Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지

Impact of Hunger Experiences in Childhood or Adolescence on Diabetes among Korean Elders

한국 노인의 당뇨병과 소년기 굶주림 경험

  • JungChoi, Kyung-Hee (Department of Preventive Medicine, Ewha Womans University School of Medicine) ;
  • Kang, Min-Ah (Department of Public Administration, College of Social Sciences, Ewha Womans University) ;
  • Cho, Sung-Il (Graduate School of Public Health, Seoul National University) ;
  • Khang, Young-Ho (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Ha, Eun-Hee (Department of Preventive Medicine, Ewha Womans University School of Medicine) ;
  • Chun, Hee-Ran (Department of Public Administration, College of Social Sciences, Ewha Womans University) ;
  • Jang, Soong-Nang (Department of Society, Human Development and Health, Harvard School of Public Health)
  • 정최경희 (이화여자대학교 의학전문대학원 예방의학교실) ;
  • 강민아 (이화여자대학교 사회과학대학 행정학과) ;
  • 조성일 (서울대학교 보건대학원) ;
  • 강영호 (울산대학교 의과대학 예방의학교실) ;
  • 하은희 (이화여자대학교 의학전문대학원 예방의학교실) ;
  • 천희란 (이화여자대학교 사회과학대학 행정학과) ;
  • 장숙랑 (하바드대학교 보건대학원)
  • Received : 2010.03.04
  • Accepted : 2010.03.13
  • Published : 2010.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: To investigate the relationship between experience of hunger in childhood or adolescence and diabetes mellitus in old age. Methods: Stratified national samples of 421 men and 554 women aged 60-89 in South Korea were analyzed. Diabetes diagnosed by a doctor was used as the dependent variable. Experience of hunger in childhood was assessed with the question, "In your childhood, have you ever gone hungry with skipping a meal?" and "In your childhood, have you ever eaten porridge or some bran cake as main dish instead of rice because of lack of food?" Odds ratios (ORs) and 95% confidence interval (CI) were calculated by multiple logistic regressions. Results: ORs of diabetes by experience of hunger in childhood were 1.64(95% CI 0.95-2.83) for men and 1.58(95% CI 1.01-2.47) for women. Significant association of experience of hunger in childhood with prevalence of diabetes persisted in men after adjustment for adulthood and old age socioeconomic position indicators and other risk factors(OR 1.88(95% CI 1.04-3.41)). The effect of experience of hunger in 10-19 years was more prominent than that in less than 10 years in both gender. Conclusion: Experience of hunger in childhood or adolescence may increase the risk of diabetes in Korean elders.

Keywords

References

  1. 김철식 외 7인. 한국인 청소년에서 출생체중, 현재체중 및 체중변화와 인슐린저항성과의 관계. 대한비만학회지 2003;12(3): 183-92.
  2. 박이병, 백세현. 우리나라 당뇨병의 역학적 특성-대한당뇨병학회, 건강보험심사평가원 공동연구 결과를 중심으로. 당뇨병 2009;33(5):357-62. https://doi.org/10.4093/kdj.2009.33.5.357
  3. 박중열 외 8인. 한국인 인슐린비의존성 당뇨병 환자의 체중변화양상. 당뇨병 1993;17(1):51-8.
  4. 이철호, 주용재, 안기옥, 류시생. 지난 일세기 동안의 한국인 식습관의 변화와 보건영양상태의 추이 분석. 한국식문화학회지 1988;3(4):397-406.
  5. 정최경희. 사회경제적 사망 불평등에 대한 사망 원인별 기여도: 우리나라에서의 현황과 추이[박사학위논문]. 울산: 울산대학교 대학원, 2008.
  6. 통계청. 주민등록인구통계. http://www.kosis.kr. 2008.
  7. Choi CS 외 7인. Association between birth weight and insulin sensitivity in healthy young men in Korea: role of visceral adiposity. Diabetes Res Clin Pract 2000;49(1):53-9. https://doi.org/10.1016/S0168-8227(00)00131-5
  8. Goldman N, Cornman JC, Chang MC. Measuring subjective social status: a case study of older Taiwanese. J Cross Cult Gerontol 2006;21(1-2):71-89.
  9. Hales CN, Barker DJ. The thrifty phenotype hypothesis. Br Med Bull 2002;60(1):5-20.
  10. Hales CN 외 6인. Fetal and infant growth and impaired glucose tolerance at age 64. BMJ 1991;303(6809):1019-22. https://doi.org/10.1136/bmj.303.6809.1019
  11. Head RF, Gilthorpe MS, Byrom A, Ellison GT. Cardiovascular disease in a cohort exposed to the 1940-45 Channel Islands occupation. BMC Public Health 2008;8:303. https://doi.org/10.1186/1471-2458-8-303
  12. Kermack WO, McKendrick AG, McKinlay PL. Death-rates in Great Britain and Sweden. Some general regularities and their significance. Lancet 1934;223(5770):698-703. https://doi.org/10.1016/S0140-6736(00)92530-3
  13. Kuh D, Ben-Shlomo Y. Introduction. In: Kuh D, Ben-Shlomo Y, eds. A Life Course Approach to Chronic Disease Epidemiology. New York: Oxford University Press, 2004:3-14.
  14. Lithell HO 외 5인. Relation of size at birth to non-insulin dependent diabetes and insulin concentrations in men aged 50-60 years. BMJ 1996;312(7028):406-10. https://doi.org/10.1136/bmj.312.7028.406
  15. Martins PA, Sawaya AL. Evidence for impaired insulin production and higher sensitivity in stunted children living in slums. Br J Nutr 2006;95(5):996-1001.
  16. Rich-Edwards JW 외 7인. Birthweight and the risk for type 2 diabetes mellitus in adult women. Ann Intern Med 1999;130(4 Pt 1):278-84.
  17. Roglic G, Unwin N. Mortality attributable to diabetes: estimates for the year 2010. Diabetes Res Clin Pract 2010;87(1):15-9. https://doi.org/10.1016/j.diabres.2009.10.006
  18. Sawaya AL, Martins PA, Grillo LP, Florencio TT. Long-term effects of early malnutrition on body weight regulation. Nutr Rev 2004;62(7 Pt 2):S127-33. https://doi.org/10.1301/nr.2004.jul.S127-S133
  19. Sparen P 외 7인. Long term mortality after severe starvation during the siege of Leningrad: prospective cohort study. BMJ 2004;328 (7430):11. https://doi.org/10.1136/bmj.37942.603970.9A
  20. Stoving RK, Hangaard J, Hansen-Nord M, Hagen C. A review of endocrine changes in anorexia nervosa. J Psychiatr Res 1999; 33(2):139-52. https://doi.org/10.1016/S0022-3956(98)00049-1
  21. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 2004;27(5):1047-53. https://doi.org/10.2337/diacare.27.5.1047