Journal of Nutrition and Health

  • 제35권3호
  • /
  • Pages.314-321
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  • 2002
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
권호 표지

월경전 불쾌기분장애에 따른 맛 선호도 및 식품섭취 변화

Food Cravings, Appetite, and Taste Palatability in Women with Premenstrual Dysphoric Disorder

  • 정범석 (서울중앙병원 정신과) ;
  • 김창윤 (서울중앙병원 정신과) ;
  • 이철 (서울중앙병원 정신과) ;
  • 장남수 (이화여자대학교 식품영양학과) ;
  • 김지명 (이화여자대학교 식품영양학과)
  • 발행 : 2002.04.01
⟨ 이전 논문 다음 논문 ⟩

초록

월경전기 증상에 따른 맛 선호도와 식품섭취 변화를 알아보고자 정규간호사 1,301명을 설문조사한 후 분석가증한 626명의 자료를 월경전 불쾌기분장애 집단, 월경전기 증후군 집단, 월경전기 증상이 없는 집단으로 나누어 집단별 맛에 대한 선호도 변화, 식사량 변화, 특정 음식에 대한 선호도 변화를 분석한 결과를 요약하며 다음과 같다. 월경전기에 맛 선호도 변화정도가 세 집단간에 다르게 나타났다. 월경전 불쾌지분장애 집단의 경우 월경전기에 단맛, 짠맛, 매운맛, 신맛 4가지 맛에 대한 선호도가 모두 증가하였고, 세 집단 모두 단맛을 가장 많이 찾았다. 월경전 불쾌기분장애 집단과 월경전기 증후군 집단에서는 매운 맛의 선호도도 증가하였다. 식사량은 월경전 불쾌기분장애 집단과 월경전기 증후군 집단 모두 무증상 집단에 비해 늘어났다. 월경전/평소의 음식 섭취량 변화는 물, 스포츠 음료 및 쥬스, 우유 등 음료수를 제외한 모든 음식에서 월경전 불쾌기분장애 집단의 월경전기의 섭취량이 증가하였다. 전반적으로 월경전기에 맵거나 단 음식을 유난히 많이 먹게 되며, 월경전기 증상을 경험하는 월경전 불쾌지분장애 집단이나 월경전기 증후군 집단 모두에서 매운 음식을 가장 많이 먹는 것으로 나타났다.

Women with the premenstrual dysphoric disorder (PMDD) report increased cravings for certain foods and altered taste preferences ding the premenstrual period. The objective of the present study was to investigate the association of PMDD with luteal phase food cravings, appetite, and taste preferences in 1,078 nurses. Among the 626 nurses who gave valid responses, the prevalence of PMDD and premenstrual syndrome (PMS) was 4.6% (N = 29) and 78.3% (N = 490), respectively. A highly significant increase was observed in the preference for sweet tasting foods during the luteal phase, compared to the follicular phase. Desire for sweet foods during the premenstrual period was significantly different among the three groups, being highest in the PMDD group, lower in the PMS group, and lowest in women with no symptoms. Both the PMDD and PMS groups showed significant increases in preferences for pungent tasting foods during the luteal phase. A repeated measures of analysis of variance on the taste preference data revealed that the desire for sweet tasting foods was significantly greater than for others such as salty, sour, and pungent tastes. A greater proportion of the subjects in the PMDD and PMS groups reported an increase in their total food intake during the luteal phase, compared to those women without premenstrual symptoms. Compared to the PMS group or the women with no symptoms, the PMDD group reported increased intakes of high carbohydrate foods during the luteal phase. The most commonly reported food cravings were for sauteed spicy rice cakes (ddukbokki), or for cold buckwheat noodles mixed in chili pepper sauce. These results indicate that the luteal phase food cravings, appetite and taste preferences change in accordance with the severity of the premenstrual symptoms.

키워드

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