[논문]중년여성의 우울증과 식생활 실천과의 관계: 정서적 섭식의 매개효과

장다연; 계승희

doi:10.4163/jnh.2023.56.1.86

중년여성의 우울증과 식생활 실천과의 관계: 정서적 섭식의 매개효과
Relation between depression and dietary practice among middle-aged women: mediating effect of emotional eating 원문보기

Journal of nutrition and health, v.56 no.1, 2023년, pp.86 - 96

초록
AI-Helper

본 연구는 서울과 경기도 지역의 중년여성 345명을 대상으로 우울증, 정서적 섭식 및 식생활과의 관련성을 분석하고 우울증과 식생활과의 관계에서 정서적 섭식의 매개효과에 대하여 알아보기 위해 수행되었다. 우울증 군별 영양지수 점수는 균형과 다양 및 식행동의 점수가 정상군보다 우울증군에서 낮았으며, 절제 점수는 정상군보다 우울증경계군과 우울증군에서 낮았다. 우울증 군별 정서적 섭식 점수는 정상군보다 우울증군에서 높았다. 우울증, 정서적 섭식 및 영양지수와의 편상관관계를 분석한 결과 우울증은 정서적 섭식과 양의 상관관계가 있었고, 영양지수의 모든 요인, 즉 균형, 다양, 절제, 식행동과 모두 음의 상관관계를 나타냈다. 정서적 섭식은 영양지수 요인 중 다양과 절제와 각각 음의 상관성이 있었다. 우울증과 영양지수와의 관계에서 정서적 섭식의 매개효과를 부트스트래핑을 적용하여 통계분석한 결과 우울증은 정서적 섭식을 매개체로 하여 영양지수 요인 중 절제에 음의 영향을 미치는 것으로 나타났다. 본 연구결과를 통해 우울증이 식생활 실천으로 연계되는 과정에서 정서적 섭식이 매개체로서 건강하지 못한 식품의 섭취에 영향을 미치는 것을 확인할 수 있었다.

Abstract ▼ AI-Helper

Purpose: This study analyzes the association between depression, emotional eating, and dietary practices, and investigates the mediating effects of emotional eating between depression and dietary practice. Methods: A total of 345 women aged 40-59 years participated in the Seoul and Gyeonggido region. Assessments were achieved by self-reported questionnaires for emotional eating (Dutch Eating Behavior Questionnaire), Nutrition Quotients (NQ), and depression (Patient Health Questionnaire-9). Results: Analyzing the NQ scores by considering the depression group, revealed that compared to the normal group, balance, diversity, and eating behavior scores were lower in the depression group, whereas the moderation score was lower in the borderline depression group and depression group. The emotional eating scores were determined to be higher in the depression group than in the normal group. Partial correlation analysis between depression, emotional eating, and NQ revealed that depression is positively correlated with emotional eating and negatively correlated with all other factors of the nutrition quotient, balance, diversity, moderation, and eating behavior. Among the nutrition quotient factors considered, emotional eating was determined to be negatively correlated with both diversity and moderation. The bootstrapping method was applied to analyze the mediating effect of emotional eating for determining the association between depression and NQ. Results indicate that among the nutrition quotient factors evaluated using emotional eating as a medium, depression exerted a negative effect on moderation. Conclusion: Results of this study confirm that emotional eating, as a medium, affects the intake of unhealthy foods especially when depression is associated with dietary practices.

주제어

표/그림 (4)

표 Table 1. Characteristics of the subjects
표 Table 2. NQ and emotional eating scores by depression group
표 Table 3. Correlation between depression, emotional eating, and NQ
표 Table 4. Mediating efect of emotional eating in the relationship between depression and NQ

참고문헌 (40)

Park KJ, Lee KH. A structural model for depression in middle-aged women. Korean J Women Health Nurs？2002; 8(1): 69-84.
Chang HK, Han YB. A study on the climacteric symptoms and dietary patterns in middle-aged women.？Fam Environ Res 2002; 40(1): 125-134.
Park HS, Seong MH, Lee YM. Effects of health management program on body composition, self-efficiency？and heath promotion behavior in middle-aged women. Korean J Women Health Nurs 2003; 9(2): 152-160.？
Kim SK, Sunwoo JG, Lee EJ. Relation of mineral nutrition status and climacteric symptoms in pre- and？postmenopausal women. Korean J Nutr 2006; 39(2): 121-132.
Coateas TJ. Eating-A psychological dilemma. J Nutr Educ 1981; 13(1): S34-S48.？

상세보기
Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health？Statistics 2019: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1). Cheongju;？Korea Centers for Disease Control and Prevention; 2020.
Chon SH. A study on eating behavior, depression, anger, anger expression and BAS/BIS in adolescent？women. Korean J Women Health Nurs 2007; 13(4): 310-319.？
Paans NP, Bot M, Brouwer IA, Visser M, Roca M, Kohls E, et al. The association between depression and eating？styles in four European countries: the MooDFOOD prevention study. J Psychosom Res 2018; 108: 85-92.？

상세보기
Kaplan HI, Kaplan HS. The psychosomatic concept of obesity. J Nerv Ment Dis 1957; 125(2): 181-201.？

상세보기
Van Strien T, Frijters JE, Bergers GP, Defares PB. The Dutch Eating Behavior Questionnaire (DEBQ) for？assessment of restrained, emotional, and external eating behavior. Int J Eat Disord 1986; 5(2): 295-315.？

상세보기
Wardle J. Eating style: a validation study of the Dutch Eating Behaviour Questionnaire in normal subjects？and women with eating disorders. J Psychosom Res 1987; 31(2): 161-169.？

상세보기
van Strien T. On the relationship between dieting and "obese" and bulimic eating patterns. Int J Eat？Disord 1996; 19(1): 83-92.？

상세보기
Devaud C, Jeannin A, Narring F, Ferron C, Michaud PA. Eating disorders among female adolescents in？Switzerland: prevalence and associations with mental and behavioral disorders. Int J Eat Disord 1998;？24(2): 207-216.？

상세보기
Lee JW, Kim SA. A comparative study on eating habits and eating attitude of depressed and normal adults:？based on 2008 Korean National Health and Nutrition Examination Survey. Korean J Community Nutr？2011; 16(5): 548-558.？
Li Y, Lv MR, Wei YJ, Sun L, Zhang JX, Zhang HG, et al. Dietary patterns and depression risk: a metaanalysis. Psychiatry Res 2017; 253: 373-382.？

상세보기
Knuppel A, Shipley MJ, Llewellyn CH, Brunner EJ. Sugar intake from sweet food and beverages, common？mental disorder and depression: prospective findings from the Whitehall II study. Sci Rep 2017; 7(1): 6287.？
Crawford GB, Khedkar A, Flaws JA, Sorkin JD, Gallicchio L. Depressive symptoms and self-reported fastfood intake in midlife women. Prev Med 2011; 52(3-4): 254-257.？

상세보기
Mikolajczyk RT, El Ansari W, Maxwell AE. Food consumption frequency and perceived stress and？depressive symptoms among students in three European countries. Nutr J 2009; 8: 31.？

상세보기
Park JE, Kim SJ, Choue R. Study on stress, depression, binge eating, and food behavior of high school？girls based on their BMI. Korean J Community Nutr 2009; 14(2): 175-181.
Nease DE Jr, Maloin JM. Depression screening: a practical strategy. J Fam Pract 2003; 52(2): 118-124.？

상세보기
Lee JS, Kim HY, Hwang JY, Kwon S, Chung HR, Kwak TK, et al. Development of nutrition quotient for？Korean adults: item selection and validation of factor structure. J Nutr Health 2018; 51(4): 340-356.？

원문보기 상세보기
Parraga IM. Determinants of food consumption. J Am Diet Assoc 1990; 90(5): 661-663.

상세보기
Yoon GA. Contribution of food behavior an psychological factor to perceived tiredness in adolescents.？Korean J Nutr 2001; 34(1): 89-97.
Greeno CG, Wing RR. Stress-induced eating. Psychol Bull 1994; 115(3): 444-464.？

상세보기
Han IY, Yoo HJ, Ryu OH, Sim KW, Rhee YS. Obesity and depression in women at an obesity clinic: the？mediation effects of social physique anxiety and stress. Korean J Health Promot 2010; 10(4): 147-153.
Lee S, Kim Y, Seo S, Cho MS. A study on dietary habits and food intakes in adults aged 50 or older？according to depression status. J Nutr Health 2014; 47(1): 67-76.？

원문보기 상세보기
Zellner DA, Loaiza S, Gonzalez Z, Pita J, Morales J, Pecora D, et al. Food selection changes under stress.？Physiol Behav 2006; 87(4): 789-793.？

상세보기
Camilleri GM, Mejean C, Kesse-Guyot E, Andreeva VA, Bellisle F, Hercberg S, et al. The associations？between emotional eating and consumption of energy-dense snack foods are modified by sex and？depressive symptomatology. J Nutr 2014; 144(8): 1264-1273.？

상세보기
Oliver G, Wardle J, Gibson EL. Stress and food choice: a laboratory study. Psychosom Med 2000; 62(6):？853-865.？

상세보기
Bennett J, Greene G, Schwartz-Barcott D. Perceptions of emotional eating behavior. A qualitative study of？college students. Appetite 2013; 60(1): 187-192.？
Bailly N, Maitre I, Amanda M, Herve C, Alaphilippe D. The Dutch Eating Behaviour Questionnaire？(DEBQ). Assessment of eating behaviour in an aging French population. Appetite 2012; 59(3): 853-858.？

상세보기
Banos RM, Cebolla A, Etchemendy E, Felipe S, Rasal P, Botella C. Validation of the Dutch eating behavior？questionnaire for children (DEBQ-C) for use with Spanish children. Nutr Hosp 2011; 26(4): 890-898.？
Nguyen-Rodriguez ST, Chou CP, Unger JB, Spruijt-Metz D. BMI as a moderator of perceived stress and？emotional eating in adolescents. Eat Behav 2008; 9(2): 238-246.？

상세보기
Hou F, Xu S, Zhao Y, Lu Q, Zhang S, Zu P, et al. Effects of emotional symptoms and life stress on eating？behaviors among adolescents. Appetite 2013; 68: 63-68.？

상세보기
Michels N, Sioen I, Braet C, Eiben G, Hebestreit A, Huybrechts I, et al. Stress, emotional eating behaviour？and dietary patterns in children. Appetite 2012; 59(3): 762-769.？

상세보기
Snoek HM, van Strien T, Janssens JM, Engels RC. Emotional, external, restrained eating and overweight in？Dutch adolescents. Scand J Psychol 2007; 48(1): 23-32.？

상세보기
Geliebter A, Aversa A. Emotional eating in overweight, normal weight, and underweight individuals. Eat？Behav 2003; 3(4): 341-347.？
Laitinen J, Ek E, Sovio U. Stress-related eating and drinking behavior and body mass index and predictors？of this behavior. Prev Med 2002; 34(1): 29-39.？

상세보기
Lisa A, Shatford MA, Evans DR. Bulimia as a manifestation of the stress process: a LISREL causal？modeling analysis. Int J Eat Disord 1986; 5(3): 451-473.？

상세보기
Yang SK, Lee SH. The relationship between emotions and BMI: the mediating effects of emotional eating？behavior and restraint eating behavior. Couns Psychol Educ Welf 2020; 7(1): 67-85.

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증