CAJ | 학술논문

目的：了解医学院在校女大学生不良体重控制行为及其影响因素。方法2013年4月5至16日，采用整群随机抽样，以宿舍为单位抽取济宁医学院女生798名，进行自填式匿名问卷调查，对控制体重的认识和减体重意愿及行为进行调查。结果4.0%（29/728）的对象超重，1.2%（9/728）的对象肥胖。27.2%体重正常者认为自己超重或肥胖；体重过轻者中54.5%认为自己体重正常，4.1%认为太重。有减体重经历的614人中，采用的不良体重控制方法主要有：不吃主食（17.3%）、喝减肥茶（16.1%）、禁食（12.9%）、吃减肥药品（8.6%）、诱导腹泻（5.4%）、诱导呕吐（2.0%）、灌肠（1.5%）等。不良体重控制行为报告率为29.0%（211/728）。有不良体重控制行为的对象乏力（c2=19.681，P=0.000）、精力不集中（c2=12.031，P=0.001）、头晕（c2=5.461，P=0.019）、月经不调（c2=24.628，P=0.000）、厌食（c2=32.008，P=0.000）、失眠（c2=11.021，P=0.001）和焦虑（c2=14.402，P=0.000）等不良症状的出现率均高于无不良体重控制行为者。多因素logistic回归分析结果提示：高年级（OR=2.041，95%CI为1.336~3.111）、家庭人均月收入>3000元（OR=1.758，95%CI为1.183~2.611）、减体重意向（OR=6.756，95%CI为1.541~29.626）、减重耽误学习也要继续（OR=1.594，95%CI为1.078~2.359）、减重过程出现不舒服也要坚持（OR=2.008，95%CI为1.245~3.238）、瘦身目的是体型美（OR=1.786，95%CI为1.095~2.913）和时尚（OR=3.169，95%CI为1.545~6.498）等因素与不良体重控制行为有关。用餐时间长（OR=0.556，95%CI为0.341~0.907）和偏好清淡饮食者（OR=0.593，95%CI为0.406~0.865）不良体重控制行为率低。结论部分女大学生对体型缺乏正确认识，且不良体重控制行为已危害健康。
목적：료해의학원재교녀대학생불량체중공제행위급기영향인소。방법2013년4월5지16일，채용정군수궤추양，이숙사위단위추취제저의학원녀생798명，진행자전식닉명문권조사，대공제체중적인식화감체중의원급행위진행조사。결과4.0%（29/728）적대상초중，1.2%（9/728）적대상비반。27.2%체중정상자인위자기초중혹비반；체중과경자중54.5%인위자기체중정상，4.1%인위태중。유감체중경력적614인중，채용적불량체중공제방법주요유：불흘주식（17.3%）、갈감비다（16.1%）、금식（12.9%）、흘감비약품（8.6%）、유도복사（5.4%）、유도구토（2.0%）、관장（1.5%）등。불량체중공제행위보고솔위29.0%（211/728）。유불량체중공제행위적대상핍력（c2=19.681，P=0.000）、정력불집중（c2=12.031，P=0.001）、두훈（c2=5.461，P=0.019）、월경불조（c2=24.628，P=0.000）、염식（c2=32.008，P=0.000）、실면（c2=11.021，P=0.001）화초필（c2=14.402，P=0.000）등불량증상적출현솔균고우무불량체중공제행위자。다인소logistic회귀분석결과제시：고년급（OR=2.041，95%CI위1.336~3.111）、가정인균월수입>3000원（OR=1.758，95%CI위1.183~2.611）、감체중의향（OR=6.756，95%CI위1.541~29.626）、감중탐오학습야요계속（OR=1.594，95%CI위1.078~2.359）、감중과정출현불서복야요견지（OR=2.008，95%CI위1.245~3.238）、수신목적시체형미（OR=1.786，95%CI위1.095~2.913）화시상（OR=3.169，95%CI위1.545~6.498）등인소여불량체중공제행위유관。용찬시간장（OR=0.556，95%CI위0.341~0.907）화편호청담음식자（OR=0.593，95%CI위0.406~0.865）불량체중공제행위솔저。결론부분녀대학생대체형결핍정학인식，차불량체중공제행위이위해건강。
Objective This paper aims to describe the prevalence of unhealthy weight control behaviors and its related factors amongst female medical college students. Method Questionnaire surveys were conducted among a total of 798 medical students recruited by cluster random sampling in Jining Medical College from April 5 to 16, 2013. Result A total of 728 valid questionnaires were collected; 29 participants (4.0%) were overweight and 9 participants (1.2%) were obese; 250 participants (34.3%) were losing weight. Among participants who had experience of losing weight, unhealthy weight control methods mainly included not eating staple food (17.3%), drinking diet tea (16.1%), fasting (12.9%), taking diet drug (8.6%), inducing diarrhea (5.4%), inducing vomiting (2.0%), enema (1.5%), etc.; 29.0% (211/728) of participants had unhealthy weight control behaviors. The rates of being weak (c2=19.681, P=0.000), failure to concentrate (c2=12.031, P=0.001), dizziness (c2=5.461, P=0.019), irregular menstruation (c2=24.628, P=0.000), anorexia (c2=32.008, P=0.000), insomnia (c2=11.021, P=0.001) and anxiety (c2=14.402, P=0.000) among participants who had unhealthy weight-control behaviors were higher than those of participants without unhealthy weight?control behaviors. Multinomial logistic regression indicated that the factors associated with unhealthy weight control behaviors were senior class (OR=2.041;95%CI:1.336-3.111), high average family income (OR=1.758;95%CI:1.183-2.611), weight loss intention (OR=6.756;95%CI:1.541-29.626),not hesitating to delay learning (OR=1.594;95%CI:1.078-2.359),insisting on weight loss process regardless of discomfort (OR=2.008;95%CI:1.245-3.238), slimming purpose (body beauty) (OR=1.786;95% CI: 1.095-2.913), and slimming purpose (fashion) (OR=3.169; 95%CI: 1.545-6.498). Subjects with longer dinner time (OR=0.556; 95% CI: 0.341-0.907) and preferring light diet (OR=0.593; 95% CI: 0.406-0.865) had lower rate of unhealthy weight control behaviors. Conclusion Part of female college students are lacking proper understanding of self body shape and unhealthy weight control behaviors and had done harm to their health.