Depressive mood and obesity in US adults: comparison and moderation by sex, age, and race
Depressive mood and obesity in US adults: comparison and moderation by sex, age, and race
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DOI：
10.1038/sj.ijo.0803122
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发表时间：
2006-03-01
影响因子：
4.9
通讯作者：
Faith, MS
中科院分区：
文献类型：
--
作者：
Heo, M;Pietrobelli, A;Faith, MS
目的：持续性抑郁情绪是重性抑郁障碍的一个门户症状。本文探讨了抑郁情绪和肥胖之间的关联是否不同的功能，性别，年龄和种族在美国成年人的婚姻状况，就业状况，收入水平和教育level.Methods的社会经济变量控制后：共有44 800名全国代表性的受访者从2001年的行为危险因素监测调查进行了研究。如果受访者在上个月至少有1周感到悲伤、忧郁或抑郁，则被归类为经历过抑郁情绪。抑郁情绪在持续时间和营养方面进行了操作化，两者都是根据抑郁情绪的天数定义的：7+和14+天。年龄组分为年轻（18-64岁）和老年（65岁以上）。肥胖状态分为：非超重/肥胖（BMI < 25）;超重（25 = 30）。结果：前一个月抑郁情绪的患病率分别为14.3%和7.8%，为7+和14+天。控制种族和社会经济变量，超重和肥胖的年轻女性比非超重/非肥胖女性更容易经历抑郁情绪。超重但不肥胖的年轻男性比非超重/非肥胖男性更容易经历抑郁情绪。年轻的肥胖女性也明显比非超重/非肥胖女性更容易有持续的抑郁情绪。对于老年受访者，抑郁情绪和它的营养与肥胖在任何一个sex.Discussion：抑郁情绪和肥胖之间的关系是依赖于性别，年龄和种族。年轻的肥胖女性，尤其是西班牙裔女性，比非肥胖女性更容易出现抑郁情绪。未来的研究测试抑郁症和肥胖之间的关联应该敏感的影响，这些人口和社会经济变量。
Objective: Sustained depressive mood is a gateway symptom for a major depressive disorder. This paper investigated whether the association between depressive mood and obesity differs as function of sex, age, and race in US adults after controlling for socio-economic variables of martial status, employment status, income level and education level.Methods: A total of 44 800 nationally representative respondents from the 2001 Behavioral Risk Factor Surveillance Survey were studied. Respondents were classified as having experienced a depressive mood if they felt sad, blue, or depressed at least for 1 week in the previous month. The depressive mood was operationalized in terms of duration and sustenance, both defined based on number of days with depressive mood: 7+ and 14+ days. Age groups were classified as young ( 18-64 years) and old ( 65+ years). Obesity status was classified as: not overweight/ obese ( BMI < 25); overweight ( 25 = 30).Results: Prevalence of prior-month depressive mood was 14.3 and 7.8% for 7+ and 14+ days, respectively. Controlling for race and socio-economic variables, both young overweight and obese women were significantly more likely to have experienced depressive mood than nonoverweight/nonobese women. Young overweight, but not obese, men were significantly more likely to have experienced depressive mood than nonoverweight/nonobese men. Young obese women were also significantly more likely to have a sustained depressive mood than nonoverweight/nonobese women. For old respondents, depressive mood and its sustenance were not associated with obesity in either sex.Discussion: The relationship between the depressive mood and obesity is dependent upon gender, age, and race. Young obese women, Hispanics in particular, are much more prone to depressive mood than nonobese women. Future studies testing associations between depression and obesity should be sensitive to the influence of these demographic and socio-economic variables.