Bazargan-Hejazi Shahrzad, Alvarez Griselda, Teklehaimanot Senait, Nikakhtar Nehzat, Bazargan Mohsen
Department of Psychiatry, Charles Drew University of Medicine and Science, Los Angeles, CA 90059, USA.
Ethn Dis. 2010 Winter;20(1 Suppl 1):S1-107-15.
Literature documentation of the health consequences of obesity among adolescents continues to grow and includes the psychosocial consequences of obesity on this population.
The specific aim of this study was to identify prevalence of depression in adolescents, aged 12 to 17 years, and to identify the role of overweight as a risk factor for depression.
Secondary data analysis of the adolescent version of the 2005 California Health Interview Survey. Symptoms of depression were measured with a reduced version of the Center for Epidemiologic Studies Depression Scale. Weight status was determined using the Centers for Disease Control definitions and those recommended by the American Academy of Pediatrics.
The sample was nearly half male (50.6%). The majority of the adolescents in the sample were White (47.2%) followed by Latino (33.5%). Approximately 10% of the adolescents reported more than 10 depression symptoms. Based on BMI, 16.5% of the sample were at-risk of being overweight, and 14.7% were overweight. However, 24.4% of sample thought they were 'slightly overweight or very overweight. We did not find any statistically significant association between weight status and symptoms of depression, but at the bivariate level we did find a statistically significant association between perception of one's weight and depression, P < .001. We also found that sex (OR 3.10; CI 2.07-4.51), perceived health (OR 2.25; CI 1.53-3.31), smoking (OR 1.8; CI 1.30-2.69), and alcohol use (OR 2.06; CI 1.44-2.95) were independently associated with depression symptoms.
Even though we were unable to prove the proposed association, our findings are noteworthy given that the association between these variables are less clear in the literature. Future studies that attempt to examine the relationship between these two variables may benefit from longitudinal design, inclusion of multi-item risk and protective predictors, inclusion of social-context related variables, perceived weight, and family history of obesity.
关于青少年肥胖对健康影响的文献记录不断增加，其中包括肥胖对该人群的心理社会影响。
本研究的具体目的是确定12至17岁青少年中抑郁症的患病率，并确定超重作为抑郁症风险因素的作用。
对2005年加利福尼亚健康访谈调查青少年版进行二次数据分析。使用流行病学研究中心抑郁量表简化版测量抑郁症状。根据疾病控制中心的定义和美国儿科学会推荐的标准确定体重状况。
样本中近一半为男性（50.6%）。样本中的大多数青少年是白人（47.2%），其次是拉丁裔（33.5%）。约10%的青少年报告有超过10种抑郁症状。根据体重指数，16.5%的样本有超重风险，14.7%超重。然而，24.4%的样本认为自己“有点超重或非常超重”。我们未发现体重状况与抑郁症状之间存在任何统计学上的显著关联，但在双变量水平上，我们确实发现自我体重认知与抑郁之间存在统计学上的显著关联，P <.001。我们还发现性别（比值比3.10；可信区间2.07 - 4.51）、自我感知健康状况（比值比2.25；可信区间1.53 - 3.31）、吸烟（比值比1.8；可信区间1.30 - 2.69）和饮酒（比值比2.06；可信区间1.44 - 2.95）与抑郁症状独立相关。
尽管我们未能证明所提出的关联，但鉴于这些变量之间的关联在文献中不太明确，我们的研究结果值得关注。未来试图研究这两个变量之间关系的研究可能会受益于纵向设计、纳入多项目风险和保护预测因素、纳入与社会背景相关的变量、自我体重认知以及肥胖家族史。
