한국 성인에서 체형인식과 체중감량 노력 및 체중감량 행동의 14년간 추세: 2001년에서 2014년까지 국민건강영양조사 자료 = Secular Trends for Body-shape Perception, Weight-loss Efforts, and Weight-loss Behaviors in Korean Adults Using the Korea National Health and Nutrition Examination Survey from 2001 to 2014

다국어 초록 (Multilingual Abstract)

Background:The objective of study was to investigate secular trends for body-shape perception, weight-loss efforts, and weight-loss behaviors from 2001 to 2014 in Korean adults and factors related to those weight-related attitude.
Methods:Self-reported body-shape perception, weight-loss efforts, and weight-loss behaviors were used in 26,480 men and 35,051 women aged 19 or older using the Korean National Health and Nutrition Survey from 2001 to 2014 (from 2005 to 2014 for weight-loss behaviors). Multivariable logistic regression analysis was conducted using complex sampling design in each sex.
Results:Body-shape misperception tended to decrease from 2001 to 2014 and weight-loss efforts tended to increase over the period in all subjects, whereas unhealthy weight-loss behaviors tended to increase over the period in women. In multivariable logistic regression model, body-shape misperception in men was inversely associated with survey year, while positively associated with age and weight status. In women, body-shape misperception was inversely associated with survey year, education, and income, while positively associated with age and weight status. Weight-loss efforts in both sexes were inversely associated with age, while positively associated with survey year, education, income, and weight status. Healthy weight-loss behaviors were positively associated with education but inversely associated with age in men. In women, those behaviors were positively associated with education and weight status, while inversely associated with survey year.
Conclusions:We found decreased body-shape misperception and increased weight-loss efforts in Korean men and women from 2001 to 2014, and decreased healthy weight-loss behaviors in women from 2005 to 2014.

국문 초록 (Abstract)

연구배경:2001년에서 2014년간 한국 성인의 체형인식, 체중감량 노력과 체중감량 행위 및 체중 관련 태도에 대한추세를 알아보고자 하였다.
방법:2001년에서 2014년까지 시행된 국민건강영양조사를 이용해 자가보고 설문지를 통한 체형인식, 체중감량 노력 및 체중감량 행위(2005-2014년)에 대해 19세 이상의 남성 26,480명과 여성 35,051명을 연구하였다. 성별에 따른 복합표본분석을 감안하여 다변량로지스틱회귀분석을 시행되었다.
결과:2001년에서 2014년 조사 기간 동안 연구 대상자 전체에서 부정확한 체형인식은 감소하고 체중감량 노력은 증가하는 경향을 보였으나 2005년에서 2014년 조사 기간 동안 여성에서 건강하지 못한 체중감량 행위가 증가하는 경향을 보였다. 다변량로지스틱회귀분석 결과, 남성에서 조사연도가 최근일수록 체형을 부정확하게 인식하는 경향이감소한 반면, 나이와 체중상태가 증가할수록 체형을 부정확하게 인식하는 경향이 증가하였다. 여성에서는 조사연도가 최근일수록, 학력과 소득수준이 높을수록 체형을 부정확하게 인식하는 경향이 감소한 반면, 나이와 체중상태가증가할수록 체형을 부정확하게 인식하는 경향이 증가하였다. 남녀 모두에서 나이가 증가할수록 체중감량 노력은 감소하는 경향이 있지만 조사연도가 최근일수록, 학력과 소득이 높을수록, 체중상태가 증가할수록 체중감량 노력도증가하는 경향을 보였다. 남성에서 학력이 높을수록 나이가 적을수록 건강한 체중감량 행위를 하는 경향이 있었고, 여성에서는 학력이 높을수록 체중이 증가할수록 건강한 체중감량 행위를 하는 경향이 있지만 조사연도가 최근일수록건강한 체중감량 행위가 감소하는 경향을 보였다.
결론: 국민건강영양조사 2001-2014년 자료에서 남녀 모두에서 부정확한 체형인식은 감소하고 체중감량 노력은 증가하는 추세이나, 2005-2014년 조사 기간 동안 여성에서 건강한 체중감량 행위는 감소하는 추세를 보였다.

참고문헌 (Reference)

1 서지현, "한국 성인의 체질량 지수에 따른 비만도와 주관적 체형인식 간의 차이가 영양소 섭취와 체중조절 및 정신건강에 미치는 영향 : 제 5기 국민건강영양조사 자료를 이용하여" 한국영양학회 49 (49): 153-164, 2016

2 안병철, "과체중-비만의 사회경제적 비용 추계" 한국영양학회 38 (38): 786-792, 2005

3 Shin A, "Weight perception and its association with socio-demographic and health-related factors among Korean adolescents" 15 : 1292-, 2015

4 Suastika K, "Underweight is an important risk factor for coronary heart disease in the population of Ceningan Island, Bali" 9 (9): 75-77, 2012

5 Ministry of Health and Welfare., "The results of the Sixth Korean National Health and Nutrition Examination Survey" Ministry of Health and Welfare

6 Korea Centers for Disease Control and Prevention., "The guide book from the Second to Sixth Korean National Health and Nutrition Examination Survey (KNHANES II~V-2)" Korea Centers for Disease Control and Prevention

7 Johnson-Taylor WL, "The change in weight perception of weight status among the overweight: comparison of NHANES III (1988-1994) and 1999-2004 NHANES" 5 : 9-, 2008

8 World Health Organization., "The challenge of obesity in the WHO European region and the strategies for response"

9 Wardle J, "Socioeconomic status and weight control practices in British adults" 55 (55): 185-190, 2001

10 Wardle J, "Socioeconomic differences in attitudes and beliefs about healthy lifestyles" 57 (57): 440-443, 2003

11 Kim SH, "Secular trends in the prevalence of weight misperception among Korean adults, 2001-2013" 2016

12 Hannan MT, "Risk factors for longitudinal bone loss in elderly men and women: the Framingham osteoporosis study" 15 (15): 710-720, 2000

13 Lusky A, "Relationship between morbidity and extreme values of body mass index in adolescents" 25 (25): 829-834, 1996

14 Sallis JF, "Physical activity and food environments: solution to the obesity epidemic" 87 (87): 123-154, 2009

15 Arroyo-Johnson C, "Obesity epidemiology worldwide" 45 (45): 571-579, 2016

16 Roh L, "Mortality risk associated with underweight: a census-linked cohort of 31,578 individuals with up to 32 years of follow-up" 14 : 371-, 2014

17 Korea Centers for Disease Control and Prevention., "Korean health statistics 2001-2014: Korean National Health and Nutrition Examination Survey (KNHANES II~V-2)" Korea Centers for Disease Control and Prevention

18 Joh HK, "Gender and socioeconomic status in relation to weight perception and weight control behavior in Korean adults" 6 (6): 17-27, 2013

19 Lehnert T, "Economic costs of overweight and obesity" 27 (27): 105-115, 2013

20 Hoque ME, "Economic burden of underweight and overweight among adults in the Asia-Pacific region: a systematic review" 21 (21): 458-469, 2016

21 Jee SH, "Body-mass index and mortality in Korean men and women" 355 (355): 779-787, 2006

22 Jee SH, "Body mass index and cancer risk in Korean men and women" 123 (123): 1892-1896, 2008