腹围指数：预测抑郁/焦虑与肥胖关系的指标。
Abdominal volume index: a predictive measure in relationship between depression/anxiety and obesity.
机构信息
Department of Health, AJA University of medical sciences, Tehran, Iran.
Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Afr Health Sci. 2020 Mar;20(1):257-265. doi: 10.4314/ahs.v20i1.31.
BACKGROUND
Obesity is a risk factor for mood disorder (such as depression and anxiety). We aimed to assess application of A Body Shape Index (ABSI) and abdominal volume index (AVI), as new indices of obesity to evaluate the relationship between obesity and depression/anxiety.
METHODS
This cross sectional study was conducted on 307 overweight and obese women (249 females, 58 males) 20-60 years in Iran in 2017-2018. The anthropometric measures including weight, waist circumference, hip circumference, body fat and derived values of body mass index, waist-hip ratio, AVI and ABSI were evaluated. HADS questionnaire for depression and anxiety completed.
RESULTS
Prevalence of depression was 36.1% in women; men 24.1%; overweight 28.1%; obese 36.5 % and central obesity 33.7%. Anxiety was apparent in 27.1% of overweight 30.3 % obese and 29.6% central obesity. People with depression and anxiety had higher WC, BF and AVI. ABSI had no significant correlation with depression/anxiety. The odds of depression (1.06; 95% CI, 1.02-1.12) and anxiety (1.06; 95% CI, 1.01-1.11) were elevated with increase AVI.
CONCLUSION
Our results suggested that AVI as an indirect measure of abdominal obesity along with WC and BF could be useful in predicting the relationship between obesity and depression/anxiety.
背景
肥胖是心境障碍（如抑郁和焦虑）的一个危险因素。我们旨在评估身体形状指数（ABSI）和腹部容量指数（AVI）的应用，作为肥胖的新指标，以评估肥胖与抑郁/焦虑之间的关系。
方法
这是一项 2017-2018 年在伊朗进行的横断面研究，共纳入 307 名超重和肥胖女性（249 名女性，58 名男性），年龄在 20-60 岁之间。评估了体重、腰围、臀围、体脂肪和衍生的体重指数、腰臀比、AVI 和 ABSI 等人体测量指标。完成了 HADS 抑郁和焦虑问卷。
结果
女性的抑郁患病率为 36.1%；男性为 24.1%；超重者为 28.1%；肥胖者为 36.5%；中心性肥胖者为 33.7%。超重者中焦虑发生率为 27.1%，肥胖者为 30.3%，中心性肥胖者为 29.6%。患有抑郁和焦虑的人 WC、BF 和 AVI 较高。ABSI 与抑郁/焦虑无显著相关性。抑郁的几率（1.06；95%CI，1.02-1.12）和焦虑的几率（1.06；95%CI，1.01-1.11）随着 AVI 的增加而升高。
结论
我们的结果表明，AVI 作为一种间接测量腹部肥胖的方法，与 WC 和 BF 一起，可以用于预测肥胖与抑郁/焦虑之间的关系。
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