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중년 남성과 여성의 건강 관련 삶의 질에 따른 건강 및 식생활 특성: 2019년, 2021년 국민건강영양조사 자료를 이용하여

Health and dietary characteristics of the men and women in their middle age according to health-related quality of life: using the Korea National Health and Nutrition Examination Survey data in 2019 and 2021

  • 김사림 (동덕여자대학교 임상영양학과) ;
  • 양윤정 (동덕여자대학교 식품영양학과)
  • Sarim Kim (Department of Clinical Nutrition, Graduate School of Future Strategy Convergence, Dongduk Women's University) ;
  • Yoon Jung Yang (Department of Food and Nutrition, School of Natural and Information Science, Dongduk Women's University)
  • 투고 : 2024.05.07
  • 심사 : 2024.06.10
  • 발행 : 2024.06.30

초록

본 연구는 국민건강영양조사 2019, 2021년 자료를 활용하여 중년 남성과 여성의 건강 관련 삶의 질에 따른 건강 및 식생활 특성을 비교하기 위하여 진행되었다. 40-59세 성인을 대상으로 건강 관련 삶의 질을 측정하기 위해 HINT-8을 사용하여 총점에 따라 4군 (상, 중상, 중하, 하)으로 나누었다. 남성은 건강 관련 삶의 질이 낮을수록 소득이 낮고 미혼인 비율이 높으며 음주와 흡연하는 비율이 높았고 체형을 말랐거나 비만하다고 생각하는 비율이 높았고 최근 1년 동안 체중이 증가한 비율이 높았다. 여성은 건강 관련 삶의 질이 낮을수록 나이가 많고 교육 수준과 소득이 낮고 비만인 경우가 많았으며 체형 또한 비만하다고 생각하는 비율이 높았고 최근 1년 동안 체중이 증가한 비율이 높았다. 그리고 고지혈증과 고중성지방혈증 유병 비율이 높았다. 남성과 여성 모두 삶의 질이 낮을수록 채소/버섯/해조류 및 과일의 섭취 빈도가 적었다. 본 연구에서 중년 남성과 여성의 건강 관련 삶의 질과 관련된 요인에 서로 다른 특징이 있으므로 이에 맞는 정책의 개발이 필요할 것으로 생각되며, 본 연구결과가 중년의 건강 관련 삶의 질을 향상시키기 위한 기초자료로 이용될 수 있을 것이다.

Purpose: This study compared the differences in health and dietary characteristics between middle-aged men and women according to their health-related quality of life. Methods: This study used the data from the 2019 and 2021 Korea National Health and Nutrition Examination Survey (KNHANES). The participants were men (n = 1,571) and women (n = 2,179) aged 40-59. A health-related Quality of Life Instrument with eight items (HINT-8) was used to measure the health-related quality of life. The participants were divided into four groups based on their HINT-8 total scores (high, mid-high, mid-low, and low). The general and health characteristics, mental health, and dietary behaviors were compared according to the quality of life. Results: Men with a lower quality of life had lower incomes, were more likely to be single, smoked and drank more, and perceived themselves as slim or obese. Women with a lower quality of life had a higher proportion of older age, obesity, lower education and income, hypercholesterolemia, and hypertriglyceridemia. Both men and women with a lower quality of life had higher proportions of subjectively perceiving poor health, weight gain over the past year, and considering themselves as obese. Both men and women with a lower quality of life had lower consumption frequencies of vegetables/mushrooms/seaweed and fruits. Conclusion: Both men and women with lower health-related quality of life had lower incomes, higher rates of perceiving their health as poor, and consumed vegetables/ mushrooms/seaweed and fruits less frequently, but they showed different characteristics in other aspects. Therefore, policy development tailored to men and women is necessary.

키워드

과제정보

This study was supported by the Dongduk Women's University Grant.

참고문헌

  1. Korean Statistical Information Service. 2022 Social indicators of Korea. Daejeon: Korean Statistical Information Service; 2023. 
  2. Kim HS, Kim SS, Park MH. A converged study on the influence on the quality of life for early and late middle-aged men. J Korea Converg Soc 2018; 9(6): 133-145.
  3. Korean Statistical Information Service. 2022 Population and housing census registered census results. Daejeon: Korean Statistical Information Service; 2023. 
  4. Kim KW. The effects of daily stress, depression, and self-esteem on quality of life in middle-aged women. J Int Soc Heal Beau 2020; 14(1): 5-21.
  5. The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med 1998; 46(12): 1569-1585.
  6. Cho CM. Factors influencing the quality of life in low-income elders living at home: a literature review. J Korean Public Health Nurs 2013; 27(2): 372-383.
  7. Testa MA, Simonson DC. Assessment of quality-of-life outcomes. N Engl J Med 1996; 334(13): 835-840.
  8. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, et al. South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value Health 2009; 12(8): 1187-1193.
  9. Han SJ, Kwon MS, Yoon OS. Comparison of quality of life of middle aged women and men. J Korean Acad Soc Home Care Nurs 2012; 19(2): 183-194. 
  10. Oh HS. Important significant factors of health-related quality of life(EQ-5D) by age group in Korea based on KNHANES(2014). J Korean Data Inf Sci Soc 2017; 28(3): 573-584.
  11. Meregaglia M, Malandrini F, Finch AP, Ciani O, Jommi C. EQ-5D-5L population norms for Italy. Appl Health Econ Health Policy 2023; 21(2): 289-303.
  12. Jo MW. Report No. 11-1352159-000695-01. Valuation of Korean Health-related Quality of Life Instrument with 8 items (HINT-8). Policy Monographs. Cheongju: Korea Centers for Disease Control and Prevention; 2017. 
  13. Lee J, Ahn J. A study on deriving a conversion formulae using mapping between HINT-8 and EQ-5D instruments. Korean J Health Econ Policy 2019; 25(1): 77-103. 
  14. Heo ML, Jang YM. Analysis of influencing factors of health-related quality of life among Korean adults in their 20s using the HINT-8 Index - using the primary data of the 8th Korea National Health and Nutrition Examination Survey. Crisisonomy 2023; 19(8): 137-149.
  15. Kang HK. The relationship between oral condition and quality of Life (HINT-8) according to grip strength in middle-aged Korean women: using the 2019 data from the KNHNES. J Korean Oral Health Sci 2022; 10(2): 93-100.
  16. Kim YR. Relationship between oral health and quality of life (HINT-8) according to economic activity of middle-aged Korean women: the 8th Korea National Health and Nutrition Examination Survey. J Korea Converg Soc 2022; 13(4): 127-135.
  17. Lee MS. Quality of nutrient adequacy and health-related quality of life of the rural elderly. Korean J Community Nutr 2015; 20(6): 423-432.
  18. Al-Rubaye AK, Johansson K, Alrubaiy L. The association of health behavioral risk factors with quality of life in northern Sweden - a cross-sectional survey. J Gen Fam Med 2020; 21(5): 167-177.
  19. Zou S, Feng G, Li D, Ge P, Wang S, Liu T, et al. Lifestyles and health-related quality of life in Chinese people: a national family study. BMC Public Health 2022; 22(1): 2208.
  20. Ramos-Goni JM, Rivero-Arias O, Errea M, Stolk EA, Herdman M, Cabases JM. Dealing with the health state 'dead' when using discrete choice experiments to obtain values for EQ-5D-5L heath states. Eur J Health Econ 2013; 14(Suppl 1): S33-S42.
  21. Zueras P, Rutigliano R, Trias-Llimos S. Marital status, living arrangements, and mortality in middle and older age in Europe. Int J Public Health 2020; 65(5): 627-636.
  22. Liu Q, Leng P, Gu Y, Shang X, Zhou Y, Zhang H, et al. The dose-effect relationships of cigarette and alcohol consumption with depressive symptoms: a multiple-center, cross-sectional study in 5965 Chinese middle-aged and elderly men. BMC Psychiatry 2022; 22(1): 657.
  23. Kim JH, Kang WM, Mun SY. The effects of problem drinking on life satisfaction mediated by depression among the middle-aged: focusing on gender. Korean J Fam Welf 2013; 18(3): 185-203. 
  24. Shin JH, Yoon YS, Yang YJ, Lee ES, Lee JH, et al. The relationship between obesity and health-related quality of life in Koreans. Korean J Fam Pract 2011; 1(2): 101-110. 
  25. Strine TW, Mokdad AH, Dube SR, Balluz LS, Gonzalez O, Berry JT, et al. The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults. Gen Hosp Psychiatry 2008; 30(2): 127-137.
  26. Kim HK, Chang HK. Factors influencing life satisfaction in middle-aged women. J Korean Acad Fundam Nurs 2022; 29(3): 326-336.
  27. Katainen RE, Siirtola TJ, Engblom JR, Erkkola RU, Polo-Kantola P. A population-based survey of quality of life in middle-aged Finnish women. Menopause 2015; 22(4): 402-413.
  28. Lee H, Chung W, Lim S, Han E. Association of a combination between actual body mass index status and perceived body image with anxiety and depressive condition in Korean men and women: The fifth and sixth Korea National Health and Nutrition Examination Survey (2010-2014). Health Policy Manag 2018; 28(1): 3-14. 
  29. Seo J, Ma H, Kim S, Kim J, Shin M, Yang YJ. Effects of the difference between actual body condition and body image perception on nutrient intake, weight control and mental health in Korean adults: based on the 5th Korea National Health and Nutrition Examination Survey. J Nutr Health 2016; 49(3): 153-164.
  30. Han KT, Kim SJ. Are serum cholesterol levels associated with cognitive impairment and depression in elderly individuals without dementia?: a retrospective cohort study in South Korea. Int J Geriatr Psychiatry 2021; 36(1): 163-173.
  31. Kang MK, Kim MS, Gang M, Oh K, Kwon JS, Lee SH. Factors affecting the mental health related quality of life in adults across the lifespan. Korean J Rehabil Nurs 2012; 15(2): 73-82.
  32. Kollannoor-Samuel G, Wagner J, Damio G, Segura-Perez S, Chhabra J, Vega-Lopez S, et al. Social support modifies the association between household food insecurity and depression among Latinos with uncontrolled type 2 diabetes. J Immigr Minor Health 2011; 13(6): 982-989.
  33. Kim KN, Jee YJ. Food safety, depression and quality of life in elderly Koreans. Asia Pac J Multimed Serv Converg Art Humanit Sociol 2017; 7(7): 575-582.
  34. Gibson-Smith D, Bot M, Brouwer IA, Visser M, Giltay EJ, Penninx BW. Association of food groups with depression and anxiety disorders. Eur J Nutr 2020; 59(2): 767-778.
  35. Kurnik-Lucka M, Gronska D, Wojnarski M, Pasieka P, Rzasa-Duran E, Gil K. Health-related quality of life in relation to fruit and vegetable intake among Polish pharmacists. Healthcare (Basel) 2022; 10(5): 930.