Association of Eating Alone with Depressive Symptoms and Suicidal Ideation among Korean Adults
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Background: In recent years, eating dinner alone has become a rising social issue in Korea. Depression is one of the primary health problems that can lead to numerous negative consequences. However, few studies have focused on people who eat alone and the effect of eating alone on depression. We investigated the association between eating dinner alone and depression. Methods: Our cross-sectional study included data from 14,093 Korean adults aged above 19 years old; data were sourced from the Korea National Health and Nutrition Examination Survey in 2014, 2016, and 2018, when the Patient Health Questionnaire (PHQ-9) was used. We classified participants based on their dinner habits: eating alone or social eating. Depression and suicidal ideation among participants were measured using the PHQ-9. Multivariate logistic regression analysis was used to investigate whether eating alone was related to depression or suicidal ideation after adjusting for age, sex, household income, education, alcohol, smoking, exercise, frequency of eating out, and living arrangement. Results: Individuals who ate dinner alone (22.9%) had higher depression and suicidal ideation rates than those who ate with others. Those who ate alone had greater odds ratios (ORs) of depressive symptoms (depression: OR, 1.42; 95% confidence interval [CI], 1.27–1.58; suicidal ideation: OR, 1.49; 95% CI, 1.25–1.78) after adjustment for covariates. The subgroup analysis shows that the odds of suicidal ideation among individuals who eat alone were nonexistent among those who performed regular aerobic exercise. Conclusion: Eating dinner alone is closely associated with depressive symptoms, particularly suicidal ideation. Therefore, providing opportunities to eat with others may be effective for maintaining the mental health of adults.
Abstract
Background: In recent years, eating dinner alone has become a rising social issue in Korea. Depression is one of the primary health problems that can lead to numerous negative consequences. However, few studies have focused on people who eat alone and the effect of eating alone on depression. We investigated the association between eating dinner alone and depression. Methods: Our cross-sectional study included data from 14,093 Korean adults aged above 19 years old; data were sourced from the Korea National Health and Nutrition Examination Survey in 2014, 2016, and 2018, when the Patient Health Questionnaire (PHQ-9) was used. We classified participants based on their dinner habits: eating alone or social eating. Depression and suicidal ideation among participants were measured using the PHQ-9. Multivariate logistic regression analysis was used to investigate whether eating alone was related to depression or suicidal ideation after adjusting for age, sex, household income, education, alcohol, smoking, exercise, frequency of eating out, and living arrangement. Results: Individuals who ate dinner alone (22.9%) had higher depression and suicidal ideation rates than those who ate with others. Those who ate alone had greater odds ratios (ORs) of depressive symptoms (depression: OR, 1.42; 95% confidence interval [CI], 1.27–1.58; suicidal ideation: OR, 1.49; 95% CI, 1.25–1.78) after adjustment for covariates. The subgroup analysis shows that the odds of suicidal ideation among individuals who eat alone were nonexistent among those who performed regular aerobic exercise. Conclusion: Eating dinner alone is closely associated with depressive symptoms, particularly suicidal ideation. Therefore, providing opportunities to eat with others may be effective for maintaining the mental health of adults.
참고문헌 (24)
- "Single-person households in Korea" (2020)[URL]
- 조우균, "Perceptions and practices of commensality and solo-eating among Korean and Japanese university students: A cross-cultural analysis", Nutrition Research and Practice, 9(5), pp.523~529 (2015), 한국영양학회[DOI]
- Kimura Y, "Eating alone among community-dwelling Japanese elderly : association with depression and food diversity", J Nutr Health Aging, 16, pp.728~731 (2012)
- Vesnaver E, "Social influences and eating behavior in later life : a review", J Nutr Gerontol Geriatr, 30, pp.2~23 (2011)
- Locher JL, "The effect of the presence of others on caloric intake in homebound older adults", J Gerontol A Biol Sci Med Sci, 60, pp.1475~1478 (2005)
- Hammons AJ, "Is frequency of shared family meals related to the nutritional health of children and adolescents?", Pediatrics, 127, pp.e1565~e1574 (2011)
- Yiengprugsawan V, "Health, happiness and eating together: what can a large Thai cohort study tell us?", Glob J Health Sci, 7, pp.270~277 (2015)
- Lee SA, "Is one’s usual dinner companion associated with greater odds of depression? : using data from the 2014 Korean National Health and Nutrition Examination Survey", Int J Soc Psychiatry, 62, pp.560~568 (2016)
- 최홍석, "주요우울장애의 선별 도구로서 한국판 Patient Health Questionnaire- 9의 표준화", Korean Journal of Family Medicine, 28(2), pp.114~119 (2007), 대한가정의학회
- "BMI classification percentile and cut off points" (2020)[URL]
- Tani Y, "Eating alone and depression in older men and women by cohabitation status : the JAGES longitudinal survey", Age Ageing, 44, pp.1019~1026 (2015)
- Kimura Y, "Comprehensive geriatric assessment of elderly highlanders in Qinghai, China IV: comparison of food diversity and its relation to health of Han and Tibetan elderly", Geriatr Gerontol Int, 9, pp.359~365 (2009)
- 김소라, "한국 남성에서 흡연 시작과 금연에 관여하는 사회경제적 요인", Korean Journal of Family Medicine, 30(6), pp.415~425 (2009), 대한가정의학회
- Won MR, "Factors associated with perceived depression of Korean adults : secondary data from the Korean Community Health Survey", Community Ment Health J, 53, pp.288~296 (2017)
- 성한나, "한국인에서 흡연과 우울증상의 연관성", 보건교육건강증진학회지, 33(2), pp.57~66 (2016), 한국보건교육건강증진학회[DOI]
- Pascoe M, "Physical activity and exercise in youth mental health promotion: a scoping review", BMJ Open Sport Exerc Med, 6, pp.e000677~ (2020)
- 박선철, "운동의 항우울효과", 신경정신의학, 57(2), pp.139~144 (2018), 대한신경정신의학회[DOI]
- De Wit LM, "Depression and body mass index, a u-shaped association", BMC Public Health, 9, pp.14~ (2009)
- Batty GD, "Body mass index and attempted suicide: cohort study of 1,133,019 Swedish men", Am J Epidemiol, 172, pp.890~899 (2010)
- Helgstrand S, "Maternal underweight and the risk of spontaneous abortion", Acta Obstet Gynecol Scand, 84, pp.1197~1201 (2005)
- Engel JH, "Hardiness, depression, and emotional well-being and their association with appetite in older adults", J Am Geriatr Soc, 59, pp.482~487 (2011)
- Danesi G, "Pleasures and stress of eating alone and eating together among French and German young adults", MENU, 1, pp.77~91 (2012)
- Kuroda A, "Eating alone as social disengagement is strongly associated with depressive symptoms in japanese community-dwelling older adults", J Am Med Dir Assoc, 16, pp.578~585 (2015)
- Choi MJ, "Eating together and health-related quality of life among Korean adults", J Nutr Educ Behav, 52, pp.758~765 (2020)