Trainee - Royal Australian and New Zealand College of Psychiatrists, South Eastern Sydney Local Health District, Randwick, Australia.
The University of Sydney Discipline of Child and Adolescent Health, Westmead, NSW, Australia.
Australas Psychiatry. 2021 Oct;29(5):508-512. doi: 10.1177/10398562211009250. Epub 2021 May 16.
To investigate associations between measured and perceived weight, and symptoms of depression in rural Australian adolescents.
At baseline a prospective rural adolescent cohort study collected demographic data, measured weight and height, weight self-perception, and presence of depression (Short Mood and Feelings Questionnaire). Using World Health Organisation's (WHO) age and gender body mass index (BMI) standardisations, participants were classified into four perceptual groups: PG1 healthy/perceived healthy; PG2 overweight/perceived overweight; PG3 healthy/perceived overweight; and PG4 overweight/perceived healthy. Logistic regression analyses explored relationships between these groups and symptoms of depression.
Data on adolescents ( = 339) aged 9-14. PG1 contained 63% of participants, PG2 18%, PG3 4% and PG4 14%. Across the cohort, 32% were overweight and 13% had symptoms of depression. PG2 (overweight/perceived overweight) were more likely to experience symptoms of depression than PG1 (healthy/perceived healthy; Adjusted Odds Ratio [AOR] 3.1, 95% CI 1.5-6.7). Females in PG3 (healthy/perceived overweight) were more likely to experience symptoms of depression (38%) than males (14%) and females in PG1 (10%, AOR 5.4, 95% CI 1.1-28.2).
Results suggest that perceptions of being overweight may be a greater predictor for symptoms of depression than actual weight. This has public health implications for youth mental health screening and illness prevention.
调查在澳大利亚农村青少年中，实际体重和自我感知体重与抑郁症状之间的关系。
在基线时，一项前瞻性农村青少年队列研究收集了人口统计学数据、测量体重和身高、体重自我感知以及抑郁症状（短情绪和感觉问卷）。使用世界卫生组织（WHO）的年龄和性别体重指数（BMI）标准，参与者被分为四个感知组：PG1 健康/自我感知健康；PG2 超重/自我感知超重；PG3 健康/自我感知超重；PG4 超重/自我感知健康。逻辑回归分析探讨了这些组与抑郁症状之间的关系。
数据来自于 9-14 岁的青少年（n=339）。PG1 组包含 63%的参与者，PG2 组 18%，PG3 组 4%，PG4 组 14%。在整个队列中，32%的人超重，13%的人有抑郁症状。PG2（超重/自我感知超重）比 PG1（健康/自我感知健康）更有可能出现抑郁症状（调整后的优势比[OR]3.1，95%置信区间[CI]1.5-6.7）。PG3 组（健康/自我感知超重）的女性（38%）比男性（14%）和 PG1 组的女性（10%）更有可能出现抑郁症状（调整后的优势比[OR]5.4，95%置信区间[CI]1.1-28.2）。
结果表明，自我感知超重可能比实际体重更能预测抑郁症状。这对青少年心理健康筛查和疾病预防具有公共卫生意义。
