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Factors Affecting the Abdominal Obesity by Sex among the Korean Elderly: Focusing on Health and Health Behavior Related Factors

한국 노인의 성별에 따른 복부비만에 영향을 주는 요인: 건강 및 건강행태 관련 요인을 중심으로

  • Received : 2018.07.26
  • Accepted : 2018.10.05
  • Published : 2018.10.31

Abstract

This study examined the factors affecting abdominal obesity by sex among the Korean elderly focusing on health and health behavior related factors. The data utilized in this study were derived from the Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3) conducted from January to December 2015 by the Korea Centers for Disease Control and Prevention. The subjects of this study were 599 men and 793 women over the age of 65 for whom their waist circumference was known. The data were analyzed by a complex sampling design method applying weights using the SPSS 23.0 program. Korean elderly showed significant differences in demographic factors, health-related factors, and health behaviors according to gender. The abdominal obesity rate of elderly males was 38.3%, while that of elderly females was 50.5%. Among the factors related to health and health behavior, frequency of binge drinking among elderly male and subjective health status of elderly females were significant factors influencing abdominal obesity. Therefore, programs for abdominal obesity management of elderly Koreans should be planned with consideration of differences in health related factors and health behavior and influencing factors by sex.

본 연구는 한국 노인의 건강 및 건강행태 관련요인을 중심으로 성별에 따른 복부비만에 영향을 주는 요인을 파악하기 위해 수행되었다. 본 연구는 질병관리본부에 의해 2015년 1월부터 12월까지 시행된 제 6기 국민건강영양조사의 원시자료를 사용하였다. 본 연구의 대상자는 만 65세 이상 노인 중 허리둘레를 측정 한 남자 599명 (Weighted n=3,037,943), 여자 793명(Weighted n=3,840,452)이었다. 자료는 IBM SPSS 23.0 프로그램으로 복합표본설계 방법을 통해 분석하였다. 연구결과, 본 연구에서 한국노인은 성별에 따라 인구사회학적 요인, 건강관련 요인 및 건강행태에 있어 유의한 차이를 보였다. 남성노인의 복부비만 비율은 38.3%, 여성노인의 복부비만 비율은 50.5%인 것으로 나타났다. 건강 및 건강행태 관련 요인 중 한국의 남성노인의 복부비만에 영향을 주는 요인은 폭음빈도, 여성노인은 주관적 건강상태가 유의한 영향요인인 것으로 나타났다. 그러므로 한국 노인의 복부 비만 관리를 위한 프로그램은 성별에 따른 건강관련 요인 및 건강행태의 차이를 고려할 필요가 있다. 이에 남성의 경우 다양한 영향요인을 고려한 폭음관리 전략이 요구되며, 여성의 경우 주관적 건강상태에 따른 복부비만의 원인 분석 및 관리방법이 적용되어야 할 것이다.

Keywords

References

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