가정의학회지 (Korean Journal of Family Medicine)

  • 제39권6호
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  • Pages.340-346
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  • 2018
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  • 2005-6443(pISSN)
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  • 2092-6715(eISSN)
대한가정의학회 (The Korean Academy of Family Medicine)
권호 표지
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The Association between Family Mealtime and Depression in Elderly Koreans

  • Kang, Yunhwa (Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kang, Soyeon (Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Kyung Jung (Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ko, Hyunyoung (Health Screening Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Jinyoung (Department of Family Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Song, Yun-Mi (Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2017.05.11
  • 심사 : 2017.08.10
  • 발행 : 2018.11.20
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Several studies have revealed the frequency of family mealtimes to be inversely associated with depressive symptoms in adolescents. However, there have been few studies in older populations. This cross-sectional study investigated the association between family mealtime frequency and depressive symptoms in elderly Koreans. Methods: This study analyzed 4,959 elderly men and women (aged 65 years or older) who participated in the Korea National Health and Nutrition Examination Survey. Self-administered questionnaires were used to assess depressive status, family mealtime frequency, and covariates. Multiple logistic regression analysis was performed to evaluate the association using the eating alone group as a reference. Results: After adjusting for all covariates, participants who had family meals 3 times a day had fewer depressive symptoms than the eating alone group; adjusted odds ratios (ORs) (95% confidence intervals [CIs]) were 0.72 (0.58-0.89) for point depressiveness/anxiety and 0.73 (0.56-0.94) for depressiveness lasting for at least 2 weeks. In suicidal ideation, the OR (95% CI) of eating with family twice a day was significant after full adjusting for covariates at 0.67 (0.50-0.88). Conclusion: Family mealtimes were closely associated with depressive symptoms in elderly Koreans, which suggests that maintaining intrafamilial bonding is important for mental health in an older population.

키워드

과제정보

연구 과제 주관 기관 : National Research Foundation of Korea (NRF)

참고문헌

  1. Beekman AT, Copeland JR, Prince MJ. Review of community prevalence of depression in later life. Br J Psychiatry 1999;174:307-11. https://doi.org/10.1192/bjp.174.4.307
  2. Battaglia A, Dubini A, Mannheimer R, Pancheri P. Depression in the Italian community: epidemiology and socio-economic implications. Int Clin Psychopharmacol 2004;19:135-42. https://doi.org/10.1097/00004850-200405000-00003
  3. Bots S, Tijhuis M, Giampaoli S, Kromhout D, Nissinen A. Lifestyle- and diet-related factors in late-life depression: a 5-year follow-up of elderly European men: the FINE study. Int J Geriatr Psychiatry 2008;23:478-84. https://doi.org/10.1002/gps.1919
  4. Lebowitz BD, Pearson JL, Schneider LS, Reynolds CF 3rd, Alexopoulos GS, Bruce ML, et al. Diagnosis and treatment of depression in late life: consensus statement update. JAMA 1997;278:1186-90. https://doi.org/10.1001/jama.1997.03550140078045
  5. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997;349:1498-504. https://doi.org/10.1016/S0140-6736(96)07492-2
  6. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 2006;3:e442. https://doi.org/10.1371/journal.pmed.0030442
  7. Reddy MS. Depression: the disorder and the burden. Indian J Psychol Med 2010;32:1-2. https://doi.org/10.4103/0253-7176.70510
  8. Park JH, Kim KW. A review of the epidemiology of depression in Korea. J Korean Med Assoc 2011;54:362-9. https://doi.org/10.5124/jkma.2011.54.4.362
  9. Mecocci P, Cherubini A, Mariani E, Ruggiero C, Senin U. Depression in the elderly: new concepts and therapeutic approaches. Aging Clin Exp Res 2004;16:176-89. https://doi.org/10.1007/BF03327382
  10. Seymour J, Benning TB. Depression, cardiac mortality and all-cause mortality. Adv Psychiatr Treat 2009;15:107-13. https://doi.org/10.1192/apt.bp.107.004770
  11. Kennedy GJ, Castro J, Chang M, Chauhan-James J, Fishman M. Psychiatric and medical comorbidity in the primary care geriatric patient: an update. Curr Psychiatry Rep 2016;18:62. https://doi.org/10.1007/s11920-016-0700-7
  12. Raj A. Depression in the elderly: tailoring medical therapy to their special needs. Postgrad Med 2004;115:26-8,37-42. https://doi.org/10.3810/pgm.2004.06.1534
  13. Philippot P, Agrigoroaei S. Repetitive thinking, executive functioning, and depressive mood in the elderly. Aging Ment Health 2017;21:1192-6. https://doi.org/10.1080/13607863.2016.1211619
  14. Rao SK, Wallace LMK, Theou O, Rockwood K. Is it better to be happy or not depressed?: depression mediates the effect of psychological well-being on adverse health outcomes in older adults. Int J Geriatr Psychiatry 2017;32:1000-8. https://doi.org/10.1002/gps.4559
  15. Fiske A, Wetherell JL, Gatz M. Depression in older adults. Annu Rev Clin Psychol 2009;5:363-89. https://doi.org/10.1146/annurev.clinpsy.032408.153621
  16. Singh A, Misra N. Loneliness, depression and sociability in old age. Ind Psychiatry J 2009;18:51-5. https://doi.org/10.4103/0972-6748.57861
  17. Cason KL. Family mealtimes: more than just eating together. J Am Diet Assoc 2006;106:532-3. https://doi.org/10.1016/j.jada.2006.01.012
  18. Lee SA, Park EC, Ju YJ, Nam JY, Kim TH. Is one's usual dinner companion associated with greater odds of depression?: using data from the 2014 Korean National Health and Nutrition Examination Survey. Int J Soc Psychiatry 2016;62:560-8. https://doi.org/10.1177/0020764016654505
  19. Eisenberg ME, Olson RE, Neumark-Sztainer D, Story M, Bearinger LH. Correlations between family meals and psychosocial well-being among adolescents. Arch Pediatr Adolesc Med 2004;158:792-6. https://doi.org/10.1001/archpedi.158.8.792
  20. Neumark-Sztainer D, Hannan PJ, Story M, Croll J, Perry C. Family meal patterns: associations with sociodemographic characteristics and improved dietary intake among adolescents. J Am Diet Assoc 2003;103:317-22.
  21. Jeong TW, Jung MJ, Lee JW, Kim TY. Effects of family meal frequency on risk factors for cardiovascular disease in Korean elderly males and females. Iran J Public Health 2015;44:60-7.
  22. Wang X, Shen W, Wang C, Zhang X, Xiao Y, He F, et al. Association between eating alone and depressive symptom in elders: a cross-sectional study. BMC Geriatr 2016;16:19. https://doi.org/10.1186/s12877-016-0197-2
  23. Goldfarb S, Tarver WL, Sen B. Family structure and risk behaviors: the role of the family meal in assessing likelihood of adolescent risk behaviors. Psychol Res Behav Manag 2014;7:53-66.
  24. Sen B. The relationship between frequency of family dinner and adolescent problem behaviors after adjusting for other family characteristics. J Adolesc 2010;33:187-96. https://doi.org/10.1016/j.adolescence.2009.03.011
  25. Vesnaver E, Keller HH. Social influences and eating behavior in later life: a review. J Nutr Gerontol Geriatr 2011;30:2-23. https://doi.org/10.1080/01639366.2011.545038
  26. Kimura Y, Wada T, Okumiya K, Ishimoto Y, Fukutomi E, Kasahara Y, et al. Eating alone among community-dwelling Japanese elderly: association with depression and food diversity. J Nutr Health Aging 2012;16:728-31. https://doi.org/10.1007/s12603-012-0067-3
  27. Ramirez JL, Badger TA. Men navigating inward and outward through depression. Arch Psychiatr Nurs 2014;28:21-8. https://doi.org/10.1016/j.apnu.2013.10.001
  28. Luppa M, Sikorski C, Luck T, Ehreke L, Konnopka A, Wiese B, et al. Age- and gender-specific prevalence of depression in latest-life: systematic review and meta-analysis. J Affect Disord 2012;136:212-21. https://doi.org/10.1016/j.jad.2010.11.033
  29. Chong MY, Tsang HY, Chen CS, Tang TC, Chen CC, Yeh TL, et al. Community study of depression in old age in Taiwan: prevalence, life events and socio-demographic correlates. Br J Psychiatry 2001;178:29-35. https://doi.org/10.1192/bjp.178.1.29
  30. Chen CS, Chong MY, Tsang HY. Clinically significant non-major depression in a community-dwelling elderly population: epidemiological findings. Int J Geriatr Psychiatry 2007;22:557-62. https://doi.org/10.1002/gps.1714

피인용 문헌

  1. Association between commensality with depression and suicidal ideation of Korean adults: the sixth and seventh Korean National Health and Nutrition Examination Survey, 2013, 2015, 2017 vol.19, pp.1, 2018, https://doi.org/10.1186/s12937-020-00650-9
  2. Association between eating alone and cardiovascular diseases in elderly women: a cross-sectional study of KNHANES 2016 data vol.29, pp.1, 2022, https://doi.org/10.1097/gme.0000000000001887
  3. Living and eating alone on depressive symptoms by physical frailty status: A cross-sectional study based on the Korean Frailty and Aging Cohort Study vol.98, pp.None, 2018, https://doi.org/10.1016/j.archger.2021.104570