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우리나라 노인의 복부비만과 관련 요인 - 생활습관, 정신건강, 질환 및 영양소섭취 상태 중심으로: 2014 국민건강영양조사 자료 -

Abdominal Obesity and Associated Factors in the Elderly with a Focus on Health Habits, Mental Health, Chronic Diseases, and the Nutrient Intake Status: Data from the 2014 Korea National Health and Nutrition Examination Survey

대한영양사협회학술지 2020년 26권 1호 p.42 ~ 53
이혜상 ( Lee Hye-Sang ) - 안동대학교 식품영양학과

Abstract


The relationship of abdominal obesity (“AO”) with co-morbidity and mortality is well established. This study assessed the factors associated with AO, which was defined as a waist circumference ≥90 cm for men and ≥85 cm for women, in the group aged over 65 years. A total of 1,435 subjects were analyzed among the participants of the 2014 Korean National Health and Nutrition Examination Survey. Statistical methods for a complex sample were applied by using a SPSS program (ver. 25.0). AO was more frequently found in females. The results of the logistic regression analysis showed that heavy drinking (OR: 1.53), no weight training (OR: 0.68), stressful mental status (OR: 0.61), bad health-related quality of life (by EQ_5D, OR: 1.45), hypertension (OR: 2.18), prediabetes (OR: 1.94), diabetes (OR: 1.63), low HDL-cholesterol (OR: 1.86), anemia (OR: 0.55), and heavy energy intake (OR: 1.41) were significantly related with the prevalence of AO after adjustment for gender. Heavy drinking (OR: 1.89), bad self-rating of health status (OR: 1.72), low HDL-cholesterol (OR: 1.85), heavy energy intake (OR: 1.79), low intake of riboflavin (OR: 1.60) were still significantly related with the prevalence of AO after adjustment for gender and body mass index (BMI), this study suggests that certain characteristics of health habits, mental health status, and chronic diseases may be associated with AO. This study did not establish the existence of relationship between nutrient intakes, except for riboflavin, and risk of AO, but this study suggests that prospective research is needed to establish causal connections among those factors.

키워드

2014 KNHANES; abdominal obesity; elderly; health habits; mental health; chronic diseases; nutrient intake status
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