Osmari Débie Garlet, Garcez Anderson, Dias-da-Costa Juvenal Soares, Olinto Maria Teresa Anselmo
Post-Graduate Program in Collective Health, University of Vale do Rio dos Sinos, UNISINOS, São Leopoldo, RS, Brazil.
Post-Graduate Program in Nutrition Sciences, Federal University of Health Science of Porto Alegre, UFCSPA, Porto Alegre, RS, Brazil.
Soc Psychiatry Psychiatr Epidemiol. 2024 Sep;59(9):1577-1585. doi: 10.1007/s00127-023-02530-z. Epub 2023 Jul 6.
The study aimed to investigate the relationship between obesity and common mental disorders (CMD) among women.
This is a cross-sectional population-based study with a representative sample of 981 adult women (20-60 years of age) living in the urban area of the municipality of São Leopoldo, RS, Brazil, in 2015. The presence of CMD was assessed using the Self-Reporting Questionnaire (SRQ-20 ≥ 8). Obesity was defined by body mass index (BMI ≥ 30.0 kg/m). Prevalence ratios (PRs) for the association between obesity and CMD were measured by Poisson regression with robust variance, including their respective 95% confidence intervals (CIs).
The mean age of the sample was 40.3 years (standard deviation = 11.4 years). The prevalence of CMD was 33.7% (95% CI 30.8-36.7), while obesity was 31.2% (95% CI 28.3-34.1). The occurrence of CMD was higher in women with low levels of education and belonging to lower economic class, as well as smokers and those who were insufficiently active. Obesity was more prevalent in older women (50-60 years old) with less schooling, who did not consume alcohol, and those who were insufficiently active. After adjusting for potential confounding factors, women with obesity were 22% more likely to have CMD when compared to those without obesity (PR = 1.22; 95% CI 1.02-1.45; p = 0.030).
This study demonstrated a significant association between obesity and the presence of CMD among women. Additionally, the prevalence of obesity and CMD were high in this population group.
本研究旨在调查女性肥胖与常见精神障碍（CMD）之间的关系。
这是一项基于人群的横断面研究，于2015年对居住在巴西南里奥格兰德州圣莱奥波尔多市市区的981名成年女性（20 - 60岁）进行了代表性抽样。使用自填问卷（SRQ - 20≥8）评估CMD的存在情况。肥胖定义为体重指数（BMI≥30.0kg/m²）。通过稳健方差的泊松回归测量肥胖与CMD之间关联的患病率比（PRs），包括各自的95%置信区间（CIs）。
样本的平均年龄为40.3岁（标准差 = 11.4岁）。CMD的患病率为33.7%（95%CI 30.8 - 36.7），而肥胖率为31.2%（95%CI 28.3 - 34.1）。教育程度低、属于较低经济阶层的女性，以及吸烟者和活动不足者中CMD的发生率较高。肥胖在受教育程度较低、不饮酒且活动不足的老年女性（50 - 60岁）中更为普遍。在调整潜在混杂因素后，与非肥胖女性相比，肥胖女性患CMD的可能性高22%（PR = 1.22；95%CI 1.02 - 1.45；p = 0.030）。
本研究表明女性肥胖与CMD的存在之间存在显著关联。此外，该人群中肥胖和CMD的患病率较高。
