Division of Chronic Disease Epidemiology, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland.
Division of Chronic Disease Epidemiology, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland.
J Affect Disord. 2020 Sep 1;274:929-934. doi: 10.1016/j.jad.2020.05.130. Epub 2020 May 26.
Despite evidence suggesting that perceptual body image measurements are strongly associated with depression, few studies examined the association between perceptual body image and depression in adults. This study aimed to investigate the association of different measures of perceptual body image measurements with depression.
We analyzed data of 22,735 adults participating in the National Health and Nutrition Examination Survey between 2005 and 2016. Depression was ascertained using the validated Patient Health Questionnaire (PHQ-9) and depression was defined as PHQ score ≥10. The associations of measured body mass index (BMI) and body image (i.e., self-reported BMI, BMI discordance, perceived weight, and desired weight) with depression were assessed using logistic regression.
Women perceiving themselves as overweight or reporting their BMI as obese had significantly higher odds of depression (odds ratio [OR] 1.48, 95% confidence interval [CI] 1.17-1.72 and 1.29, 1.04-1.60, respectively) compared to women perceiving themselves as about the right weight or reporting their BMI as normal. The association between perceived overweight and depression was independent of measured BMI (OR 1.37, 95% CI 1.09-1.72). Men perceiving themselves as underweight had higher odds of depression (OR 1.50, 95% CI 1.06-2.11) than men perceiving themselves as about the right weight. In women, but not in men, measured obesity was associated with higher odds of depression.
The study's cross-sectional design and missing information on comorbidities.
Weight perception (in women and men), measured BMI and BMI discordance in women are associated with depression..
尽管有证据表明知觉体像测量与抑郁密切相关，但很少有研究调查成人知觉体像与抑郁之间的关系。本研究旨在探讨不同知觉体像测量指标与抑郁的关系。
我们分析了 2005 年至 2016 年间参加国家健康和营养调查的 22735 名成年人的数据。使用经过验证的患者健康问卷（PHQ-9）确定抑郁，PHQ 得分≥10 定义为抑郁。使用逻辑回归评估测量体重指数（BMI）和体像（即自我报告 BMI、BMI 不一致、感知体重和期望体重）与抑郁的关系。
与自我感觉体重正常或报告 BMI 正常的女性相比，自我感觉超重或报告 BMI 肥胖的女性患抑郁的几率明显更高（比值比 [OR] 1.48，95%置信区间 [CI] 1.17-1.72 和 1.29，1.04-1.60）。感知超重与抑郁的关系独立于测量 BMI（OR 1.37，95% CI 1.09-1.72）。与自我感觉体重正常的男性相比，自我感觉体重过轻的男性患抑郁的几率更高（OR 1.50，95% CI 1.06-2.11）。在女性中，但不在男性中，测量肥胖与更高的抑郁几率相关。
该研究为横断面设计，且存在共病信息缺失。
体重感知（在男性和女性中）、女性的测量 BMI 和 BMI 不一致与抑郁有关。
