The Association between Family Mealtime and Depression in Elderly Koreans
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Background: Several studies have revealed the frequency of family mealtimes to be inversely associated with depressive symptoms in adolescents. However, there have been few studies in older populations. This cross-sectional study investigated the association between family mealtime frequency and depressive symptoms in elderly Koreans. Methods: This study analyzed 4,959 elderly men and women (aged 65 years or older) who participated in the Korea National Health and Nutrition Examination Survey. Self-administered questionnaires were used to assess depressive status, family mealtime frequency, and covariates. Multiple logistic regression analysis was performed to evaluate the association using the eating alone group as a reference. Results: After adjusting for all covariates, participants who had family meals 3 times a day had fewer depressive symptoms than the eating alone group; adjusted odds ratios (ORs) (95% confidence intervals [CIs]) were 0.72 (0.58–0.89) for point depressiveness/anxiety and 0.73 (0.56–0.94) for depressiveness lasting for at least 2 weeks. In suicidal ideation, the OR (95% CI) of eating with family twice a day was significant after full adjusting for covariates at 0.67 (0.50–0.88). Conclusion: Family mealtimes were closely associated with depressive symptoms in elderly Koreans, which suggests that maintaining intrafamilial bonding is important for mental health in an older population.
Abstract
Background: Several studies have revealed the frequency of family mealtimes to be inversely associated with depressive symptoms in adolescents. However, there have been few studies in older populations. This cross-sectional study investigated the association between family mealtime frequency and depressive symptoms in elderly Koreans. Methods: This study analyzed 4,959 elderly men and women (aged 65 years or older) who participated in the Korea National Health and Nutrition Examination Survey. Self-administered questionnaires were used to assess depressive status, family mealtime frequency, and covariates. Multiple logistic regression analysis was performed to evaluate the association using the eating alone group as a reference. Results: After adjusting for all covariates, participants who had family meals 3 times a day had fewer depressive symptoms than the eating alone group; adjusted odds ratios (ORs) (95% confidence intervals [CIs]) were 0.72 (0.58–0.89) for point depressiveness/anxiety and 0.73 (0.56–0.94) for depressiveness lasting for at least 2 weeks. In suicidal ideation, the OR (95% CI) of eating with family twice a day was significant after full adjusting for covariates at 0.67 (0.50–0.88). Conclusion: Family mealtimes were closely associated with depressive symptoms in elderly Koreans, which suggests that maintaining intrafamilial bonding is important for mental health in an older population.
참고문헌 (30)
- Beekman AT, "Review of community prevalence of depression in later life", Br J Psychiatry, 174, pp.307~311 (1999)
- Battaglia A, "Depression in the Italian community: epidemiology and socio-economic implications", Int Clin Psychopharmacol, 19, pp.135~142 (2004)
- Bots S, "Lifestyle- and diet-related factors in late-life depression: a 5-year follow-up of elderly European men: the FINE study", Int J Geriatr Psychiatry, 23, pp.478~484 (2008)
- Lebowitz BD, "Diagnosis and treatment of depression in late life:consensus statement update", JAMA, 278, pp.1186~1190 (1997)
- Murray CJ, "Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study", Lancet, 349, pp.1498~1504 (1997)
- Mathers CD, "Projections of global mortality and burden of disease from 2002 to 2030", PLoS Med, 3, pp.e442~ (2006)
- Reddy MS, "Depression: the disorder and the burden", Indian J Psychol Med, 32, pp.1~2 (2010)
- 박준혁, "한국의 우울증 역학에 대한 고찰", 대한의사협회지, 54(4), pp.362~369 (2011), 대한의사협회
- Mecocci P, "Depression in the elderly: new concepts and therapeutic approaches", Aging Clin Exp Res, 16, pp.176~189 (2004)
- Seymour J, "Depression, cardiac mortality and all-cause mortality", Adv Psychiatr Treat, 15, pp.107~113 (2009)
- Kennedy GJ, "Psychiatric and medical comorbidity in the primary care geriatric patient: an update", Curr Psychiatry Rep, 18, pp.62~ (2016)
- Raj A, "Depression in the elderly: tailoring medical therapy to their special needs", Postgrad Med, 115, pp.26~28 (2004)
- Philippot P, "Repetitive thinking, executive functioning, and depressive mood in the elderly", Aging Ment Health, 21, pp.1192~1196 (2017)
- Rao SK, "Is it better to be happy or not depressed?: depression mediates the effect of psychological well-being on adverse health outcomes in older adults", Int J Geriatr Psychiatry, 32, pp.1000~1008 (2017)
- Fiske A, "Depression in older adults", Annu Rev Clin Psychol, 5, pp.363~389 (2009)
- Singh A, "Loneliness, depression and sociability in old age", Ind Psychiatry J, 18, pp.51~55 (2009)
- Cason KL, "Family mealtimes: more than just eating together", J Am Diet Assoc, 106, pp.532~533 (2006)
- 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)
- Eisenberg ME, "Correlations between family meals and psychosocial well-being among adolescents", Arch Pediatr Adolesc Med, 158, pp.792~796 (2004)
- Neumark-Sztainer D, "Family meal patterns: associations with sociodemographic characteristics and improved dietary intake among adolescents", J Am Diet Assoc, 103, pp.317~322 (2003)
- Jeong TW, "Effects of family meal frequency on risk factors for cardiovascular disease in Korean elderly males and females", Iran J Public Health, 44, pp.60~67 (2015)
- Wang X, "Association between eating alone and depressive symptom in elders: a cross-sectional study", BMC Geriatr, 16, pp.19~ (2016)
- Goldfarb S, "Family structure and risk behaviors: the role of the family meal in assessing likelihood of adolescent risk behaviors", Psychol Res Behav Manag, 7, pp.53~66 (2014)
- Sen B, "The relationship between frequency of family dinner and adolescent problem behaviors after adjusting for other family characteristics", J Adolesc, 33, pp.187~196 (2010)
- Vesnaver E, "Social influences and eating behavior in later life: a review", J Nutr Gerontol Geriatr, 30, pp.2~23 (2011)
- Kimura Y, "Eating alone among community-dwelling Japanese elderly: association with depression and food diversity", J Nutr Health Aging, 16, pp.728~731 (2012)
- Ramirez JL, "Men navigating inward and outward through depression", Arch Psychiatr Nurs, 28, pp.21~28 (2014)
- Luppa M, "Age- and gender-specific prevalence of depression in latest-life: systematic review and meta-analysis", J Affect Disord, 136, pp.212~221 (2012)
- Chong MY, "Community study of depression in old age in Taiwan: prevalence, life events and socio-demographic correlates", Br J Psychiatry, 178, pp.29~35 (2001)
- Chen CS, "Clinically significant non-major depression in a community-dwelling elderly population: epidemiological findings", Int J Geriatr Psychiatry, 22, pp.557~562 (2007)
