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청소년의 대사증후군과 식생활, 신체활동 및 정신건강 관련성 연구 - 국민건강영양조사 제7기 1차년도(2016년) 자료를 이용하여 -

The Relation among Adolescents Metabolic Syndrome, Dietary Life, Physical Activity and Mental Health - Using 7th National Nutrition Survey of 1st Year(2016) -

  • 문우진 (김포대학교 보건행정학과)
  • Moon, Woo-Jin (Department of Public Health Administration Kimpo University)
  • 투고 : 2019.03.06
  • 심사 : 2019.06.07
  • 발행 : 2019.06.30

초록

본 연구는 국민건강영양조사 제7기 1차년도(2016년) 자료를 이용하여 청소년의 대사증후군과 식생활, 신체활동 및 정신건강과의 관계를 파악 및 분석하여 청소년의 대사증후군 예방과 정신건강 증진을 위한 기초적 자료를 제공하는데 그 목적이 있다. 연구대상자의 연령은 만13세-만18세 청소년으로, 그 중 정상군은 남자 201명(52.6%), 여자 187명(47.4%)으로 나타났으며, 대사증후군은 남자 9명(56.4%), 여자 6명(43.6%)으로 총 403명으로 나타났다. 이에 청소년의 대사증후군과 식생활, 신체활동 및 정신건강과의 관계를 분석하여 연구한 결과, 청소년의 대사증후군에 미치는 주요 영향요인은 다음과 같다. 첫째, 신체특성에서 BMI가 1 증가할 때 마다 대사증후군 유병확률이 1.746배 증가하는 것으로 나타났다. 둘째, 식생활습관에서는 아침식사 빈도에서 주1-2회 식사 시 거의 안할 때 보다 대사증후군 유병확률이 0.87배 감소하는 것으로 나타났다. 셋째, 신체활동에서는 평소 하루 앉아있는 시간이 1시간 증가할 때 마다 대사증후군 유병확률이 1.054배 증가하는 것으로 나타났다. 넷째, 청소년의 대사증후군은 정신건강과의 관련성에 미치는 영향이 없는 것으로 나타났다. 따라서 향후 청소년을 중심으로 한 대사증후군 관련 연구에 있어서 식생활, 신체활동 및 정신건강 등에 관한 다양한 변수들의 개발을 통해 보다 확장된 연구가 필요할 것으로 판단되며 또한 청소년의 대사증후군 예방을 위한 식생활요인과 신체활동요인 및 정신건강요인을 접목한 효과적인 건강교육 중재 프로그램개발이 필요하다.

This study has researched and analyzed the relation among adolescents metabolic syndrome, dietary life, physical activity and mental health using $7^{th}$ National Nutrition Survey of $1^{st}$ year(2016) to provide the base data for the prevention of adolescent metabolic syndrome and the promotion of mental health. The subjects have been aimed at 13-18 year-old adolescents. The normal group consists of 201 males(56.4%) and 187 females(47.4%) and the adolescents with metabolic syndrome are composed of 9 males(56.4%) and 6 females(43.6%), totally 403 subjects. As a result of analyzing on the relation among adolescents' metabolic syndrome, dietary life, physical activity and mental health, the main influencing factors of metabolic syndrome are as follows. First, with regard to physical features, as BMI increases 1, the prevalence rate of metabolic syndrome multiplies 1.746 times. Second, when eating breakfast once to twice a week, the prevalence rate of metabolic syndrome decreases 0.87 times. Third, with regard to physical activity, as usual sitting hours a day increase 1 hour, the prevalence rate of metabolic syndrome multiplies 1.054 times. Fourth, the relation between metabolic syndrome and mental health of adolescents is not significant at all. Thus, the further study on metabolic syndrome focused on adolescents should be extended through the development of various variables of dietary life, physical activity and mental health focused on adolescents. In addition, the development of effective intervention program combining with dietary life, physical activity and mental health factors is necessary.

키워드

Table 1. Sociodemographic features of sample

SHGSCZ_2019_v20n6_158_t0001.png 이미지

Table 2. Biochemical indicator of sample metabolic syndrome

SHGSCZ_2019_v20n6_158_t0002.png 이미지

Table 3. Prevalence distribution of sample metabolic syndrome

SHGSCZ_2019_v20n6_158_t0003.png 이미지

Table 4. Frequency of eating

SHGSCZ_2019_v20n6_158_t0004.png 이미지

Table 5. Physical activity

SHGSCZ_2019_v20n6_158_t0005.png 이미지

Table 6. Usual stress perception level

SHGSCZ_2019_v20n6_158_t0006.png 이미지

Table 7. Consecutive depression over 2 weeks

SHGSCZ_2019_v20n6_158_t0007.png 이미지

Table 8. Influencing factor of adolescent metabolic syndrome

SHGSCZ_2019_v20n6_158_t0008.png 이미지

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