Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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Frequency of Eating Alone and Health Related Outcomes in Korean Adults: Based on the 2016 Korea National Health and Nutrition Examination Survey

한국 성인의 혼밥 횟수와 건강 관련 요인 조사: 2016년 국민건강영양조사 데이터를 이용하여

  • Ahn, Jee Hyun (Dept. of Medical Nutrition, Graduate School of East-West Medical Nutrition, Kyung Hee University) ;
  • Park, Yoo Kyoung (Dept. of Medical Nutrition, Graduate School of East-West Medical Nutrition, Kyung Hee University)
  • 안지현 (경희대학교 국제캠퍼스 동서의학대학원 의학영양학과) ;
  • 박유경 (경희대학교 국제캠퍼스 동서의학대학원 의학영양학과)
  • Received : 2019.12.10
  • Accepted : 2020.03.03
  • Published : 2020.05.02
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Abstract

Eating alone has recently become a very common dietary pattern in modern society. This study investigated the relationship between the frequency of eating alone and health related issues including chronic diseases, depression, and the quality of life (QOL). The 2016 Korea National Health and Nutrition Examination Survey provided the basic data for this study. According to the general analysis of 4,910 adults aged over 19 years or older, the average age in the 'eating alone' group was significantly higher (P<0.001), and the ratio of single-person households was significantly higher as the number of times of eating alone increased (P<0.001). Analysis of the relationship between the risk factors of metabolic syndrome according to the number of times eating alone, using logistic regression analysis, showed that the odds ratio of metabolic syndrome in the 'two times eating alone a day' group was approximately 1.3 times higher (OR=1.275) after being corrected for gender, age and energy intake. For the 'three times eating alone a day' group, the metabolic syndrome odds ratio was higher in all models except for model 1 and 5 (P for trend<0.05). The prevalence of depression using patient health questionnaire-9 (PHQ-9) was higher as the number of eating alone increased, and the QOL was inversly related with the number of meals eating alone (P for trend<0.01). We hope the results of this study will raise awareness of the health of those people who eat alone and lay the groundwork for individuals who eat alone and gain social attention.

Keywords

References

  1. Cho SE, Nam BW, Seo JS (2018): Impact of eating-alone on depression in Korean female elderly: findings from the sixth and seventh Korea National Health and Nutrition Examination survey, 2014 and 2016. Mood Emot 16(3):169-177
  2. Choi HS, Choi JH, Park KH, Joo KJ, Ga H, Ko HJ, Kim SR (2007): Standardization of the Korean version of Patient Health Questionnaire-9 as a screening instrument for major depressive disorder. J Korean Acad Fam Med 28(2):114-119
  3. Eckel RH, Barouch WW, Ershow AG (2002): Report of the national heart, lung, and blood institute-national institute of diabetes and digestive and kidney diseases working group on the pathophysiology of obesity-associated cardiovascular disease. Circulation 105(24):2923-2928 https://doi.org/10.1161/01.CIR.0000017823.53114.4C
  4. Ford ES (2005): Prevalence of the metabolic syndrome defined by the International Diabetes Federation among adults in the U.S. Diabetes Care 28(11):2745-2749 https://doi.org/10.2337/diacare.28.11.2745
  5. Ford ES, Li C (2008): Metabolic syndrome and health-related quality of life among U.S. adults. Ann Epidemiol 18(3): 165-171 https://doi.org/10.1016/j.annepidem.2007.10.009
  6. Kim CK, Kim HJ, Chung HK, Shin D (2018): Eating alone is differentially associated with the risk of metabolic syndrome in Korean men and women. Int J Environ Res Public Health 15(5):E1020 https://doi.org/10.3390/ijerph15051020
  7. Kim HK, Chung J (2019): Associations of the eating alone behavior with nutrient intake, obesity and metabolic syndrome in middle-aged adults based on the 2013-2017 Korean National Health and Nutrition Examination survey. J Nutr Health 52(5):435-448 https://doi.org/10.4163/jnh.2019.52.5.435
  8. Kimura Y, Wada T, Okumiya K, Ishimoto Y, Fukutomi E, Kasahara Y, Chen W, Sakamoto R, Fujisawa M, Otsuka K, Matsubayashi K (2012): Eating alone among communitydwelling Japanese elderly: association with depression and food diversity. J Nutr Health Aging 16(8):728-731 https://doi.org/10.1007/s12603-012-0067-3
  9. Korea Statistics (2018). Results of the 2017 population and housing census. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/2/2/index.board?bmode=read&bSeq=&aSeq=370806&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=. Accessed September 28, 2018
  10. Kroenke K, Spitzer RL, Williams JB (2001): The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16(9):606-613 https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  11. Lee KI, Hwang YJ, Ban HJ, Lim SJ, Jin HJ, Lee HS (2015a). Impact of the growth of single-person households on the food market and policy tasks. Available from: http://www.krei.re.kr/eng/researchReportView.do?key=355&pageType=010101&biblioId=395430&pageUnit=10&searchCnd=all&searchKrwd=&pageIndex=16&engView=Y. Accessed January 26, 2016
  12. Lee Y, Oh YJ, Cho W, Jo PK (2015b): Differences in solo eating perceptions and dietary behaviors of university students by gender. J Korean Diet Assoc 21(1):57-71 https://doi.org/10.14373/JKDA.2015.21.1.57
  13. Lowe B, Kroenke K, Herzog W, Grafe K (2004): Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9). J Affect Disord 81(1):61-66 https://doi.org/10.1016/S0165-0327(03)00198-8
  14. Oh YJ (2016): Analysis of nutrients and food behaviors of eating alone according to increasing in single households. Proceedings of 2016 Spring Conference of the Korean Society of Community Nutrition. Seoul. pp.1-14
  15. Park H, Na K (2015): Study on restaurant francise service reflected on a single household consumer patterns - focus on 2030 generation. J Digit Des 15(3):697-704
  16. Park M, Ahn B (2014): Impacts of food consumption lifestyle on the expenditure for the processed food: using cluster analysis and matching method. J Rural Dev 37(3):25-58
  17. Reynolds CF 3rd, Cuijpers P, Patel V, Cohen A, Dias A, Chowdhary N, Okereke OI, Dew MA, Anderson SJ, Mazumdar S, Lotrich F, Albert SM (2012): Early intervention to reduce the global health and economic burden of major depression in older adults. Annu Rev Public Health 33:123-135 https://doi.org/10.1146/annurev-publhealth-031811-124544
  18. Shin GN, Kim YR, Kim MH (2017): Nutritional evaluation of convenience meals in convenience stores near the universities. Korean J Community Nutr 22(5):375-386 https://doi.org/10.5720/kjcn.2017.22.5.375
  19. Song EG, Yoon YS, Yang YJ, Lee ES, Lee JH, Lee JY, Park WJ, Park SY (2017): Factors associated with eating alone in Korean adults: findings from the sixth Korea National Health and Nutrition Examination Survey, 2014. Korean J Fam Pract 7(5):698-706 https://doi.org/10.21215/kjfp.2017.7.5.698
  20. Spitzer RL, Kroenke K, Williams JB (1999): Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA 282(18):1737-1744 https://doi.org/10.1001/jama.282.18.1737
  21. Sung SJ, Kwon S (2010): Effect of eating with family or alone on the self-rated mental or physical health: the elementary school children in Daejeon area. Korean J Community Nutr 15(2):206-226
  22. Wang X, Shen W, Wang C, Zhang X, Xiao Y, He F, Zhai Y, Li F, Shang X, Lin J (2016): Association between eating alone and depressive symptom in elders: a cross-sectional study. BMC Geriatr 16:19 https://doi.org/10.1186/s12877-016-0197-2
  23. Ware JE, Kosinski M, Dewey JE, Gandek B (2001): How to score and interpret single-item health status measures: a manual for users of the of the SF-8 health survey: (with a supplement on the SF-6 health survey). QualityMetric Inc. Lincoln. p.5
  24. Yang JS, Bae EJ, Hong JE, Kang J, Jeon WJ (2017): Eating alone among Korean elderly association with depressive symptoms: the Korean National Health and Nutrition Examination, 2013. Korean J Fam Pract 7(6):904-908 https://doi.org/10.21215/kjfp.2017.7.6.904
  25. Yoon H (1997): Factors affecting quality of life of the Korean aged stroke patients. Int J Aging Hum Dev 44(3):167-181 https://doi.org/10.2190/8D0G-4PAW-QH4R-WXU4