Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Analysis of health habit and hair mineral nutrition status of media addicted adolescent

미디어중독 청소년의 스마트폰 사용의존도에 따른 건강습관 및 모발 무기질 영양상태 분석

  • Lim, Hee-Sook (Department of Food Sciences and Nutrition, Yeonsung University) ;
  • Kim, Soon-Kyung (Department of Food Science and Nutrition, College of Natural Science, Soonchunhyang University)
  • 임희숙 (연성대학교 식품영양과) ;
  • 김순경 (순천향대학교 식품영양학과)
  • Received : 2018.07.24
  • Accepted : 2018.08.06
  • Published : 2018.08.31
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Abstract

Purpose: Koreans' internet and smartphone usage hours are steadily increasing and the dependence of young people on smartphones is causing social problems. Therefore, this study was conducted to examine health and dietary habits, as well as hair mineral contents according to the level of dependence of smartphone use among adolescents to clarify the interrelation of smartphone dependence, lifestyle, dietary behavior, and mineral nutrition status. Methods: A total of 80 smartphone-addicted adolescents participated in this study and were divided into three groups (general, potential and danger group) according to smartphone dependence. The subjects' lifestyles and dietary behaviors were then surveyed, and hair mineral contents were analyzed. Results: Higher smartphone dependence was associated with lower average weekly sleeping time and later first smoking age. In the danger group, the rate of eating fast and the rate of snacking twice a day was also relatively high. Parents (45.0%) and mobile (30.0%) were the factors having the greatest influence on an individual's dietary behavior. In the hair mineral analysis, all subjects had lower selenium concentrations and higher lead concentrations than normal. In addition, the levels of aluminum in the danger group were higher than in the normal range and the highest among the three groups. Conclusions: It is necessary to guide adolescents to use smartphones correctly and manage dietary habits. In addition, careful attention is needed the mineral nutritional status of smartphone-addicted adolescents.

본 연구는 스마트폰 중독청소년 80명을 대상으로 스마트폰 의존도에 따라 세군 (일반사용자군, 잠재적위험군, 고위험군)으로 분류하여 생활습관, 식행동, 모발 무기질 영양상태에 차이가 있는지 분석하였고 결과는 다음과 같다. 1. 본 연구대상자는 스마트폰 의존도가 높을수록 평균 주중 수면시간이 유의하게 적었고 첫 흡연연령은 늦었다. 전체 대상자의 우울감 존재율은 32.5%, 음주율 66.2%, 흡연율 55.0%로 매우 높고, 규칙적인 운동시 행률은 42.5%로 나타났다. 2. 식행동 항목에서는 스마트폰 의존도에 따라 군간 유의한 차이는 없었지만 잠재적위험군에서 식사속도가 빠르고 배부르게 먹는다는 비율이 높았으며 하루 간식을 2회 이상 섭취한다는 비율도 상대적으로 높았다. 그러나 스마트폰을 이용하면서 식사하는 경우 식사속도와 식사량에 큰 영향을 미치지는 않는 것으로 나타났다. 3. 개인의 식행동에 영향을 미치는 요인은 부모 (45.0%)와 모바일 (30.0%)의 비율이 우위를 차지하였다. 전반적으로 개선이 필요하다고 판단한 식습관은 불균형된 식사 (35.1%), 빠른 식사속도 (17.5%), 과식 (16.3%)이었으나 잠재적위험군은 불균형된 식사 (38.5%), 과식 (30.8%), 빠른 식사속도 (11.5%)로 세 군간 유의한 차이를 보였다. 4. 영양 및 건강정보 습득처는 핸드폰이 전체 37.5%를 차지하여 가장 높았고 전체 대상자의 32.5%만이 영양교육 및 상담을 받아본 경험이 있으며 교육요구도는 38.8%가 필요하다고 응답하였다. 5. 모발 무기질 총 17종을 분석한 결과 전체 대상자들은 정상범위보다 셀레늄의 농도는 낮고, 납의 농도는 높은 것으로 나타났다. 인과 황은 모두 정상범위에 있었지만 잠재적위험군에서 농도가 유의하게 높았고, 알루미늄의 경우는 고위험군이 정상범위보다 높고, 세 군중 가장 유의하게 높았다. 6. 세 군간 유의한 차이를 보인 인, 황, 알루미늄을 여러 변수별로 비교한 결과 인은 스트레스가 적은 군 (OR 1.18), 황은 여성 (OR 1.14), 고등학생 (OR 1.19), 수면시간 6.5시간 미만 (OR 1.88), 스트레스가 많은 군(OR 1.34), 우울감이 있는 군 (OR 1.20)에서 유의하게 높게 나타났다. 알루미늄은 여성 (OR 2.25)과 흡연군 (OR 1.32)에서 농도가 유의하게 높은 것으로 분석되었다. 이상의 결과를 종합하여, 스마트폰 의존도가 높은 청소년의 경우 수면, 음주, 흡연 등 건강에 유해한 생활습관과 높은 결식률, 불균형된 식사, 과식, 빠른 식사속도와 같은 식행동의 개선이 필요한 것으로 관찰되었다. 또한 과도한 인터넷 사용에 따라, 성장기 청소년에 요구되는 일부 무기질의 부족과 과잉에 대한 문제점도 있는 것을 알 수 있었다. 본 연구는 스마트폰 의존도 문제를 지닌 청소년을 대상으로 실시한 연구로 비의존 대조군이 존재하지 않아 청소년의 스마트폰 의존과 생활습관 및 식행동, 모발 무기질 영양상태와의 관련성을 직접적으로 설명하는 데는 제한점이 있다. 그러나 과의존 청소년의 경우 전반적인 생활습관과 식습관에 문제점이 많고, 의존 정도에 따라 식습관이나 모발 무기질 영양상태에 차이를 보인 연구 결과를 통하여 청소년 스마트폰 의존정도와 식습관, 무기질 영양과의 관련성이 있음이 제시되었다. 본 연구를 통해 미디어중독 청소년의 영양관리에 관한 기초자료를 마련할 수 있었고 나아가 청소년의 건강증진과 건전한 정보문화 정착을 기대하는 바이다.

Keywords

References

  1. Kwak S, Woo T, Lee KA, Lee KH. A comparison of dietary habits and influencing factors for vegetable preferences of adolescents in Gyeongnam province. Korean J Community Nutr 2015; 20(4): 259-272. https://doi.org/10.5720/kjcn.2015.20.4.259
  2. Korea Centers for Disease Control and Prevention. Korea youth risk behavior web-based survey 2016 [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2017 [cited 2018 Jun 23]. Available from: http://www.cdc.go.kr/CDC/ contents/CdcKrContentView.jsp?cid=77749&menuIds=HOME 001-MNU1130-MNU2393-MNU2749.
  3. Ministry of Gender Equality and Family (KR). Youth internet and smartphone usage survey 2018 [Internet]. Seoul: Ministry of Gender Equality and Family; 2018 [cited 2018 Jul 6]. Available from: http://www.mogef.go.kr/nw/rpd/nw_rpd_s001d.do?mid=news405&bbtSn=705725.
  4. Bernardi S, Pallanti S. Internet addiction: a descriptive clinical study focusing on comorbidities and dissociative symptoms. Compr Psychiatry 2009; 50(6): 510-516. https://doi.org/10.1016/j.comppsych.2008.11.011
  5. Hur MH. Demographic, habitual, and socioeconomic determinants of Internet addiction disorder: an empirical study of Korean teenagers. Cyberpsychol Behav 2006; 9(5): 514-525. https://doi.org/10.1089/cpb.2006.9.514
  6. Lai CM, Mak KK, Watanabe H, Jeong J, Kim D, Bahar N, Ramos M, Chen SH, Cheng C. The mediating role of Internet addiction in depression, social anxiety, and psychosocial wellbeing among adolescents in six Asian countries: a structural equation modelling approach. Public Health 2015; 129(9): 1224-1236. https://doi.org/10.1016/j.puhe.2015.07.031
  7. Ha JH, Kim SY, Bae SC, Bae S, Kim H, Sim M, Lyoo IK, Cho SC. Depression and Internet addiction in adolescents. Psychopathology 2007; 40(6): 424-430. https://doi.org/10.1159/000107426
  8. Kim Y, Park JY, Kim SB, Jung IK, Lim YS, Kim JH. The effects of Internet addiction on the lifestyle and dietary behavior of Korean adolescents. Nutr Res Pract 2010; 4(1): 51-57. https://doi.org/10.4162/nrp.2010.4.1.51
  9. Park KA. Dietary and lifestyle habits and dietary behaviors according to level of smartphone addiction in university students in Kyungnam Province. J Korean Diet Assoc 2017; 23(4): 408-430. https://doi.org/10.14373/JKDA.2017.23.4.408
  10. Dorgan JF, Liu L, Klifa C, Hylton N, Shepherd JA, Stanczyk FZ, Snetselaar LG, Van Horn L, Stevens VJ, Robson A, Kwiterovich PO Jr, Lasser NL, Himes JH, Pettee Gabriel K, Kriska A, Ruder EH, Fang CY, Barton BA. Adolescent diet and subsequent serum hormones, breast density, and bone mineral density in young women: results of the dietary intervention study in children follow-up study. Cancer Epidemiol Biomarkers Prev 2010; 19(6): 1545-1556. https://doi.org/10.1158/1055-9965.EPI-09-1259
  11. Harrington JM, Young DJ, Essader AS, Sumner SJ, Levine KE. Analysis of human serum and whole blood for mineral content by ICP-MS and ICP-OES: development of a mineralomics method. Biol Trace Elem Res 2014; 160(1): 132-142. https://doi.org/10.1007/s12011-014-0033-5
  12. Nennich TD, Harrison JH, VanWieringen LM, St-Pierre NR, Kincaid RL, Wattiaux MA, Davidson DL, Block E. Prediction and evaluation of urine and urinary nitrogen and mineral excretion from dairy cattle. J Dairy Sci 2006; 89(1): 353-364. https://doi.org/10.3168/jds.S0022-0302(06)72101-4
  13. Song WY, Hong JH, Park EJ, Lee HW, Choi JH. Effect of antioxidative vitamin supplementation on mineral contents in the hair and autistic related behaviors in Autistic Children. J Korean Soc Food Sci Nutr 2010; 39(2): 237-243. https://doi.org/10.3746/jkfn.2010.39.2.237
  14. Han TH, Lee J, Kim YJ. Hair zinc level analysis and correlative micronutrients in children presenting with malnutrition and poor growth. Pediatr Gastroenterol Hepatol Nutr 2016; 19(4): 259-268. https://doi.org/10.5223/pghn.2016.19.4.259
  15. Choi WS, Kim SH, Chung JH. Relationships of hair mineral concentrations with insulin resistance in metabolic syndrome. Biol Trace Elem Res 2014; 158(3): 323-329. https://doi.org/10.1007/s12011-014-9946-2
  16. National Information Society Agency (KR). Development of Korean smartphone addiction proneness scale for youth and adults 2011. Seoul: National Information Society Agency; 2011.
  17. Seo HJ, Park MA, Jang JS. Affecting factors on food habits related health behavior activities of adolescents. Korean J Food Nutr 2017; 30(2): 297-304. https://doi.org/10.9799/ksfan.2017.30.2.297
  18. Seo IK, Lee YS. Effects of adolescents' stress on academic achievement and the control effect of social support: a comparative study of middle and high school students. J Youth Welf 2017; 19(3): 23-51.
  19. Lee YS, Kim LS, Cho EH. Lee HS. A study on adolescents' perceptions of smart phone uses: with a focus on the FGI of middle and high school users. Korea J Youth Couns 2013; 21(1): 43-66.
  20. Lee KE, Kim SH, Ha TY, Yoo YM, Han JJ, Jung JH, Jang JY. Dependency on smartphone use and its association with anxiety in Korea. Public Health Rep 2016; 131(3): 411-419. https://doi.org/10.1177/003335491613100307
  21. AlAbdulwahab SS, Kachanathu SJ, AlMotairi MS. Smartphone use addiction can cause neck disability. Musculoskelet Care 2017; 15(1): 10-12. https://doi.org/10.1002/msc.1170
  22. Musaiger AO, Al-Mannai M. Association between exposure to media and body weight concern among female university students in five Arab countries: a preliminary cross-cultural study. J Biosoc Sci 2014; 46(2): 240-247. https://doi.org/10.1017/S0021932013000278
  23. Suk MS, Ku YG. The Effects of individual, family, and school factors on smart-phone addiction of adolescents. J Youth Welf 2016; 18(1): 53-77.
  24. Bartel KA, Gradisar M, Williamson P. Protective and risk factors for adolescent sleep: a meta-analytic review. Sleep Med Rev 2015; 21: 72-85. https://doi.org/10.1016/j.smrv.2014.08.002
  25. Bassett SM, Lupis SB, Gianferante D, Rohleder N, Wolf JM. Sleep quality but not sleep quantity effects on cortisol responses to acute psychosocial stress. Stress 2015; 18(6): 638-644. https://doi.org/10.3109/10253890.2015.1087503
  26. Haug S, Castro RP, Kwon M, Filler A, Kowatsch T, Schaub MP. Smartphone use and smartphone addiction among young people in Switzerland. J Behav Addict 2015; 4(4): 299-307. https://doi.org/10.1556/2006.4.2015.037
  27. Kim EJ, Kim SY. Correlation between smartphone addiction and eating behaviors of elementary school students in Ansan Area. J Korean Soc Food Sci Nutr 2015; 44(7): 1007-1015. https://doi.org/10.3746/jkfn.2015.44.7.1007
  28. Rayman MP. Selenium and human health. Lancet 2012; 379(9822): 1256-1268. https://doi.org/10.1016/S0140-6736(11)61452-9
  29. Ashraf U, Kanu AS, Mo Z, Hussain S, Anjum SA, Khan I, Abbas RN, Tang X. Lead toxicity in rice: effects, mechanisms, and mitigation strategies--a mini review. Environ Sci Pollut Res Int 2015; 22(23): 18318-18332. https://doi.org/10.1007/s11356-015-5463-x
  30. Kim JE, Shin JM, Ko JY, Ro YS. Hair mineral analysis in children with atopic dermatitis. Ann Dermatol 2017; 29(2): 251-253. https://doi.org/10.5021/ad.2017.29.2.251
  31. Kim HY, Lee JY, Yang HR. Nutrient intakes and hair mineral contents of young children. Pediatr Gastroenterol Hepatol Nutr 2016; 19(2): 123-129. https://doi.org/10.5223/pghn.2016.19.2.123

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