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A Comparison of Dietary Behaviors of Korean Adolescents before and during the COVID-19 Pandemic

코로나-19 유행 이전과 코로나-19 유행 시기의 청소년 식생활 행태 비교분석

  • Lee, Jung Woo (BK21 Four Research & Education Center for Sustainable Living System, Korea University) ;
  • Kim, Yookyung (Dept. of Home Economics Education, Korea University)
  • 이정우 (고려대학교 BK21 지속가능생활시스템융합교육연구단) ;
  • 김유경 (고려대학교 가정교육과)
  • Received : 2023.06.07
  • Accepted : 2023.06.27
  • Published : 2023.06.30

Abstract

This study examined the changes of the dietary behaviors of Korean adolescents during the COVID-19 pandemic. Data were obtained from 227,139 students aged 12-18 who participated in the Korean Youth Risk Behavior Survey from 2018 to 2021. The participants were divided into two groups: 117,343 students from the 2018-2019 survey and 109,796 from the 2020-2021 survey. Multiple regression analyses were used to calculate the adjusted odds ratio (AOR) for dietary behavior changes between the two groups. The AOR for consuming carbonated beverages among those who consumed three or more times per week compared to those who did not consume carbonated beverages at all was 0.81 (95% confidence interval [CI]: 0.78-0.84), which significantly decreased during the COVID-19 pandemic (p<0.001). Similarly, the AOR for consuming sweetened beverages between those with three or more times and not at all per week was 0.69 (95% CI: 0.67-0.72) (p<0.001). In contrast, there was a significant increase in the AORs for consuming fast food (AOR: 1.15, 95% CI: 1.11-1.20) and skipping breakfast more than three times per week (AOR: 1.23, 95% CI: 1.20-1.26) during the same period. Fruit intake decreased during the COVID-19 pandemic (AOR: 1.26, 95% CI: 1.21-1.31). In conclusion, the COVID-19 pandemic had both positive and negative impacts on the dietary habits of Korean adolescents.

본 연구는 코로나-19 유행기간 동안 한국 청소년들의 식생활 행태 변화를 분석해 보고자 하였다. 2018년부터 2021년까지 청소년 건강행태조사에 참여한 12-18세 227,139명의 설문자료를 사용하였다. 2018-2019년에 참여한 117,343명과 2020-2021년에 참여한 109,796명의 자료를 비교하였다. 다중 회귀 분석을 사용하여 2018-2019년을 기준으로 식생활 행태 변화를 공변량이 보정된 오즈비를(adjusted odds ratio, AOR) 계산하였다. 탄산음료를 전혀 섭취하지 않는 군과 1주일에 3번 이상 탄산음료를 섭취하는 군 사이의 오즈비를 비교했을 때, AOR 0.81(95% confidence interval [CI]: 0.78-0.84)로 코로나-19 유행기간 동안 유의하게 감소하였다(p<0.001). 마찬가지로, 단맛 음료를 전혀 섭취하지 않는 군과 1주일에 3번 이상 단맛 음료를 섭취하는 군 사이의 오즈비를 비교했을 때 AOR 0.69 (95% CI: 0.67-0.72)로 코로나-19 유행기간 동안 감소하였다(p<0.001). 반면, 1주에 3번 이상 패스트푸드를 섭취하는 AOR (1.15, 95% CI: 1.11-1.20)과 1주에 3번 이상 아침식사를 거르는 AOR (1.23, 95% CI: 1.20-1.26)은 코로나-19 유행기간 동안 유의하게 증가하였다. 과일 섭취량은 코로나-19 유행 동안 감소하였으며, AOR 1.26 (95% CI: 1.21-1.31)이었다. 결론적으로, 코로나-19 유행은 한국 청소년들의 식생활 행태에 긍정적인 영향과 부정적인 영향을 동시에 미쳤다.

Keywords

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