DOI QR코드

DOI QR Code

A Study on the Relationship between Dietary Patterns and the Subjective Stress Perception of Korean Adult Men: Based on the Korea National Health and Nutrition Examination Survey, 2014~2016

한국 성인 남성의 식사패턴과 주관적 스트레스와의 관련성: 2014~2016 국민건강영양조사

  • Received : 2022.02.24
  • Accepted : 2022.04.19
  • Published : 2022.05.02

Abstract

This study was conducted to identify the major dietary patterns of Korean adult men and to examine the relationship between subjective stress perception and these dietary patterns using data from the 2014~2016 Korean National Health and Nutrition Examination Survey (KNHANES). Of the 23,080 total subjects, adult men between the ages of 19 and 64 who did not take the questionnaire or answer the questions relating to depression, and cases where the daily energy intake was less than 500 kcal or more than 5,000 kcal in the Food Frequency Questionnaire were excluded. This left a total of 3,464 subjects who were included in the final analysis. We performed a factor analysis based on the yearly mean intake frequency of 41 food groups to identify the major dietary patterns. Three major dietary patterns were identified (factor loading >0.3), including the 'Healthy pattern', 'Processed meat pattern', and the 'Alcohol pattern'. The 'Healthy pattern' was characterized by higher intake of beans, tofu, vegetable, fish, and fruits. The 'Processed meat pattern' was characterized by high consumption of processed meats and instant foods. The 'Alcohol pattern' was characterized by a higher intake of alcohol. As a response to the subject's subjective perception of stress, the most answered 'a little' according to age, marital status, occupation, income, residential area, smoking status, drinking status, and exercise status. People whose diets followed the 'Processed meat' and 'Alcohol' patterns had significantly higher scores on subjective stress perception compared to people following the 'Healthy pattern'. To manage subjective stress, it is more effective to maintain health by relieving stress through a healthy method that combines healthy eating and exercise rather than following an unhealthy diet as characterized by the 'processed meat' and 'alcohol' dietary patterns.

Keywords

References

  1. Ahmed F, Al-Radhwan L, Al-Azmi GZS, Al-Beajan M (2014): Association between stress and dietary behaviours among undergraduate students in Kuwait: gender differences. J Nutr Health Sci 1(1):104
  2. An JY, Lee SE (2014): Stress, depressive symptom, and utilization of professional consultation according by occupation classification and employment status. J Korea Contents Assoc 14(2):409-420 https://doi.org/10.5392/JKCA.2014.14.02.409
  3. Arruda SP, da Silva AA, Kac G, Goldani MZ, Bettiol H, Barbieri MA (2014): Socioeconomic and demographic factors are associated with dietary patterns in a cohort of young Brazilian adults. BMC Public Health 14:654 https://doi.org/10.1186/1471-2458-14-654
  4. Choi MK, Jun YS, Kim AJ (2001): A comparative study of dietary behaviors and nutrient intakes according to alcohol drinking among male university students in Chungnam. J Korean Soc Food Sci Nutr 30(5):978-985
  5. Coleman CA, Friedman AG, Burright RG (1998): The relationship of daily stress and health-related behaviors to adolescents' cholesterol levels. Adolescence 33(130):447-460
  6. Dallman MF, Pecoraro N, Akana SF, La Fleur SE, Gomez F, Houshyar H, Bell ME, Bhatnagar S, Laugero KD, Manalo S (2003): Chronic stress and obesity: a new view of "comfort food". Proc Natl Acad Sci U S A 100(20):11696-11701 https://doi.org/10.1073/pnas.1934666100
  7. Esmaill zadeh A, Kimiagar SM, Mehrabi Y, Azadbakht L (2005): [Major dietary patterns and chronic disease risk]. Iran J Diabetes Lipid Disord 5(1):1-9
  8. Hong X, Xu F, Wang Z, Liang Y, Li J (2016): Dietary patterns and the incidence of hyperglyacemia in China. Public Health Nutr 19(1):131-141 https://doi.org/10.1017/S1368980015000774
  9. Hu FB (2002): Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13(1):3-9 https://doi.org/10.1097/00041433-200202000-00002
  10. Hwang CK, Koh SB, Chang SJ, Park CY, Cha BS, Hyun SJ, Park JH, Lee KM, Cha KT, Park WJ, Jhun HJ (2007): Occupational stress in relation to cerebrovascular and cardiovascular disease: longitudinal analysis from the NSDSOS project. Korean J Occup Environ Med 19(2):105-114 https://doi.org/10.35371/kjoem.2007.19.2.105
  11. Joo HE, Sohn C (2010): Health-related behaviors and nutrient intake of police officers based on the level of job stress. J Korean Soc Food Sci Nutr 39(4):518-525 https://doi.org/10.3746/JKFN.2010.39.4.518
  12. Kant AK (2010): Dietary patterns: biomarkers and chronic disease risk. Appl Physiol Nutr Metab 35(2):199-206 https://doi.org/10.1139/H10-005
  13. Kim HK, Kim JH (2009): Relationship between stress and eating habits of adults in Ulsan. Korean J Nutr 42(6):536-546 https://doi.org/10.4163/kjn.2009.42.6.536
  14. Kim JS (2018): A converged study on the influence on the depression of family & job stress and middle aged men. J Korea Converg Soc 9(11):561-567 https://doi.org/10.15207/JKCS.2018.9.11.561
  15. Kim MJ, Shim MS, Kim MK, Kang DG, Park HS, Chung SM, Hwang TS, Shin YG, Chin CJ, Chung CH (2002): The effect of chronic alcohol intake on insulin secretion in NIDDM rats. J Korean Diabetes Assoc 26(5):366-376
  16. Kim MK, Shin DS, Wang SK (1995): Effect of the nutrient intakes on psychosocial stress. Korean J Diet Cult 10(5):405-417
  17. Lee J, Park J, Kim G (2011): The effects of stress, quality of life and family relationship of smokers and drinkers on tobacco and alcohol use: focusing on the mediating effects of self-rated health. Korean Public Health Res 37(1):29-43 https://doi.org/10.22900/KPHR.2011.37.1.003
  18. Lee SH, Kim WY (1991): Relationship of habitual alcohol consumption to the nutritional status in middle aged men. Korean J Nutr 24(1):58-65
  19. Lee YM (2008): The effect of job stress on work impairment. Korean J Occup Health Nurs 17(1):55-63
  20. Leon-Munoz LM, Guallar-Castillon P, Graciani A, Lopez-Garcia E, Mesas AE, Aguilera MT, Banegas JR, Rodriguez-Artalejo F (2012): Adherence to the Mediterranean diet pattern has declined in Spanish adults. J Nutr 142(10):1843-1850 https://doi.org/10.3945/jn.112.164616
  21. Li C, Xing JJ, Shan AQ, Leng L, Liu JC, Yue S, Yu H, Chen X, Tian FS, Tang NJ (2016): Increased risk of nonalcoholic fatty liver disease with occupational stress in Chinese policemen: a 4-year cohort study. Medicine (Baltimore) 95(46):e5359 https://doi.org/10.1097/md.0000000000005359
  22. Martinez-Gonzalez MA, Fernandez-Jarne E, Serrano-Martinez M, Marti A, Martinez JA, Martin-Moreno JM (2002): Mediterranean diet and reduction in the risk of a first acute myocardial infarction: an operational healthy dietary score. Eur J Nutr 41(4):153-160 https://doi.org/10.1007/s00394-002-0370-6
  23. Ministry of Health and Welfare (2020): Dietary reference intakes for Koreans 2020. Ministry of Health and Welfare. Sejong. pp.255-264.
  24. Oh SY, Lee JH, Kim HJ (2004): Analyses on the associations of dietary patterns with colon cancer risk. Korean J Nutr 37(7):550-556
  25. Okubo H, Sasaki S, Murakami K, Kim MK, Takahashi Y, Hosoi Y, Itabashi M, Freshmen in Dietetic Courses Study II Group (2007): Dietary patterns associated with functional constipation among Japanese women aged 18 to 20 years: a cross-sectional study. J Nutr Sci Vitaminol (Tokyo) 53(3):232-238 https://doi.org/10.3177/jnsv.53.232
  26. Panagiotakos DB, Chrysohoou C, Pitsavos C, Tzioumis K, Papaioannou I, Stefanadis C, Toutouzas P (2002): The association of Mediterranean diet with lower risk of acute coronary syndromes in hypertensive subjects. Int J Cardiol 82(2):141-147 https://doi.org/10.1016/S0167-5273(01)00611-8
  27. Park MH, Choi YS, Lee MA, Choi BS, Jung HJ (1999): A study on the food behaviors and nutritional status of industrial workers. Korean J Community Nutr 4(2):194-206
  28. Park SH, Lee EJ, Chang KJ (2020): Dietary habits and snack consumption behaviors according to level of job stress among 20- to 30-year old office workers in the Seoul metropolitan area. J Korean Soc Food Cult 35(2):143-155 https://doi.org/10.7318/KJFC/2020.35.2.143
  29. Pouwer F, Kupper N, Adriaanse MC (2010): Does emotional stress cause type 2 diabetes mellitus? A review from the European Depression in Diabetes (EDID) Research Consortium. Discov Med 9(45):112-118
  30. Robbins TW, Fray PJ (1980): Stress-induced eating: Fact, fiction or misunderstanding? Appetite 1(2):103-133 https://doi.org/10.1016/s0195-6663(80)80015-8
  31. Roberts K, Cade J, Dawson J, Holdsworth M (2018): Empirically derived dietary patterns in UK adults are associated with sociodemographic characteristics, lifestyle, and diet quality. Nutrients 10(2):177 https://doi.org/10.3390/nu10020177
  32. Sarker MR, Franks S, Caffrey J (2013): Direction of post-prandial ghrelin response associated with cortisol response, perceived stress and anxiety, and self-reported coping and hunger in obese women. Behav Brain Res 257:197-200 https://doi.org/10.1016/j.bbr.2013.09.046
  33. Song YJ, Joung HJ, Paik HY (2005): Socioeconomic, nutrient, and health risk factors associated with dietary patterns in adult populations from 2001 Korean National Health and Nutrition Survey. Korean J Nutr 38(3):219-225
  34. Trichopoulou A, Lagiou P (1997): Healthy traditional Mediterranean diet: an expression of culture, history, and lifestyle. Nutr Rev 55(11 Pt 1):383-389 https://doi.org/10.1111/j.1753-4887.1997.tb01578.x
  35. Willner P, Benton D, Brown E, Cheeta S, Davies G, Morgan J, Morgan M (1998): "Depression" increases "craving" for sweet rewards in animal and human models of depression and craving. Psychopharmacology (Berl) 136(3):272-283 https://doi.org/10.1007/s002130050566