7가지 건강습관과 건강관련 삶의 질의 연관성
The Relationship between Seven Health Habits (Alameda 7) and Health-related Quality of Life
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연구배경: 수명의 연장과 관련이 있는 7가지 건강습관(Alameda 7)이 포괄적인 건강 즉 사회적, 신체적, 정신적 건강, 곧 통합적인 건강과도 관련이 있는지 알아보고자 본 연구를 시행하였다. 포괄적인 건강의 측정도구로 SF-36 설문도구를 이용하였다. 방법: 성남지역 1개 제조업체 근로자 550명을 대상으로 자기기입식 설문조사를 시행하였다. 배부된 설문지 550부 중 413부(75.1%)가 회수되었고 불성실한 답변을 한 27부를 제외한 386부(70.2%)를 분석자료로 이용하였다. 결과: 여러 혼란변수(연령, 성, 질병)와 다른 건강습관을 통제한 상태에서, 건강습관 각각이 건강관련 삶의 질과 관련성이 있는지 알아보고자 다중회귀분석을 시행하였고 결과는 다음과 같다. 1) 매일 아침식사를 하는 경우, 사회적 기능 점수와 통증 점수가 의미 있게 높았다. 2) 하루 7～8시간 수면하는 경우, 신체적 기능을 제외한 SF-36 모든 영역에서 의미 있게 높은 점수를 보였다. 3) 정상 체질량지수를 유지하는 경우, 감정적 역할제한 점수가 의미 있게 높았다. 4) 규칙적으로 운동을 하는 경우, 일반적 건강, 신체적 기능, 활력, 정신적 건강 점수가 의미 있게 높았다. 5) 그 외 건강습관(간식 안하기, 금연, 금주)은 SF-36의 어떤 항목과도 관련성이 없었다. 결론: 건강습관, 특히 하루수면시간과 아침식사, 운동, 정상체중 유지는 건강관련 삶의 질과 관련된 가장 중요한 요인이며, 건강관련 삶의 질 향상을 위해 건강습관 실천의 중요성에 대한 교육이 지속적으로 이루어져야 하겠다.
Abstract
Background: The purpose of this study was to investigate the relationship between 7 health habits and health-related quality of life using the SF-36 questionnaires. Methods: The subjects for this study were 550 workers in Seongnam City, Kyonggi Province, Korea. Data were collected by using constructed questionnaires from 11 September 2004 to 25 September 2004. Statistical analyses were conducted using SPSS. Results: There were positive relationships of favorable health habits as indicated by Alameda 7 to health- related quality of life. After controlling for the effects of confounding cofactors that included age, sex, diseases, and other health habits, multiple regression analysis indicated as follows. 1) The item of ‘eating breakfast everyday’ were significantly related to the grade of social function (SF) and bodily pain (BP). 2) The item of ‘sleeping for 7～8 hours a day’ were significantly related to all domains of the SF-36 except physical function (PF). 3) The item of ‘normal Body Mass Index’ were significantly related to the grade of Role limitations-emotional (RE). 4. The item of ‘regular physical exercise’ were significantly related to the grade of general health (GH), physical function (PF), Vitality (VT), and mental health (MH). Other health habits like not snacking between meals, never smoking, and low alcohol consumption were not associated with any of the SF-36 profiles. Conclusion: There were positive relationships of favorable health habits to health-related quality of life. It is important to have favorable health habits for good health-related quality of life.
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