성인에서 체중 상태와 지각된 스트레스와의 관련성: 연령과 성별 차이를 중심으로 = Relationship between Perceived Stress and Weight Status in Korean Adults: Focusing Age and Gender Difference

다국어 초록 (Multilingual Abstract)

Background: Weight status influences the emotional condition and perceived stress of individuals and may induce psychosocial problems. Recognitionof weight status differs according to historical environment, culture, regional background, age, and gender. However, there is limited evidence onthis among Koreans. This study aimed to investigate age and gender differences in the relationship between perceived stress and weight status.
Methods: The study included 15,068 adults aged ≥19 years (6,306 males, 8,762 females) who participated in the Korea National Health and NutritionExamination Survey between 2016 and 2018. Perceived stress was measured using a self-administered questionnaire. The odds ratios (ORs) and95% confidence intervals (CIs) for perceived stress according to weight status stratified by age and gender were analyzed using multivariable logisticregression analysis adjusted for income, education, occupation, marital status, sleep, risky drinking, smoking, physical activity, energy intake, eatingout, dietary supplementation, and having breakfast.
Results: Among males, the underweight group aged 19–39 years had a higher OR for perceived stress than the normal weight group (OR, 1.86; 95% CI,1.04–3.32). However, in females, the obesity group had higher ORs for perceived stress among those aged 19–39 years (OR, 1.44; 95% CI, 1.02–2.04)and those aged 40–59 years (OR, 1.34; 95% CI, 1.03–1.75) compared to normal weight group.
Conclusion: The results suggest that perceived stress according to weight status differs by age and gender. Acknowledging these different relationshipsis required for providing appropriate care for the psychosocial aspects of weight status, taking into account age and gender in Korean adults.

국문 초록 (Abstract)

연구배경: 개인의 체중 상태는 기질적 질환뿐만 아니라 정신건강과 관련될 수 있다. 체중 상태에 대한 인식은 역사적 환경, 문화적, 지역적 배경, 연령, 성별에 따라 차이를 보인다. 우리나라는 동시대에서도 생활습관 및 사회통념에 대해 세대 차이가 크다고 볼 수 있어 성별, 연령에 따른 체중 상태와 스트레스의 연관성에 대하여 살펴보고자 하였다.
방법: 본 연구는 2016–2018년 시행된 제7기 국민건강영양조사 원시자료에서 19세 이상의 성인 15,068명(남성 6,306명, 여성 8,762명)을 대상으로 하였다. 성별 및 연령군별로 층화하여 체중 상태와 지각된 스트레스와의 관련성에 대해 복부 비만, 수입, 교육 수준, 직업, 결혼, 수면 시간, 고위험 음주, 흡연, 신체 활동, 에너지 섭취, 영양 보조제, 조식 여부를 보정한 후 다중 로지스틱 회귀분석을 이용하여 교차비와 95% 신뢰 구간을 구하였다.
결과: 남자는 19–39세에서 정상 체중군에 비해 저체중인 경우 지각된 스트레스의 교차비가 증가하였다(OR, 1.86; 95% CI, 1.04–3.32). 여자는 19–39세에서 비만인 경우(OR, 1.44; 95% CI, 1.02–2.04)와 40–59세에서 비만인 경우(OR, 1.34; 95% CI, 1.03–1.75)에 지각된 스트레스의 교차비가 증가하는 것으로 나타났다.
결론: 성별 및 연령에 따라 체중 상태와 지각된 스트레스와의 관계에 차이가 있음을 보여준다. 이러한 결과를 바탕으로 개인의 기본적 건강 지표인 체중 상태를 파악하여 기질적 질환뿐만 아니라 스트레스와 같은 정신사회적 문제도 포괄적으로 고려하여 접근하는 것이 필요하다.

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