The Combined Effect of Subjective Body Image and Body Mass Index (Distorted Body Weight Perception) on Suicidal Ideation
2
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Objectives: Mental health disorders and suicide are an important and growing public health concern in Korea. Evidence has shown that both globally and in Korea, obesity is associated with an increased risk of developing some psychiatric disorders. Therefore, we examined the association between distorted body weight perception (BWP) and suicidal ideation. Methods: Data were obtained from the 2007-2012 Korea National Health and Nutritional Evaluation Survey (KNHANES), an annual cross-sectional nationwide survey that included 14 276 men and 19 428 women. Multiple logistic regression analyses were conducted to investigate the associations between nine BWP categories, which combined body image (BI) and body mass index (BMI) categories, and suicidal ideation. Moreover, the fitness of our models was verified using the Akaike information criterion. Results: Consistent with previous studies, suicidal ideation was associated with marital status, household income, education level, and perceived health status in both genders. Only women were significantly more likely to have distorted BWP; there was no relationship among men. In category B1 (low BMI and normal BI), women (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.48 to 3.42) were more likely to express suicidal ideation than women in category B2 (normal BMI and normal BI) were. Women in overweight BWP category C2 (normal BMI and fat BI) also had an increased OR for suicidal ideation (OR, 2.25; 95% CI, 1.48 to 3.42). Those in normal BWP categories were not likely to have suicidal ideation. Among women in the underweight BWP categories, only the OR for those in category A2 (normal BMI and thin BI) was significant (OR, 1.34; 95% CI, 1.13 to 1.59). Conclusions: Distorted BWP should be considered an important factor in the prevention of suicide and for the improvement of mental health among Korean adults, especially Korean women with distorted BWPs.
Abstract
Objectives: Mental health disorders and suicide are an important and growing public health concern in Korea. Evidence has shown that both globally and in Korea, obesity is associated with an increased risk of developing some psychiatric disorders. Therefore, we examined the association between distorted body weight perception (BWP) and suicidal ideation. Methods: Data were obtained from the 2007-2012 Korea National Health and Nutritional Evaluation Survey (KNHANES), an annual cross-sectional nationwide survey that included 14 276 men and 19 428 women. Multiple logistic regression analyses were conducted to investigate the associations between nine BWP categories, which combined body image (BI) and body mass index (BMI) categories, and suicidal ideation. Moreover, the fitness of our models was verified using the Akaike information criterion. Results: Consistent with previous studies, suicidal ideation was associated with marital status, household income, education level, and perceived health status in both genders. Only women were significantly more likely to have distorted BWP; there was no relationship among men. In category B1 (low BMI and normal BI), women (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.48 to 3.42) were more likely to express suicidal ideation than women in category B2 (normal BMI and normal BI) were. Women in overweight BWP category C2 (normal BMI and fat BI) also had an increased OR for suicidal ideation (OR, 2.25; 95% CI, 1.48 to 3.42). Those in normal BWP categories were not likely to have suicidal ideation. Among women in the underweight BWP categories, only the OR for those in category A2 (normal BMI and thin BI) was significant (OR, 1.34; 95% CI, 1.13 to 1.59). Conclusions: Distorted BWP should be considered an important factor in the prevention of suicide and for the improvement of mental health among Korean adults, especially Korean women with distorted BWPs.
참고문헌 (32)
- "National health statistics"[URL]
- "Health at a glance 2013: OECD indicators"[URL]
- Ng M, "Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013", Lancet, 384(9945), pp.766~781 (2014)
- Kang HT, "Trends in prevalence of overweight and obesity in Korean adults, 1998-2009: the Korean National Health and Nutrition Examination Survey", J Epidemiol, 24(2), pp.109~116 (2014)
- 강영호, "Trends in General and Abdominal Obesity among Korean Adults: Findings from 1998, 2001, 2005, and 2007 Korea National Health and Nutrition Examination Surveys", Journal of Korean Medical Science, 25(11), pp.1582~1588 (2010), 대한의학회
- Barry D, "Gender differences in associations between body mass index and DSM-IV mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions", Ann Epidemiol, 18(6), pp.458~466 (2008)
- Bjerkeset O, "Association of adult body mass index and height with anxiety, depression, and suicide in the general population: the HUNT study", Am J Epidemiol, 167(2), pp.193~202 (2008)
- Kasen S, "Obesity and psychopathology in women: a three decade prospective study", Int J Obes (Lond), 32(3), pp.558~566 (2008)
- Petry NM, "Overweight and obesity are associated with psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions", Psychosom Med, 70(3), pp.288~297 (2008)
- Simon GE, "Association between obesity and depression in middle-aged women", Gen Hosp Psychiatry, 30(1), pp.32~39 (2008)
- Heo M, "Depressive mood and obesity in US adults: comparison and moderation by sex, age, and race", Int J Obes (Lond), 30(3), pp.513~519 (2006)
- Bjerkeset O, "Anxiety and depression following myocardial infarction: gender differences in a 5-year prospective study", J Psychosom Res, 58(2), pp.153~161 (2005)
- Fan AZ, "Depression and anxiety associated with cardiovascular disease among persons aged 45 years and older in 38 states of the United States, 2006", Prev Med, 46(5), pp.445~450 (2008)
- Herbst S, "Lifetime major depression is associated with coronary heart disease in older adults: results from the National Epidemiologic Survey on Alcohol and Related Conditions", Psychosom Med, 69(8), pp.729~734 (2007)
- John U, "Relationships of psychiatric disorders with overweight and obesity in an adult general population", Obes Res, 13(1), pp.101~109 (2005)
- Carpenter KM, "Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study", Am J Public Health, 90(2), pp.251~257 (2000)
- Kim DS, "Body image dissatisfaction as an important contributor to suicidal ideation in Korean adolescents: gender difference and mediation of parent and peer relationships", J Psychosom Res, 66(4), pp.297~303 (2009)
- Inder KJ, "Determinants of suicidal ideation and suicide attempts: parallel cross-sectional analyses examining geographical location", BMC Psychiatry, 14, pp.208~ (2014)
- Lee HY, "Differential association of socio-economic status with gender- and age-defined suicidal ideation among adult and elderly individuals in South Korea", Psychiatry Res, 210(1), pp.323~328 (2013)
- Moon SS, "Risk factors for suicidal ideation in Korean middle-aged adults: the role of socio-demographic status", Int J Soc Psychiatry, 58(6), pp.657~663 (2012)
- 조진희, "Body image distortion in fifth and sixth grade students may lead to stress, depression, and undesirable dieting behavior", Nutrition Research and Practice, 6(2), pp.175~181 (2012), 한국영양학회[DOI]
- Kim JH, "Association between total sleep duration and suicidal ideation among the Korean general adult population", Sleep, 36(10), pp.1563~1572 (2013)
- Chin YR, "Suicidal ideation and associated factors by sex in Korean adults: a population-based cross-sectional survey", Int J Public Health, 56(4), pp.429~439 (2011)
- Kim JS, "The relationship of weight-related attitudes with suicidal behaviors in Korean adolescents", Obesity (Silver Spring), 18(11), pp.2145~2151 (2010)
- Kim DS, "Body weight perception, unhealthy weight control behaviors, and suicidal ideation among Korean adolescents", J Sch Health, 79(12), pp.585~592 (2009)
- 김동식, "The Effects of Actual and Perceived Body Weight on Unhealthy Weight Control Behaviors and Depressed Mood among Adult Women in Seoul, Korea", 예방의학회지, 41(5), pp.323~330 (2008), 대한예방의학회
- McCabe MP, "Body image dissatisfaction among males across the lifespan: a review of past literature", J Psychosom Res, 56(6), pp.675~685 (2004)
- Lee CG, "Trajectory of suicidal ideation in relation to perceived overweight from adolescence to young adulthood in a representative United States sample", J Adolesc Health, 53(6), pp.712~716 (2013)
- Gaskin JL, "Perception or reality of body weight: which matters to the depressive symptoms", J Affect Disord, 150(2), pp.350~355 (2013)
- Miranda R, "Characteristics of suicidal ideation that predict the transition to future suicide attempts in adolescents", J Child Psychol Psychiatry, 55(11), pp.1288~1296 (2014)
- Miranda R, "Longitudinal follow-up study of adolescents who report a suicide attempt: aspects of suicidal behavior that increase risk of a future attempt", Depress Anxiety, 31(1), pp.19~26 (2014)
- Miranda R, "Suicide attempt characteristics, diagnoses, and future attempts: comparing multiple attempters to single attempters and ideators", J Am Acad Child Adolesc Psychiatry, 47(1), pp.32~40 (2008)