Does adolescent depression predict obesity in black and white young adult women?

Does adolescent depression predict obesity in black and white young adult women?
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DOI:
10.1017/s0033291705005386
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发表时间:
2005-10-01
影响因子:
6.9
通讯作者:
Daniels, SR
Daniels, SR
中科院分区:
医学1区
文献类型:
--
作者:
Franko, DL;Striegel-Moore, RH;Daniels, SR

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背景。研究青少年抑郁症状是否可以预测黑人和白人女性年轻成人的体重指数(BMI)和肥胖。方法。参与者包括来自国家心肺血液研究所生长与健康研究 (NGHS) 的 1554 名黑人和白人少女,她们在 16 岁和 18 岁时完成了流行病学研究中心抑郁量表 (CES-D)。结果。回归分析显示,无论是黑人还是白人女孩,16 岁和 18 岁时的抑郁症状均与肥胖风险增加(BMI >= 30)以及成年初期(21 岁)BMI 升高相关。黑人女孩表现出明显更大的肥胖可能性和更高的 BMI(即种族的主要影响),但种族 x CES-D 交互作用在任何分析中都不显着。结论。对于黑人和白人女孩来说,青春期的抑郁症状似乎预示着肥胖和成年早期体重指数升高,即使考虑到之前的体重指数,这表明抑郁症状带来的肥胖风险超出了已知的体重追踪范围。肥胖预防研究可能会考虑评估青春期的抑郁症状,以便更全面地捕捉重要的风险变量。
Background. To examine whether adolescent depressive symptoms predict young adult body mass index (BMI) and obesity in black and white women.Method. Participants included 1554 black and white adolescent girls from the National Heart, Lung, and Blood Institute Growth and Health Study (NGHS) who completed the Center for Epidemiological Studies - Depression Scale (CES-D) at ages 16 and 18 years.Results. Regression analyses showed that depressive symptoms at both ages 16 and 18 were associated with increased risk of obesity (BMI >= 30) and elevated BMI in young adulthood (age 21) in both black and white girls. Black girls exhibited a significantly greater likelihood of obesity and higher BMI (i.e. a main effect of race), but the race x CES-D interaction was not significant in any analysis.Conclusions. Depressive symptoms in adolescence appear to be predictive of obesity and elevated BMI in early adulthood for both black and white girls, even when taking prior BMI into account, indicating that depressive symptoms confer risk for obesity above and beyond the known tracking of body weight. Obesity prevention studies might consider assessing depressive symptoms in adolescence in order to more fully capture important risk variables.