의과대학생의 피로 호소와 식생활 습관
Complaints of Fatigue and Dietary Life in Medical Students
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연구배경: 피로는 의과대학생들이 흔하게 호소하는 증상으 로 학업 능력 저하와 관련이 있다. 피로에 영향을 미치는 여러 변인 중에서도 식생활습관은 그 관련성이 높을 것으로 판단 되나, 선행연구가 미흡하다. 이에 의과대학 학업 과정의 수행 능력의 향상을 위한 기초자료를 제공하고자, 의과대학생의 식사습관과 피로 증상 호소의 관계를 살펴보고자 하였다. 방법: 부산지역 3개 의과대학을 다니고 있는 건강한 본과 2학 년 의과대학생 170명을 대상으로 하여, 피로도(Fatigue Severity Scale), 생활습관, 그리고 학업 수행능력에 관한 설문조사를 하 였다. 의과대학생의 피로 호소와 생활 습관의 관련성을 확인 하기 위해 카이제곱검정을 시행하였으며, 의과대학생의 생활 습관이 피로 증상 호소와 관련이 있는지를 알아보기 위해 단 변량, 다변량 로지스틱 회귀분석을 시행하였다. 결과: 다변량 로지스틱 회귀분석 결과, 매일 아침 식사를 하 는 경우와 비교하여 아침 식사를 전혀 하지 않을 때(odds ratio 7.23; 95% confidence interval, 2.07-25.28; P=0.002), 그리고 불 규칙적으로 아침 식사를 할 때(odds ratio 4.42; 95% confi dence interval, 1.47-13.27; P=0.008) 의과대학생의 피로 호소가 의미 있게 높았다. 결론: 아침 식사를 하지 않는 것은 의과대학생들의 피로 호소 와 관련이 있다.
Abstract
Background: Fatigue is a common problem in medical students and is thought to be related to poor academic performance. Fatigue is expected to be highly related to dietary habits, but previous research was not enough. Therefore, the aims of this study were to investigate the relationship between dietary habits and the prevalence of fatigue and also to give an update on basic research data for improving academic performance in medical students. Methods: The study group consisted of 170 healthy second-year medical students attending three university school of medicine in Busan. They completed a questionnaire dealing with fatigue (Fatigue Severity Scale), dietary habits, lifestyle, and academic performance. Results: On multivariate logistic regression analyses, skipping breakfast (completely skipping breakfast everyday versus having breakfast everyday; odds ratio 7.23; 95% confi dence interval, 2.07 to 25.28; P = 0.002) was positively correlated with the complaints of fatigue. Conclusion: Skipping breakfast was associated with the complaints of fatigue in medical students.
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