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肥胖与焦虑症状:一项系统综述与荟萃分析

Obesity and anxiety symptoms: a systematic review and meta-analysis.

作者信息

Amiri Sohrab, Behnezhad Sepideh

机构信息

Urmia University, Urmia, Iran.

Department of Psychology, Kharazmi University, Tehran, Iran.

出版信息

Neuropsychiatr. 2019 Jun;33(2):72-89. doi: 10.1007/s40211-019-0302-9. Epub 2019 Feb 18.

Abstract

BACKGROUND

Obesity and anxiety are the two most common health problems and increased body mass index can be lead to anxiety.

OBJECTIVE

The aim of this meta-analysis was to investigate the frequency of anxiety symptoms in people who are obese/overweight.

METHODS

For this purpose the authors systematically searched keywords in the databases PubMed, Scopus, PsycINFO and Google scholar through August 2018. After a comprehensive review, 25 studies were included into the meta-analysis.

RESULTS

Results of the meta-analysis showed that the frequency of anxiety in obesity had a pooled odds ratio (OR) of 1.30 and a 95% confidence interval (CI) of 1.20-1.41 and in overweight had an OR of 1.10 and CI of 1.00-1.21. Comparison between obesity/overweight and normal weight showed high frequency of anxiety in obesity/overweight with respect to subgroups (sex, obesity and anxiety assessment, adjusted/unadjusted, anxiety duration and age). Evaluation of 25 studies included in the meta-analysis showed publication bias.

CONCLUSION

Overall, findings indicate anxiety occurs more frequently in obese/overweight people compared with normal weight people.

摘要

背景

肥胖和焦虑是两个最常见的健康问题,体重指数增加可能导致焦虑。

目的

本荟萃分析的目的是调查肥胖/超重人群中焦虑症状的发生率。

方法

为此,作者在截至2018年8月的PubMed、Scopus、PsycINFO和谷歌学术数据库中系统地搜索了关键词。经过全面审查,25项研究被纳入荟萃分析。

结果

荟萃分析结果显示,肥胖人群焦虑的合并比值比(OR)为1.30,95%置信区间(CI)为1.20 - 1.41;超重人群焦虑的OR为1.10,CI为1.00 - 1.21。肥胖/超重与正常体重之间的比较显示,肥胖/超重人群在亚组(性别、肥胖与焦虑评估、调整/未调整、焦虑持续时间和年龄)方面焦虑发生率较高。对纳入荟萃分析的25项研究的评估显示存在发表偏倚。

结论

总体而言,研究结果表明肥胖/超重人群比正常体重人群更易出现焦虑。

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