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2005 - 2010年美国成年家庭人口中的抑郁症与肥胖症

Depression and obesity in the U.S. adult household population, 2005-2010.

作者信息

Pratt Laura A, Brody Debra J

出版信息

NCHS Data Brief. 2014 Oct(167):1-8.

Abstract

Forty-three percent of adults with depression were obese as compared with 33% of adults without depression. Women with depression were more likely to be obese than women without depression. The relationship was consistent across all age groups among women and was also seen in men aged 60 and over. Non-Hispanic white women with depression were more likely to be obese than non-Hispanic white women without depression. This relationship was not seen in non-Hispanic black or Hispanic women or among men of any racial or ethnic background. As the severity of depression increased, the percentage of all adults and of women with obesity increased as well. Both moderate to severe depressive symptoms and antidepressant use were associated with increased obesity. Moderate to severe depressive symptoms were associated with a higher rate of obesity both in persons who were taking antidepressant medication and those who were not, and antidepressant use was associated with a higher rate of obesity in persons with moderate to severe depressive symptoms and those with mild or no depressive symptoms. Of the four categories, the highest prevalence of obesity (54.6%) was found in persons who had moderate or severe depressive symptoms and took antidepressant medication. In this study, it is not clear whether depression or obesity occurred first because they were both measured at the same time. Other studies have shown a bidirectional relationship, meaning obesity increases risk of depression and depression increases risk of obesity . Knowledge of these risks may help general medical practitioners and mental health professionals plan prevention and treatment.

摘要

患有抑郁症的成年人中有43%肥胖,而无抑郁症的成年人中这一比例为33%。患有抑郁症的女性比未患抑郁症的女性更易肥胖。这种关系在所有年龄段的女性中都一致,在60岁及以上的男性中也可见。患有抑郁症的非西班牙裔白人女性比未患抑郁症的非西班牙裔白人女性更易肥胖。这种关系在非西班牙裔黑人或西班牙裔女性中以及任何种族或族裔背景的男性中均未见到。随着抑郁症严重程度增加,所有成年人及肥胖女性的比例也增加。中度至重度抑郁症状及使用抗抑郁药均与肥胖增加有关。中度至重度抑郁症状在服用抗抑郁药的人和未服用抗抑郁药的人中均与较高的肥胖率相关,而使用抗抑郁药在有中度至重度抑郁症状的人和有轻度或无抑郁症状的人中均与较高的肥胖率相关。在这四类人群中,肥胖患病率最高(54.6%)的是有中度或重度抑郁症状且服用抗抑郁药的人。在本研究中,尚不清楚是抑郁症还是肥胖先出现,因为二者是同时测量的。其他研究显示存在双向关系,即肥胖增加患抑郁症风险,抑郁症增加肥胖风险。了解这些风险可能有助于普通医生和心理健康专业人员制定预防和治疗方案。

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