A prospective study of the role of depression in the development and persistence of adolescent obesity
A prospective study of the role of depression in the development and persistence of adolescent obesity
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DOI：
10.1542/peds.110.3.497
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发表时间：
2002-09-01
期刊：
影响因子：
8
通讯作者：
Whitaker, RC
中科院分区：
文献类型：
--
作者：
Goodman, E;Whitaker, RC
背景青少年肥胖是成人肥胖的一个强有力的预测因素，成人肥胖与抑郁症有关，特别是在女性中。研究还表明，青春期的抑郁症与成年后较高的体重指数（BMI）之间存在关联。究竟是抑郁导致肥胖还是肥胖导致抑郁尚不清楚。通过纵向分析确定抑郁情绪是否能预测肥胖的发生和持续。一项对9374名7至12年级青少年的前瞻性队列研究，这些青少年完成了国家青少年健康纵向研究的家庭访谈。在基线（1995年）和1年后随访时进行评估。采用流行病学研究中心抑郁量表评估抑郁情绪。BMI（kg/m2）是根据自我报告的身高和体重计算的。使用2000年疾病控制和预防中心的生长图表计算BMI指数和z评分。肥胖定义为BMI大于或等于第95百分位，超重定义为BMI大于或等于第85百分位，
Background. Adolescent obesity is a strong predictor of adult obesity, and adult obesity has been associated with depression, especially in women. Studies have also suggested an association between depression in adolescence and higher body mass index (BMI) in adulthood. Whether depression leads to obesity or obesity causes depression is unclear.Objective. To determine in longitudinal analyses whether depressed mood predicts the development and persistence of obesity in adolescents.Methods. A prospective cohort study of 9374 adolescents in grades 7 through 12 who completed in-home interviews for the National Longitudinal Study of Adolescent Health. Assessments were made at baseline (1995) and at follow-up 1 year later. Depressed mood was assessed with the Center for Epidemiologic Studies Depression Scale. BMI (kg/m(2)) was calculated from self-reported height and weight. BMI percentiles and z scores were computed using the 2000 Centers for Disease Control and Prevention growth charts. Obesity was defined as BMI greater than or equal to 95th percentile, overweight as BMI greater than or equal to 85th percentile and