Depression, Insomnia, and Obesity Among Post-9/11 Veterans: Eating Pathology as a Distinct Health Risk Behavior.
Depression, Insomnia, and Obesity Among Post-9/11 Veterans: Eating Pathology as a Distinct Health Risk Behavior.
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9/11 后退伍军人的抑郁、失眠和肥胖：饮食病理学作为一种独特的健康风险行为。
DOI：
10.1093/milmed/usac165
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发表时间：
2023
影响因子：
1.2
通讯作者：
Masheb,RobinM
中科院分区：
文献类型：
--
作者：
Ramsey,ChristineM;Gaffey,AllisonE;Brandt,CynthiaA;Haskell,SallyG;Masheb,RobinM
前言了解共同发生的慢性健康状况和健康行为之间的相互关系对于制定干预措施以成功改变多种健康行为和相关合并症至关重要。本研究的目的是检查抑郁症、失眠症及其共同发生对肥胖风险的影响，并检查健康风险行为作为这些关系的潜在混杂因素的作用，重点是饮食病理学。在2014年7月至2019年9月期间参加女性退伍军人队列研究的女性（n= 1，094，51.2%的女性）被归类为患有抑郁症，失眠症，两者兼而有之或两者都没有。Logistic回归模型被用来检查肥胖风险的组间差异。健康风险行为（即，饮食病理学，体力活动，吸烟，危险饮酒），然后被评估为潜在的混杂因素的影响，抑郁症和失眠的可能性obesity.ResultsObesity是最普遍的个人共同发生的失眠和抑郁症（53.2%），其次是抑郁症（44.6%），失眠症（38.5%），没有条件（30.1%）。重要的是，适应不良的饮食行为混淆了抑郁-肥胖的关联，但不是失眠-肥胖的关联。没有证据表明，体力活动不足，吸烟，或危险的饮酒混淆失眠或抑郁症对obesity.ConclusionsThese研究结果的影响，有助于肥胖症的多种健康状况和行为之间的复杂关系。阐明这些关联可以提高干预措施的精确性，以有效地分配资源，减少退伍军人肥胖对健康的严重影响。
IntroductionUnderstanding the interrelationships between co-occurring chronic health conditions and health behaviors is critical to developing interventions to successfully change multiple health behaviors and related comorbidities. The objective of the present study was to examine the effects of depression, insomnia, and their co-occurrence on risk of obesity and to examine the role of health risk behaviors as potential confounders of these relationships with an emphasis on eating pathologies.MethodsIraq and Afghanistan conflict era veterans (n= 1,094, 51.2% women) who participated in the Women Veterans Cohort Study between July 2014 and September 2019 were categorized as having depression, insomnia, both, or neither condition. Logistic regression models were used to examine group differences in the risk of obesity. Health risk behaviors (i.e., eating pathology, physical activity, smoking, and hazardous drinking) were then assessed as potential confounders of the effects of depression and insomnia on the likelihood of obesity.ResultsObesity was most prevalent in individuals with co-occurring insomnia and depression (53.2%), followed by depression only (44.6%), insomnia only (38.5%), and neither condition (30.1%). Importantly, maladaptive eating behaviors confounded the depression–obesity association but not the insomnia–obesity association. There was no evidence that insufficient physical activity, smoking, or hazardous drinking confounded the effects of insomnia or depression on obesity.ConclusionsThese findings exemplify the complex relationships between multiple health conditions and behaviors that contribute to obesity. Elucidating these associations can enhance the precision with which interventions are tailored to efficiently allocate resources and reduce the severe health impact of obesity among veterans.
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