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Relationship between health behaviors and nutrient supplement intake

건강행태와 영양제 복용 유무의 관련성

  • Lee, Jong-suk (Department of Health Education and Management, Graduate School of Ewha Womans University) ;
  • Kim, In-tae (Seegene Medical Foundation)
  • 이종숙 (이화여자대학교 일반대학원 보건관리학과) ;
  • 김인태 (씨젠의료재단)
  • Received : 2017.09.20
  • Accepted : 2017.11.03
  • Published : 2017.11.30

Abstract

Purpose: The present study investigated nutrient supplement intake to examine the relationship between the health behaviors of nutrient supplement users and nonusers and nutrient supplement users and other drug users. The results provide baseline data to understand whether nutrient supplements actually perform as expected in view of the fact that healthy people that take nutritional supplements may become healthier, but may also develop nutritional supplement abuse problems. Among 7,006 household heads of 24,614 household members from the Korea Health Panel data in 2008, a total of 6,009 household heads were the respondents of the Korea Health Panel Survey (appendix) in 2009. Method: The subjects of the present study were targeted household heads. The respondents who reported that they had taken (planned to take) life/health promotion-related drugs (01. vitamins/nutritional supplements) for more than three months that were purchased at pharmacies during the past one year at the time of the survey were defined as nutritional supplement users. Those who took other drugs (05. hair-loss treatments, 06. obesity treatments, 10. others) were regarded as other drug users. A chi-squared test was performed to analyze the sociodemographic characteristics of the subjects and differences between groups. Multiple regression analyses were conducted to analyze health behaviors according to nutrient supplement intake. Result: Comparison of (A) nutritional supplement users and nonusers revealed that those who were women, 50 years or older, and spent more than average living expenses were more likely to take nutritional supplements, which was not significant in health behavior variables. Analysis of nutritional supplement users and other drug users (B) revealed that those who were high school graduates or above, had a spouse, were non-smokers, took drugs, ate regular meals, and were not stressed by economic or family conflicts were more likely to take nutritional supplements. Conclusion: The results of the present study indicated that people take nutritional supplements because of their psychological desire to be healthy, not because they are not healthy, have problems, or believe supplements will make them healthier.

이 연구는 영양제 복용 유무를 조사하고 영양제 비복용자에 대한 영양제 복용자의 건강행태의 관련성과 기타 의약품 복용자 집단에 대한 영양제 복용자의 건강행태의 관련성을 파악하여 건강한 집단이 영양제를 복용하면 더 건강해 질수도 있지만 오남용으로 될 수 있기에 실제 본연의 역할에 충실한지를 파악해 보는 기초 자료로 활용하고자 시도하였다. 2008년 한국의료패널 자료의 가구원 24,614명, 즉 7,006명의 가구주 중 2009년 부가조사 (appen)자료에 응답한 자는 총 6,009명이었으며 자료의 특성상 가구주의 수를 중심으로 연구하였다. 그 중 조사 시점에서 지난 1년 동안 약국에서 구매한 생활/건강증진 관련 의약품(01, 비타민제/영양제)을 3개월 이상(예정) 복용한다고 답변한 응답자를 영양제 복용자로 정의하였다. 그 외의 다른 의약품(05, 탈모 치료제, 06, 비만 치료제, 10.기타)을 복용한 사람을 기타 의약품 복용자로 보았다. 연구대상자의 인구 사회학적 특성과 집단별 차이를 분석하기 위해 카이제곱 검정을 실시하였고, 영양제 복용 유무에 따른 건강행태를 분석하기 위해 다중 로지스틱 회귀분석을 실시하였다. 영양제 복용자와 비복용자를 대상으로 분석(A)한 결과 여성, 50세 이상일수록, 평균 이상의 생활비를 지출하는 경우 영양제를 더 복용하는 것으로 나타났으며, 건강행태변수에서는 유의하지 않았다. 영양제 복용자와 기타 의약품 복용자를 대상으로 분석(B)한 결과 고졸 이상, 배우자가 있는 경우, 비흡연자일수록, 약물을 복용할수록, 규칙적인 식사를 하는 경우, 경제적, 가족 갈등으로 스트레스를 받지 않을수록 영양제를 더 복용하는 것으로 나타났다. 현재 건강이 좋지 않거나, 문제가 있다고 느끼거나, 좀 더 건강해지기 위한 노력의 방편으로 영양제를 복용하는 것이 아니라 단순히 건강해지고 싶다는 심리적 욕구에 의해 영양제를 복용하는 것으로 판단된다.

Keywords

References

  1. S. H. Kim, J. H. Han, W. Y. Kim, Health functional food use and related variables among the middle -aged in Korea, Korean J Nutr, vol. 43, no. 3, pp. 294-303, 2010. DOI: http://dx.doi.org/10.4163/kjn.2010.43.3.294
  2. K. H. Chung, K. O. Shin, T. H. Jung, K .S. Choi, W. M. Jeon, D. K. Chung, D. S. Lee, Study on the dietary habit, nutrient intake, and health status according to their majors among college women in Sahmyook University, J Korean Soc Food Sci Nutr, vol. 39, no. 6, pp. 826-836, 2010. DOI: http://dx.doi.org/10.3746/jkfn.2010.39.6.826
  3. K. S. Choi, K. O. Shin, T. H. Jung, K. H. Chung, A study on the differences in the dietary habits, nutrient intake and health status of vegetarian (lacto-ovo vegetarian) and non-vegetarian Korean ele mentary school children, J Korean Soc Food Sci Nutr, vol. 40, no. 3, pp. 416-425, 2011. https://doi.org/10.3746/jkfn.2011.40.3.416
  4. K. S. Choi, K. O. Shin, K. H. Chung, Comparison of the dietary pattern, nutrient intakes, and blood parameters according to body mass index of college women in Seoul area, vol. 37, no. 12, pp. 1589-1598, 2008. https://doi.org/10.3746/jkfn.2008.37.12.1589
  5. Y. J. Kang, S. J. Jung, J. A. Yang, Y. S. Cha, School dietitians' perceptions and intake of healthy functional foods in Jeonbuk province, vol. 36, no. 9, pp. 11 72-1181, 2007. https://doi.org/10.3746/jkfn.2007.36.9.1172
  6. E. Y. Kim, K. S. Ryu, Y. R. Heo, Factors infl uencing the consumption and purchase of functional foods in Gwangju, Korean J Community Nutrition, vol. 12, no. 6, pp. 782-789, 2007.
  7. S. H. Kim, J. H. Han, W. Y. Kim, Consumption of health functional foods by elementary school children in Korea, Korean J Nutr, vol. 43, no. 2, pp. 161-170, 2010. https://doi.org/10.4163/kjn.2010.43.2.161
  8. S. H. Kim, J. H. Han, Y. J. Hwang, W. Y. Kim, Use of functional foods for health by 14-18 year old students attending general junior or senior high schools in Korea, vol. 38, no. 10, pp. 864-872, 2005.
  9. J. H. Choi, C. H. You, Y. D. Kwon, Effects of health-related factors on the use of health functional foods, Korean J Health Service Management, vol. 5, no. 4, pp. 27-39, 2011. https://doi.org/10.12811/kshsm.2011.5.4.027
  10. H. H. Lee, H. A. Park, J. H. Kang, J. H. Kang, K. W. Kim, Y. G. Cho, H. R. Song, J. S. Lee, What types of dietary supplements are used in Korea? data from the Korean National Health and Nutritional Examination Survey 2005, Korean Fam Med, vol. 30, no. 12, pp. 934-943, 2009. https://doi.org/10.4082/kjfm.2009.30.12.934
  11. J. S. Park, J. H. Lee, Elementary school children's intake patterns of health functional foods and parent's requirements in Daejeon area, Korean J Community Nutrition, vol. 13, no. 4, pp. 463-475, 2008.
  12. Y. S. Kim, Study on dietary patterns and consumpt ion of health foods in middle aged adults living in Kangwon province, Korea University Graduate School, 2004.
  13. Y. J. Kim, J. A. Mun, H. Min, Supplement dose and health-related lifestyle of vitamin?mineral supple ment user among Korean middle-aged, Korean J Community Nutr, vol. 9, no. 3, pp. 303-314, 2004.
  14. J. H. Choi, Y. J. Je, Use of vitamin and mineral supplements and related variables among university students in Seoul, J Nutr Health, vol. 48, no. 4, pp. 352-363, 2015. https://doi.org/10.4163/jnh.2015.48.4.352
  15. G. Bjelakovic, D. Nikolova, L. L. Gluud, R. G. Simonetti, C. Gluud. Mortality in randomized trials of antioxidant supplements for primary and secondary prevention: systematic review and meta?analysis, JAMA, vol. 297, no. 8, pp. 842-857, 2007. DOI: https://doi.org/10.1001/jama.297.8.842
  16. P. Gardiner, D. N. Sarma, T. Low Dog, M. L. Barrett, M. L. Chavez, R. Ko, G. B. Mahady, R. J. Marles, L. S. Pellicore, G. L. Giancaspro. The state of dietary supplement adverse event reporting in the United States. Pharmacoepidemiol Drug Saf, vol. 17, no. 10, pp. 962-970, 2008. https://doi.org/10.1002/pds.1627
  17. C. Haller, T. Kearney, S. Bent, G. Ko, N. Benowitz, K. Olson. Dietary supplement adverse events: report of a one-year poison center surveillance project, J Med Toxicol, vol. 4, no. 2, pp. 84-92, 2008. https://doi.org/10.1007/BF03160960
  18. C. B. Rasmussen, J. K. Glisson, D. S. Minor. Dietary supplements and hypertension: potential benefits and precautions. J Clin Hypertens (Greenwich), vol. 14, no. 7, pp. 467-471, 2012. https://doi.org/10.1111/j.1751-7176.2012.00642.x
  19. M. J. Bolland, A. Gray, I. R. Reid. Vitamin and mineral supplements in the primary prevention of cardiovascular disease and cancer, Ann Intern Med, vol. 160, no. 9, pp. 655-656, 2014. https://doi.org/10.7326/L14-5009-3
  20. J. Mursu, K. Robien, L. J. Harnack, K. Park, D. R. JacobsJr. Dietary supplements and mortality rate in older women: the Iowa Women's Health Study, Arch Intern Med, vol. 171, no. 18, pp. 1625-1633, 2011. https://doi.org/10.1001/archinternmed.2011.445
  21. H. C. Kim, M. R. Kim, A study on health?functi onal foods intake pattern of consumers in Busan and Gyeongnam region. Korean Living Sci, vol. 15, no. 2, pp. 341-352, 2006.
  22. D. H. Lee, A. R. Folsom, L. Harnack, B. Halliwell, D. R. JacobsJr. Dose supplemental vitamin C increase cardiovascular disease risk in women with diabetes? Am J Clin Nutr, vol. 80, no. 5, pp. 1194-1200, 2004. https://doi.org/10.1093/ajcn/80.5.1194
  23. S. H. Kim, J. H. Han, Y. J. Hwang, W. Y. Kim, Use of functional foods for health by 14-18 year old students attending general junior or senior high schools in Korea. Korean J Nutr, vol. 38, no. 10, pp. 864-872, 2005.
  24. J. S. Um, Intake status of health functional foods and influencing factors to ingestion for office workers, MS thesis, Yonsei University pp. 1-15, 2004.
  25. H. J. Kim, M. R. Kim, A study on the demographic characteristics and socio-psychological factors affecting willingness to take health foods among elderly, Korean J Human Ecology, vol. 18, no. 1, pp. 201-210, 2009. https://doi.org/10.5934/KJHE.2009.18.1.201
  26. Korea Health Supplement Association, Dietary Health Supplement Act, Seoul; 2008.
  27. Korea Food and Drug Administration. KFDA: Notification 2008-12 [Internet .Seoul: Korea Food and Drug administration; c2003-2008 [cited2008Aug27].Available from: http://www.kfda.go.kr.
  28. J. H. Han, H. S. Lee, S. H. Kim, Dietary maximum exposure assessment of vitamins and minerals from various sources in Korean adolescents, J Nutr Health, vol. 46, no. 5, pp. 447-460, 2013. https://doi.org/10.4163/jnh.2013.46.5.447
  29. S. Y. Kim, J. S. You, K. J. Chang, Consumption of health functional food and dietary habits, nutrient intake and dietary quality of college students in Incheon, Korean J Nutr, vol. 46, no. 2, pp. 166-176, 2013. https://doi.org/10.4163/kjn.2013.46.2.166
  30. Ministry of Health and welfare, Korea centers for disease control and prevention. Korea health statistics 2012:Korea national health and nutrition examination survey(KNHANES V-3). Cheongwon:Korea Centers for disease control and prevention; 2013.
  31. J. Ishihara, T. Sobue, S. Yamamoto, S. Sasaki, S. Tsugane, Demographics, lifestyles, health charactersti cs ; and dietary intake among dietary supplement us ers in Japan. Int J Epidemiol, 32, pp. 546-53, 2003. https://doi.org/10.1093/ije/dyg091
  32. E. Frank, A. Bendich, M. Denniston. Use of vitam in-mineral supplements by female physicians in the United States, Am J Clin Nutr, vol. 72, no. 4, pp. 969-975, 2000. https://doi.org/10.1093/ajcn/72.4.969
  33. C. L Rock, Multivitamin-multimineral supplements: who uses them? Am J Clin Nutr, vol. 85, no. 1, pp. 277S-279S, 2007. https://doi.org/10.1093/ajcn/85.1.277S
  34. R. A. Harrison, D. Holt, D. J. Pattison, P. J. Elton, Are those in need taking dietary supplements? A survey of 21923 adults. Br J Nutr, vol. 91, no. 4, pp. 617-623, 2004. DOI: https://doi.org/10.1079/BJN20031076