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体重控制行为对性别与体重控制成功和抑郁的影响。

Weight control success and depression by gender with respect to weight control behaviors.

机构信息

Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.

Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

出版信息

Obes Res Clin Pract. 2019 Mar-Apr;13(2):168-175. doi: 10.1016/j.orcp.2018.11.245. Epub 2018 Dec 14.

Abstract

BACKGROUND/OBJECTIVE: There are many methods for weight loss and they vary among people. Some are yet to be proven as appropriate regarding its physical or mental side effect. The aim of this study was to investigate the relationship between weight control success and depression by weight control behaviors (WCB) dividing them into appropriate and inappropriate.

SUBJECTS/METHODS: We used data from the 2016 Korea National Health and Nutrition Examination Survey (KNHANES). A total of 4506 people were included in the study. The depression was measured by the 9-item Patient Health Questionnaire as a dependent variable. Using multiple regression analysis to determine the association between weight control success and depression with appropriate and inappropriate WCB, in men and women, separately.

RESULTS

We found that appropriate WCB was associated with decreased depression in women who had both success and fail (success: β=-0.16, S.E=0.50, p<.001; fail: β=-0.09, S.E=0.04, p=0.04), whereas inappropriate WCB increased depression in men regardless of success or failure at weight control (success: β=0.41, p=0.02; fail: β=0.22, p=0.02). Thus, women who are successful at weight control and use appropriate WCB are more likely to have a decrease in depressive symptoms. However, men are most affected by using inappropriate WCB and can have an increase in depressive symptoms as a result.

CONCLUSION

The findings have implications for encouraging the use of appropriate WCB for those attempting to control weight, especially in women.

摘要

背景/目的:有许多减肥方法,因人而异。有些方法在其身体或心理副作用方面尚未得到证实是合适的。本研究旨在通过将体重控制行为(WCB)分为适当和不适当的行为,来调查体重控制成功与抑郁之间的关系。

对象/方法:我们使用了 2016 年韩国国家健康和营养检查调查(KNHANES)的数据。共有 4506 人被纳入研究。抑郁程度采用 9 项患者健康问卷进行测量,作为因变量。采用多元回归分析,分别在男性和女性中,确定体重控制成功与抑郁与适当和不适当的 WCB 之间的关联。

结果

我们发现,在体重控制成功和失败的女性中,适当的 WCB 与抑郁程度降低有关(成功:β=-0.16,S.E=0.50,p<.001;失败:β=-0.09,S.E=0.04,p=0.04),而不适当的 WCB 增加了男性无论体重控制成功与否的抑郁程度(成功:β=0.41,p=0.02;失败:β=0.22,p=0.02)。因此,成功控制体重并使用适当的 WCB 的女性更有可能降低抑郁症状。然而,男性受不适当的 WCB 的影响最大,可能会导致抑郁症状增加。

结论

这些发现对鼓励那些试图控制体重的人使用适当的 WCB 具有重要意义,特别是对女性而言。

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