Medical Faculty, Collegium Medicum, Cardinal Stefan Wyszyński University in Warsaw, 01-938 Warsaw, Poland.
Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine-National Research Institute, Szaserów 128 St., 04-141 Warsaw, Poland.
Nutrients. 2024 Oct 4;16(19):3383. doi: 10.3390/nu16193383.
Due to similarities in their pathophysiology and common psychological background, depressive disorders and obesity often occur simultaneously. The treatment of obesity can reduce the symptoms of comorbid depression and, conversely, treating depression can improve weight reduction outcomes.
This review aimed to analyze the available literature on the subject of various methods of treating obesity and comorbid depression and to demonstrate the mutual correlation between the therapy of depressive disorders and the therapy of obesity.
The Pubmed and Cochrane databases were searched for original articles on the subject of simultaneous depression and obesity that had been published between 2014 and 2024, using the key words "depression", "depressive symptoms", "obesity", and "behavioral therapy".
The successful treatment of depression can help in treating obesity, especially in motivating patients to adjust their lifestyle by changing dietary habits and increasing their physical activity, which contribute to both changes in body mass index scores and reductions in depressive symptoms. Changes in self-perception, reduced daily stress, and dietary changes, as well as increased physical activity, contribute to both weight loss and the reduction of depressive symptoms. Depression and obesity should be treated as one two-dimensional disorder to achieve better long-term treatment results.
由于病理生理学的相似性和常见的心理背景,抑郁障碍和肥胖症经常同时发生。肥胖症的治疗可以减轻共病性抑郁的症状,反之,治疗抑郁可以改善减重的效果。
本综述旨在分析关于治疗肥胖症和共病性抑郁的各种方法的现有文献,并展示抑郁障碍治疗和肥胖症治疗之间的相互关系。
在 2014 年至 2024 年期间,使用“depression”(抑郁)、“depressive symptoms”(抑郁症状)、“obesity”(肥胖)和“behavioral therapy”(行为治疗)等关键词,在 Pubmed 和 Cochrane 数据库中搜索关于同时存在抑郁和肥胖的原始文章。
成功治疗抑郁有助于治疗肥胖症,尤其是通过改变饮食习惯和增加身体活动来激励患者调整生活方式,这有助于改变身体质量指数评分和减轻抑郁症状。自我认知的改变、日常压力的减轻、饮食的改变以及身体活动的增加,既有助于减轻体重,也有助于减轻抑郁症状。应将抑郁和肥胖视为一种二维障碍,以实现更好的长期治疗效果。