DOI QR코드

DOI QR Code

50대 이상의 골관절염 환자의 우울감 및 자살사고와 영양섭취에 관한 융합연구 : 국민건강영양조사 6기 자료 이용하여

Convergence on the related depression, suicidal ideation and nutrient intakes in older adults with osteoarthritis using the 6th Korea National Health and Nutrition Examination Survey(KNHANES VI)

  • 황효정 (삼육대학교 식품영양학과) ;
  • 최연정 (극동대학교 식품영양학과)
  • 투고 : 2019.07.10
  • 심사 : 2019.08.20
  • 발행 : 2019.08.28

초록

본 연구는 우리나라 50-60대 골관절염 환자에서 우울감 및 자살사고 위험의 관계를 알아보고, 이에 따른 영양소 섭취 실태를 파악하고자 하였다. 제 6기 국민건강영양조사 자료에서 의사로부터 골관절염 진단을 받은 4,112명을 분석하였다. 골관절염이 있는 경우에 골관절염이 없는 경우에 비해 불안 및 우울 수준, 통증 및 불편감 수준, 2주 이상 연속 우울감 경험률, 1년간 자살 생각률이 유의적으로 높았다(p<0.05). 일일 평균 영양소 섭취 차이에서 단백질, 지방, n-3계 지방산, n-6계 지방산, 칼슘, 인, 티아민, 리보플라빈 및 나이아신 섭취량이 공통적으로 정상군에서 각각 골관절염과 우울감 및 자살사고군에 비해 유의하게 높은 것으로 나타났다(p<0.05). 따라서 골관절염 환자의 정신적 건강과 추후 환자 건강 관리 향상을 위한 융합적 전략의 방향을 제시하고자 하였다.

We investigated the relationship between depression, suicide risk, and related nutrient intakes in 50-60 year old Korean osteoarthritis patients. In the $6^{th}$ National Health and Nutrition Examination Survey, 4,112 people who have been diagnosed with osteoarthritis by a doctor were analysed. Anxiety and depression level, pain and discomport level, depressive mood and suicidal ideation were significantly higher in osteoarthritis group compared to the non-osteoarthritis group(p<0.05). Dietary intake of energy, protein, n-3 and n-6 fatty acids, calcium, phosphate, thiamin, riboflavin, and niacin were significantly higher in the normal group compared with all the osteoarthritis, depression and suicidal ideation groups(p<0.05). The presented convergence strategy would be applied for emotional health and health care improvement of osteoarthritis patients.

키워드

참고문헌

  1. S. Glyn-Jones et al. (2015). Osteoarthritis. Lancet. 386(9991), 376-87. DOI: 10.1016/S0140-6736(14)60802-3.
  2. ]B. Stubbs, Y. Aluko, P. K. Myint & T. O. Smith. (2016). Prevalence of depressive symptoms and anxiety in osteoarthritis: a systematic review and meta-analysis. Age Ageing. 45(2), 228-35. DOI: 10.1093/ageing/afw001.
  3. J. H. Jung, H. Seok, J .H. Kim, G. G. Song & S.J. Choi. (2018). Association between osteoarthritis and mental health in a Korean population: a nationwide study. International Journal of Rheumatic Diseases. 21(3), 611-619. DOI: 10.1111/1756-185X.13098.
  4. Ministry of Health and Welfare.Korea Institute for Health and Social Affairs. (2017). 2017 Korean Survey of Living Conditions, and Welfare Needs of Elderly Koreans. Sejong: Ministry of Health and Welfare.
  5. H .R. Kim. (2013). Comparison of prevalence for osteoarthritis and its risk factors between age 60-74 and 75 and over. Journal of Korean Biological Nursing Science. 15(4), 219-229. DOI: 10.7586/jkbns.2013.15.4.219.
  6. J. M. Brooks et al. (2018). Prevalence rates of arthritis among US older adults with varying degrees of depression: Findings from the 2011 to 2014 National Health and Nutrition Examination Survey. International Journal of Geriatric Psychiatry. 33(12), 1671-1679. DOI: 10.1002/gps.4971.
  7. H. J. Kim. (2014). The relationship among suicidal ideation and Osteoarthrits in the Elderly. Journal of the Korea Entertainment Industry Association. 8(4), 223-230. DOI: 10.21184/jkeia.2014.12.8.4.223.
  8. Y. J. Ju & H. K. Kim. (2012). Factors influencing depression among patients with chronic degenerative arthritis after total knee arthroplasty. Journal of Muscle and Joint Health. 19(2), 161-172. DOI: 10.5953/JMJH.2012.19.2.161.
  9. A. Sharma, P. Kudesia, Q. Shi & R. Gandhi. (2016). Anxiety and depression in patients with osteoarthritis: impact and management challenges. Open Access Rheumatology. 8, 103-113. DOI: 10.2147/OARRR.S93516.
  10. U. Jakobsson & I.R. Hallberg. (2002). Pain and quality of life among older people with rheumatoid arthritis and/or osteoarthritis: a literature review. Journal of Clinical Nursing. 11(4), 430-443. DOI: 10.1046/j.1365-2702.2002.00624.x.
  11. V. Alikari et al. (2017). Fatigue in arthritis: a multidimensional phenomenon with impact on quality of life : fatigue and quality of life in arthritis. Advances in Experimental Medicine and Biology. 987, 243-256. DOI: 10.1007/978-3-319-57379-3_22.
  12. M. Poorrezaeian et al. (2017). Depression is related to dietary diversity score in women: a cross-sectional study from a developing country. Annals of General Psychiatry. 16, 39. DOI: 10.1186/s12991-017-0162-2.
  13. D. K. Singh, Z .A. Manaf, N. A. Yusoff, N. A. Muhammad, M. F. Phan & S. Shahar. (2014). Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions. Clinical Interventions in Aging. 9, 1415-23. DOI: 10.2147/CIA.S64997.
  14. Y. H. Park & E. E. Suh. (2007). The risk of malnutrition, depression, and the perceived health status of older adults. Journal of Korean Academy of Nursing. 37(6), 941-948. DOI: 10.4040/jkan.2007.37.6.941.
  15. T. S. Rao, M. R. Asha, B. N. Ramesh & K. S. Rao. (2008). Understanding nutrition, depression and mental illnesses. Indian Journal of Psychiatry. 50(2), 77-82. DOI: 10.4103/0019-5545.42391.
  16. S. Lee, Y. Kim, S. Seo & M. S. Cho. (2014). A study on dietary habits and food intakes in adults aged 50 or older according to depression status. Journal of Nutrition and Health. 47(1), 67-76. DOI: 10.4163/jnh.2014.47.1.67.
  17. D. M. Kim & K. H. Kim. (2019). Food and nutrient intake status of Korean elderly by perceived anxiety and depressive condition: data from Korean National Health and Nutrition Examination Survey 2013-2015. Journal of Nutrition and Health. 52(1), 58-72. DOI: 10.4163/jnh.2019.52.1.58.
  18. A. Mendy, J. Park & E. R. Vieira. (2018). Osteoarthritis and risk of mortality in the USA: a population-based cohort study. International Journal of Epidemiology. 47(6), 1821-1829. DOI: 10.1093/ije/dyy187.
  19. G. A. Kelley & K. S. Kelley. (2018). Community-deliverable exercise and depression in adults with arthritis: Confirmatory evidence of a meta-analysis using the IVhet model. Journal of Evidence-Based Medicine. 11(1), 51-55. DOI: 10.1111/jebm.12229.
  20. E. J. Lee, Y. J. Lee, J .H. Choi, H. J. Jo & J. Y. Kang. (2016). The association between osteoarthritis and depression in Korean adults over 45 years-old: Korean National Health and Nutrition Examination Survey 2010-2012. Korean Journal of Family Practice. 6(2), 111-117. DOI: 10.21215/kjfp.2016.6.3.211.
  21. J. Hoebel, U. E. Maske, H. Zeeb & T. Lampert. (2017). Social inequalities and depressive symptoms in adults: the role of objective and subjective socioeconomic status. PLoS One. 12(1), e0169764. DOI: 10.1371/journal.pone.0169764.
  22. Y. J. Lee. (2018). Gender differences in factors associated with the severity of depression in middle-aged adults: an analysis of 2014 Korean National Health and Nutrition Examination Survey. Journal of the Korea Convergence Society. 9(10), 549-559. DOI: 10.15207/jkcs.2018.9.10.549.
  23. M. R. Song, Y. S. Lee, J. D. Baek & M. Miller. (2012). Physical activity status in adults with depression in the National Health and Nutrition Examination Survey, 2005-2006. Public Health Nursing. 29(3), 208-17. DOI: 10.1111/j.1525-1446.2011.00986.x.
  24. J. Cho, Y. Jin & H. Kang. (2018). Weight status, physical activity, and depression in Korean older adults. Journal of Epidemiology. 28(6), 292-299. DOI: 10.2188/jea.JE20170083.
  25. A. C. Hayley, L. J. Williams, K. Venugopal, G.A. Kennedy, M. Berk & J.A. Pasco. (2015). The relationships between insomnia, sleep apnoea and depression: findings from the American National Health and Nutrition Examination Survey, 2005-2008. Australian & New Zealand Journal of Psychiatry. 49(2), 156-70. DOI: 10.1177/0004867414546700.
  26. N. Brandolim Becker, S. N. Jesus, J. N. Viseu, C. D. Stobaus, M. Guerreiro & R. B. Domingues. (2018). Depression and quality of life in older adults: Mediation effect of sleep quality. International Journal of Clinical and Health Psychology. 18(1), 8-17. DOI: 10.1016/j.ijchp.2017.10.002.
  27. W. V. McCall, R. M. Benca, M. E. Rumble, D. Case, P. B. Rosenquist & A. D. Krystal. (2019). Prevalence of obstructive sleep apnea in suicidal patients with major depressive disorder. Journal of Psychiatric Research. 116, 147-150. DOI: 10.1016/j.jpsychires.2019.06.015.
  28. Y. H. Kim & M. Kwon. (2017). Factors affecting depression in women patients with osteoarthritis. Journal of Korean Academy and Fundamentals of Nursing. 24(2), 138-145 DOI: 10.7739/jkafn.2017.24.2.138.
  29. P. A. Parmelee, C. A. Tighe & N. D. Dautovich. (2015). Sleep disturbance in osteoarthritis: linkages with pain, disability, and depressive symptoms. Arthritis Care & Research (Hoboken). 67(3), 358-65. DOI: 10.1002/acr.22459.
  30. R. X. Zhang, K. Ren & R. Dubner. (2013). Osteoarthritis pain mechanisms: basic studies in animal models. Osteoarthritis and Cartilage. 21(9), 1308-15. DOI: 10.1016/j.joca.2013.06.013.
  31. S. J. Park, J. H. Choi, J. Y. Lee, C. Lee & H. J. Lee. (2018). Association between nutrient intakes and prevalence of depressive disorder in Korean adults: 2014 Korean National Health and Nutrition Examination Survey. Journal of Nutrition and Health. 51(5), 414-422. DOI: 10.4163/jnh.2018.51.5.414.
  32. M. S. Lee. (2015). Quality of nutrient adequacy and health-related quality of life of the rural elderly. Korean Journal of Community Nutrition. 20(6), 423-432. DOI: 10.5720/kjcn.2015.20.6.423.
  33. J. S. Kwon, S. H. Lee, K. M. Lee & Y. Lee. (2016). Study on energy and nutrient intake and food preference of the elderly in care facilities. Korean Journal of Community Nutrition. 21(2), 200-217. DOI: 10.5720/kjcn.2016.21.2.200.