Jang Hye Jin, Kim Byung Sung, Won Chang Won, Kim Sun Young, Seo Myung Weon
Department of Family Medicine, Kyung Hee University Medical Center, Seoul, Korea.
Korean J Fam Med. 2020 Nov;41(6):381-368. doi: 10.4082/kjfm.19.0049. Epub 2020 May 14.
This study aimed to investigate stress, depression, sleeping time, physical activity, and dietary patterns as factors causing weight gain and investigate which of these factors have a greater effect on weight gain.
Data were obtained from the seventh Korea National Health and Nutrition Examination Survey, 2016. Among the respondents, 3,163 adults aged 19-64 years were included in the survey, after excluding non-responders and those with diseases that may affect weight change. The t-test and chi-square test were used to analyze the relationship between weight gain and general characteristics. Logistic regression analysis was performed to evaluate weight changes according to stress, depression, sleep time, physical activity, and dietary patterns and evaluate the odds ratios (ORs) for measuring these associations.
Participants in the weight gain group were younger and more likely to be obese than those in the control group. Factors that could cause weight gain among women were stress awareness (OR, 1.271; 95% confidence interval [CI], 1.012-1.597), physical inactivity (OR, 1.250; 95% CI, 1.018-1.535), and skipping breakfast (OR, 1.277; 95% CI, 1.028-1.587). Depression was significantly associated with weight gain among women, but not after adjusting for other variables. There were no significant associations with sleeping time. None of these factors in men were significantly associated with weight gain.
Stress awareness was significantly associated with weight gain among women, while other psychological factors were not significantly associated with weight gain.
本研究旨在调查压力、抑郁、睡眠时间、身体活动和饮食模式作为导致体重增加的因素,并探究这些因素中哪些对体重增加有更大影响。
数据来自2016年第七次韩国国家健康与营养检查调查。在受访者中,排除无应答者和可能影响体重变化的疾病患者后,纳入了3163名19 - 64岁的成年人进行调查。采用t检验和卡方检验分析体重增加与一般特征之间的关系。进行逻辑回归分析,以评估根据压力、抑郁、睡眠时间、身体活动和饮食模式的体重变化,并评估衡量这些关联的优势比(OR)。
体重增加组的参与者比对照组更年轻且更易肥胖。女性中可能导致体重增加的因素有压力意识(OR,1.271;95%置信区间[CI],1.012 - 1.597)、身体活动不足(OR,1.250;95% CI,1.018 - 1.535)和不吃早餐(OR,1.277;95% CI,1.028 - 1.587)。抑郁与女性体重增加显著相关,但在调整其他变量后则不然。与睡眠时间无显著关联。男性中这些因素均与体重增加无显著关联。
压力意识与女性体重增加显著相关,而其他心理因素与体重增加无显著关联。