An association of health behaviors with depression and metabolic risks: Data from 2007 to 2014 US National Health and Nutrition Examination Survey
An association of health behaviors with depression and metabolic risks: Data from 2007 to 2014 US National Health and Nutrition Examination Survey
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DOI：
10.1016/j.jad.2017.04.009
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发表时间：
2017-08-01
影响因子：
6.6
通讯作者：
Bie, Ronghai
中科院分区：
文献类型：
--
作者：
Liu, Ying;Ozodiegwu, Ifeoma D.;Bie, Ronghai
背景：抑郁症和代谢综合征（MetS）都会增加患2型糖尿病（T2D）和心血管疾病的风险。越来越多的证据表明，健康的行为对于维持、改善和管理慢性疾病和精神健康至关重要；不健康的饮食和久坐行为被发现是met的两个主要危险因素。本研究的目的是调查健康行为（饮酒、吸烟、饮食和娱乐性体育活动）是否与抑郁症和代谢综合征同时相关。方法：本研究纳入了1300名年龄在20岁及以上的参与者，他们在2007-2014年美国国家健康与营养调查（NHANES）期间回答了心理健康抑郁症筛查问题（PHQ-9），并完成了与MetS五种危险因素相关的检查和实验室测试。采用一系列的加权逻辑回归模型来考察上述关系。结果：美国成年人抑郁症患病率为15.08%。最常见的两种抑郁症状是“睡眠困难或睡眠过多”和“感到疲倦或精力不足”，比例分别为14.68%和13.09%。仅从事轻度体育活动的参与者比从事剧烈体育活动的参与者更有可能被确定为患有抑郁症和MetS，其奇比分别为3.18 （95%CI: 1.59, 6.37）和3.50 （95%CI: 2.17, 5.63）。研究中饮食不良的个体比饮食良好的个体更容易患抑郁症（OR=2.17; 95%CI: 1.47, 3.22）。结论：体育活动与抑郁症和MetS呈显著负相关。在这项研究中，饮食与抑郁症而非代谢相关。
Background: Both depression and metabolic syndrome (MetS) confer an increased risk of developing type 2 diabetes (T2D) and cardiovascular disease. Accumulating evidence suggests healthy behaviors are crucial to maintain, improve and manage chronical disease and mental health; and unhealthy diet and sedentary behavior were found two major risk factors of MetS. The objective of this study was to investigate whether health behaviors (alcohol consumption, smoking, diet and recreational physical activity) are associated with depression and metabolic syndrome simultaneously.Methods: This study included 1300 participants aged 20 years and over who had answered mental health depression screener questions (PHQ-9) and finished examinations and laboratory tests related to five risk factors of MetS during the U.S. National Health and Nutrition Examination Survey (NHANES) 2007-2014. A set of series of weighted logistic regression models were used to investigate the aforementioned relationship.Results: The prevalence of depression among U.S. adults is 15.08%. The two most often reported depression symptoms were "Trouble sleeping or sleeping too much" and "Feeling tired or having little energy", with rates of 14.68% and 13.09%, respectively. Participants who engaged in only light physical activity were more likely to have been identified as experiencing depression and MetS than those who engaged in vigorous physical activity with odd ratios 3.18 (95% CI: 1.59, 6.37) and 3.50 (95%CI: 2.17, 5.63), respectively. Individuals in the study having poor diets were more likely to suffer from depression than those eating good diets (OR=2.17; 95%CI: 1.47, 3.22).Conclusion: Physical activity is strongly and inversely associated with depression and MetS. Diet is significantly associated with depression rather than MetS in this study.