肥胖与墨西哥人群抑郁症状的相关性。
Association between obesity and depressive symptoms in Mexican population.
机构信息
Faculty of Science, VU Amsterdam University, De Boelelaan 1091, 1081 HV, Amsterdam, The Netherlands.
School of Natural Sciences, Autonomous University of Queretaro, Avenida de las Ciencias s/n, 76230, Querétaro, México.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2018 Jun;53(6):639-646. doi: 10.1007/s00127-018-1517-y. Epub 2018 Apr 19.
PURPOSE
Obesity and depression are among the leading causes of disability in Mexico, but their association has not been explored yet. The aim of the current study was to investigate the association between obesity and depression in Mexican population.
METHODS
We used data from the health and nutrition survey (ENSANUT 2012), which is representative of the Mexican population. Obesity was determined using the body mass index (BMI) and abdominal obesity by measuring waist circumference. Depressive symptoms were reported using the Center for Epidemiological Studies Depression Scale Short-Form (CES-D-SF, scale 0-21). Regression analyses were performed between obesity and depression, adjusting for gender, age, living with a partner, education, and diabetes history.
RESULTS
Obese women had 1.28 (95% CI 1.07-1.53) times the odds of having depression in comparison with normal-weight women, whereas no association was found for men (OR 0.94; 95% CI 0.74-1.19). A significant association between BMI and depressive symptoms score (β = 0.05, 95% CI 0.02-0.07) was present in women, but no association was found for men (β = - 0.02, 95% CI - 0.05 to 0.00). There was a statistically significant association between waist circumference and depression scores again for women (β = 0.03, 95% CI 0.01-0.04) but not for men (β = 0.00, 95% CI - 0.01 to 0.01). No associations were found between abdominal obesity and depression for both genders. No association was found between different obesity severity levels and depression for both genders.
CONCLUSION
Obesity was associated with depression in Mexican women, whereas no association was found between obesity and depression in men.
目的
肥胖和抑郁是墨西哥导致残疾的主要原因之一，但尚未探讨两者之间的关系。本研究旨在调查墨西哥人群中肥胖与抑郁之间的关联。
方法
我们使用了具有代表性的墨西哥人群健康和营养调查（ENSANUT 2012）的数据。使用体重指数（BMI）和腰围测量来确定肥胖和腹型肥胖。使用流行病学研究抑郁量表短式（CES-D-SF，量表 0-21）来报告抑郁症状。在调整了性别、年龄、与伴侣同住、教育程度和糖尿病病史后，对肥胖与抑郁之间进行回归分析。
结果
与正常体重女性相比，肥胖女性患抑郁的几率高 1.28 倍（95%CI 1.07-1.53），而男性则没有关联（OR 0.94；95%CI 0.74-1.19）。BMI 与女性抑郁症状评分之间存在显著相关性（β=0.05，95%CI 0.02-0.07），但男性则没有相关性（β=-0.02，95%CI -0.05 至 0.00）。腰围与女性抑郁评分之间也存在显著相关性（β=0.03，95%CI 0.01-0.04），但男性则没有相关性（β=0.00，95%CI -0.01 至 0.01）。对于两性，腹型肥胖与抑郁之间均无关联。对于两性，不同肥胖严重程度与抑郁之间也无关联。
结论
肥胖与墨西哥女性抑郁有关，而肥胖与男性抑郁之间则无关联。
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