Violanti John M, Fekedulegn Desta, Andrew Michael E, Charles Luenda E, Hartley Tara A, Burchfiel Cecil M
Department of Social and Preventive Medicine, School of Public Health and Health Professions, State University of New York at Buffalo, USA.
Int J Emerg Ment Health. 2011;13(4):257-66.
Previous research suggests that adiposity is a health problem among police officers. Stress is also a concern in police work and can lead to depression. Although previous studies have demonstrated an association between obesity and depression, this has not been adequately addressed in the police population. MAeasures of adiposity (Body Mass Index [BM1], abdominal height, waist circumference) and depressive symptoms (Center for Epidemiologic Studies Depression [CES-D] scale) were obtained from a random sample of 115 officers in an urban police department. Ninety nine officers (61 men and 38 women) who had complete data and were not on anti-depressive medication were used. Linear regression analysis was conducted separately for men and women. Covariate adjustments were made for age, alcohol use, smoking, pack-years of smoking, marital status, and physical activity. Statistically significant positive trends were observed in multivariate adjusted mean (+/- SE) depression symptom scores across increasing tertiles of BMI (7.0 +/- 1.3, 5.1 +/- 1.2, 8.8 +/- 1.3, p = 0.012) and abdominal height (6.0 +/- 1.4, 5.5 +/- 1.3, 9.2 +/- 1.4, p = 0.048) for men officers. No significant associations were found between CES-D score and adiposity in women officers (p = 0.075 for BMI, p = 0.317 for abdominal height, p = 0.114 for waist circumference). Additional factors that might influence this association should be examined prospectively in future work to help clarify causal direction.
先前的研究表明，肥胖是警察群体中的一个健康问题。压力也是警务工作中令人担忧的因素，可能导致抑郁。尽管先前的研究已经证明肥胖与抑郁之间存在关联，但在警察群体中这一问题尚未得到充分研究。从一个城市警察部门的115名警察的随机样本中获取了肥胖指标（体重指数[BMI]、腹高、腰围）和抑郁症状（流行病学研究中心抑郁[CES-D]量表）。使用了99名有完整数据且未服用抗抑郁药物的警察（61名男性和38名女性）。分别对男性和女性进行了线性回归分析。对年龄、饮酒、吸烟、吸烟包年数、婚姻状况和身体活动进行了协变量调整。在男性警察中，随着BMI三分位数的增加（7.0±1.3、5.1±1.2、8.8±1.3，p = 0.012）和腹高的增加（6.0±1.4、5.5±1.3、9.2±1.4，p = 0.048），多变量调整后的平均（±SE）抑郁症状评分呈现出统计学上显著的正趋势。在女性警察中，未发现CES-D评分与肥胖之间存在显著关联（BMI的p = 0.075，腹高的p = 0.317，腰围的p = 0.114）。未来的工作中应前瞻性地研究可能影响这种关联的其他因素，以帮助阐明因果方向。
