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超重、肥胖与心理健康之间的关联:一项针对欧洲 50 岁以上成年人的回顾性研究。

Associations between overweight, obesity, and mental health: a retrospective study among European adults aged 50.

机构信息

Institute of Social Medicine and Epidemiology, Medical University, Graz, Austria.

Division of Physiology and Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology and Inflammation, Medical University, Graz, Austria.

出版信息

Front Public Health. 2023 Jul 18;11:1206283. doi: 10.3389/fpubh.2023.1206283. eCollection 2023.

Abstract

BACKGROUND

The comorbidities associated with overweight and obesity have been well researched and scientifically proven while their relationship to mental health is still not verified.

METHODS

This study is aimed at investigating reciprocal associations between obesity and mental health, and is intended to further analyze possible long-term effects using data from the Survey of Health, Ageing and Retirement in Europe (SHARE). In order to do that, waves 4 and 8, conducted in 2010 and 2019/20 of this survey, were analyzed in a cross-lagged panel approach including 16,184 adult Europeans (50+) using multiple linear regression analysis focusing on the Body Mass Index (BMI), depression status and quality of life (QoL).

RESULTS

Findings yield significant cross-lagged effects in one direction regarding BMI predicting QoL and depression state, whereas depression state and QoL do not significantly predict BMI. Findings include people living with obesity, overweight, and underweight showing significantly decreased levels of QoL as well as increased depression scores compared to people of normal weight over a lag time of 10 years, where people living with obesity indicate the strongest effect.

CONCLUSIONS

However, results do not confirm reciprocal associations in the long term. Hence, there is a strong need to carry out further research on this issue.

摘要

背景

超重和肥胖相关的合并症已经得到了充分的研究和科学验证,而它们与心理健康的关系尚未得到证实。

方法

本研究旨在调查肥胖与心理健康之间的相互关联,并拟利用欧洲健康、老龄化和退休调查(SHARE)的数据进一步分析可能存在的长期影响。为此,采用交叉滞后面板方法对该调查的 2010 年和 2019/20 年的第 4 波和第 8 波数据进行了分析,共纳入了 16184 名 50 岁以上的欧洲成年人,使用多元线性回归分析重点关注体重指数(BMI)、抑郁状况和生活质量(QoL)。

结果

研究结果显示,BMI 对 QoL 和抑郁状态具有显著的单向交叉滞后效应,而抑郁状态和 QoL 对 BMI 没有显著的预测作用。研究结果表明,与体重正常的人相比,肥胖、超重和体重不足的人在 10 年的滞后时间内,生活质量明显下降,抑郁评分明显升高,其中肥胖人群的影响最大。

结论

然而,研究结果并未在长期内证实相互关联。因此,需要进一步研究这一问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa3/10390701/b560415b5da8/fpubh-11-1206283-g001.jpg

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