Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Relation between depression and dietary practice among middle-aged women: mediating effect of emotional eating

중년여성의 우울증과 식생활 실천과의 관계: 정서적 섭식의 매개효과

  • Dayeon, Jang (Public Seoul Myeongil Kindergarten) ;
  • Seunghee, Kye (Nutrition Education Major, Graduate School of Education, Gachon University)
  • Received : 2022.11.28
  • Accepted : 2023.01.06
  • Published : 2023.02.28
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Abstract

Purpose: This study analyzes the association between depression, emotional eating, and dietary practices, and investigates the mediating effects of emotional eating between depression and dietary practice. Methods: A total of 345 women aged 40-59 years participated in the Seoul and Gyeonggido region. Assessments were achieved by self-reported questionnaires for emotional eating (Dutch Eating Behavior Questionnaire), Nutrition Quotients (NQ), and depression (Patient Health Questionnaire-9). Results: Analyzing the NQ scores by considering the depression group, revealed that compared to the normal group, balance, diversity, and eating behavior scores were lower in the depression group, whereas the moderation score was lower in the borderline depression group and depression group. The emotional eating scores were determined to be higher in the depression group than in the normal group. Partial correlation analysis between depression, emotional eating, and NQ revealed that depression is positively correlated with emotional eating and negatively correlated with all other factors of the nutrition quotient, balance, diversity, moderation, and eating behavior. Among the nutrition quotient factors considered, emotional eating was determined to be negatively correlated with both diversity and moderation. The bootstrapping method was applied to analyze the mediating effect of emotional eating for determining the association between depression and NQ. Results indicate that among the nutrition quotient factors evaluated using emotional eating as a medium, depression exerted a negative effect on moderation. Conclusion: Results of this study confirm that emotional eating, as a medium, affects the intake of unhealthy foods especially when depression is associated with dietary practices.

본 연구는 서울과 경기도 지역의 중년여성 345명을 대상으로 우울증, 정서적 섭식 및 식생활과의 관련성을 분석하고 우울증과 식생활과의 관계에서 정서적 섭식의 매개효과에 대하여 알아보기 위해 수행되었다. 우울증 군별 영양지수 점수는 균형과 다양 및 식행동의 점수가 정상군보다 우울증군에서 낮았으며, 절제 점수는 정상군보다 우울증경계군과 우울증군에서 낮았다. 우울증 군별 정서적 섭식 점수는 정상군보다 우울증군에서 높았다. 우울증, 정서적 섭식 및 영양지수와의 편상관관계를 분석한 결과 우울증은 정서적 섭식과 양의 상관관계가 있었고, 영양지수의 모든 요인, 즉 균형, 다양, 절제, 식행동과 모두 음의 상관관계를 나타냈다. 정서적 섭식은 영양지수 요인 중 다양과 절제와 각각 음의 상관성이 있었다. 우울증과 영양지수와의 관계에서 정서적 섭식의 매개효과를 부트스트래핑을 적용하여 통계분석한 결과 우울증은 정서적 섭식을 매개체로 하여 영양지수 요인 중 절제에 음의 영향을 미치는 것으로 나타났다. 본 연구결과를 통해 우울증이 식생활 실천으로 연계되는 과정에서 정서적 섭식이 매개체로서 건강하지 못한 식품의 섭취에 영향을 미치는 것을 확인할 수 있었다.

Keywords

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