한국 중학생의 신체활동 정도와 우울 및 자살사고 간의 관련성 Associations of physical activity by intensity (moderate vs. vigorous) with depression and suicidal thoughts among middle school students in South Korea원문보기
본 논문은 한국 중학생의 신체활동이 우울 및 자살사고에 영향을 미치는지 조사하고자 시행되었다. 자료분석을 위해 청소년건강행태 온라인 조사 자료를 이용하였다. 연구대상자는 전국 중학생으로 표본수는 총 37,420명이다. 분석방법은 로지 스틱 회귀분석을 사용하였다. 분석결과, 남학생의 33%, 여학생의 43%가 우울한 경험이 있다고 응답하였고, 남학생의 17.8%, 여학생의 27.7%가 자살사고의 경험이 있다고 응답하였다. 회귀분석 결과, 중등도 신체활동과 고강도 신체활동 모두 우울발생에 대해 낮은 가능성을 보인 반면, 자살사고에 대해서는 여학생에서만 중등도 신체활동이 자살사고 발생에 대해 낮은 가능성을 보였다. 경로분석결과, 중등도 신체활동은 우울과 자살사고에 유의한 영향이 없었으나, 반면 격렬한 신체활동은 직간접적으로 우울과 자살사고에 영향을 미치는 것으로 나타났다. 신체활동은 남녀 중학생의 우울 및 자살을 예방할 수 있는 중요한 매개역할을 담당하는 것으로 분석된다.
본 논문은 한국 중학생의 신체활동이 우울 및 자살사고에 영향을 미치는지 조사하고자 시행되었다. 자료분석을 위해 청소년건강행태 온라인 조사 자료를 이용하였다. 연구대상자는 전국 중학생으로 표본수는 총 37,420명이다. 분석방법은 로지 스틱 회귀분석을 사용하였다. 분석결과, 남학생의 33%, 여학생의 43%가 우울한 경험이 있다고 응답하였고, 남학생의 17.8%, 여학생의 27.7%가 자살사고의 경험이 있다고 응답하였다. 회귀분석 결과, 중등도 신체활동과 고강도 신체활동 모두 우울발생에 대해 낮은 가능성을 보인 반면, 자살사고에 대해서는 여학생에서만 중등도 신체활동이 자살사고 발생에 대해 낮은 가능성을 보였다. 경로분석결과, 중등도 신체활동은 우울과 자살사고에 유의한 영향이 없었으나, 반면 격렬한 신체활동은 직간접적으로 우울과 자살사고에 영향을 미치는 것으로 나타났다. 신체활동은 남녀 중학생의 우울 및 자살을 예방할 수 있는 중요한 매개역할을 담당하는 것으로 분석된다.
This study examined the associations of physical activity by intensity with depression and suicidal thoughts among middle school students in South Korea. This study used data from the Survey of Korean Youth Health Risk Behavior. The samples were middle school students (Total 37,420). Logistic regres...
This study examined the associations of physical activity by intensity with depression and suicidal thoughts among middle school students in South Korea. This study used data from the Survey of Korean Youth Health Risk Behavior. The samples were middle school students (Total 37,420). Logistic regression analysis were used. For depression, 33% of males and 43% of females felt depressed, whereas 17.8% of males and 27.7% of females experienced suicidal thoughts. In regression, both moderate physical activity and vigorous physical activity were associated significantly with a lower incidence of depression. In suicidal thoughts, moderate physical activity was associated with a lower incidence of suicidal thoughts among female students. In path analysis, vigorous physical activity had a direct and indirect effect on depression and suicidal thoughts. Physical activity is a potential mediator in decreasing depression and suicidal thoughts among middle school students.
This study examined the associations of physical activity by intensity with depression and suicidal thoughts among middle school students in South Korea. This study used data from the Survey of Korean Youth Health Risk Behavior. The samples were middle school students (Total 37,420). Logistic regression analysis were used. For depression, 33% of males and 43% of females felt depressed, whereas 17.8% of males and 27.7% of females experienced suicidal thoughts. In regression, both moderate physical activity and vigorous physical activity were associated significantly with a lower incidence of depression. In suicidal thoughts, moderate physical activity was associated with a lower incidence of suicidal thoughts among female students. In path analysis, vigorous physical activity had a direct and indirect effect on depression and suicidal thoughts. Physical activity is a potential mediator in decreasing depression and suicidal thoughts among middle school students.
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문제 정의
In addition, the generalizations of our finding are limited by the usual difficulties of a retrospective assessment of depression and suicidal thoughts in cross-sectional design. Despite these limitations, this study will make an important contribution to the study on the relationship between physical activity and depression or suicide behaviors among adolescents. Another advantage of this study is that it estimates associations of physical activity by intensity with depression and suicidal thoughts on the basis of nationally representative data in South Korea.
This study analyzed the data of the online survey for fourth Korean Youth Health Risk Behavior and examined the associations of physical activity by intensity with depression and suicidal thoughts among South Korean adolescents. Firstly, the prevalence of depression was higher in female students than male student.
제안 방법
In order to accurately measure the number of students who were involved with habitual drinking, it was asked as how many days ‘in the past month’ they had drunk more than a glass, as opposed to simply ‘in the past’.
Self-reported height and weight were used to calculate BMI as weight (kg) divided by height squared (㎡) and classified individuals as obese (BMI ≥ 30 kg/m2 ), overweight (25 kg/m2 ≤ BMI <30 kg/m2 ), normal (18.5 kg/m2 ≤ BMI＜ 25 kg/m2 ), or underweight (BMI＜ 18.5 kg/m2 ).
0 SPSS for Win. The analysis was carried out separately for males and females to see the difference in prevalence and association of depression and suicidal thoughts among adolescents according to gender. Chi-square analysis was used to examine the gender difference of behavioral variables (alcohol drinking behavior, smoking behavior, stress, illegal substances), physical activity level, depression, and suicidal thoughts.
The Korea Youth Health Risk Behaviors Web-based Survey (KYRBWS) has been administered annually since 2005 to assess the nationwide prevalence of adolescent health risk behaviors among middle and high school students, to assess whether those behaviors change over time, and to examine the co-occurrence of health risk behaviors. The health risk behaviors that this survey focuses on include tobacco use, unhealthy dietary practices, inadequate physical activity, alcohol and other drug use, sexual behaviors, and violent behaviors. KYRBWS is a rich data source that supports research on a wide range of topics despite of some limitations it has.
Well-trained data collectors explained the objective of the survey and the entire survey of process to the students before the administration of the survey. The survey, which took 45 to 50 minutes, was administered twice, approximately two weeks apart, in computer room of each selected school. The students were required to visit the KYRBWS website and logged in with a unique number, which was assigned to each student to assure anonymity.
To assess whether physical activity was associated with depression and suicidal thoughts of adolescents in South Korea, stepwise logistic regressions were conducted separately for the two dependent variables. The effects of physical activity intensity on depression and suicidal thoughts are presented (1) as unadjusted odds ratios, (2) as odds ratios adjusted for socio-demographic variables, and (3) as odds ratios adjusted for potential confounders (alcoholic drinking behavior, smoking behavior, stress, illegal substance use) that were revealed as potential confounders from the previous literature.
대상 데이터
The 37,420 participants were comprised of 19,620 (52.4%) male and 17,800 (47.6%) female students. Grades were similar for male and female students; the percentage of first-year students was the highest.
The students’ responses were automatically stored in the database of the KYRBWS. This study analyzed the data only from the middle school students. Total sample were 37,420 middle school students.
This study analyzed the data only from the middle school students. Total sample were 37,420 middle school students.
성능/효과
After adjusting both general characteristic and behavioral variables, moderate physical activity showed a statistically significant odds ratio (moderate PA OR=0.918, p<.05) to the reduction of the risk of having suicidal thoughts.
In conclusions, after step-wised adjusting with confounding variables, the association of physical activity on adolescent mental health showed different results based on the intensity of physical activity as well as gender. However, path analysis suggest that vigorous physical activity was more meaningful predictor on depression and suicidal thoughts than moderate physical activity.
후속연구
Although physical activity is associated with decreased risk of developing mental health problems throughout many studies, there is no definitive physical activity recommendation for depression and suicidal thoughts that it is likely that different formula of frequency, intensity, and duration of physical activity. The findings of this study also suggest the need for strategic programs that increase the intensity of physical activity, and prevent depression and suicidal behaviors among adolescents in South Korea. These programs for using of physical activity should be tried and tested for cost effectiveness in school health policies.
This study may contribute to evidence supporting the use of physical activity in the management and treatment of depression and suicidal thoughts. Although physical activity is associated with decreased risk of developing mental health problems throughout many studies, there is no definitive physical activity recommendation for depression and suicidal thoughts that it is likely that different formula of frequency, intensity, and duration of physical activity.
참고문헌 (40)
P. Vikram, Gender and health research series. WHO Library cataloguing-in-publication data. Geneva, Switzerland: World Health Organization, 2005
Organization for European Economy Co-operation. Society at a glance-OECD social indicators. 2009[cited 2011 Oct., 7], Available from:http://www.oecd.org/els/social/indicators/SAG.
J. M. Bertolote, A. Fleischmann, A. Butchart, N. Besbelli, "Suicide, Suicide attempts and pesticide: a major hidden public health problems", Bulletin of World Health Organization, p.260, 84, 4, 2006.
G. L. Larkin, R. P. Smith, A. L. Beautrais. " Trends in US emergency department visits for suicide attempts 1992-2001", Crisis, pp.73-80, 29, 2, 2008.
J. R. Cougle, H. Resnick, D. G. Kilpatrick. "PTSD, depression, and their comorbidity in relation to suicidality: cross-sectional and prospective analyses of a national probability sample of women", Depression and Anxiety, pp. 1151-1157, 26, 12, 2009.
Y. Chen, S. Dilsaver, "Lifetime rates of suicide attempts among subjects with bipolar and unipolar and unipolar disorders relative to subjects with other Axis I disorders", Biological Psychiatry, pp.896-899, 39, 1, 1994.
M. Pompili, M. Innamorati, M. Raja, I. Falcone, G. Ducci, G. Angeletti, D. Lester, P. Girardi, R. Tatarelli, E. De Pisa, "Suicide risk in depression and bipolar disorder: Do impulsiveness-aggressiveness and pharmacotherapy predict suicidal intent?", Neuropsychiatric Disease and Treatment, pp.247-255, 4, 1, 2008.
H. J. Chan, H. C. Lin, H. C. Lee, C. C. Lin, S. Pfeiffer, "Risk of mortality among depressed younger patients: a five-year follow-up study", Journal of Affective Disorders, pp.255-262, 113, 3, 2009. DOI: http://dx.doi.org/10.1016/j.jad.2008.05.025
E. J. Costello, A. Erkanli, A. Angold, "Is there an epidemic of child or adolescent depression?" Journal of Child Psychology and Psychiatry, pp.1263-1271, 47, 12, 2006.
W. E. Copeland, L. Shanahan, E. J. Costello, A. Angold, "Childhood and adolescent psychiatric disorders as predictors of young adult disorders", Archives of General Psychiatry, pp.764-772, 66, 7, 2009.
M. Nakao, T. Takeuchi, K. Yoshimasu, "A proposed approach to suicide prevention in Japan: the use of self-perceived symptoms as indicators of depression and suicide ideation" Environmental Health and Preventive Medicine, pp.313-321, 13, 6, 2008.
K. H. Kim, "Depression and suicide in Korean adolescents", Korean Journal of Psychologic Social Issues, pp.55-68, 10, 2004.
H. J. Jeon, J. Y. Lee, Y. M, Lee, J. P. Hong, S. H. Won, S. J. Cho, J. Y. Kim, S. M. Chang, D. Lee, H. W. Lee, M. J. Cho, "Lifetime prevalence and correlates of suicide ideation, plan, and single and multiple attempts in a Korea nationwide study" Journal of Nervous and Mental Disease, pp.643-646, 198, 9, 2010. DOI: http://dx.doi.org/10.1097/NMD.0b013e3181ef3ecf
L. Larun, L. V. Nordheim, E. Ekeland, K. B. Hagen, F. Heian, "Exercise in prevention and treatment of anxiety and depression among children and young people", Cochrane Database of Systemic Review, pp.1-40, 19, 3, 2006.
E. W. Martinsen, "Physical activity in the prevention and treatment of anxiety and depression", Nordic Journal of Psychiatry, pp.25-29, 62, Supple 47, 2008. DOI: http://dx.doi.org/10.1080/08039480802315640
Raglin JS. Anxiolytic effects of physical activity. In: Physical activity and mental health. W.P. Morgan (Ed.). pp.107-126, Washington, DC: Taylor and Francis, 1997.
J. L. Etnier, P. M. Nowell, D. M. Landers, B. A. Sibley, "A meta-regression to examine the relationship between aerobic fitness and cognitive performance", Brain Research Reviews, pp.119-130, 52, 1, 2006.
D. W. Brown, D. R. Brown, G. W. Health, L. Balluz, W. H. Giles, E. S. Ford, A. H. Mokdad, "Association between physical activity does and health related quality of life", American College of Sports Medicine, pp.890-896, 36, 5, 2004.
W. L. Mangerud, O. Bjerkeset, S. Lydersen, M. S. Indredavik, "Physical activity in adolescents with psychiatric disorders and in the general population." Child and Adolescent Psychiatry and Mental Health, pp.1-10, 8, 1, 2014.
J. J. Mann, D. A. Brent, V. Arango, "The neurobiology and genetics of suicide and attempted suicide: a focus on the serotonergic system", Neuropsychopharmacology, pp.467-477, 24, 5, 2001.
K. Bhui, A. Fletcher, "Common mood and anxiety states: gender differences in the protective effect of physical activity", Social Psychiatry and Psychiatric Epidemiology, pp.28-35, 35, 1, 2000.
M. E. Farmer, B. Z. Locke, E. K. Mosciki, A. L. Dannenberg, D. B. Larson, L. S. Radloff, " Physical activity and depressive symptoms: The NHANES I epidemiologic follow-up study", American Journal of Epidemiology, pp.1340-1351, 128, 6, 1988.
J. Krogh, M. Nordentoft, J. A. Sterne, D. A. Lawlor. "The effect of exercise in clinically depressed adults: systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Psychiatry, pp.529-538, 72, 4, 2011.
C. S. Lee, Y. R. Kweon, S. J. Kim, B. S. Choi, "The effects of suicide prevention program on depression, suicidal ideation, and problem solving ability on middle school students", Journal of Korean Academic Psychiatry and Mental Health Nursing, pp.337-347, 16, 4, 2007.
H. S. Park, "Effects of core competency support program on depression and suicidal ideation for adolescents", Journal of Korean Academic Nursing, pp.851-859, 39, 6, 2009. DOI: http://dx.doi.org/10.4040/jkan.2009.39.6.851
Department of Health PA, Health Improvement and Protection, Start active, stay active: A report on physical activity from the four home countries' Chief Medical Officers. London, Department of Health. 2011.
A. Sagatun, E. Kolle, S. A. Anderssen, M. Thoresen, A. J. Sogaard, "Three-year follow-up of physical activity in Norwegian youth from two ethnic groups: associations with socio-demographic factors", BMC Public Health, pp.419, 22, 8, 2008.
M. H. Jang, G. J. Lee, "Body image dissatisfaction as mediator of the association between BMI, self-esteem and mental health in early adolescents: a multiple-group path analysis across gender." Journal of Korean Academy Nursing, pp.165-175, 43, 2, 2013. DOI: http://dx.doi.org/10.4040/jkan.2013.43.2.165
M. Rutter, A. Caspi, T. E. Moffitt, "Using sex differences in psychopathology to study causal mechanism: unifying issues and research strategies", Journal of Child Psychology and Psychiatry and Allied Disciplines, pp.1092-1115, 44, 8, 2003. DOI: http://dx.doi.org/10.1111/1469-7610.00194
C. Zahn-Waxler, E. A. Shirtchliff, K. Marceau, "Disorders of childhood and adolescence: gender and psychopathology", Annual Review of Clinical Psychology, pp. 275-303, 4, 2008. DOI: http://dx.doi.org/10.1146/annurev.clinpsy.3.022806.091358
N. Breslau, H. Chilcoat, L. R. Schultz. "Anxiety disorders and the emergence of sex differences in major depression", The Journal of Gender-pecific Medicine, pp.33-39, 1, 3, 1998.
M. B. Solomon, J. P. Herman, "Sex differences in psychopathology: of gonads, adrenals and mental illness", Physiology and Behavior, pp.250-258, 97, 2, 2009.
E. A. Young, M. Altemus, "Puberty, ovarian steroids, and stress", Annals of the New York Academy of Sciences. pp.124-133, 1021, 2004. DOI: http://dx.doi.org/10.1196/annals.1308.013
S. Y. Sohn, "Factors affecting suicidal ideation, suicidal plan and suicidal attempt in Korean Adolescents." Journal of Korea Academia-Industrial Cooperation Society, pp.1606-1614, 15, 3, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.3.1606
E. O. Park, " The influencing factors on suicide attempt among adolescents in South Korea.", Journal of Korean Academy Nursing, pp.465-473, 38, 3, 2008.
F. B. Tao, M. L. Xu, S. D. Kim, Y. Sun, P. Y. Su, K. Huang, "Physical activity might not be the protective factor for health risk behaviors and psychopathological symptoms in adolescents", Journal of Paediatrics and Child Health, pp.762-767, 43, 11, 2007.
J. S. Kim, "Suicidal ideation and associated factors by sex in adolescents." Journal of the Korea Contents Association, pp.261-268, 12, 12, 2012. DOI: http://dx.doi.org/10.5392/JKCA.2012.12.12.261
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