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11至13岁儿童的抑郁与体重指数、久坐行为以及不良饮食态度和行为之间的关联

Association of depression with Body Mass Index, sedentary behavior, and maladaptive eating attitudes and behaviors in 11 to 13-year old children.

作者信息

Anton S D, Newton R L, Sothern M, Martin C K, Stewart T M, Williamson D A

机构信息

Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA.

出版信息

Eat Weight Disord. 2006 Sep;11(3):e102-8. doi: 10.1007/BF03327566.

DOI:10.1007/BF03327566
PMID:17075232
Abstract

We examined the relation of different behavioral dimensions of depression with weight-related variables (BMI percentile, sedentary behavior, eating attitudes, and weight control behaviors) in children aged 11 to 13 years. Depression was assessed using the Children's Depression Inventory (CDI). Sedentary behavior was measured in 45 sixth grade students (23 boys and 22 girls) using a validated 24-hour recall instrument, the Self-Administered Physical Activity Checklist. BMI was calculated directly from measured height and weight (kg/m2). The Children's Eating Attitudes Test (ChEAT) was used to measure eating attitudes and weight control behaviors. There were not significant gender differences in reported minutes (142 vs. 91 minutes for boys vs. girls; p=0.25) of sedentary behavior (i.e., television watching and video game playing). The major finding of this study was that certain aspects of depression (i.e., interpersonal problems and feelings of ineffectiveness) were correlated with higher levels of sedentary behavior in children aged 11 to 13. A factor analysis of the study variables indicated that most dimensions of depression, sedentary behavior, and body size represent distinct but correlated behavioral dimensions. This study provides support for a link between specific aspects of depression (i.e., interpersonal problems and feelings of ineffectiveness) and sedentary behavior in children.

摘要

我们研究了11至13岁儿童抑郁的不同行为维度与体重相关变量(BMI百分位数、久坐行为、饮食态度和体重控制行为)之间的关系。使用儿童抑郁量表(CDI)评估抑郁情况。使用经过验证的24小时回忆工具——自我管理身体活动清单,对45名六年级学生(23名男孩和22名女孩)的久坐行为进行测量。BMI直接根据测量的身高和体重计算得出(kg/m²)。使用儿童饮食态度测试(ChEAT)来测量饮食态度和体重控制行为。在报告的久坐行为分钟数方面(即看电视和玩电子游戏,男孩为142分钟,女孩为91分钟;p = 0.25),不存在显著的性别差异。本研究的主要发现是,抑郁的某些方面(即人际关系问题和无效感)与11至13岁儿童较高水平的久坐行为相关。对研究变量的因子分析表明,抑郁、久坐行为和体型的大多数维度代表不同但相关的行为维度。本研究为抑郁的特定方面(即人际关系问题和无效感)与儿童久坐行为之间的联系提供了支持。

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