Hajek André, Kretzler Benedikt, König Hans-Helmut
Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, 20246, Germany.
Diabetes Metab Syndr Obes. 2021 Jun 17;14:2765-2773. doi: 10.2147/DMSO.S313873. eCollection 2021.
Obesity is associated with adverse health outcomes and can result in feelings of loneliness or social isolation, for example due to stigmatization. These factors are in turn associated with morbidity and mortality. Thus far, a systematic review is lacking with regard to the association between obesity, social isolation and loneliness. Therefore, our aim was to fill this gap in knowledge.
Three established electronic databases (PubMed, PsycInfo, as well as CINAHL) were searched. Observational studies examining the link between obesity and loneliness or social isolation were included. Disease-specific samples were excluded.
In sum, six studies have been included. While some studies point to an association between obesity and increased loneliness levels, it should be acknowledged that findings are mixed. Study quality was quite high.
This systematic review showed that the literature is inconclusive and incomplete. Further research is required to shed further light on these associations. Moreover, studies from countries outside Europe, based on longitudinal data and using objective assessments of obesity, are urgently required. Gender differences should be further explored.
肥胖与不良健康后果相关,可能导致孤独感或社会隔离感,例如由于污名化。这些因素反过来又与发病率和死亡率相关。迄今为止,关于肥胖、社会隔离和孤独感之间的关联缺乏系统综述。因此,我们的目的是填补这一知识空白。
检索了三个知名电子数据库(PubMed、PsycInfo以及CINAHL)。纳入了检验肥胖与孤独感或社会隔离之间联系的观察性研究。排除了特定疾病样本。
总共纳入了六项研究。虽然一些研究指出肥胖与孤独感增加之间存在关联,但应该承认研究结果不一。研究质量相当高。
这项系统综述表明,文献尚无定论且不完整。需要进一步研究以更清楚地了解这些关联。此外,迫切需要来自欧洲以外国家的基于纵向数据并使用肥胖客观评估方法的研究。应进一步探索性别差异。