Journal of Preventive Medicine and Public Health

  • 제48권2호
  • /
  • Pages.94-104
  • /
  • 2015
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지
DOI QR코드

DOI QR Code

The Combined Effect of Subjective Body Image and Body Mass Index (Distorted Body Weight Perception) on Suicidal Ideation

  • Shin, Jaeyong (Department of Public Health, Yonsei University Graduate School) ;
  • Choi, Young (Department of Public Health, Yonsei University Graduate School) ;
  • Han, Kyu-Tae (Department of Public Health, Yonsei University Graduate School) ;
  • Cheon, Sung-Youn (Department of Public Health, Yonsei University Graduate School) ;
  • Kim, Jae-Hyun (Department of Public Health, Yonsei University Graduate School) ;
  • Lee, Sang Gyu (Department of Hospital Management, Graduate School of Public Health, Yonsei University) ;
  • Park, Eun-Cheol (Department of Public Health, Yonsei University Graduate School)
  • 투고 : 2014.12.22
  • 심사 : 2015.01.30
  • 발행 : 2015.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: Mental health disorders and suicide are an important and growing public health concern in Korea. Evidence has shown that both globally and in Korea, obesity is associated with an increased risk of developing some psychiatric disorders. Therefore, we examined the association between distorted body weight perception (BWP) and suicidal ideation. Methods: Data were obtained from the 2007-2012 Korea National Health and Nutritional Evaluation Survey (KNHANES), an annual cross-sectional nationwide survey that included 14 276 men and 19 428 women. Multiple logistic regression analyses were conducted to investigate the associations between nine BWP categories, which combined body image (BI) and body mass index (BMI) categories, and suicidal ideation. Moreover, the fitness of our models was verified using the Akaike information criterion. Results: Consistent with previous studies, suicidal ideation was associated with marital status, household income, education level, and perceived health status in both genders. Only women were significantly more likely to have distorted BWP; there was no relationship among men. In category B1 (low BMI and normal BI), women (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.48 to 3.42) were more likely to express suicidal ideation than women in category B2 (normal BMI and normal BI) were. Women in overweight BWP category C2 (normal BMI and fat BI) also had an increased OR for suicidal ideation (OR, 2.25; 95% CI, 1.48 to 3.42). Those in normal BWP categories were not likely to have suicidal ideation. Among women in the underweight BWP categories, only the OR for those in category A2 (normal BMI and thin BI) was significant (OR, 1.34; 95% CI, 1.13 to 1.59). Conclusions: Distorted BWP should be considered an important factor in the prevention of suicide and for the improvement of mental health among Korean adults, especially Korean women with distorted BWPs.

키워드

참고문헌

  1. Korean Statistical Information Service. National health statistics [cited 2014 Aug 8]. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=D#SubCont (Korean).
  2. Organisation for Economic Co-operation and Development (OECD). Health at a glance 2013: OECD indicators [cited 2015 Mar 16]. Available from: http://www.oecd.org/els/health-systems/Health-at-a-Glance-2013.pdf.
  3. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;384(9945):766-781. https://doi.org/10.1016/S0140-6736(14)60460-8
  4. Kang HT, Shim JY, Lee HR, Park BJ, Linton JA, Lee YJ. Trends in prevalence of overweight and obesity in Korean adults, 1998-2009: the Korean National Health and Nutrition Examination Survey. J Epidemiol 2014;24(2):109-116. https://doi.org/10.2188/jea.JE20130017
  5. Khang YH, Yun SC. Trends in general and abdominal obesity among Korean adults: findings from 1998, 2001, 2005, and 2007 Korea National Health and Nutrition Examination Surveys. J Korean Med Sci 2010;25(11):1582-1588. https://doi.org/10.3346/jkms.2010.25.11.1582
  6. Barry D, Pietrzak RH, Petry NM. Gender differences in associations between body mass index and DSM-IV mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Ann Epidemiol 2008;18(6):458-466. https://doi.org/10.1016/j.annepidem.2007.12.009
  7. Bjerkeset O, Romundstad P, Evans J, Gunnell D. Association of adult body mass index and height with anxiety, depression, and suicide in the general population: the HUNT study. Am J Epidemiol 2008;167(2):193-202. https://doi.org/10.1093/aje/kwm280
  8. Kasen S, Cohen P, Chen H, Must A. Obesity and psychopathology in women: a three decade prospective study. Int J Obes (Lond) 2008;32(3):558-566. https://doi.org/10.1038/sj.ijo.0803736
  9. Petry NM, Barry D, Pietrzak RH, Wagner JA. Overweight and obesity are associated with psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychosom Med 2008;70(3):288-297. https://doi.org/10.1097/PSY.0b013e3181651651
  10. Simon GE, Ludman EJ, Linde JA, Operskalski BH, Ichikawa L, Rohde P, et al. Association between obesity and depression in middle-aged women. Gen Hosp Psychiatry 2008;30(1):32-39. https://doi.org/10.1016/j.genhosppsych.2007.09.001
  11. Heo M, Pietrobelli A, Fontaine KR, Sirey JA, Faith MS. Depressive mood and obesity in US adults: comparison and moderation by sex, age, and race. Int J Obes (Lond) 2006;30(3):513-519. https://doi.org/10.1038/sj.ijo.0803122
  12. Bjerkeset O, Nordahl HM, Mykletun A, Holmen J, Dahl AA. Anxiety and depression following myocardial infarction: gender differences in a 5-year prospective study. J Psychosom Res 2005;58(2):153-161. https://doi.org/10.1016/j.jpsychores.2004.07.011
  13. Fan AZ, Strine TW, Jiles R, Mokdad AH. Depression and anxiety associated with cardiovascular disease among persons aged 45 years and older in 38 states of the United States, 2006. Prev Med 2008;46(5):445-450. https://doi.org/10.1016/j.ypmed.2008.02.016
  14. Herbst S, Pietrzak RH, Wagner J, White WB, Petry NM. Lifetime major depression is associated with coronary heart disease in older adults: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychosom Med 2007;69(8):729-734. https://doi.org/10.1097/PSY.0b013e3181574977
  15. John U, Meyer C, Rumpf HJ, Hapke U. Relationships of psychiatric disorders with overweight and obesity in an adult general population. Obes Res 2005;13(1):101-109. https://doi.org/10.1038/oby.2005.13
  16. Carpenter KM, Hasin DS, Allison DB, Faith MS. Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study. Am J Public Health 2000;90(2):251-257. https://doi.org/10.2105/AJPH.90.2.251
  17. Kim DS. Body image dissatisfaction as an important contributor to suicidal ideation in Korean adolescents: gender difference and mediation of parent and peer relationships. J Psychosom Res 2009;66(4):297-303. https://doi.org/10.1016/j.jpsychores.2008.08.005
  18. Inder KJ, Handley TE, Johnston A, Weaver N, Coleman C, Lewin TJ, et al. Determinants of suicidal ideation and suicide attempts: parallel cross-sectional analyses examining geographical location. BMC Psychiatry 2014;14:208. https://doi.org/10.1186/1471-244X-14-208
  19. Lee HY, Hahm MI, Park EC. Differential association of socio-economic status with gender- and age-defined suicidal ideation among adult and elderly individuals in South Korea. Psychiatry Res 2013;210(1):323-328. https://doi.org/10.1016/j.psychres.2013.05.012
  20. Moon SS, Park SM. Risk factors for suicidal ideation in Korean middle-aged adults: the role of socio-demographic status. Int J Soc Psychiatry 2012;58(6):657-663. https://doi.org/10.1177/0020764011433626
  21. Cho JH, Han SN, Kim JH, Lee HM. Body image distortion in fifth and sixth grade students may lead to stress, depression, and undesirable dieting behavior. Nutr Res Pract 2012;6(2):175-181. https://doi.org/10.4162/nrp.2012.6.2.175
  22. Kim JH, Park EC, Cho WH, Park CY, Choi WJ, Chang HS. Association between total sleep duration and suicidal ideation among the Korean general adult population. Sleep 2013;36(10):1563-1572. https://doi.org/10.5665/sleep.3058
  23. Chin YR, Lee HY, So ES. Suicidal ideation and associated factors by sex in Korean adults: a population-based cross-sectional survey. Int J Public Health 2011;56(4):429-439. https://doi.org/10.1007/s00038-011-0245-9
  24. Kim JS, Lee K. The relationship of weight-related attitudes with suicidal behaviors in Korean adolescents. Obesity (Silver Spring) 2010;18(11):2145-2151. https://doi.org/10.1038/oby.2010.62
  25. Kim DS, Cho Y, Cho SI, Lim IS. Body weight perception, unhealthy weight control behaviors, and suicidal ideation among Korean adolescents. J Sch Health 2009;79(12):585-592. https://doi.org/10.1111/j.1746-1561.2009.00452.x
  26. Kim DS, Kim HS, Cho Y, Cho SI. The effects of actual and perceived body weight on unhealthy weight control behaviors and depressed mood among adult women in Seoul, Korea. J Prev Med Public Health 2008;41(5):323-330. https://doi.org/10.3961/jpmph.2008.41.5.323
  27. McCabe MP, Ricciardelli LA. Body image dissatisfaction among males across the lifespan: a review of past literature. J Psychosom Res 2004;56(6):675-685. https://doi.org/10.1016/S0022-3999(03)00129-6
  28. Lee CG, Seo DC. Trajectory of suicidal ideation in relation to perceived overweight from adolescence to young adulthood in a representative United States sample. J Adolesc Health 2013;53(6):712-716. https://doi.org/10.1016/j.jadohealth.2013.06.013
  29. Gaskin JL, Pulver AJ, Branch K, Kabore A, James T, Zhang J. Perception or reality of body weight: which matters to the depressive symptoms. J Affect Disord 2013;150(2):350-355. https://doi.org/10.1016/j.jad.2013.04.017
  30. Miranda R, Ortin A, Scott M, Shaffer D. Characteristics of suicidal ideation that predict the transition to future suicide attempts in adolescents. J Child Psychol Psychiatry 2014;55(11):1288-1296. https://doi.org/10.1111/jcpp.12245
  31. Miranda R, De Jaegere E, Restifo K, Shaffer D. Longitudinal follow-up study of adolescents who report a suicide attempt: aspects of suicidal behavior that increase risk of a future attempt. Depress Anxiety 2014;31(1):19-26. https://doi.org/10.1002/da.22194
  32. Miranda R, Scott M, Hicks R, Wilcox HC, Harris Munfakh JL, Shaffer D. Suicide attempt characteristics, diagnoses, and future attempts: comparing multiple attempters to single attempters and ideators. J Am Acad Child Adolesc Psychiatry 2008;47(1):32-40. https://doi.org/10.1097/chi.0b013e31815a56cb

피인용 문헌

  1. The Association between Inappropriate Weight Control Behaviors and Suicide Ideation and Attempt among Korean Adolescents vol.31, pp.10, 2015, https://doi.org/10.3346/jkms.2016.31.10.1529
  2. Body weight misperception and psychological distress among young South Korean adults: the role of physical activity vol.2, pp.None, 2015, https://doi.org/10.1186/s41256-017-0036-9
  3. Self-perceptions of body weight status according to age-groups among Korean women: A nationwide population-based survey vol.14, pp.1, 2019, https://doi.org/10.1371/journal.pone.0210486
  4. Factors associated with psychological stress and distress among Korean adults: the results from Korea National Health and Nutrition Examination Survey vol.10, pp.1, 2015, https://doi.org/10.1038/s41598-020-71789-y
  5. Prevalence and factors associated with suicidal ideation amongst college students in the Nelson Mandela Bay Municipality, South Africa vol.63, pp.1, 2015, https://doi.org/10.4102/safp.v63i1.5195
  6. Association between Subjective Body Image, Body Mass Index and Psychological Symptoms in Chinese Adolescents: A Nationwide Cross-Sectional Study vol.9, pp.10, 2021, https://doi.org/10.3390/healthcare9101299