지역사회 거주 노인의 악력과 우울증과의 관계: 국민건강영양조사 제9기(2022) 자료를 이용하여
The Association between Handgrip Strength and Depression in Community-Dwelling Older Adults: Using Data from the 9th National Health and Nutrition Examination Survey (2022)
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목적: 이 연구는 노인의 악력이 우울증에 미치는 영향을 확인하고자 하였다. 방법: 본 연구는 제9차 국민건강영양조사(2022년) 데이터를 사용하여 60세 이상 2,010명의 참여자를 대상으로 이차 자료 분석을 수행하였으며, 복합표본 다변량 로지스틱 회귀분석을 통해 악력과 우울증의 연관성을 분석하였다. 결과: 악력은 나이가 들수록 감소하며, 남성에 비해 여성의 악력이 더 낮았다. 또한, 남성의 악력은 여성의 악력보다 상대적으로 급격하게 감소하는 경향을 나타냈다. 악력이 낮은 노인의 경우 우울증을 겪을 확률이 2.76배 더 높았다(95% CI: 1.18-6.42, p =.019). 결론: 이 연구는 근력 유지가 노인의 우울증 위험을 줄이는 잠재적인 전략임을 강조하며, 근력이 노인인구에서 중요한 건강 지표로 작용할 수 있음을 시사한다. 노인의 삶의 질을 향상시키기 위한 공중 보건 전략에 근력을 강화하는 방안을 포함할 필요성이 있으며, 이를 통해 우울증 위험을 완화할 수 있는 중재 전략을 탐구하는 후속 연구를 제언한다.
Abstract
Purpose: This study aimed to determine the association of handgrip strength (HGS) with depression in older adults. Methods: This study was secondary data analysis using data from the 9th Korea National Health and Nutrition Examination Survey (KNHANES), including 2,010 participants aged 60 and above. A complex sample multivariate logistic regression analysis was used to examine the association of HGS with depression. Results: HGS decreased with age and was lower in women compared to men. The decline in HGS with aging was relatively steeper in men than in women. Additionally, older adults with low HGS were 2.76 times more likely to experience depression. Conclusions: This study highlights the importance of preserving muscle strength in older adults as a potential strategy for reducing the risk of depression. This study provides valuable insights for public health strategies aimed at preventing muscle strength loss to manage depression among older adults. Further work has been proposed to explore the causal relationship between HGS and depression in older adults.
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