Longitudinal associations between depressive symptoms and body mass index in a 20-year follow-up
Longitudinal associations between depressive symptoms and body mass index in a 20-year follow-up
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DOI：
10.1038/ijo.2013.151
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发表时间：
2014-05-01
影响因子：
4.9
通讯作者：
Marttunen, M.
中科院分区：
文献类型：
--
作者：
Konttinen, H.;Kiviruusu, O.;Marttunen, M.
目的：纵向研究很少同时调查肥胖的抑郁症状和指标的变化，尽管经常有人提出抑郁与肥胖之间的正向关系是双向的。本研究对抑郁症状与体重指数(BMI)之间的相互关系进行了为期20年的跟踪调查。方法：1989年芬兰一项队列研究的参与者在22岁(N=1656)时接受了邮寄问卷调查，年龄分别为32岁(N=1262)和42岁(N=1155)。BMI是在自我报告的体重和身高的基础上计算的，抑郁症状使用Beck抑郁问卷的简写形式进行评估。采用潜在增长模型和交叉滞后自回归模型来确定抑郁症状与体重指数之间的前瞻性关联。结果：潜伏期增长模型分析表明，抑郁症状初始水平越高的男性，体重指数的增长速度越快(beta=0.20，P
OBJECTIVE: Longitudinal studies have rarely investigated changes in depressive symptoms and indicators of obesity simultaneously, although it is often proposed that the positive relationship between depression and obesity is bidirectional. The present study examined the reciprocal nature of the relationship between depressive symptoms and body mass index (BMI) in a 20-year follow-up survey.METHODS: Participants of a Finnish cohort study in 1989 at 22 years (N= 1656) were followed up at ages 32 (N = 1262) and 42 (N = 1155) with postal questionnaires. BMI was calculated on the basis of self-reported weight and height, and depressive symptoms were assessed using the short form of the Beck Depression Inventory. Latent growth models (LGM) and cross-lagged autoregressive models were used to determine prospective associations between depressive symptoms and BMI.RESULTS: LGM analyses indicated that men with higher initial levels of depressive symptoms experienced a faster rate of increase in BMI (beta =0.20, P