DOI QR코드

DOI QR Code

Eating habits in accordance with the Mental Health status : The 5th Korea National Health and Nutrition Examination Survey, 2010-2012

국민건강영양조사 제 5기(2010-2012)를 활용한 한국의 19세 이상 성인의 식습관에 따른 정신건강상태

  • 박효은 (수원여자대학교 간호학과) ;
  • 배연희 (수원여자대학교 간호학과)
  • Received : 2016.09.23
  • Accepted : 2016.10.07
  • Published : 2016.10.31

Abstract

The purpose of this study was to investigate eating habits and patterns in accordance with the mental health status in Korea. Data from the fifth Korean National Health and Nutrition Examination Survey in 2010-2012 by the CDCP were used to target 19-year-olds. A total of 15,484 subjects (6,348 men and 9,500 women) were enrolled in this study. The collected data were analyzed using frequency analysis, cross-analysis, and multiple logistic regression analysis. The results revealed that men showed, with linear tendency, a decrease in stress and suicidal ideation with an increase in the number of meals. (p<.05). Women also showed, with linear tendency, that an increase in the number of meals resulted in a reduction of stress, depression, and suicidal ideation (p<.05). The stress level of women decreased by 0.667 times when they ate two meals rather than one time meal per day. If women ate three meals compared with one meal per day, stress, depression, and suicidal ideation were reduced by 0.522, 0.605, and 0.508 times, respectively (p<.05). It was found that Aa regular eating habit may have an impact on stress, depression, and suicidal ideation. Moreover, irregular meals, brought on by modern influences, could have a negative impact on mental health, leading to social and economic losses. These results suggest that we need to educate and promote awareness on proper eating habits.

본 연구는 한국 성인의 식습관과 정신건강과의 관련성을 규명함으로써 올바른 식습관 형성의 중요성을 알리고 한국인의 정신건강증진을 위해 기초자료를 제공하는데 그 목적이 있다. 연구 대상자는 국민건강영양조사 5기(2010-2012)에 참여한 19세 이상 성인 15,848명(남자 6,348명, 여자 9,500명)을 대상으로 하였다. 자료분석에서 일반적은 특성은 기술분석을 활용하였으며, 식사와 정신건강과의 관련성은 카이제곱검정을 실시하였다. 그리고 다중 로지스틱 회귀분석과 선형경향성을 사용하여 식습관과 정신건강과의 관련성을 파악하였다. 연구결과, 남성은 식사횟수가 증가할수록 스트레스와 자살생각이 감소하는 경향을 보였다. 그리고 여성은 식사횟수가 증가할수록 스트레스, 우울, 자살생각이 모두 감소하는 경향을 보였다. 특히, 여성은 1식에 비해 2식을 할 경우 스트레스가 0.667배 감소하였다. 그리고 1식에 비해 3식을 할 경우 스트레스는 0.522배, 우울 0.605배, 자살생각 0.508배 감소함을 규명하여 식사횟수가 정신건강에 영향을 미치는 것을 확인할 수 있었다. 결론적으로 규칙적인 식습관이 정신건강에 영향을 줄 수 있기 때문에 올바른 식습관과 그로 인한 균형 잡힌 영양소 섭취가 정신건강에 중요함을 알리는 교육과 사회적 관심이 필요하다.

Keywords

References

  1. Yi, B. S., Yang, I. S. "An Exploratory Study for Identifying Factors Related to Breakfast in Elementary, Middle and High School Students", Korean Society of Food Culture. vol. 11, no. 1, pp. 25-38, 2006.
  2. M. J. Han., H. A. Cho. "Dietary habit and perceived stress of college students in Seoul area", Journal of the Korean Society of Food Culture, vol. 13, no. 4, pp. 317-326, 1998.
  3. Furman, E. F. "Undernutrition in older adults across the continuum of care: nutritional assessment, barriers, and interventions", Journal of Gerontological Nursing, vol. 32, no. 1, pp. 22-27, 2006. DOI: http://dx.doi.org/10.3928/0098-9134-20060101-11
  4. Ministry of Health and Welfare, "Korea health statistics: 2014 Korea national health and nutrition examination survey", Available from http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=26&CONT_SEQ=326126 (accessed July 6, 2016), 2014.
  5. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANES V-2), 2012.
  6. Park, M. S., Park, K. A. "The differences of dietary and health-related habits, depression, eating disorder and nutrient intake according to the life stress in nursing college students", Journal of the Korea Academia-Industrial cooperation Society, vol. 15, no. 1, pp. 344-355, 2014. DOI : http://dx.doi.org/10.5762/KAIS.2014.15.1.344
  7. Korea Health Promotion Foundation, "Health Plan 2020", Available from http://www.khealth.or.kr/BoardType66.do?bid=64&mid=359&cmd=_view&dept=&bns=7&idx=9037 (accessed July 10, 2016).
  8. Sim, M. Y., Lee, D. N. "Stress Coping Behavior and Mediation Effect of Social Competence within the Influence Relation where the Effect of Stress of the Children from Multicultural Families on their School Adjustment," Journal of the Korea Academia-Industrial cooperation Society, vol. 17, no. 3 pp. 241-251, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.3.241
  9. Chung, Y. O., Shim, G. B., Lee, M. S., Nam, C. H. "Factors affecting the self-esteem and stress of university students", The Journal of Korean Society for School and Community Health Education, vol. 16, no. 3, pp. 65-78, 2015.
  10. Kim, H. K., Kim, J. H. "Relationship between stress and eating habits of adults in Ulsan", Korean Journal of Nutrition, vol. 42, no. 6, pp. 536-546, 2009. DOI: http://dx.doi.org/10.4163/kjn.2009.42.6.536
  11. Lee, J. S. "Eating Habits of the University Students affected by Stress Levels in the Areas of Seoul and Gangwon Province", The Korean Journal of Food And Nutrition, vol. 28, no. 5, pp. 782-793, 2015. DOI: http://dx.doi.org/10.9799/ksfan.2015.28.5.782
  12. Hong, J. H., Kim, S. Y. "Correlation between eating behavior and stress level in high school students", Journal of the Korean Society of Food Science and Nutrition, vol. 43, no. 3, pp. 459-470, 2014. DOI: http://dx.doi.org/10.3746/jkfn.2014.43.3.459
  13. Lee, Y. H., Kim, Y. J., Lee, S. Y., Lee, J. K., Jung, D. W., Jo, Y. H., Tack, Y. J., Choi, E. J., Hwang, H. L., Lee, S. H. "The Correlation of Meal Frequency and Nutrition with Mental Health Status in Women Aged 20-39 Years: The 5th Korea National Health and Nutrition Examination Survey, 2010-2012", The Korean Journal of Obesity, vol. 24, no. 2, pp. 101-107, 2015. DOI: http://dx.doi.org/10.7570/kjo.2015.24.2.101
  14. Kim, M. K., Shin, D. S., Wang, S. K. "Effect of the nutrient intakes on psychosocial stress", Journal of the Korean Society of Food Culture, vol. 10, no. 5, pp. 405-417, 1995.
  15. Kim, G. D., Kim, K. H. "Comparison of Depression, Anxiety, and Stress Between Korea Elders and New Zealand Elders" Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 9 pp. 6190-6200, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.9.6190
  16. Lee, J. W., Kim, S. A. "A Comparative Study on Eating Habits and Eating Attitude of Depressed and Normal Adults : Based on 2008 Korean National Health and Nutrition Examination Survey", The Korean Journal of community Nutrition, vol. 16, no. 5, pp. 548-558, 2011. DOI: http://dx.doi.org/10.5720/kjcn.2011.16.5.548
  17. Son, S. M., Park, J. K., Lee, H. S. "Depression and dietary factors related to hyperlipidemia in urban living elderly female from low income group", Korean Journal of Community Nutrition, vol. 8, no. 6, pp. 938-950, 2003.
  18. Torres, S. J., McCabe, M., Nowson, C. A. "Depression, nutritional risk and eating behaviour in older caregivers", The journal of nutrition, health and aging, vol. 14, no. 6), 442-448, 2010. https://doi.org/10.1007/s12603-010-0041-x
  19. Park, J. E., Kim, S. J., Choue, R. W. "Study on stress, depression, binge eating, and food behavior of high school girls based on their BMI", Korean Journal of Community Nutrition, vol. 14, no. 2, pp. 175-181, 2009.
  20. Han, J. S., Yun, S. W., Choi, S. S. "A Study on the Patients Who Attempted Suicide with Drug Intoxication" Journal of the Korea Academia- Industrial cooperation Society, vol. 14, no. 4 pp. 1863-1870, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.4.1863
  21. Statistics Korea, "Causes of Death Statistics in 2014" Available from http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=348539 (accessed July 10, 2016).
  22. Park, M. J. "Suicidal Ideation and Affecting Factors according to Sex in Elderly by using Korea Health Panel Data 2010", Journal of the Korean Data Analysis Society, vol. 17, no. 2, pp. 1087-1099, 2015.
  23. Song, M. K., Ha, J. J., Park, D. H., Yoo, S. H., Oh, J. H., Yoo, J. H. "Effect of body image and eating attitude on depressive mood and suicide ideation in female adolescents", Korean Journal of Psychosomatic Medicine, vol. 18, no. 1, pp. 40-47, 2010.
  24. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. "Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1)", 2011.
  25. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. "Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3)", 2013.
  26. Song, H. Y., Park, H. E. "The relations of the elderly's eating habits with their obesity", Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 8, pp. 5404-5412, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.8.5404
  27. Hong, Y. H., Lee, E. H., Lim, H. S., Chyun, J. H. "Dietary habits and the perception and intake of health functional foods in male office workers by age", Journal of the East Asian Society of Dietary Life, vol. 25, no. 2, pp. 340-351, 2015. DOI: http://dx.doi.org/10.17495/easdl.2015.4.25.2.340
  28. Shin, K. H., Chae, K. Y., Yoo, Y. J. "A study on the breakfast habits of salaried people in Seoul", Korean Journal of Food and Cookery Science, vol. 18, no. 1, pp. 119-128, 2002.
  29. Lee, J. W. "Effects of Frequent Eating-out and Breakfast Skipping on Body Mass Index and Nutrients Intake of Working Male Adults: Analysis of 2001 Korea", The Korean Journal of community Nutrition, vol. 14, no. 6, pp. 789-797, 2009.
  30. Choi, M. Y., Park, D. Y., Rhie, S. G. "Rice preference differences in subjects taking breakfast regularly and skipping breakfast in Kyeonggi-do residence", Korean Journal of Community Nutrition, vol. 8, no. 4, pp. 547-555, 2003.
  31. Chung, C. W., Lee, S. J. "Effects of body weight control behaviors on bone mineral density in Korean young adult women", Korean Journal of Women Health Nursing, vol. 19, no. 1, pp. 57-65, 2013. DOI: http://dx.doi.org/10.4069/kjwhn.2013.19.1.57.
  32. Choi, Y. H., Sung, J. H., Lee, S. H. "The causal factors of adolescents' subjective attitude towards body image - Focusing on the study of weight control behavior and mental health status according to the 2011 Korea National Health and Nutrition Examination Survey Data", The Journal of Korean Society for School and Community Health Education, vol. 15, no. 3, pp. 43-54, 2014.
  33. Lee, H. O., Park, M. K., Lee, H. J. "Effect of Dietary Habits and Nutritional Status in Serum Lipids and Composition of Smoking Adult Men", Chung-Ang Journal of Human Ecology, vol. 12, pp. 101-119, 1999.
  34. Choi, M. K., Jun, Y. S., Kim, A. J. "A Comparative study of dietary behaviors and nutrient intakes according to alcohol drinking among male university students in chungnam", Journal of the Korean Society of Food Science and Nutrition, vol. 30, no. 5, pp. 978-985, 2001.
  35. Park, J. K., Kweon, S. H., Kim, Y. H., Jang, M. J., Oh, K. W. "Dietary behaviors related to metabolic syndrome in Korean adults", Korean Journal of Community Nutrition, vol. 17, no. 5, pp. 664-675, 2012. DOI: http://dx.doi.org/10.5720/kjcn.2012.17.5.664
  36. Cho, K. O., Kwon, S. H. "A comparative study on food habits and nutrient intakes with body mass index of hypertensive patients commuting to a local health center", Journal of the Korean Dietetic Association, vol. 8, no. 2, pp. 185-198, 2002.
  37. Kim, E. M. "Dietary Intakes of the Obesity", Korean Journal of Obesity, vol. 8, no. 3, pp. 48-58, 1999.
  38. Kim, M. S., Ahn, H. S. "Dietary intakes and serum component in middle aged abdominal obese women", Korean Journal of Obesity, vol. 12, no. 2 pp. 124-136, 2003.
  39. Kye, S. K. (2002). "A study on the stress levels and dietary patterns of university students", Journal of applied tourism food and beverage management and research, vol. 13, no. 1, pp. 111-118, 2002.
  40. Smith, A. P. "Breakfast and mental health", International journal of food sciences and nutrition, vol. 49, no. 5, pp. 397-402, 1998. DOI: http://dx.doi.org/10.3109/09637489809089415
  41. Lee, S. H., Shim, J. S., Kim, J. Y., Moon, H. A. "The effect of breakfast regularity on eating habits, nutritional and health status in adults", Journal of Nutrition and Health, vol. 29, no. 5, pp. 533-546, 1996.
  42. Chapman, G. E., Melton, C. L. "College and university students' breakfast consumption patterns: behaviours, beliefs, motivations and personal and environmental influences", Canadian Journal of Dietetic Practice and Research, vol. 59, no. 4, pp. 176, 1998.
  43. Aranceta, J., Serra-Majem, L., Ribas, L., Perez-Rodrigo, C. "Breakfast consumption in Spanish children and young people", Public Health Nutrition, vol. 4, no. 6, pp. 1439-1444, 2001. DOI: http://dx.doi.org/10.1079/PHN2001235
  44. Lee, S. H., Lee, S. M., Park, J. H. "The study of drinking behaviors, health status and mental health service- Heavy drinker who have visited emergency center of public hospital in Seoul", The Mental Health, vol. 3, no. 0, pp. 33-37, 2012.
  45. Kim, M. Y., Jung, D. Y., Park, H. J. "A study on perceived stress and dietary habits of female college students", Korean Journal of Women Health Nursing, vol. 14, no. 3, pp. 181-188, 2008.
  46. Chung, H. K., Kim, M. H., Woo, N. R. Y. "The effect of life stress on eating habit of university students in Chungcheongnam-do province", Journal of the Korean Society of Food Culture, vol. 22, no. 2, pp. 176-184, 2007.
  47. Sung, M. J., Chang, K. J. "Correlations among life stress, dietary behaviors and food choice of college students", Journal of East Asian Society Diet Life, vol. 16, no. 6, pp. 655-662, 2006.
  48. Mental health foundation. "Diet and mental health", Available from https://www.mentalhealth.org.uk/a-to-z/d/diet-and-mentalhealth (accessed July 10, 2016).
  49. Ministry of Health and Welfare, "Dietary Guidelines for Korean", 2008.