Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; U.S. Department of Veterans Affairs New England Mental Illness Research and Education Clinical Center (MIRECC), West Haven, CT, USA.
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Department of Neuroscience and Child Study Center, Yale University School of Medicine, New Haven, CT, USA; National Center on Addiction and Substance Abuse, Yale University School of Medicine, New Haven, CT, USA; Connecticut Mental Health Center, New Haven, CT, USA; Center of Excellence in Gambling Research, Yale Program for Research on Impulsivity and Impulse Control Disorders, Yale University School of Medicine, New Haven, CT, USA.
J Psychiatr Res. 2018 Aug;103:112-119. doi: 10.1016/j.jpsychires.2018.05.016. Epub 2018 May 22.
In this study, we provide an updated estimate of the prevalence of obesity in U.S. military veterans, and evaluate a broad range of sociodemographic, military, physical and mental health, and lifestyle characteristics associated with obesity in this population. Data were analyzed from a nationally representative sample of 3122 U.S. veterans who participated in the National Health and Resilience in Veterans Study (NHRVS). Associations between obesity status, and physical and mental health, and lifestyle variables were evaluated using multivariate logistic regression and linear regression analyses. Results revealed that 32.7% of U.S. veterans are obese, which is higher than the previously reported estimates for U.S. military veterans nationally, and was particularly high among younger and non-white veterans and those using the Veterans Heath Administration (VHA) healthcare system. Obesity was associated with greater trauma burden; elevated rates of a broad range of health conditions such as diabetes, arthritis, and heart disease, PTSD, nicotine dependence; poor physical and mental functioning and quality of life, and decreased engagement in an active lifestyle. Taken together, these results suggest that the prevalence of obesity is high in U.S. veterans and associated with substantial health burden. Results have implications for informing obesity prevention and treatment programs in veterans, and underscore the importance of assessing, monitoring, and treating obesity in this population.
在这项研究中，我们提供了美国退伍军人肥胖患病率的最新估计，并评估了与该人群肥胖相关的广泛社会人口学、军事、身体和心理健康以及生活方式特征。数据分析来自参与国家健康和退伍军人复原力研究（NHRVS）的 3122 名美国退伍军人的全国代表性样本。使用多变量逻辑回归和线性回归分析评估肥胖状况与身心健康和生活方式变量之间的关联。结果表明，32.7%的美国退伍军人肥胖，高于之前全国性报告的美国军事退伍军人的估计值，在年轻和非白人和使用退伍军人健康管理局（VHA）医疗保健系统的退伍军人中尤其高。肥胖与更大的创伤负担相关；患有多种健康状况的比例较高，如糖尿病、关节炎和心脏病、创伤后应激障碍、尼古丁依赖；身体和心理健康功能差，生活质量下降，积极生活方式的参与度降低。总之，这些结果表明，美国退伍军人的肥胖患病率很高，并与大量健康负担相关。研究结果对为退伍军人提供肥胖预防和治疗方案具有启示意义，并强调了在该人群中评估、监测和治疗肥胖的重要性。
