성인에서 체중 상태와 지각된 스트레스와의 관련성: 연령과 성별 차이를 중심으로

Abstract

Background: Weight status influences the emotional condition and perceived stress of individuals and may induce psychosocial problems. Recognition of weight status differs according to historical environment, culture, regional background, age, and gender. However, there is limited evidence on this among Koreans. This study aimed to investigate age and gender differences in the relationship between perceived stress and weight status. Methods: The study included 15,068 adults aged ≥19 years (6,306 males, 8,762 females) who participated in the Korea National Health and Nutrition Examination Survey between 2016 and 2018. Perceived stress was measured using a self-administered questionnaire. The odds ratios (ORs) and 95% confidence intervals (CIs) for perceived stress according to weight status stratified by age and gender were analyzed using multivariable logistic regression analysis adjusted for income, education, occupation, marital status, sleep, risky drinking, smoking, physical activity, energy intake, eatingout, dietary supplementation, and having breakfast. Results: Among males, the underweight group aged 19–39 years had a higher OR for perceived stress than the normal weight group (OR, 1.86; 95% CI, 1.04–3.32). However, in females, the obesity group had higher ORs for perceived stress among those aged 19–39 years (OR, 1.44; 95% CI, 1.02–2.04) and those aged 40–59 years (OR, 1.34; 95% CI, 1.03–1.75) compared to normal weight group. Conclusion: The results suggest that perceived stress according to weight status differs by age and gender. Acknowledging these different relationships is required for providing appropriate care for the psychosocial aspects of weight status, taking into account age and gender in Korean adults.