Erickson S J, Robinson T N, Haydel K F, Killen J D
Department of Psychology, Logan Hall, University of New Mexico, Albuquerque, NM 87131-1161, USA.
Arch Pediatr Adolesc Med. 2000 Sep;154(9):931-5. doi: 10.1001/archpedi.154.9.931.
It is commonly believed that overweight children are unhappy with their weight. However, population-based data addressing this association are lacking.
To evaluate the association between obesity and depressive symptoms in a diverse, school-based sample of preadolescent children, and to examine whether overweight concerns play a role in this association.
DESIGN, SETTING, AND PARTICIPANTS: Third-grade students (N = 868, mean age, 8.4 years) attending 13 public elementary schools in Northern California were measured for weight and height, and were asked to complete self-report assessments of depressive symptoms and overweight concerns.
A modest association between depressive symptoms and body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters) was found for girls (r = 0.14, P<.01), but not for boys (r = 0.01, P<.78). Among girls, depressive symptoms were strongly associated with overweight concerns (r = 0.32, P<.001). After controlling for level of overweight concerns, BMI was no longer significantly associated with depressive symptoms among girls. In contrast, after controlling for BMI, overweight concerns remained significantly associated with depressive symptoms.
This study provides cross-sectional evidence for a relationship between depressive symptoms and BMI in preadolescent girls, but not in preadolescent boys. This relationship seems to be explained by an excess of overweight concerns. Assessing overweight concerns may be a useful method to identify those overweight girls who are at highest risk for associated depressive symptoms.
人们普遍认为超重儿童对自己的体重不满意。然而，缺乏基于人群的关于这种关联的数据。
在一个多样化的、以学校为基础的青春期前儿童样本中评估肥胖与抑郁症状之间的关联，并检验超重担忧在这种关联中是否起作用。
设计、地点和参与者：对加利福尼亚北部13所公立小学的三年级学生（N = 868，平均年龄8.4岁）测量体重和身高，并要求他们完成抑郁症状和超重担忧的自我报告评估。
在女孩中发现抑郁症状与体重指数（BMI；计算方法为体重千克数除以身高米数的平方）之间存在适度关联（r = 0.14，P <.01），而在男孩中未发现（r = 0.01，P <.78）。在女孩中，抑郁症状与超重担忧密切相关（r = 0.32，P <.001）。在控制了超重担忧水平后，女孩中BMI与抑郁症状不再显著相关。相反，在控制了BMI后，超重担忧与抑郁症状仍显著相关。
本研究为青春期前女孩而非青春期前男孩的抑郁症状与BMI之间的关系提供了横断面证据。这种关系似乎可以用过度的超重担忧来解释。评估超重担忧可能是识别那些有相关抑郁症状最高风险的超重女孩的有用方法。
