The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Association between Metabolic Syndrome and Depression among Korean Community-Dwelling Older Adults

지역사회 재가노인의 대사증후군과 우울의 관계

  • 오두남 (호서대학교 간호학과.기초과학연구소) ;
  • 김선호 (충북대학교 의과대학 간호학과)
  • Received : 2015.03.23
  • Accepted : 2015.05.29
  • Published : 2015.08.28
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Abstract

This study evaluated the association between metabolic syndrome(MetS), its components and depression among Korean community-dwelling older adults. We analyzed data from the fifth Korea National Health and Nutrition Examination Survey(KNHANES-V) 2010-2012. This study was a descriptive study of 3,755 Korean elderly, aged 65 years and older. A modified version of the criteria of the National Cholesterol Education Program, Adult Treatment Panel III was used to define MetS. Depressive symptoms were assessed using the questionnaire of the KNHANES-V. Multiple regression analyses performed the association between MetS, its components and depression. MetS was not statistically associated depressive symptoms, but low high-density lipoprotein cholesterol(HDL-C) was statistically associated depressive symptoms(Odds raio[OR]=1.26, 95%Confidence Interval [CI]=1.002-1.584) in older adults. Among elderly women, MetS(OR=1.36, 95%CI=1.029-1.792), elevated fasting glucose(OR=1.41, 95%CI=1.070-1.851), low HDL-C(OR=1.21, 95%CI=1.078-1.746) were statistically associated depressive symptoms. In conclusion, present study showed an association between MetS and depressive symptoms in Korean community dwelling elderly women but not in men.

본 연구는 우리나라 지역사회 거주노인을 대상으로 대사증후군 및 개별 위험요인과 우울간의 관련성을 확인하기 위해 시도되었다. 연구자료는 제5기 국민건강영양조사 원시자료를 이용하였으며, 연구 대상자는 65세 이상 노인 중 검진조사 내용이 부실한 자료를 제외한 3,755명이었다. 대사증후군 및 개별 위험인자와 우울의 연관성을 확인하기 위하여 다중로지스틱회귀분석을 실시하였다. 연구결과 재가노인의 대사증후군은 우울과 유의한 관계가 없었으나(95%Confidence Interval [CI]=0.980-1.569), 대사증후군 위험인자 중 낮은 고밀도지단백 콜레스테롤혈증(high-density lipoprotein cholesterol, HDL-C) 과 우울은 유의한 관계가 있었다(Odds raio[OR]=1.26, 95%Confidence Interval [CI]=1.002-1.584). 여성노인의 경우 대사증후군(OR=1.36, 95%CI=1.029-1.792), 혈당상승(OR=1.41, 95%CI=1.070-1.851), 저HDL-콜레스테롤혈증(OR=1.21, 95%CI=1.078-1.746)과 우울은 유의한 관계가 있었다. 반면, 남성노인의 경우 대사증후군 및 개별 위험인자와 우울과는 유의한 관계가 없는 것으로 나타났다. 결론적으로 우리나라 여성노인의 경우 대사증후군과 우울은 유의한 양의 관계가 있었으나, 남성노인에서는 유의한 관계가 없었다.

Keywords

References

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