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腰围与抑郁症之间的关联。

Associations between waist circumference and depressive disorders.

作者信息

Hach Isabel, Ruhl Uwe E, Klotsche Jens, Klose Michael, Jacobi Frank

机构信息

Public Health Association Saxony, Medical Faculty, Technical University of Dresden, FR Germany.

出版信息

J Affect Disord. 2006 Jun;92(2-3):305-8. doi: 10.1016/j.jad.2006.01.023. Epub 2006 Feb 28.

Abstract

BACKGROUND

Previous research has suggested that abdominal obesity and mental disorders are associated. This paper was initiated to investigate associations between unfavourable waist circumference (WC) and mental disorders in a representative sample of German adults.

METHODS

4181 individuals (aged 18-65 years) took part in a physical examination (including measurement of body weight and WC) and a structured psychological interview (M-CIDI) to evaluate mental disorders.

RESULTS

An unfavourable WC (males: 26.9%; females: 31.3%) was highly prevalent. However, unfavourable WC and mental disorders were not associated, neither with regard to the prevalence of any mental disorder nor regarding in particular depressive disorders. Moreover, even middle-aged depressive women that have often been assumed to be at high risk of increased visceral fat did not show more unfavourable WCs than their non-depressed, female counterparts.

LIMITATIONS

The main limitation is that the co-occurrence of mental disorders and obesity was recorded but not, if obesity was related to the onset of mental problems.

CONCLUSION

From an epidemiologic perspective, it is not possible to prove associations between WC and mental disorders. Patients with unfavourable waist circumferences do not show a higher prevalence of depressive disorders.

摘要

背景

先前的研究表明腹部肥胖与精神障碍有关联。本文旨在调查德国成年人代表性样本中不利腰围(WC)与精神障碍之间的关联。

方法

4181名年龄在18 - 65岁之间的个体参加了体检(包括体重和腰围测量)以及结构化心理访谈(M - CIDI)以评估精神障碍。

结果

不利腰围(男性:26.9%;女性:31.3%)非常普遍。然而,不利腰围与精神障碍并无关联,无论是在任何精神障碍的患病率方面,还是在特定的抑郁症方面。此外,即使是常被认为内脏脂肪增加风险较高的中年抑郁女性,其腰围也并不比未患抑郁症的女性更不利。

局限性

主要局限性在于记录了精神障碍与肥胖的共存情况,但未记录肥胖是否与精神问题的发病有关。

结论

从流行病学角度来看,无法证明腰围与精神障碍之间存在关联。腰围不利的患者抑郁症患病率并未更高。

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