2016년 국민건강영양조사 자료를 이용한 동반아침식사와 우울증 간의 관련성 = The Relationship Between Eating Breakfast with Someone and Depression: Based on Korean National Health and Nutrition Survey (2016)

국문 초록 (Abstract)

현대사회는 아침식사 결식률 증가와 더불어 삶의 질에 영향을 끼치는 우울증의 유병률도 지속적으로 증가하고 있다. 본 연구에서는 국민건강영양조사 자료를 이용하여 한국 일반 성인의 아침식사와 우울증 유병률 간의 관련성을 알아보고자 하였다. 본 연구는 국민건강영양조사(KNHANES, Korea National Health and Nutrition Examination Survey)의 제 7기 1차년도(2016) 자료를 이용해 참여자 8,150명 중 결측치가 없는 대상과 1~18세를 제외한 19세 이상의 3,721명의 참여자를 이용하여 분석을 실시하였다. 아침식사 빈도는 “주 5~7회”, “주 3~4회”, “주 1~2회” 로 분류되었다. 우울증 여부를 판단하기 위해 한국형 우울증 척도인 PHQ-9을 사용하였으며, 카이제곱검정과 다중 로지스틱 회귀분석을 통해 분석을 실시하였다. 최근 1년간 1주 동안 아침식사 빈도, 식사시 가족 및 가족 외 사람과의 동반여부, 나이, 성별 등의 공변량을 보정 후 관련성을 분석한 결과, 아침식사를 주 5-7회 하는 집단에 비해 아침식사를 주 1-2회 하는 집단의 우울증 유병률이 1.178배(OR: 1.78 95% CI: 0.622-2.231 p:0.613)높았으나 통계적으로 유의하지 않았다. 그러나 아침식사 시 가족 및 가족 외 사람을 동반하지 않고 식사를 하지 않는 집단에서는 동반을 하는 집단에 비해 우울증 유병률이 1.644배(OR: 1.644 95% CI: 1.149-2.352 p:0.007) 통계적으로 유의하게 높았다. 본 연구의 결과를 통해 아침식사시 가족 등의 동반여부가 정신건강에 상당한 영향을 미칠 수 있다는 점을 고려하여 개인과 지역사회에서 아침식사 결식을 감소시킬 수 있도록 정책적인 방법을 강구할 필요가 있다.

다국어 초록 (Multilingual Abstract)

In modern society, the prevalence of depression continues to rise as well as the rate of skipping breakfast. We tried to find a relationship between the pattern of eating breakfast and the prevalence of depression in Korean adults. Using First year (2016) data of the Korea National Health and Nutrition Examination Survey Ⅶ (KNHANES). In this study, we excluded individuals aged 1-18 and those who had no information of control covariates. Thus, a total of 3,721 individuals were selected for this analysis. Eating Breakfast was categorized as “5 to 7 times a week”, “3 to 4 times a week”, “1 to 2 times a week”. The Patient Health Questionnaire-9 Korean version was used to determine whether depression or not, and the analysis was conducted using the Chi-Square Test and multiple logistic regression. According to the analysis after adjusting for the covariates, the prevalence of depression in groups that ate breakfast 1-2 times a week was higher by 17.8% times (OR: 1.178 95% CI: 0.622-2.231 p:0.613) compared to those who ate breakfast 5-7 times a week but was not statistically significant. However, the rate of depression in groups that do not eat with family members or people outside of their family at breakfast was significantly higher by 64.4% times (OR: 1.644 95% CI: 1.149-2.352 p: 0.007) compared to groups that do eat with family members or people outside of their family at breakfast. These findings suggest that policy measures should be taken to reduce groups that do not eat with family members or people outside of their family at breakfast because breakfast patterns can have a significant impact on mental health.

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