감성과학 (Science of Emotion and Sensibility)

  • 제25권2호
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  • Pages.45-54
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  • 2022
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  • 1226-8593(pISSN)
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  • 2383-613X(eISSN)
한국감성과학회 (Korean Society for Emotion and Sensibility)
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성별에 따른 혈액 지표 및 스트레스가 비만에 미치는 영향

Effects of Blood Indicators and Stress on Obesity by Gender in Korean Adults

  • 이경희 (동서대학교 치위생학과)
  • 투고 : 2021.12.29
  • 심사 : 2022.01.24
  • 발행 : 2022.06.30
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초록

본 연구는 국민건강영양조사 제6기 자료(KNHANES VI-3)를 이용하여 성별에 따른 비만 관련 위험요인들을 확인하고자 생리적 건강지표인 혈액검사와 스트레스를 비교분석 하였다. 연구에 사용된 대상자는 국민건강영양조사 전체 인구 중 성인(19세 이상) 이며 정상 체중과 비만에 해당하는 3,343명을 대상으로 자료를 분석하였다. BMI 지수에서 남성이 여성에 비해 유의미하게 높았으며(p<.001), 특히 비만 그룹이 더 많은 것으로 확인되었다. 여성의 경우 스트레스가 남성에 비해 높아 성별의 차이를 보였으며(p<.001), 생리학적 지표인 혈액검사에서 여성은 혈소판(PLT) 수치가 높고(p<.001) 남성의 경우 백혈구(WBC) 수치가 유의미하게 높게 나타났다(p<.001). 성별에 따른 비만의 관련 요인으로는 체형에 대한 주관적 판단(95% CI=0.026~0.045, p<.001), 스트레스(95% CI=0.487~0.925, p=.015), 백혈구(95% CI=1.232~1.392, p<.001)가 여성에서 중요한 요인으로 관찰되었다. 따라서, 성별에 따라 주관적 체형 인식 및 스트레스와 객관적 생리학적 지표가 체질량지수의 주요 변인임이 확인되었으며, 이는 추후 비만 예방 교육 및 관련 프로그램 개발을 위한 중요한 기초자료가 될 것으로 생각된다.

This study aimed to investigate the effect of subjective factors (figure recognition and stress) and objective factors (blood biochemical parameters) on body mass index by gender difference in Korean adults. This study analyzed 3,343 subjects older than 20 years according to gender using the Sixth Korean National Health and Nutrition Examination Survey database. Specifically, male subjects had higher body mass index than female subjects (p < .001) and were more frequent in the obese group. Female subjects had higher stress and platelet score than male subjects (p < .001). Male subjects had significantly higher white blood cell counts (p < .001). The factors affecting the occurrence of obesity by gender difference was highly associated with subjective figure recognition (95% CI = 0.026~0.045, p < .001), stress (95% CI = 0.487~0.925, p = .015) and white blood count (95% CI = 1.232~1.392, p < .001) in females. These findings demonstrate a gender-specific difference in recognizing subjective factors and especially the objective factors of white blood cells and platelets affecting obesity. These results can be used for obesity education or fundamental data for establishing a nursing arrangement program for Korean adults.

키워드

과제정보

이 논문은 2021년도 동서대학교 "Dongseo Frontier Project" 지원에 의하여 이루어진 것임.

참고문헌

  1. Al-Hashem, F. H. (2007). Is it necessary to consider obesity when constructing norms for hemoglobin or when screening for anemia using hemoglobin levels?. Saudi Medical Journal, 28(1), 41-45.
  2. Bae, N. K., Kwon, I. S., & Cho, Y. C. (2009). Ten year change of body mass index in Korean: 1997~2007. The Korean Journal of Obesity, 18(1), 24-30.
  3. Barrington, W. E., Beresford, S. A., McGregor, B. A., & White, E. (2014). Perceived stress and eating behaviors by sex, obesity status, and stress vulnerability: Findings from the vitamins and lifestyle (VITAL) study. Journal of the Academy of Nutrition and Dietetics, 114(11), 1791-1799. DOI: 10.1016/j.jand.2014.03.015
  4. Cepeda-Lopez, A. C., Melse-Boonstra, A., Zimmermann, M. B., & Herter-Aeberli, I. (2015). In overweight and obese women, dietary iron absorption is reduced and the enhancement of iron absorption by ascorbic acid is one-half that in normal-weight women. The American Journal of Clinical Nutrition, 102(6), 1389-1397. DOI: 10.3945/ajcn.114.099218
  5. Colles, S. L., Dixon, J. B., & O'brien, P. E. (2008). Loss of control is central to psychological disturbance associated with binge eating disorder. Obesity, 16(3), 608-614. DOI: 10.1038/oby.2007.99
  6. Colman, I., Jones, P. B., Kuh, D., Weeks, M., Naicker, K., Richards, M., & Croudace, T. J. (2014). Early development, stress and depression across the life course: Pathways to depression in a national British birth cohort. Psychological Medicine, 44(13), 2845-2854. DOI: 10.1017/S0033291714000385
  7. Deasy, C., Coughlan, B., Pironom, J., Jourdan, D., & Mcnamara, P. M. (2014). Psychological distress and lifestyle of students: Implications for health promotion. Health Promotion International, 30(1), 77-87. DOI: 10.1093/heapro/dau086
  8. Doo, M. (2015). Associations between subjective stress level, health-related habits, and obesity according to gender. The Korean Journal of Obesity, 24(3), 156-165. DOI: 10.7570/kjo.2015.24.3.156
  9. Duchesne, A., & Pruessner, J. C. (2013). Association between subjective and cortisol stress response depends on the menstrual cycle phase. Psychoneuroendocrinology, 38(12), 3155-3159. DOI: 10.1016/j.psyneuen.2013.08.009
  10. Eo, J., & Shin, S. (2020). Relationship between some obesity indices and coronary artery stenosis in health-screen examinees. Journal of The Korean Society of Integrative Medicine, 8(1), 125-135. DOI: 10.15268/ksim.2020.8.1.125
  11. Fan, M., Jin, Y., & Khubchandani, J. (2014). Overweight misperception among adolescents in the United States. Journal of Pediatric Nursing, 29(6), 536-546. DOI: 10.1016/j.pedn.2014.07.009
  12. Franko, D. L., & Striegel-Moore, R. H. (2002). The role of body dissatisfaction as a risk factor for depression in adolescent girls: Are the differences Black and White?. Journal of Psychosomatic Research, 53(5), 975-983. DOI: 10.1016/S0022-3999(02)00490-7
  13. Friberg, P., Hagquist, C., & Osika, W. (2012). Self-perceived psychosomatic health in Swedish children, adolescents and young adults: an internet-based survey over time. BMJ Open, 2(4), e000681. DOI: 10.1136/bmjopen-2011-000681
  14. Gibbs, B. B., Kinzel, L. S., Gabriel, K. P., Chang, Y.-F., & Kuller, L. H. (2012). Short-and long-term eating habit modification predicts weight change in overweight, postmenopausal women: results from the WOMAN study. Journal of the Academy of Nutrition and Dietetics, 112(9), 1347-1355. e1342. DOI: 10.1016/j.jand.2012.06.012
  15. Gloria, C. T., & Steinhardt, M. A. (2016). Relationships among positive emotions, coping, resilience and mental health. Stress and Health, 32(2), 145-156. DOI: 10.1002/smi.2589
  16. Hong, M. S., Pak, H. O., & Sohn, C. Y. (2011). A study on food behaviors and nutrient intakes according to body mass index and body image recognition in female university students from Incheon. The Korean Journal of Food And Nutrition, 24(3), 386-395. DOI: 10.9799/ksfan.2011.24.3.386
  17. Hou, X., Jia, W., Bao, Y., Lu, H., Jiang, S., Zuo, Y., & Xiang, K. (2008). Risk factors for overweight and obesity, and changes in body mass index of Chinese adults in Shanghai. BMC Public Health, 8(1), 389. DOI: 10.1186/1471-2458-8-389
  18. Jang, E. H., Kim, A. Y., & Yu, H. Y. (2018). Relationships of psychological factors to stress and heart rate variability as stress responses induced by cognitive stressors. Science of Emotion and Sensibility, 21(1), 71-82. DOI: 10.14695/KJSOS. 2018.21.1.71
  19. Jeong, H. J. (2021). The effect of satisfaction of body figure, subjective body shape and obesity stress on subjective health status among nursing college students. Journal of the Korean Society for Wellness, 16(4), 219-225. DOI: 10.21097/ksw.2021.11.16.4.219
  20. Jo, Y. K., Yoon, J., Cho, Y. K., & Sung, H. H. (2016). A study on the relationship between body composition analysis and CBC in university students. Korean Journal of Clinical Laboratory Science, 48(3), 269-274. DOI: 10.15324/kjcls.2016. 48.3.269
  21. Kang, J. H., & Lee, J. H. (2021). The effects of difference between body mass index and body weight perception on weight control behavior, physical, stress and smoke in Korean adolescents: Based on the Korea national health and nutrition examination survey 2013~2018. Journal of the Korean Society for Wellness, 16(3), 425-431. DOI: 10.21097/ksw.2021.08.16.3.425
  22. Kim, A. S., & Bea, H. J. (2021). Impact of body mass index, depression and physical activity on the health related quality of life according to the level of stress in the middle-aged women by based on the Korea national health and nutrition examination survey (KNHANES VII). Journal of the Korea Academia-Industrial Cooperation Society, 22(8), 566-575. DOI: 10.5762/KAIS.2021.22.8.566
  23. Kim, J., Kim, D., & Park, S. (2015). The study on the relationship between hunger recognition level and obesity variable of elderly women. The Korean Journal of Physical Education, 54(6), 475-483.
  24. Koga, M., Otsuki, M., Matsumoto, S., Saito, H., Mukai, M., & Kasayama, S. (2007). Negative association of obesity and its related chronic inflammation with serum glycated albumin but not glycated hemoglobin levels. Clinica Chimica Acta, 378(1-2), 48-52. DOI: 10.1016/j.cca.2006.10.013
  25. Kogler, L., Gur, R. C., & Derntl, B. (2015). Sex differences in cognitive regulation of psychosocial achievement stress: Brain and behavior. Human Brain Mapping, 36(3), 1028-1042. DOI: 10.1002/hbm.22683
  26. Koo, H., Lee, S. M., Lee, S. P., & Han, E. (2014). Association of body mass index with asthma, allergy rhinitis, and atopic dermatitis among adolescents in Incheon, South Korea. Allergy, Asthma & Respiratory Disease, 2(4), 243-250. DOI: 10.4168/aard.2014.2.4.243
  27. KorMedi. (2009). N. Retrieved June 20, Available from: http://www.kormedi.com/care/center/Default.aspx?category=041010&idx=188.
  28. Korean Centers for Disease Control and Prevention. The sixth Korea National Health and Nutrition Examination Survey (2013-2015) [Internet]. Seoul: Korean Centers for Disease Control and Prevention; 2015 [cited 2018 September 20]. Available from: https://knhanes.cdc.go.kr/knhanes/sub03/sub03_02_02.do
  29. Korean Society for the Study of Obesity. Diagnosis and evaluation of obesity [Internet]. Seoul: Korean Society for the Study of Obesity; 2018 [cited 2018 October 20]. Available from: http://general.kosso.or.kr/html/?pmode=obesityDiagnosis
  30. Kwak, H. K., Lee, M. Y., & Kim, M. J. (2011). Comparisons of body image perception, health related lifestyle and dietary behavior based on the self-rated health of university students in Seoul. Korean Journal of Community Nutrition, 16(6), 672-682. DOI: 10.5720/kjcn.2011.16.6.672
  31. Lee, B. K., Noh, H. H., & Moon, Y. S. (2020). Effect of self-compassion on evaluation and choice of healthy food. Science of Emotion and Sensibility, 23(4), 93-104. DOI: 10.14695/KJSOS.2020.23.4.93
  32. Lee, J. (2006). A study on the perception of self-body image and differences of weight control behavior, eating disorder by self-body image distortion in adolescents. Korean Education Inquiry, 24, 63-77.
  33. Lee, K. M., Kang, D., Yoon, K., Kim, S. Y., Kim, H., Yoon, H. S., & Hurrell, J. J. (2010). A pilot study on the association between job stress and repeated measures of immunological biomarkers in female nurses. International Archives of Occupational and Environmental Health, 83(7), 779-789. DOI: 10.1007/s00420-010-0544-0
  34. Lee, K. H. (2020). Effects of psychological and physiological factors on asthma in Korean adults. Science of Emotion and Sensibility, 23(2), 13-22. DOI: 10.14695/KJSOS.2020.23.2.13
  35. Micozzi, M. S., Albanes, D., & Stevens, R. G. (1989). Relation of body size and composition to clinical biochemical and hematologic indices in US men and women. The American Journal of Clinical Nutrition, 50(6), 1276-1281. DOI: 10.1093/ajcn/50.6.1276
  36. Morikawa, Y., Kitaoka-Higashiguchi, K., Tanimoto, C., Hayashi, M., Oketani, R., Miura, K., & Nakagawa, H. (2005). A cross-sectional study on the relationship of job stress with natural killer cell activity and natural killer cell subsets among healthy nurses. Journal of Occupational Health, 47(5), 378-383. DOI: 10.1539/joh.47.378
  37. Morris, S. (2007). The impact of obesity on employment. Labour Economics, 14(3), 413-433. DOI: 10.1016/j.labeco.2006.02.008
  38. Mouchacca, J., Abbott, G. R., & Ball, K. (2013). Associations between psychological stress, eating, physical activity, sedentary behaviours and body weight among women: A longitudinal study. BMC Public Health, 13(1), 828. DOI: 10.1186/1471-2458/ 13/828
  39. Nakata, A., Takahashi, M., Irie, M., & Swanson, N. G. (2010). Job satisfaction is associated with elevated natural killer cell immunity among healthy white-collar employees. Brain, Behavior, and Immunity, 24(8), 1268-1275. DOI: 10.1016/j.bbi.2010.05.004
  40. No, S. Y., & Jo, Y. W. (2002). A study for the correlations between obesity and blood parameters at the worksite. Journal of the Korean Dietetic Association, 8(4), 333-341.
  41. Ozier, A. D., Kendrick, O. W., Leeper, J. D., Knol, L. L., Perko, M., & Burnham, J. (2008). Overweight and obesity are associated with emotion-and stress-related eating as measured by the eating and appraisal due to emotions and stress questionnaire. Journal of the American Dietetic Association, 108(1), 49-56. DOI: 10.1016/j.jada.2007.10.011
  42. Park, H. S., Lee, H. O., & Sung, C. J. (1997). Body image, eating problems and dietary intakes among female college students in urban area of Korea. Korean Journal of Community Nutrition, 2(4), 505-514.
  43. Park, Y. (2014). Gender differences of perceived stress type, stress response and personality characteristics of lims character style inventory and vulnerability of personality in college students. The Journal of Korean Academic Society of Nursing Education, 20(1), 118-128. DOI: 10.5977/jkasne.2014.20.1.118
  44. Raspopow, K., Abizaid, A., Matheson, K., & Anisman, H. (2014). Anticipation of a psychosocial stressor differentially influences ghrelin, cortisol and food intake among emotional and non-emotional eaters. Appetite, 74(1), 35-43. DOI: 10.1016/j.appet.2013.11.018
  45. Schraml, K., Perski, A., Grossi, G., & Simonsson-Sarnecki, M. (2011). Stress symptoms among adolescents: The role of subjective psychosocial conditions, lifestyle, and self-esteem. Journal of Adolescence, 34(5), 987-996. DOI: 10.1016/j.adolescence.2010.11.010
  46. Sede, M. A., & Ehizele, A. O. (2014). Relationship between obesity and oral diseases. Nigerian Journal of Clinical Practice, 17(6), 683-690. DOI: 10.4103/1119-3077.144378
  47. Shin, S. H., Kang, J. I., & Kim, H. Y. (2020). Mediating effects of perceived stress in the influence of obesity awareness on health behavior: A comparative study between Korean and Chinese adults. The Journal of the Korea Contents Association, 20(4), 441-453. DOI: 10.5392/JKCA. 2020.20.04.441
  48. Tungtrongchitr, R., Pongpaew, P., Phonrat, B., Tribunyatkul, S., Viroonudomphol, D., Supawan, V., & Schelp, F. P. (2000). Leptin concentration in relation to body mass index (BMI) and hematological measurements in Thai obese and overweight subjects. Southeast Asian J Trop Med Public Health, 31(4), 787-794.
  49. Wardle, J., Chida, Y., Gibson, E. L., Whitaker, K. L., & Steptoe, A. (2011). Stress and adiposity: A meta- analysis of longitudinal studies. Obesity, 19(4), 771-778. DOI: 10.1038/oby.2010.241
  50. WHO. Obesity and overweight. Fact Sheet N 311. Word Health Organization. Retrieved January 2014 [cited 2015, December 5], Available from http://www.who.int/mediacentre/factsheets/fs311/en/.
  51. Wiklund, M., Malmgren-Olsson, E. B., Ohman, A., Bergstrom, E., & Fjellman-Wiklund, A. (2012). Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender-a cross-sectional school study in Northern Sweden. BMC Public Health, 12(1), 993. DOI: 10.1186/1471-2458-12-993
  52. Winther, S., Finer, N., Sharma, A., Torp-Pedersen, C., & Andersson, C. (2014). Association of anemia with the risk of cardiovascular adverse events in overweight/obese patients. International Journal of Obesity, 38(3), 432-437. DOI: 10.1038/ijo.2013.111
  53. Xie, B., Chou, C. P., Spruijt-Metz, D., Reynolds, K., Palmer, P. H., Wu, Q., & Johnson, C. A. (2011). Longitudinal analysis of weight perception and psychological factors in Chinese adolescents. American Journal of Health Behavior, 35(1), 92-104. DOI: 10.5993/AJHB.35.1.9
  54. Yim, J. E., Kim, Y. S., & Choue, R. (2013). Effects of age on changes of body composition through caloric restriction in overweight and obese women. Journal of Nutrition and Health, 46(5), 410-417. DOI: 10.4163/jnh.2013.46.5.410