Benson Levi P, Williams Ronald J, Novick Marsha B
Vanderbilt University Medical Center, Nashville, TN, USA.
Clin Pediatr (Phila). 2013 Jan;52(1):24-9. doi: 10.1177/0009922812459949. Epub 2012 Oct 3.
Depression and obesity are important in children because they affect health in childhood and later life. The exact relationship between obesity and depression, especially in children, remains undefined.
Using a cross-sectional chart review design, our study looked at a weight management clinic-based sample of 117 obese children, 7 to 17 years old, to determine the relationship between absolute BMI and depression as measured by the Children's Depression Index (CDI) while accounting for confounders, such as the child's medical problems, physical activity, and family structure.
There was no correlation between depression as measured by the CDI and increasing BMI in obese children seeking weight management. However, we did demonstrate a positive correlation between depression and paternal absence and daily television/computer/video game time.
Clinicians should encourage decreasing screen time and might consider family therapy for obese children in families that lack paternal involvement.
抑郁症和肥胖症在儿童中很重要,因为它们会影响儿童期及以后的健康。肥胖与抑郁症之间的确切关系,尤其是在儿童中,仍不明确。
采用横断面图表回顾设计,我们的研究观察了一家体重管理诊所中117名7至17岁肥胖儿童的样本,以确定绝对体重指数(BMI)与通过儿童抑郁量表(CDI)测量的抑郁症之间的关系,同时考虑混杂因素,如儿童的健康问题、身体活动和家庭结构。
在寻求体重管理的肥胖儿童中,CDI测量的抑郁症与BMI增加之间没有相关性。然而,我们确实证明了抑郁症与父亲缺席以及每日看电视/玩电脑/玩电子游戏时间之间存在正相关。
临床医生应鼓励减少屏幕时间,并可能考虑对父亲参与度低的家庭中的肥胖儿童进行家庭治疗。