Examining the association between depression and obesity during a weight management programme
Examining the association between depression and obesity during a weight management programme
复制标题
DOI：
10.1111/cob.12208
复制
发表时间：
2017-12-01
期刊：
影响因子：
3.3
通讯作者：
Caterson, I. D.
中科院分区：
文献类型：
--
作者：
Fuller, N. R.;Burns, J.;Caterson, I. D.
据报道，肥胖症患者的抑郁症患病率高达正常体重个体的两倍。肥胖和抑郁症之间可能存在双向关系。一些研究表明，抑郁症会导致体重增加和肥胖，其他研究表明，肥胖者更有可能在后期发展为抑郁症。这项研究的目的是调查抑郁症状与体重变化之间的关系，为期12个月。70名参与者进行了为期3个月的生活方式（饮食和运动）减肥干预，并作为12个月研究的一部分进行了随访。参与者完成了贝克抑郁量表-II（BDI-II），并在整个研究过程中测量了他们的体重。参与者的基线体重指数（BMI）（平均值+/-标准差[SD]）为31.1 +/- 3.9 kg m（-2），体重为89.4 +/- 16.1 kg，年龄为45.4 +/- 11.1岁; 63%的队列为女性。从基线至3个月的平均体重变化为-5.2%（+/- SD 4.3%），从基线至12个月的平均体重变化为-4.2%（+/- SD 6.1%）。在12个月的研究中，BDI-II评分显著降低，BDI-II评分降低1个单位与体重进一步降低-0.4%相关。目前的研究表明，体重减轻与肥胖的非临床抑郁个体的情绪改善有关，这些改善在3-12个月的随访期间持续存在。
The prevalence of depression in those with obesity is reported to be as high as double that in individuals of normal weight. There is potentially a bi-directional relationship between obesity and depression. Some research has suggested that depression results in weight gain and obesity, and other studies have suggested that those with obesity are more likely to develop depression at a later stage. The aim of this study was to investigate the association of depression symptoms with weight change over a 12-month study. Seventy participants undertook a 3-month lifestyle (diet and exercise) weight loss intervention, and were followed up as part of a 12-month study. Participants completed the Beck Depression Inventory-II (BDI-II) and had their body weight measured throughout the study. Baseline body mass index (BMI) of participants (mean +/- standard deviation [SD]) was 31.1 +/- 3.9 kg m(-2), body weight was 89.4 +/- 16.1 kg, and age was 45.4 +/- 11.1 years; 63% of the cohort were female. The mean weight change from baseline to 3 months was -5.2% (+/- SD 4.3%), and from baseline to 12 months was -4.2% (+/- SD 6.1%). There was a significant decrease in BDI-II scores over the 12-month study, and a 1-unit decrease in BDI-II score was associated with a further decrease in body weight of -0.4%. The current study indicated that weight loss was associated with improvements in mood for non-clinically depressed individuals with obesity, and these improvements persisted during a period of 3-12 months of follow-up.