서울시 거주 성인에서 우울증상과 관련있는 체중 조절방법
Weight Control Methods Related to Depressive Symptoms among Adults Living in Seoul
0
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
연구배경: 비만은 적극적인 예방과 관리가 필요한 질환으로생각된다. 그러나 건강하지 않은 체중조절 방법은 우울증과같은 심리적 문제와 관련이 있을 가능성이 있다. 저자들은 최근 1년 이내에 체중조절을 시도한 경험이 있는 성인 남녀를 대상으로 우울증상이 금식, 원푸드 다이어트, 다이어트 약물 복용과 같은 다양한 체중조절방법과 관련이 있는지를 알아보고자 하였다. 방법: 본 연구는 2009년 서울특별시 지역사회건강조사에 참여한 25-69세 성인 남녀 중 최근 1년 이내에 체중조절을 시도한 경험이 있는 10,285명을 대상으로 한 단면연구이다. 일대일직접면접을 통해 우울증상, 체중조절방법, 체중, 신장, 흡연력,음주력 및 사회경제적 수준에 대하여 설문조사하였다. 우울증상은 e Center for Epidemiological Studies-Depression Scale를이용하여 평가하였다. 결과: 연구대상자들의 우울증상은 5.2% (남성, 2.9%; 여성,7.0%)에서 진단되었으며, 최근 1년 동안 체중 조절을 위해 가장 많이 사용한 방법은 운동(77.9%)이었다. 남성에서는 우울증상이 원푸드 다이어트(odds ratio [OR], 3.27; 95% con dence interval [CI], 1.62-6.62), 단식(OR, 3.59; 95% CI, 1.61-8.02), 건강기능식품 섭취(OR, 2.57; 95% CI, 1.40-4.73), 한약 복용(OR,2.85; 95% CI, 1.24-6.51), 의사처방 없이 임의로 살 빼는 약 복용(OR, 5.50; 95% CI, 1.53-19.80)의 높은 시도와 관련이 있었으며, 여성에서는 우울증상이 원푸드 다이어트(OR, 1.83; 95%CI, 1.14-2.94), 단식(OR, 1.69; 95% CI, 1.10-2.59]), 의사처방을받아서 살 빼는 약 복용(OR, 2.28; 95% CI, 1.48-3.52)의 높은 시도 및 운동(OR, 0.65; 95% CI, 0.51-0.83)의 낮은 시도와 관련되었다. 결론: 본 연구는 우울증상의 유무에 따라 사용하는 체중조절방법에 차이가 있음을 보여주었다. 우울증상은 원푸드 다이어트, 단식, 살빼기 위한 약물 복용 등의 높은 시도와 관련이 있었으며, 여성에서는 우울증상과 운동의 낮은 시도의 관련성또한 관찰되었다.
Abstract
Background: Obesity is a disease state which should be prevented and managed. However, attempting unhealthy weight control can be related to psychologic problem like depression. This study was conducted to investigate the relationship between weight control methods and the depressive symptom among adults who have had weight control experience within recent 1 year. Methods: This study is a cross-sectional study on 10,285 adults (age, 25 to 69 years), who had weight control experience within recent 1 year, from the Community Health Survey, Seoul, 2009. Depressive symptom, tried weight control methods, weight, height, smoking status, alcohol intake and socioeconomic status were surveyed through face-to-face interview. The Center for Epidemiological Studies-Depression Scale is used for assessment of depressive symptom. Results: Depressive symptom was diagnosed in 5.2% (male: 2.9%, female: 7.0%) of study subjects and the most frequent method for weight control within 1 year was exercise (77.9%). Among men, depressive symptom was related to high likelihood of trying one-food diet (odds ratio [OR], 3.27; 95% confidence interval [CI], 1.62 to 6.62), fasting (OR, 3.59; 95%CI, 1.61 to 8.02), dietary supplements (OR, 2.57; 95% CI, 1.40 to 4.73), Korean herbal medicine (OR, 2.85; 95% CI, 1.24to 6.51), self-medication (OR, 5.50; 95% CI, 1.53 to 19.80). Among women, depressive symptom have relationship with high likelihood of trying one-food diet (OR, 1.83; 95% CI, 1.14 to 2.94), fasting (OR, 1.69; 95% CI, 1.10 to 2.59), prescribed medicine (OR, 2.28; 95% CI, 1.48 to 3.52) and low likelihood of trying exercise (OR, 0.65; 95% CI, 0.51 to 0.83). Conclusion: This study shows the difference of tried weight control methods depending on depressive symptom. Depressive symptom was related to high likelihood of trying weight control methods such as one-food diet, fasting and taking a diet-pill. In addition, that symptom was also related to low likelihood of trying exercise in women.
참고문헌 (28)
- Hevener AL, "Stock Conference Working Group. The 2009 stock conference report: inflammation, obesity and metabolic disease", Obes Rev, 11, pp.635~644 (2010)
- Anderson JW, "Long-term weight-loss maintenance: a meta-analysis of US studies", Am J Clin Nutr, 74, pp.579~584 (2001)
- Nguyen DM, "The epidemiology of obesity", Gastroenterol Clin North Am, 39, pp.1~7 (2010)
- Luppino FS, "Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies", Arch Gen Psychiatry, 67, pp.220~229 (2010)
- van der Merwe MT, "Psychological correlates of obesity in women", Int J Obes (Lond), 31(2), pp.S14~S18 (2007)
- Puhl RM, "e stigma of obesity: a review and update", Obesity (Silver Spring), 17, pp.941~964 (2009)
- Kim YS, "A study on weight-control behaviors, eating disorder symptoms and depression among female adolescents", J Korean Acad Psychiatr Ment Health Nurs, 13, pp.304~314 (2004)
- Methods for voluntary weight loss and control, "NIH Tech nology Assessment Conference Panel", Ann Intern Med, 116, pp.942~949 (1992)
- Kittler JE, "Weight concerns in individuals with body dysmorphic disorder", Eat Behav, 8, pp.115~120 (2007)
- Neumark-Sztainer D, "Adolescents engaging in unhealthy weight control behaviors: are they at risk for other health-compromising behaviors", Am J Public Health, 88, pp.952~955 (1998)
- 김동식, "The Effects of Actual and Perceived Body Weight on Unhealthy Weight Control Behaviors and Depressed Mood among Adult Women in Seoul, Korea", 예방의학회지, 41(5), pp.323~330 (2008), 대한예방의학회
- Community heath survey report, "Korea Centers for Disease Control & Prevention", Korea Centers for Disease Control & Prevention, ~ (2010)
- Radlo LS, "e CES-D scale: a self-report depression scale for research in the general population", Appl Psychol Meas, 1, pp.385~401 (1977)
- Weissman MM, "Assessing depressive symptoms in five psychiatric populations: a validation study", Am J Epidemiol, 106, pp.203~214 (1977)
- Orme JG, "Factorial and discriminant validity of the Center for Epidemiological Studies Depression (CES-D) scale", J Clin Psychol, 42, pp.28~33 (1986)
- Cho MJ, "Diagnostic validity of the CES-D(Korean version) in the assessment of DSM-III-R major depression", J Korean Neuropsychiatr Assoc, 32, pp.381~399 (1993)
- WHO, "The Asia-Pacific perspective: redefining obesity and its treatment", pp.Health Communications Australia Pty Ltd, IASO
- Boutelle K, "Weight control behaviors among obese, overweight, and nonoverweight adolescents", J Pediatr Psychol, 27, pp.531~540 (2002)
- Lee SY, "The prevalence of eating disorder risk group among high school students in Seoul: relationship of eating disorder symptoms with anxiety and depression tendency", J Korean Soc Study Obes, 10, pp.376~391 (2001)
- Rosen JC, "Life stress, psychological symptoms, and weight reducing behavior in adolescent girls: a prospective analysis", Int J Eat Disord, 9, pp.17~26 (1990)
- Vartanian LR, "Disgust and perceived control in aitudes toward obese people", Int J Obes (Lond), 34, pp.1302~1307 (2010)
- Hatzenbuehler ML, "Associations between perceived weight discrimination and the prevalence of psychiatric disorders in the general population", Obesity (Silver Spring), 17, pp.2033~2039 (2009)
- Beydoun MA, "Pathways linking socioeconomic status to obesity through depression and lifestyle factors among young US adults", J A ect Disord, 123, pp.52~63 (2010)
- Vartanian LR, "Effects of weight stigma on exercise motivation and behavior: a preliminary investigation among college-aged females", J Health Psychol, 13, pp.131~138 (2008)
- Serdula MK, "Prevalence of aempting weight loss and strategies for controlling weight", JAMA, 282, pp.1353~1358 (1999)
- Fallon AE, "Sex differences in perceptions of desirable body shape", J Abnorm Psychol, 94, pp.102~105 (1985)
- Gorber SC, "A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review", Obes Rev, 8, pp.307~326 (2007)