Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of A Body Shape Index and Body Mass Index and Suicidal Behaviors

체형지수와 체질량지수가 자살행동에 미치는 영향

  • Boo, Yoo-Kyung (Dept. of Healthcare Management, College of Health Industry, Eulji University)
  • 부유경 (을지대학교 바이오융합대학 의료경영학과)
  • Received : 2018.08.17
  • Accepted : 2018.09.07
  • Published : 2018.09.30
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Abstract

The purpose of this study was to determine the association of the Body Shape Index (ABSI) with suicide ideation and suicide attempts by controlling the body mass index (BMI), as well as general characteristics that may affect suicide. The study has used The Sixth Korea National Health and Nutrition Examination Survey conducted by the Korea Centers for Disease Control and Prevention from 2013 to 2015. A total of 13,155 participants were studied, excluding those who had no information on variables that could affect suicidal ideations and suicidal attempts. The chi-squared test and the multivariate logistic regression analysis were performed. The results of the analysis showed that those who had obesity in BMI were more likely to commit suicide and suicide than those who were in 'standard' in BMI. In ABSI, Q3 group was more likely to commit suicide than Q1 group. The number of suicide attempt was significantly higher in the group with Q3 in ABSI than in Q1 group (3.623 times (95% CI 1.027-12.772)). The results of this study suggest that a higher ABSI compared to BMI means that it is possible to make a more extreme choice of suicide attempt rather than suicide ideation.

본 연구의 목적은 자살에 영향을 미칠 수 있는 일반적 특성들과 동시에 체질량지수(Body Mass Index, BMI)를 통제함으로써 체형지수(A Body Shape Index, ABSI)가 자살생각과 자살시도와 어떠한 관련성이 있는지에 대해 알아보는 것이다. 2013년부터 2015년까지 질병관리본부의 제 6기 국민건강영양조사 자료를 이용하였으며, 자살행동에 영향을 미칠 수 있는 변수들에 대한 정보가 없는 자들을 대상에서 제외한 총 13,155명을 대상으로 카이제곱검정과 다변량 로지스틱회귀분석을 실시하였다. 분석 결과는 BMI에서 '비만'에 해당하는 자들이 BMI에서 '표준'에 해당하는 자들보다 자살생각과 자살시도가 높았고, ABSI에서는 Q3에 해당하는 그룹이 Q1에 해당하는 그룹에 비해 자살생각이 높았다. 자살시도는 ABSI에서 Q3에 해당하는 그룹이 Q1 그룹에 비해 3.623배(95% CI 1.027-12.772) 높았으며 유의한 결과를 보였다. 본 연구의 결과는 BMI와 비교하여 ABSI가 높이 나타나면 단순히 자살생각보다는 자살시도라는 더욱 극단적인 선택을 할 수 있음을 의미하는 것으로 우리사회는 ABSI가 높은 자에 대해 사회적인 관심과 적절한 관리를 할 수 있도록 해야 할 것이다.

Keywords

References

  1. J. I. Lee, "Style for the Journal of Korean Contents Relation between BMI and Suicide Ideation in Adult : Using Data from the Korea Health Panel 2009-2013", The Journal of the Korea Contents Association, Vol.18, No.2, pp.616-625. DOI: https://dx.doi.org/10.5392/JKCA.2018.18.02.616
  2. D. K. Kim, H. J. Song, E. K. Lee, J. W. Kwon, "Effect of sex and age on the association between suicidal behaviour and obesity in Korean adults: a cross-sectional nationwide study", BMJ Open, Vol.6, Article ID e010183, 2016. DOI: https://dx.doi.org/10.1136/bmjopen-2015-010183
  3. K. J. Inder, T. E. Handley, A. Johnston, N. Weaver, C. Coleman, T. J. Lewin, T. Slade, B. J. Kelly, "Determinants of suicidal ideation and suicide attempts: parallel cross-sectional analyses examining geographical location", BMC Psychiatry, Vol.14, No.1, Article ID 208, 2014. DOI: https://dx.doi.org/10.1186/1471-244X-14-208
  4. B. Schneider, K. Lukaschek, J. Baumert, C. Meisinger, N. Erazo, K. H. Ladwig, "Living alone, obesity, and smoking increase risk for suicide independently of depressive mood findings from the population-based MONICA/KORA Augsburg cohort study", Journal of Affective Disorders, Vol.152-154, pp.416-21, 2014. DOI: https://dx.doi.org/10.1016/j.jad.2013.10.007
  5. D. N. Juurlink, N. Herrmann, J. P. Szalai, A. Kopp, D. A. Redelmeier, "Medical Illness and the Risk of Suicide in the Elderly", Archives of Internal Medicine, Vol.164, No.11, pp.1179-84, 2004. DOI: https://dx.doi.org/10.1001/archinte.164.11.1179
  6. N. M. Petry, D. Barry, R. H. Pietrzak, J. A. Wagner, "Overweight and Obesity Are Associated With Psychiatric Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions", Psychosom Medicine, Vol.70, No.3, pp.288-297, 2008. DOI: https://dx.doi.org/10.1097/PSY.0b013e3181651651
  7. H. Kim, H. J. Jeon, J. N. Bae, M. J. Cho, S. J. Cho, H. Lee, J. P. Hong, "Association of Body Mass Index with Suicide Behaviors, Perceived Stress, and Life Dissatisfaction in the Korean General Population", Psychiatry Investigation, Vol.15, No.3, pp.272-278, 2018. DOI: https://dx.doi.org/10.30773/pi.2017.06.28
  8. C. Dong, W. D. Li, D. Li, R. A. Price, "Extreme obesity is associated with attempted suicides: results from a family study", International Journal of Obesity, Vol.30, pp.388-390, 2006. DOI: https://dx.doi.org/10.1038/sj.ijo.0803119
  9. D. Lester, M. Pompili, P. Girardi, "Depression and Suicidality in Obese Patients", Psychological Reports, Vol.108, No.2, pp.367-68, 2011. DOI: https://dx.doi.org/10.2466/06.09.12.15.PR0.108.2.367-368
  10. K. M. Carpenter, D. S. Hasin, D. B. Allison, M. S. Faith, "Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study", American Journal of Public Health, Vol.90, No.2, pp.251-257, 2000. DOI: https://dx.doi.org/10.2105/AJPH.90.2.251
  11. K. J. Mukamal, M. Miller, "BMI and Risk Factors for Suicide: Why Is BMI Inversely Related to Suicide?", Obesity (Silver Spring), Vol.17, No.3, pp.532-538, 2009. DOI: https://dx.doi.org/10.1038/oby.2008.538
  12. K. J. Mukamal, E. B. Rimm, I. Kawachi, E. J. O'Reilly, E. E. Calle, M. Miller, "Body Mass Index and Risk of Suicide Among One Million US Adults", Epidemiology, Vol.21, No.1, pp.82-6, 2010. DOI: https://dx.doi.org/10.1097/EDE.0b013e3181c1fa2d
  13. Y. Sato, S. Fujimoto, T. Konta, K. Iseki, T. Moriyama, K. Yamagata, K. Tsuruya, I. Narita, M. Kondo, M. Kasahara, Y. Shibagaki, K. Asahi, T. Watanabe, "Body shape index: Sex-specific differences in predictive power for all-cause mortality in the Japanese population", PLoS One, Vol.12, No.4, Article ID e0177779, 2017. DOI: https://dx.doi.org/10.1371/journal.pone.0177779
  14. M. Fujita, Y. Sato, K. Nagashima, S. Takahashi, A. Hata, "Predictive Power of a Body Shape Index for Development of Diabetes, Hypertension, and Dyslipidemia in Japanese Adults: A Retrospective Cohort Study", PLoS One, Vol.10, No.6, Aritlce ID e0128972, 2015. DOI: https://dx.doi.org/10.1371/journal.pone.0128972
  15. M. Fujita, Y. Sato, K. Nagashima, S. Takahashi, A. Hata, "Predictive Power of a Body Shape Index for Development of Diabetes, Hypertension, and Dyslipidemia in Japanese Adults: A Retrospective Cohort Study", PLoS One, Vol.10, No.6, Aritlce ID e0128972, 2015. DOI: https://dx.doi.org/10.1371/journal.pone.0128972
  16. N. Y. Krakauer, J. C. Krakauer, "A New Body Shape Index Predicts Mortality Hazard Independently of Body Mass Index", PLoS One, Vol.7, No.7, Article ID e39504, 2012. DOI: https://dx.doi.org/10.1371/journal.pone.0039504
  17. A. M. Nevill, A. D. Stewart, T. Olds, R. Holder, "Relationship between adiposity and body size reveals limitations of BMI", American Journal of Physical Anthropology, Vol.129, No.1, pp.151-156, 2006. DOI: https://dx.doi.org/10.1002/ajpa.20262
  18. J. Gomez-Ambrosi, C. Silva, J. C. Galofre, J. Escalada, S. Santos, D. Millan, N. Vila, P. Ibanez, M. J. Gil, V. Valenti, F. Rotellar, B. Ramirez, J. Salvador, G. Fruhbeck, "Body mass index classification misses subjects with increased cardiometabolic risk factors related to elevated adiposity", International Journal of Obesity, Vol.36, No.2, pp.286-94, 2012. DOI: https://dx.doi.org/10.1038/ijo.2011.100
  19. C. E. Ruhl, J. E. Everhart, "Trunk Fat Is Associated With Increased Serum Levels of Alanine Aminotransferase in the United States", Gastroenterology, Vol.138, No.4, pp.1346-1356, 2010. DOI: https://dx.doi.org/10.1053/j.gastro.2009.12.053
  20. S. He, Y. Zheng, H. Wang, X. Chen, "Assessing the relationship between a body shape index and mortality in a group of middle-aged men", Clinical Nutrition, Vol.36, No.5, pp.1355-1359, 2017. DOI: https://dx.doi.org/10.1016/j.clnu.2016.09.003
  21. S. Bertoli, A. Leone, N. Y. Krakauer, G. Bedogni, A. Vanzulli, V. I. Redaelli, R. De Amicis, L. Vignati, J. C. Krakauer, A. Battezzati, "Association of Body Shape Index (ABSI) with cardio-metabolic risk factors: A cross-sectional study of 6081 Caucasian adults", PLoS One, Vol.12, No.9, Article ID e0185013, 2017. DOI: https://dx.doi.org/10.1371/journal.pone.0185013
  22. K. J. Mukamal, I. Kawachi, M. Miller, E. B. Rimm. 2007, "Body Mass Index and Risk of Suicide Among Men", Archives of Internal Medicine, Vol.167, No.5, pp.468-75, 2007. DOI: https://dx.doi.org/10.1001/archinte.167.5.468
  23. G. Zhao, E. S. Ford, C. Li, J. Tsai, S. Dhingra, L. S. Balluz, "Waist circumference, abdominal obesity, and depression among overweight and obese U.S. adults: National Health and Nutrition Examination Survey 2005-2006", BMC Psychiatry, Vol.11, No.1, Article ID 130, 2011. DOI: https://dx.doi.org/10.1186/1471-244X-11-130
  24. S. K. Garg, H. Maurer, K. Reed, R. Selagamsetty, "Diabetes and cancer: two diseases with obesity as a common risk factor", Diabetes, Obesity and Metabolism, Vol.16, No.2, pp.97-110, 2014. DOI: https://dx.doi.org/10.1111/dom.12124
  25. J. D. Ribeiro, X. Huang, K. R. Fox, J. C. Franklin, "Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies", The British Journal of Psychiatry, Vol.212, No.5, pp.279-286, 2018. DOI: https://dx.doi.org/10.1192/bjp.2018.27
  26. M. H. Ahn, S. Park, H. B. Lee, C. M. Ramsey, R. Na, S. O. Kim, J. E. Kim, S. Yoon, J. P. Hong, "Suicide in cancer patients within the first year of diagnosis", Psychooncology, Vol.24, No.5, pp.601-607, 2015. DOI: https://dx.doi.org/10.1002/pon.3705
  27. S. Sarkar, Y. P. Balhara, "Diabetes mellitus and suicide", Indian Journal of Endocrinology and Metabolism, Vol.18, No.4, pp.468-474, 2014. DOI: https://dx.doi.org/10.4103/2230-8210.137487
  28. A. Barracca, O. Ledda, B. Michittu, G. F. Pili, O. Manca, A. Pani, P. Altieri, "Acute renal failure after massive ingestion of gliclazide in a suicide attempt", Renal Failure, Vol.20, No.3, pp.533-537, 1998. DOI: https://dx.doi.org/10.3109/08860229809045142
  29. N. G. Rao, R. G. Menezes, K. R. Nagesh, G. S. Kamath, "Suicide by combined insulin and glipizide overdose in a non-insulin dependent diabetes mellitus physician: a case report", Medicine, Science and the Law, Vol.46, No.3, pp.263-269, 2006. DOI: https://dx.doi.org/10.1258/rsmmsl.46.3.263
  30. Y. U. Soyoral, H. Begenik, H. Emre, E. Aytemiz, M. Ozturk, R. Erkoc, "Dialysis therapy for lactic acidosis caused by metformin intoxication: presentation of two cases", Human & Experimental Toxicology, Vol.30, No.12, pp.1995-1997, 2011. DOI: https://dx.doi.org/10.1177/0960327111403177
  31. M. A. von Mach, O. Sauer, L. Sacha Weilemann, "Experiences of a poison center with metformin-associated lactic acidosis", Experimental and Clinical Endocrinology & Diabetes, Vol.112, No.4, pp.187-190, 2004. DOI: https://dx.doi.org/10.1055/s-2004-817931
  32. C. T. Chang, Y. C. Chen, J. T. Fang, C. C. Huang, "HIGH ANION GAP METABOLIC ACIDOSIS IN SUICIDE: DON'T FORGET METFORMIN INTOXICATION-TWO PATIENTS' EXPERIENCES", Ren Fail, Vol.24, No.5, pp.671-675, 2002a. DOI: https://dx.doi.org/10.1081/JDI-120013973
  33. C. T. Chang, Y. C. Chen, J. T. Fang, C. C. Huang, "Metformin-associated lactic acidosis: case reports and literature review", J Nephrol, Vol.15, No.4, pp.398-402, 2002b.
  34. P. W. Yang, K. H. Lin, S. H. Lo, L. M. Wang, H. D. Lin, "Successful treatment of severe lactic acidosis caused by a suicide attempt with a metformin overdose", The Kaohsiung Journal of Medical Sciences, Vol.25, No.2, pp.93-97, 2009. DOI: https://dx.doi.org/10.1016/S1607-551X(09)70047-6
  35. B. S. Kim, S. M. Chang, S. J. Seong, J. E. Park, S. Park, J. P. Hong, J. N. Bae, S. J. Cho, B. J. Hahm, D. W. Lee, J. I. Park, J. Y. Lee, H. J. Jeon, M. J. Cho, "Association of Overweight with the Prevalence of Lifetime Psychiatric Disorders and Suicidality: General Population-based Study in Korea", Journal of Korean Medical Science, Vol.31, No.11, pp.1814-1821, 2016. DOI: https://dx.doi.org/10.3346/jkms.2016.31.11.1814
  36. R. M. Puhl, K. D. Brownell, "Psychosocial origins of obesity stigma: toward changing a powerful and pervasive bias", Obesity Reviews, Vol.4, No.4, pp.213-227, 2003. DOI: https://dx.doi.org/10.1046/j.1467-789X.2003.00122.x
  37. E. Y. Chen, M. Brown., "Obesity stigma in sexual relationships", Obesity Research, Vol.13, No.8, pp.1393-1397, 2012. DOI: https://dx.doi.org/10.1038/oby.2005.168
  38. S. A. Lee, S. Y. Jang, J. Shin, Y. J. Ju, J. Y. Nam, E. C. Park, "The Association between Inappropriate Weight Control Behaviors and Suicide Ideation and Attempt among Korean Adolescents", Journal of Korean Medical Science, Vol.31, No.10, pp.1529-1537, 2016. DOI: https://dx.doi.org/10.3346/jkms.2016.31.10.1529