Görres Charlyn, Hoßbach Jana, Pabst Alexander, Luppa Melanie, Stein Janine, Welzel Franziska D, Jung Franziska U, Hussenoeder Felix S, Engel Christoph, Kirsten Toralf, Reyes Nigar, Wirkner Kerstin, Riedel-Heller Steffi G, Löbner Margrit
Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig, Leipzig, Deutschland.
Institut für Medizinische Informatik, Statistik und Epidemiologie, Universität Leipzig, Leipzig, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2024 Oct;67(10):1121-1130. doi: 10.1007/s00103-024-03940-3. Epub 2024 Aug 27.
Population-based studies on the relationship between social isolation and obesity, which also include younger adults, are still lacking in Germany. The aim of this study is to investigate the prevalence of social isolation in people with and without obesity. In addition, socially isolated people with and without obesity are examined with regard to socio-demographic and socio-economic factors as well as with regard to depressive symptoms.
This study was based on baseline data from the LIFE Adult Study (18-79 years) from the 2011-2014 study period. The sample comprised n = 8350 participants. In addition to socio-demographic characteristics and socio-economic status (SES), data on social isolation (LSNS-6), depression (ADS), and body mass index (BMI) were collected. Evaluations were carried out using inferential statistical analyses.
Overall, 13.1% of the total sample were affected by social isolation. Participants with obesity (20.4%) had a significantly (p < 0.001) higher prevalence compared to those without obesity (11.4%). A better social integration was significantly associated with younger age (p < 0.001), female sex (p < 0.001), being married (and cohabiting) (p < 0.001), higher socioeconomic status (p < 0.001), and lower depressive symptoms (p < 0.001).
A higher BMI was not associated per se with poorer social integration. However, the present study showed that socially isolated people with obesity represent a special risk group for impaired mental health and had twice the prevalence of social isolation compared to those without obesity.
在德国，针对社会隔离与肥胖之间关系（涵盖年轻成年人）的基于人群的研究仍然匮乏。本研究旨在调查肥胖人群与非肥胖人群中社会隔离的患病率。此外，还对有无肥胖的社会隔离人群在社会人口统计学和社会经济因素以及抑郁症状方面进行了研究。
本研究基于2011 - 2014年研究期间LIFE成人研究（18 - 79岁）的基线数据。样本包括n = 8350名参与者。除了社会人口统计学特征和社会经济地位（SES）外，还收集了关于社会隔离（LSNS - 6）、抑郁（ADS）和体重指数（BMI）的数据。使用推断性统计分析进行评估。
总体而言，总样本中有13.1%受到社会隔离影响。肥胖参与者（20.4%）的患病率显著高于非肥胖参与者（11.4%）（p < 0.001）。更好的社会融合与较年轻的年龄（p < 0.001）、女性（p < 0.001）、已婚（或同居）（p < 0.001）、较高的社会经济地位（p < 0.001）以及较低的抑郁症状（p < 0.001）显著相关。
较高的BMI本身与较差的社会融合并无关联。然而，本研究表明，有肥胖问题的社会隔离人群是心理健康受损的特殊风险群体，其社会隔离患病率是无肥胖者的两倍。
