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Association between perceived stress, alcohol consumption levels and obesity in Koreans

韩国居民主观压力和酒精消费水平与肥胖的关系

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摘要


背景与目的:精神压力会导致不良的健康习惯,同时也是引起肥胖的原因之一。因此,该研究调查了韩国居民主观压力水平对酒精摄入习惯的影响,以及酒精摄入习惯和精神压力水平交互作用对肥胖的影响。方法与研究設計:本研究利用6229名韩国居民健康和营养调查资料,分析主观压力、饮酒习惯(目前是否饮酒、饮酒量和酒精使用障碍鉴别试验)和人体测量指标。探讨了基于性别差异的主观压力水平对饮酒习惯和人体测量指标的影响,以及主观压力水平和酒精摄入习惯交互作用对肥胖患病率或肥胖OR值的影响。结果:主观压力高的不良饮酒习惯比主观压力低的人群高[目前是否饮酒、饮酒量和酒精使用障碍鉴别试验的ORs(95% CIs)分别为1.35(1.19-1.54)、1.95(1.68-2.26)和1.87(1.60-2.19)]。在男性人群,主观压力与饮酒习惯对肥胖有显著的交互作用[目前是否饮酒、饮酒量和酒精使用障碍鉴别试验的ORs(95% CIs)分别为1.28(1.06-1.55)、1.81(1.52-2.16)和1.40(1.17-1.68)]。在女性人群,主观压力与目前是否饮酒以及饮酒量对肥胖交互作用的ORs(95% CIs)分别为0.70(0.60-0.83)和0.93(0.54-1.36)。结论:该研究表明,主观压力会影响饮酒习惯,而饮酒习惯可能会影响肥胖。

並列摘要


Background and Objectives: Coping with stress often leads to unhealthy behaviors that can have an impact on the development of obesity. Therefore, this study is investigate the effect of perceived stress level on alcohol consumption habits, as well as the effect of the interaction between alcohol consumption habits and stress level on obesity in Koreans. Methods and Study Design: We analyzed perceived stress, alcohol consumption habits (alcohol consumption status, quantity, and alcohol use disorders identification test) and the anthropometrics of 6,229 subjects from the Korean National Health and Nutrition Examination Survey. The gender-based differences of the effect of the perceived level of stress on alcohol consumption habits and anthropometric measurements, as well as the interaction of the perceived level of stress and alcohol consumption habits on prevalence or ORs of obesity were analyzed. Results: The subjects with high perceived stress showed higher proportions for unhealthy alcohol consumption habits than those with low perceived stress [ORs (95% CIs)=1.35 (1.19-1.54), 1.95 (1.68-2.26), and 1.87 (1.60-2.19) for alcohol consumption status, alcohol consumption quantity, and alcohol use disorders identification test, respectively]. Men showed significant interactions between the perceived stress and all alcohol consumption habits with respect to obesity [ORs (95% CIs)=1.28 (1.06-1.55), 1.81 (1.52-2.16), and 1.40 (1.17-1.68) for alcohol consumption status, alcohol consumption quantity, and alcohol use disorders identification test, respectively]. Among women, interactions between the perceived stress and alcohol consumption status [ORs (95% CIs)=0.70 (0.60-0.83)] and alcohol consumption quantity [ORs (95% CIs)=0.93 (0.54-1.36)] in relation to obesity were found to be significant. Conclusion: Our study demonstrated that the perceived stress influenced alcohol consumption habits that may have impacted obesity.

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