Browse > Article
http://dx.doi.org/10.14695/KJSOS.2022.25.2.45

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

Lee, Kyung Hee (동서대학교 치위생학과)
Publication Information
Science of Emotion and Sensibility / v.25, no.2, 2022 , pp. 45-54 More about this Journal
Abstract
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.
Keywords
Obesity; Korea National Health and Nutrition Examination Survey; Blood indicator; Stress; Gender;
Citations & Related Records
Times Cited By KSCI : 10  (Citation Analysis)
연도 인용수 순위
1 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   DOI
2 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   DOI
3 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   DOI
4 Morris, S. (2007). The impact of obesity on employment. Labour Economics, 14(3), 413-433. DOI: 10.1016/j.labeco.2006.02.008   DOI
5 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   DOI
6 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   DOI
7 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.
8 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.
9 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   DOI
10 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.
11 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   DOI
12 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   DOI
13 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   DOI
14 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.
15 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   DOI
16 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   DOI
17 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   DOI
18 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   DOI
19 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   DOI
20 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   DOI
21 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   DOI
22 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.
23 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   DOI
24 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.
25 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   DOI
26 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   DOI
27 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   DOI
28 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   DOI
29 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   DOI
30 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   DOI
31 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   DOI
32 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   DOI
33 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   DOI
34 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   DOI
35 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   DOI
36 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   DOI
37 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   DOI
38 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   DOI
39 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   DOI
40 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   DOI
41 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   DOI
42 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   DOI
43 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   DOI
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   DOI
45 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.
46 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   DOI
47 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/.
48 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   DOI
49 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   DOI
50 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   DOI
51 KorMedi. (2009). N. Retrieved June 20, Available from: http://www.kormedi.com/care/center/Default.aspx?category=041010&idx=188.
52 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
53 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   DOI
54 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