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Effects of Health Behavior Factors and Mental Health Factors in Korean Obese Adults on Their Metabolic State: Utilizing the Korea National Health and Nutrition Examination Survey Data

  • Received : 2017.03.06
  • Accepted : 2017.09.13
  • Published : 2017.09.28

Abstract

This is a descriptive research study that classified Korean adults with obesity into those with Metabolically Healthy Obesity and those with Metabolically Unhealthy Obesity based on the data from the fifth and sixth South Korea's National Health and Nutrition Examination Surveys, designed due to the development of information and communication technology, to examine the impacts of obese adults' health behavior factors and mental health factors on their metabolic state. With respect to data analysis, the collected data were analyzed by complex sample statistics. The results of this study can be summarized as follows: Men who were smoking at the time of the survey had a 1.29 times higher probability of inclusion in the MUO group than in the MHO group. Women who had a high stress cognition rate had a 1.02 times higher probability of inclusion in the MUO group than in the MHO group. This study is significant as it provides the basic data for establishing strategies of nursing intervention for the promotion of obese adults' health, and it suggests that it is necessary to develop a program for the promotion of obese adults' health based on these results.

Keywords

References

  1. S. K. Park and Y. C. Choi, "Relationships between Alcohol Intake and Blood Pressure, Serum Lipids, Liver Function Tests and Obesity Indices in Middle-Aged Male Workers," Journal of the Korea Academia-Industrial Cooperation Society, vol. 16, no. 5, May. 2015, pp. 3323-3332. https://doi.org/10.5762/KAIS.2015.16.5.3323
  2. World Health Organization, "Global Status Report on Non-Communicable Diseases 2010," Apr. 2011.pp. 1-31.
  3. I. Hwang and K. S. Bang, "Factors Affecting Obesity and Overweight in Korean Preschool Children: Based on the Korea National Health and Nutrition Examination Survey 2013-2014," Child Health Nursing Research, vol. 22, no. 4, Oct. 2016, pp. 237-246. https://doi.org/10.4094/chnr.2016.22.4.237
  4. N. E. Adler and K. Newman, "Socioeconomic Disparities in Health: Pathways and Policies," Health Affairs, vol. 21, no. 2, Feb. 2002, pp. 60-76. https://doi.org/10.1377/hlthaff.21.2.60
  5. J. H. Lee and B. J. Ku, "The Management of Metabolically Unhealthy Obesity," Journal of Korean Diabetes, vol. 15, no. 1, Mar. 2014, pp. 24-29. https://doi.org/10.4093/jkd.2014.15.1.24
  6. G. A. Bray, "Overweight is Risking Fate," Annals of the New York Academy of Sciences, vol. 499, no. 1, Jun. 1987, pp. 14-28. https://doi.org/10.1111/j.1749-6632.1987.tb36194.x
  7. Y. N. Kim, H. H. Lee, E. J. Kang, K. J. Kang, and G. H. Kim, "Obesity Rate and Nutrient Intakes of 20-to 69-year-old Women Living in Rural Kampong Spue Province in Cambodia," Journal of The Korean Society of Food Culture, vol. 29, no. 6, Dec. 2014, pp. 668-676. https://doi.org/10.7318/KJFC/2014.29.6.668
  8. Korean Society for the Study of Obesity, and Korean Society for the Study of Obesity, "Management of Obesity, 2010 Recommendation," Journal of Korean Society of Endocrinology, vol. 25, no. 4, Dec. 2010, pp. 301-304.
  9. A. D. Karelis and R. Rabasa-Lhoret, "Inclusion of C-Reactive Proteinin The Identificationof Metabolically Healthy but Obese(MHO) Individuals," Diabetes & Metabolism, vol. 34, no. 2, Mar. 2008, pp. 183-184. https://doi.org/10.1016/j.diabet.2007.11.004
  10. S. W. Oh, J. W. Im, J. W. Lee, K. W. Kim, J. K. Choi, M. S. Park, and T. W Yoo, "What are the Characteristics of Obese Adults without Metabolic Complications?," Journal of the Korean Academy of Family Medicine, vol. 27, no. 9, Sep. 2006, pp. 733-740.
  11. C. A. Aguilar-Salinas, E. G. Garcia, L. Robles, D. Riano, D. G. Ruiz-Gomez, A. C. Garcia-Ulloa, and S. Canizales-Quinteros, "High Adiponectin Concentrations are Associated with the Metabolically Healthy Obese Phenotype," The Journal of Clinical Endocrinology & Metabolism, vol. 93, no. 10, Aug. 2008, pp. 4075-4079. https://doi.org/10.1210/jc.2007-2724
  12. S. Kim, E. H. Nah, and H. I. Cho, "Association between Smoking, Metabolic Syndrome, and Arteriosclerosis in Korean Men," Journal of Health Informatics and Statistics, vol. 41, no. 1, Feb. 2016, pp. 18-26. https://doi.org/10.21032/jhis.2016.41.1.18
  13. E. Expert Panel on Detection, "Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)," JAMA, vol. 285, no. 19, 2001, p. 2486. https://doi.org/10.1001/jama.285.19.2486
  14. J. M. Choi and C. B. Kim, "Obesity Management andScientific Evidence," Journal of the Korean Medical Association/Taehan Uisa Hyophoe Chi, vol. 54, no. 3, Mar. 2011, pp. 250-265.
  15. A. Rozanski, J. A. Blumenthal, and J. Kaplan, "Impact of Psychological Factors on the Pathogenesis of Cardiovascular Disease and Implications for Therapy," Circulation, vol. 99, no. 16, Apr. 1999, pp. 2192-2217. https://doi.org/10.1161/01.CIR.99.16.2192
  16. M. E. Holmes, P. Ekkekakis, and J. C. Eisenmann, "The Physical Activity, Stress and Metabolic Syndrome Triangle: A Guide to Unfamiliar Territory for the Obesity Researcher," Obesity Reviews, vol. 11, no. 7, Nov. 2010, pp. 492-507. https://doi.org/10.1111/j.1467-789X.2009.00680.x
  17. J. W. Newcomer, G. Selke, A. K. Melson, J. Gross, G. P. Vogler, and S. Dagogo-Jack, "Dose-dependent Cortisol-Induced Increases In Plasma Leptin Concentration In Healthy Humans," Archives of General Psychiatry, vol. 55, no. 11, Nov. 1998, pp. 995-1000. https://doi.org/10.1001/archpsyc.55.11.995
  18. A. Kouvonen, M. Kivimaki, S. J. Cox, T. Cox, and J. Vahtera, "Relationship between Work Stress and Body Mass Index Among 45,810 Female and Male Employees," Psychosomatic Medicine, vol. 67, no. 4, Aug. 2005, pp. 577-583. https://doi.org/10.1097/01.psy.0000170330.08704.62
  19. A. D. Ma, "Associations between Subjective Stress Level, Health-Related Habits, and Obesity According to Gender," The Korean Journal of Obesity, vol. 24, no. 3, Sep. 2015, pp. 156-165. https://doi.org/10.7570/kjo.2015.24.3.156
  20. G. N. Lee, Development of the Healthy Behavior Model with Metabolic Syndrome: An Information-Motivation-Behavioral Skills and Stress Analysis, doctoral dissertation, University of Ewha Womans University, 2015.
  21. S. J. Park, H. T. Kang, C. M. Nam, B. J. Park, J. A. Linton, and Y. J. Lee, "Sex Differences in the Relationship between Socioeconomic Status and Metabolic Syndrome: The Korean National Health And Nutrition Examination Survey," Diabetes Research And Clinical Practice, vol. 96, no. 3, Jun. 2012, pp. 400-406. https://doi.org/10.1016/j.diabres.2011.12.025
  22. J. M. Seo, N. K. Lim, J. Y. Lim, and H. Y. Park, "Gender Difference in Association with Socioeconomic Status and Incidence of Metabolic Syndrome in Korean Adults," The Korean Journal of Obesity, vol. 25, no. 4, Dec. 2016, pp. 247-254. https://doi.org/10.7570/kjo.2016.25.4.247
  23. N. H. Jo, A Structural model for the risk factors of metabolic syndrome in rural women, doctoral dissertation, University of Kyung pook National University, 2014.
  24. F. Conus, R. Rabasa-Lhoret, and F. Peronnet, "Characteristics of Metabolically Obese Normal-weight (MONW) Subjects," Applied Physiology, Nutrition, & Metabolism, vol. 32, no. 1, Sep. 2007, pp. 4-12. https://doi.org/10.1139/h06-092
  25. D. W. Na, E. Jeng, J. S. Chung, C. H. Choi, and J. Park, "Dietary Factors and Metabolic Syndrome in Middle-Aged Men," Korean Journal of Health Education and Promotion, vol. 35, no. 4, Dec. 2010, pp. 383-394.
  26. K. L. Young, M. Graff, K. E. North, A. S. Richardson, K. L. Mohlke, L. A. Lange, and P. Gordon-Larsen, "Interaction of Smoking and Obesity Susceptibility Loci on Adolescent BMI: The National Longitudinal Study of Adolescent to Adult Health," BMC Genetics, vol. 16, no. 1, Nov. 2015, p. 131. https://doi.org/10.1186/s12863-015-0289-6
  27. Y. W. Park, S. Zhu, L. Palaniappan, S. Heshka, M. R. Carnethon, and S. B. Heymsfield, "The Metabolic Syndrome: Prevalence and Associated Risk Factor Findings in the US Population From the Third National Health and Nutrition Examination Survey, 1988-1994," Archives of Internal Medicine, vol. 163, no. 4, Feb. 2003, pp. 427-436. https://doi.org/10.1001/archinte.163.4.427
  28. H. G. Seo, Y. S. Cheong, S. K. Myung, and Y. Kim, "International Tobacco Control Policy Evaluation Survey-Korea," The Journal of the Korean Academy of Family Medicine, vol. 29, no. 11,Oct. 2008, pp. 844-853.
  29. F. S. Facchini, C. B. Hollenbeck, J. Jeppesen, Y. D. I. Chen, and G. M. Reaven, "Insulin Resistance and Cigarette Smoking," The Lancet, vol. 339, no. 8802, May. 1992, pp. 1128-1130. https://doi.org/10.1016/0140-6736(92)90730-Q
  30. H. D. Vries, E. Backbier, G. Kok, and M, Dijkstra, "The Impact of Social Influences in the Context of Attitude, Self-Efficacy, Intention, and Previous Behavior as Predictors of Smoking Onset1," Journal of Applied Social Psychology, vol. 25, no. 3, Feb. 1995, pp. 237-257. https://doi.org/10.1111/j.1559-1816.1995.tb01593.x
  31. M. Monti, A. Monti, G. Murdolo, P. Di Renzi, M. R. Pirro, F. Borgognoni, and G. M. Vincentelli, "Correlation between Epicardial Fat and Cigarette Smoking: CT Imaging in Patients with Metabolic Syndrome," Scandinavian Cardiovascular Journal, vol. 48, no. 5, Agu. 2014, pp. 317-322. https://doi.org/10.3109/14017431.2014.942872
  32. M. C. Carr, "The Emergence of the Metabolic Syndrome with Menopause," The Journal of Clinical Endocrinology & Metabolism, vol. 88, no. 6, Jun. 2003, pp. 2404-2411. https://doi.org/10.1210/jc.2003-030242
  33. P. M. Janiszewski and R. Ross, "Effects of Weight Loss among Metabolically Healthy Obese Men and Women," Diabetes Care, vol. 33, no. 9, Sep. 2010, pp. 1957-1959. https://doi.org/10.2337/dc10-0547
  34. J. Jennings, M. Muldoon, and M. Hall, "Self-Reported Sleep Quality is Associated with the Metabolic Syndrome," Sleep,vol. 30, no. 2, Oct. 2007, pp. 19-23.
  35. N. Okubo, M. Matsuzaka, I. Takahashi, K. Sawada, S. Sato, N. Akimoto, and S Nakaji, "Relationship between Self-Reported Sleep Quality and Metabolic Syndrome in General Population," BMC Public Health, vol. 14, no. 1, Jun. 2014, p. 1. https://doi.org/10.1186/1471-2458-14-1
  36. D. J. Buysse, C. F. Reynolds, T. H. Monk, S. R. Berman, and D. J. Kupfer, "The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research," Psychiatry Research, vol. 28, no. 2, Jun. 1989, pp. 193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  37. J. Miettola, L. K. Niskanen, H. Viinamaki, and E. Kumpusalo, "Metabolic Syndrome is Associated with Self-Perceived Depression," Scandinavian Journal of Primary Health Care, vol. 26, no. 4, Jul. 2008, pp. 203-210. https://doi.org/10.1080/02813430802117624
  38. L. S. Kinder, M. R. Carnethon, L. P. Palaniappan, A. C. King, and S. P. Fortmann, "Depression and the Metabolic Syndrome in Young Adults: Findings from the Third National Health and Nutrition Examination Survey," Psychosomatic Medicine, vol. 66, no. 3, Jun. 2004, pp. 316-322. https://doi.org/10.1097/01.psy.0000124755.91880.f4
  39. E. J. Brunner, H. Hemingway, B. R. Walker, M. Page, P. Clarke, M. Juneja, and A. Apadopoulos, "Adrenocortical, Autonomic, and Inflammatory Causes of the Metabolic Syndrome Nested Case-Control Stud," Circulation, vol. 106, no. 21, Oct. 2002, pp. 2659-2665. https://doi.org/10.1161/01.CIR.0000038364.26310.BD