DOI QR코드

DOI QR Code

The Effect of Sleep Duration on Obesity in Korean Adults

한국 성인남녀의 비만과 수면시간과의 연관성

  • Lee, Soo-Hyun (Dept. of Medical Information Management, Kongju National University) ;
  • Lee, Mi-Joon (Dept. of Medical Information Management, Kongju National University) ;
  • Seo, Bum-Jeun (Dept. of Medical Information Management, Kongju National University)
  • 이수현 (공주대학교 의료정보학과) ;
  • 이미준 (공주대학교 의료정보학과) ;
  • 서범준 (공주대학교 의료정보학과)
  • Received : 2022.02.20
  • Accepted : 2022.04.20
  • Published : 2022.04.28

Abstract

This study aims to evaluate the effect of sleep duration on obesity in Korean adult using data from the 8th Korea National Health And Nutrition Examination Survey in 2019. The study subjects were 5,213, and we performed frequency analysis, descriptive statistics, and multivariate regression analysis using the SPSS Win 27.0 program. The average sleep duration of the subjects was 6.8 hours per day, and the average body mass index (BMI) was 23.9 kg/m2. As a result of bivariate analysis of factors affecting sleep duration, age, education level, stress, depression, diabetes, hypertension, and arthritis were significantly associated with sleep duration. The body mass index (BMI) of the group with less than 6 hours of sleep duration was 24.4, which was higher than that of other groups, and there was a significant negative correlation between sleep duration and BMI (B=-0.247; 95% CI=-0.334~ -0.160). In conclusion, in order to prevent obesity in adults, various efforts from the country and local communities are needed to increase sleep duration.

본 연구는 국민건강영양조사 2019년 제8기 자료를 활용하여 한국인의 성인 남녀의 비만과 수면시간과의 연관성을 규명하기 위해 시도하였다. 연구 대상자는 5,213명이었고, SPSS Win 27.0 프로그램을 이용하여 빈도분석, 기술통계, 다변량 회귀분석을 실시하였다. 참여자의 1일 평균 수면시간은 6.8시간이었고 평균 체질량지수(BMI)는 23.9kg/m2이었다. 수면 시간에 영향을 미치는 요인을 이변량 분석한 결과 연령, 교육수준, 스트레스, 우울증, 당뇨, 고혈압, 관절염이 종속변수인 수면시간과 통계적으로 유의한 관련성이 있었다. 수면시간이 6시간 미만인 군의 체질량지수(BMI)는 24.4로서 다른 군에 비해 높았으며 수면시간과 BMI는 통계적으로 유의한 음의 상관관계가 있었다(B=-0.247; 95% CI=-0.334~-0.160). 결과적으로 성인의 비만을 예방하기 위해서는, 수면시간을 증가시키기 위한 국가와 지역사회의 다양한 노력이 필요하다.

Keywords

References

  1. M. D. Foreman & M. Wykle. (2015). Nursing standard-of-practice protocol: sleep disturbances in elderly patients. The NICHE Faculty. Geriatr Nurs, 16(5), 238-243. https://doi.org/10.1016/S0197-4572(05)80173-9
  2. J. A. Kim & S. Y. Lee. (2019). Health Behaviors and Dietary Habits according to Sleep Duration in Korean Adults Based on the 2013-2015 Korea National Health and Nutrition Examination Survey. Korean J Health Promot, 19(4), 237-247. DOI : 10.15384/kjhp.2019.19.4.237
  3. Centers for Disease Control and Prevention. (CDC). How Much Sleep Do I Need?. Atlanta(Online). http://www.cdc.gov/sleep/about_sleep/how_much_sleep.html.
  4. N. F. Watson, M. S. Badr & G. Belenky et al. (2015). Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep, 38(6), 843-844. DOI : 10.5665/sleep.4716
  5. M. Hirshkowitz, K. Whiton, S. M. Albert, C. Alessi & O. Bruni et al. (2015). The National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health, 1(1), 40-43. DOI : 10.1016/j.sleh.2014.12.010
  6. Organization for Economic Co-operation and Development. Social Indicators Society at a Glance 2014. [Internet]. [cited 2022 Feb 6]. Available from https://read.oecd-ilibrary.org/social-issues-migration-health/society-at-a-glance-2014_soc_glance-2014-en DOI : 10.1787/soc_glance-2014-en
  7. M. A. Doo & Y. H. Kim. (2016). Sleep duration and dietary macronutrient con- sumption can modify the cardiovascular disease for Korean women but not for men. Lipids Health Dis. 15(17), 7-14. DOI : 10.1186/s12944-015-0170-7
  8. C. E. Kim, S. A. Shin, H. W. Lee, J. Y. Lim, J. K. Lee & A. S. Shin et al. (2018). Association between sleep duration and metabolic syndrome: a cross-sectional study. BMC Public Health, 18(1), 720-727. DOI : 10.1186/s12889-018-5557-8.
  9. H. R. Hwang, J. G. Lee, S. Y. Lee, K. S, Cha, J. H. Choi, D. W. Jeong et al. (2015). The relationship between hypertention and sleep duration: an analysis of the fifth Korean National Health and Nutrition Examination Survey (KNHANES V-3). Clin Hypertens, 21(8), 1-7. DOI : 10.1186/s40885-015-0020-y
  10. R. H. Eckel. (2003). Obesity: Mechanisms and Clinical Management. Philadelphia: Lippincott Williams & Wilkins.
  11. Korean Society for the Study of Obesity. (n. d.). Obesity guidelines (Online). http://general.kosso.or.kr/html/?pmode=obesityDiagnosis
  12. U. G. Kyle, L. Genton, D. Hans, L. Karsegard, D. O. Slos man & C. Pichard. (2001). Age-related differences in fat-free mass, skeletal muscle, body cell mass and fat mass between 18 and 94 years. The Journal of clinical nutrition, 55(8), 663-672. DOI : 10.1038/sj.ejcn.1601198.
  13. Ministry of Health & Welfare. (2019). The 8th Korea National Health and Nutrition Examination Survey(KNHANES ID), 2019 : Health Examination. Ministry of Health & Welfare(Korean).
  14. Health Insurance Policy Research Institute. (2018). Evaluation of the socioeconomic impact of major health risk factors and the effectiveness of regulatory policies(report). Seoul :Health Insurance Policy Research Institute.
  15. H. J. Ahn & S. S. Park. (2021). Relationships among Parity, Sleep Duration, and Obesity According to the Lifecycle of Korean Women. J Health Info Stat, 46(2), 196-203. DOI : 10.21032/jhis.2021.46.2.196
  16. K. S. Lee, J. H. Choi & K. H. Cho. (2020). Relationship between Sleep Duration and Abdominal Obesity in Korean Adult Male: Analysis of Data from the Korean National Health and Nutrition Examination Survey 2016-2017. Korean Journal of Family Practice, 10(4), 279-283. https://doi.org/10.21215/kjfp.2020.10.4.279
  17. M. J. Kim. (2015). The relationship between objectively measured habitual sleep patterns and obesity in community-dwelling older women. Journal of The Korean Society of Living Environmental System, 22(6), 855-864. https://doi.org/10.21086/ksles.2015.12.22.6.855
  18. S. Y. Kim. (2018). Factors related to sleep duration in Korean adults. Journal of the Korean Data & Information Science Society, 29(1), 153-165. DOI : 10.7465/jkdi.2018.29.1.153
  19. L. S. Nielsen, K. V. Danielsen & T. I. Sorensen. (2011). Short sleep duration as a possible cause of obesity: critical analysis of the epidemic logical evidence. Obesity reviews, 12(2), 78-92. DOI : 10.1111/j.1467-789x.2010.00724.x
  20. M. G. Lorrie & H. Lauren. (2012). Longitudinal associations between sleep duration and subsequent weight gain: a systematic review. Sleep Med Rev, 16(3), 231-241. DOI : 10.1016/j.smrv.2011.05.005
  21. O. Itani, M. Jike, N. Watanabe & Y. Kaneita. (2017). Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta regression. Sleep Med, 32, 246-256. https://doi.org/10.1016/j.sleep.2016.08.006
  22. A. R. Fatema, S. Sardar, A. M. Ashraf, Abdulwahab, A. Rafaat, A. M. Fahd & A. Rasheed. (2021). Short Sleep Duration and Its Association with Obesity and Other Metabolic Risk Factors in Kuwaiti Urban Adults. Nat Sci Sleep, 24(13), 1225-1241. DOI : 10.2147/NSS.S311415
  23. L. Qing. (2021). The association between sleep duration and excess body weight of the American adult population: a cross-sectional study of the national health and nutrition examination survey 2015-2016. BMC Public Health, 21(1), 335-344. DOI : 10.1186/s12889-021-10369-9
  24. Y. Q. Fan, L. Zhang, Y. X. Wang, C. J. Li, L. B. Zhang, J. S. He et al. (2021). Gender differences in the association between sleep duration and body mass index, percentage of body fat and visceral fat area among chinese adults: a cross-sectional study. BMC Endocr Disord, 21(1), 247-254. DOI : 10.1186/s12902-021-00913-4
  25. L. G. Esther, F. Raquel, L. M. Luz, C. Z. Maria, R. B. Jose & R. A. Fernando, (2008), Sleep duration, general and abdominal obesity, and weight change among the older adult population of Spain. Am J Clin Nutr, 87(2), 310-316. DOI : 10.1093/ajcn/87.2.310
  26. Korea Centers for Disease Control and Prevention. (2021). The eighth Korea national health and nutrition examination survey (KNHANES VIII-1), Cheongju : Korea Centers for Disease Control and Prevention; 2019.
  27. J. Vioque, A. Torres & J. Quiles. (2000). Time spent watching television, sleep duration and obesity in adults living in Valencia, Spain. Int J Obes Relat Metab Disord, 24(12), 1683-1688. https://doi.org/10.1038/sj.ijo.0801434
  28. Korea Centers for Disease Control and Prevention. (2020). Community health survey. Cheongju : Korea Centers for Disease Control and Prevention; 2008~2019.
  29. A. R. Kim & O. S. Kim. (2015). The path model based on senescent sleep model for sleep in community-dwelling older adults, Korean Journal of Adult Nursing, 27(2), 211-222. DOI : 10.7475/kjan.2015.27.2.211
  30. D. J. Maume, R. A. Sebastian and A. R. Bardo. (2009). Gender Difference in Sleep Disruption among Retail Food Workers, American Sociological Review, 74, 989-1007. https://doi.org/10.1177/000312240907400607
  31. E. J. Kim. (2021). Social Perceptions of Family Functions, Gender Roles and Responsibilities, The Journal of Korean Society of Community Health and welfare policy forum, 293, 21-38.
  32. D. H. Kim & J. H. Lee. (2014). Effect of Different Exercise Intensity in Sleep Disorder, The Journal of Korean Society of Community Based Occupational Therapy, 4(1), 85-92.