강 특성 간의 관련성을 파악하고, 대사증후군 유병상태에 영향을 미치는 정신건강 요인을 분석하였다. 방법: 본 연구는 2012년 8-10월 정기건강검진을 위해 건강검진센터를 방문한 45-64세 중년기 폐경 여성 479명을대상으로 하였다. 대사증후군의 진단은 복부비만, 고혈압, 저 HDL-콜레스테롤혈증, 고중성지방혈증, 고혈당 중 3개이상을 만족하는 경우로 하였다. 우울과 특성불안, 스트레스 수준은 Beck 우울척도, 상태-특성 불안 척도, BEPSI로측정하였다. 다중 로지스틱 회귀분석을 통해 대사증후군유병상태와 정신건강 특성 간 관련성을 확인하였다. 결과: 중년기 폐경 여성의 대사증후군 유병률은 16.5%였다. 연령, 결혼상태, 교육수준, 월평균소득, 체질량지수, 식생활 및 신체활동을 보정하였을 때, 대사증후군 유병상태와 관련이 있는 통계적으로 유의한 인자는 특성불안(OR=16.53, P=0.007)과 우울(OR=0.16, P=0.012)이었다. 결론: 중년기 폐경 여성의 대사증후군 유병상태에 영향을 미친 정신건강 특성은 특성불안과 우울이었다.

Abstract

Background: Metabolic syndrome is a major health problem in postmenopausal women, along with psychological issues. Hence, this study was conducted to investigate the relationship between metabolic syndrome and mental health properties targeting middle-aged menopausal women, and analyzed the psychological factors affecting the prevalence of metabolic syndrome. Methods: The study subjects were 479 postmenopausal women aged 45-64 years, who had taken their routine health screenings from August to October in 2012. The presence of 3 or more of 5 risk factors constitutes diagnosis of metabolic syndrome. Depression, trait anxiety, and stress level were measured by Beck Depression Inventory, State-Trait Inventory, and Brief Encounter Psychological Instrument, respectively. Multiple logistic regression analysis was performed to confirm the relationship between the metabolic syndrome and psychological characteristics. Results: The prevalence of metabolic syndrome in postmenopausal women was 16.5%. Metabolic syndrome was significantly related with trait anxiety (odds ratio [OR]=16.53, P=0.007) and depression (OR=0.16, P=0.012), after adjusting for age, marital status, educational level, monthly income, body mass index, eating habits and exercise. Conclusions: Trait anxiety and depression were found to be related with the prevalence of metabolic syndrome in postmenopausal women.

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