Park Sung-Eun, So Wi-Young, Kang Yun-Sun, Yang Jong-Hyun
Department of Sports Science, Korea Institute of Sport Science, Seoul 01794, Republic of Korea.
Sport Medicine Major, College of Humanities and Arts, Korea National University of Transportation, Chungju-si 27469, Republic of Korea.
Healthcare (Basel). 2023 Aug 11;11(16):2271. doi: 10.3390/healthcare11162271.
Perceived stress has a significant effect on metabolic diseases, including obesity and hypertension. However, the association between stress levels, obesity, and hypertension according to age and sex is not fully understood. Therefore, this study investigated the relationship between stress levels and obesity and hypertension in Korean adults and older adults.
We analyzed data from the 2015 survey of the Korea National Physical Fitness Project conducted by the Korea Institute of Sports Science and the Korea Ministry of Culture, Sports, and Tourism. Of the 3457 participants, 2829 were adults (20-64 years old) and 628 were older adults (≥65 years old). The correlation between obesity and hypertension according to the degree of perceived stress (low, medium, and high) was analyzed using the chi-square test. Binary logistic regression analysis was used to investigate the influence of perceived stress levels on obesity and hypertension. Age, body mass index (BMI), blood pressure, exercise frequency, smoking, breakfast, and sleeping hours were included as covariates.
In adult males, perceived stress levels, age, and diastolic blood pressure were found to have a significant impact on obesity rates, whereas age and breakfast had a significant effect on hypertension rates. In adult females, age and systolic blood pressure were found to significantly influence obesity rates, whereas age, BMI, and exercise frequency had a significant impact on hypertension rates. In older adult females, perceived stress levels and systolic blood pressure were found to significantly impact obesity rates, and sleep duration influenced the rates of hypertension. The effect of perceived stress level on obesity and hypertension rates was less pronounced in the elderly population than in the adult population.
This study revealed age and sex differences in the relationship between perceived stress, obesity, and hypertension among Koreans. These findings contribute to a better understanding of the complex relationship between perceived stress and metabolic disorders and emphasize the need for a deeper understanding of the specific factors involved in the prevention and management of metabolic diseases.
感知到的压力对包括肥胖症和高血压在内的代谢性疾病有显著影响。然而，根据年龄和性别，压力水平、肥胖症和高血压之间的关联尚未完全明确。因此，本研究调查了韩国成年人和老年人的压力水平与肥胖症及高血压之间的关系。
我们分析了韩国体育科学研究所和韩国文化、体育和旅游部进行的2015年韩国国民体质健康项目调查的数据。在3457名参与者中，2829名是成年人（20 - 64岁），628名是老年人（≥65岁）。使用卡方检验分析根据感知压力程度（低、中、高）划分的肥胖症与高血压之间的相关性。采用二元逻辑回归分析来研究感知压力水平对肥胖症和高血压的影响。将年龄、体重指数（BMI）、血压、运动频率、吸烟、早餐情况和睡眠时间作为协变量纳入分析。
在成年男性中，发现感知压力水平、年龄和舒张压对肥胖率有显著影响，而年龄和早餐情况对高血压患病率有显著影响。在成年女性中，年龄和收缩压对肥胖率有显著影响，而年龄、BMI和运动频率对高血压患病率有显著影响。在老年女性中，感知压力水平和收缩压对肥胖率有显著影响，睡眠时间影响高血压患病率。与成年人群相比，感知压力水平对老年人群肥胖症和高血压患病率的影响较小。
本研究揭示了韩国人在感知压力、肥胖症和高血压之间关系上的年龄和性别差异。这些发现有助于更好地理解感知压力与代谢紊乱之间的复杂关系，并强调有必要更深入地了解参与代谢性疾病预防和管理的具体因素。
