Journal List > J Nutr Health > v.46(3) > 1081295

J Nutr Health. 2013 Jun;46(3):261-275. Korean.
Published online June 30, 2013.  https://doi.org/10.4163/jnh.2013.46.3.261
© 2013 The Korean Nutrition Society
Relationships between obesity, blood and urinary compositions, and dietary habits and depressed mood in Koreans at the age of 40, a life transition period
Ji Eun Chu,1,2 Ji Min Lee,3 Han-Ik Cho,2,4 and Yoon Jung Park1,3
1Department of Clinical Health Sciences, Graduate School of Clinical Health Sciences, Ewha Womans University, Seoul 120-750, Korea.
2Korea Association of Health Promotion, Seoul 157-705, Korea.
3Department of Food and Nutrition, College of Health Science, Ewha Womans University, Seoul 120-750, Korea.
4College of Medicine, Seoul National University, Seoul 151-742, Korea.

To whom correspondence should be addressed. (Email: park.yoonjung@ewha.ac.kr )
Received March 26, 2013; Revised April 11, 2013; Accepted April 30, 2013.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

This study was designed to investigate the relationships of depressed mood with obesity, blood and urinary compositions, and dietary habits in Koreans at the age of 40, a critical transition to the middle adulthood stage. A total of 27,684 people who have taken the Life Transition Period Health Examination at the Korea Association of Health Promotion in 2011 were divided into two groups; the depressed mood group (DG) and the non-depressed group (NG) according to results of the primary questionnaire for mental health. The results were analyzed using the health examination criteria of the National Health Insurance Corporation. Women and medicaid recipients showed higher incidence of depressed mood than men and health insurance subscribers. People with underweight in BMI or abdominal obesity showed correlation with depressed mood, while there was no significant relationship with metabolic syndrome. Regarding blood and urinary compositions, DG was related to a higher level of hemoglobin and lower levels of HDL-cholesterol and triglyceride, although the relationships diminished after adjustment for other confounder effects. According to dietary habits, more people in DG were categorized as a group for "Needs Much Improvement", and the odds ratio of the depressed mood showed a significant increase. Significant difference regarding the frequency of food items such as milk products, animal proteins, Kimchi, and fruits was observed between DG and NG. In addition, a higher portion of subjects in DG did not consume regular meals and various kinds of food. In conclusion, the depressed mood of 40 year-old adults was significantly related to underweight, higher waist measurement, and undesirable dietary habits. Results of our study can be applicable as a basic resource for development of effective nutrition counseling and education programs for improvement of mental health promotion during the critical transition to the middle adulthood stage.

Keywords: depressed mood; dietary habits; bmi; abdominal obesity

Figures


Fig. 1
Flowchart of sample for analysis. 1) MDA: Mini Dietary Assesment.
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Tables


Table 1
Social environment factor, existing disease, family history, obesity and metabolic syndrome assessment of non-depressed and depressed mood group
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Table 2
Odds ratio (OR) and 95% confidence interval (CI) of depressed mood according to BMI, waist circumference, and metabolic syndrome
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Table 3
Blood pressure, blood biochemical analysis, and urinalysis results of non-depressed and depressed mood group
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Table 4
Odds ratio (OR) and 95% confidence interval (CI) of depressed mood according to blood pressure, blood biochemical analysis, and urinalysis results
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Table 5
Evaluation of dietary patterns of non-depressed and depressed mood group
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Table 6
Odds ratio (OR) and 95% confidence interval (CI) of depressed mood according to dietary patterns
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Notes

This research was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MEST) (No. 2012018819). The authors acknowledge Mr. Cheong-Ha Yoon, Korea Association of Health Promotion, for the valuable suggestions.

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