DOI QR코드

DOI QR Code

간호대학생의 일주기리듬, 주간졸림증, 수면의 질 및 항 스트레스가 섭식태도에 미치는 영향

Effects of Circadian Rhythm, Daytime Sleepiness, Sleep Quality, Stress Resistance on Eating Attitudes in Nursing Students

  • 원희욱 (서울불교대학원대학교 뇌인지과학과) ;
  • 손해경 (을지대학교 간호학과) ;
  • 고상진 (울산대학교 간호학과)
  • Weon, Hee Wook (Department of Brain and Cognitive Sciences, Seoul University of Buddhism) ;
  • Son, Hae Kyoung (Department of Nursing, Eulji University) ;
  • Ko, Sangjin (Department of Nursing, University of Ulsan)
  • 투고 : 2021.07.01
  • 심사 : 2021.08.12
  • 발행 : 2021.08.31

초록

Purpose: The aim of this study was to investigate the factors influencing eating attitudes in female nursing students. Methods: A cross-sectional study was conducted on 121 university students in 2016. Data was collected using self reported questionnaires asking about circadian rhythm (Morningness-Eveningness Questionnaire), daytime sleepiness (Epworth Sleepiness Scale), sleep quality (Pittsburgh Sleep Quality Index), and eating attitudes (Eating Attitudes Test-26). Stress resistance was measured with a brain quotient test. The data were analyzed with a t-test, ANOVA, Pearson's correlation analysis and linear regression using SPSS 22.0. Results: Eating attitudes were associated with daytime sleepiness, sleep quality, and stress resistance of the right hemisphere. Among these, daytime sleepiness and sleep quality had a significant effect on eating attitudes. Conclusion: The results of this study suggest that sleep should be taken into account when developing interventions for preventing eating disorders in female nursing students.

키워드

참고문헌

  1. Treasure J, Duarte TA, Schmidt U. Eating disorders. Lancet. 2020;395(10227):899-911. https://doi.org/10.1016/S0140-6736(20)30059-3
  2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington DC: American Psychiatric Association Publishing; 2013. https://doi.org/10.1176/appi.books.9780890425596
  3. Quick VM, Byrd-Bredbenner C. Disturbed eating behaviours and associated psychographic characteristics of college students. Journal of Human Nutrition and Dietetics. 2013;26(1):53-63. https://doi.org/10.1111/jhn.12060
  4. Gazquez Linares JJ, Perez-Fuentes MdC, Molero Jurado MdM, Oropesa Ruiz NF, Simon Marquez MdM, Saracostti M. Sleep quality and the mediating role of stress management on eating by nursing personnel. Nutrients. 2019;11(8):1731. https://doi.org/10.3390/nu11081731
  5. Kim HS, Eom MR, Kim EK. Sleep patterns and circadian types of nursing students during shift schedules. Journal of Korean Academy of Nursing. 2010;40(1):43-51. https://doi.org/10.4040/jkan.2010.40.1.43
  6. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. International Journal of Chronobiology. 1976;4(2):97-110.
  7. Vink JM, Groot AS, Kerkhof A, Boomsma DI. Genetic analysis of morningness and eveningness. Chronobiology International. 2001;18(5):809-822. https://doi.org/10.1081/cbi-100107516
  8. Roenneberg T, Kuehnle T, Juda M, Kantermann T, Allebrandt K, Gordijn M, et al. Epidemiology of the human circadian clock. Sleep Medicine Reviews. 2007;11(6):429-438. https://doi.org/10.1016/j.smrv.2007.07.005
  9. Roenneberg T, Kuehnle T, Pramstaller PP, Ricken J, Havel M, Guth A, et al. A marker for the end of adolescence. Current Biology. 2004;14(24):R1038-1039. https://doi.org/10.1016/j.cub.2004.11.039
  10. Ryu HR, Suh SY. Differences in insomnia, depression, night eating and binge-eating based on chronotype. Korean Journal of Youth Studies. 2016;23(2):151-173. https://doi.org/10.21509/KJYS.2016.02.23.2.151
  11. Sato-Mito N, Shibata S, Sasaki S, Sato K. Dietary intake is associated with human chronotype as assessed by both morningness-eveningness score and preferred midpoint of sleep in young Japanese women. International Journal of Food Sciences and Nutrition. 2011;62(5):525-532. https://doi.org/10.3109/09637486.2011.560563
  12. Vardar E, Vardar SA, Molla T, Kaynak C, Ersoz E. Psychological symptoms and sleep quality in young subjects with different circadian preferences. Biological Rhythm Research. 2018;39 (6):493-500. https://doi.org/10.1080/09291010701736884
  13. Kandeger A, Selvi Y, Tanyer DK. The effects of individual circadian rhythm differences on insomnia, impulsivity, and food addiction. Eating and Weight Disorders. 2019;24:47-55. https://doi.org/10.1007/s40519-018-0518-x
  14. Hwang J, Park H. Influence of stress on eating attitude in nursing students: focused on appearance stress, job-seeking stress, and college life stress. Journal of the Korean Society of School Health. 2020;33(3):175-183. https://doi.org/10.15434/kssh.2020.33.3.175 https://doi.org/10.15434/kssh.2020.33.3.175
  15. Chang HK, Sohn JN. Influence of appearance stress, ego-resilience, interpersonal relations and depression on eating attitude in women undergraduates. Journal of Korean Academy of Fundamentals of Nursing. 2014;21(3):235-242. https://doi.org/10.7739/jkafn.2014.21.3.235
  16. Jee YJ, Kim KN. Factors related to eating attitudes of female high school students. Journal of the Korean Society of School Health. 2017;30(1):40-47. https://doi.org/10.15434/kssh.2017.30.1.40
  17. National Assembly Member In-soon Nam. Most women in their 20s and 80s with eating disorders [Internet]. Seoul: Author; 2020 [cited 2021 February 23]. Available from: https://www.theminjoo.kr/board/view/inspection/337722?st=wrote_post&keyword=%EB%82%A8%EC%9D%B8%EC%88%9C&page=2
  18. Kim GH, Yoon HS. Factors influencing sleep quality in nursing students and non nursing students. Journal of Korean Academy of psychiatric and Mental Health Nursing. 2013;22(4):320-329. https://doi.org/10.12934/jkpmhn.2013.22.4.320
  19. Park YY, Lee SY. A meta-analysis of the risk factors affecting on abnormal eating attitudes in female adolescents and college students. The Korea Journal of Youth Counseling. 2019;27(1):105-140. https://doi.org/10.35151/kyci.2019.27.1.005
  20. Lee JH, Kim SJ, Lee SY, Jang KH, Kim IS, Duffy JF. Reliability and validity of the Korean version of Morningness-Eveningness Questionnaire in adults aged 20-39 years. Chronobiology International. 2014;31(4):479-486. https://doi.org/10.3109/07420528.2013.867864
  21. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness Scale. Sleep. 1991;14(6):540-545. https://doi.org/10.1093/sleep/14.6.540
  22. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Journal of Psychiatric Research. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  23. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the pittsburgh sleep quality index. Sleep and Breathing. 2012;16:803-812. https://doi.org/10.1007/s11325-011-0579-9
  24. Ahn MH. Analysis on the reflection degree of worker's stress by brain-waves based anti-stress quotient. Journal of Korea Academia-Industrial cooperation Society. 2010;11(10):3833-3838. https://doi.org/10.5762/KAIS.2010.11.10.3833
  25. Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitudes test: psychometric features and clinical correlates. Psychological Medicine. 1982;12(4):871-878. https://doi.org/10.1017/s0033291700049163
  26. Byeon SH, Song BA, Won SD, Lee SH. Alcohol use is associated with bulimia and food preoccupation in women of a college of nursing in Korea. Journal of Korean Academy of Addiction Psychiatry. 2013;17(1):32-37.
  27. Kim KH, Hwang EH. Correlation among insomnia, sleep quality, depression, and circadian rhythm in nursing baccalaureate students. Journal of Korean Public Health Nursing. 2018;32(2):263-274. https://doi.org/10.5932/JKPHN.2018.32.2.263
  28. Lee J, Suh S. The relationship between subjective sleep, emotions, social support and excessive daytime sleepiness in female undergraduate students. Journal of Sleep Medicine. 2017;14(1):36-42. https://doi.org/10.13078/jsm.17005
  29. Merikanto I, Lahti T, Kronholm E, Peltonen M, Laatikainen T, Vartiainen E, et al. Evening types are prone to depression. Chronobiology International. 2013;30(5):719-725. https://doi.org/10.3109/07420528.2013.784770
  30. Kilkus JM, Booth JN, Bromley LE, Darukhanavala AP, Imperial JG, Penev PD. Sleep and eating behavior in adults at risk for type 2 diabetes. Obesity. 2012;20(1):112-117. https://doi.org/10.1038/oby.2011.319