肥胖与女性常见精神障碍之间的关联:巴西南部基于人口的研究
Débie Garlet Osmari1, Anderson Garcez2, Juvenal Soares Dias-da-Costa1
1Post-Graduate Program in Collective Health, University of Vale do Rio dos Sinos, UNISINOS, São Leopoldo, RS, Brazil.
Social psychiatry and psychiatric epidemiology
|July 6, 2023
概括
肥胖显著增加了女性常见精神障碍 (CMD) 的可能性. 这项研究强调了受研究人口中肥胖和CMD的高患病率,强调了综合健康方法的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 常见精神障碍 (CMD) 和肥胖是全球重要的公共卫生问题.
- 了解身体和心理健康之间的相互作用对于有效的健康干预至关重要.
- 以前的研究表明,肥胖和心理健康问题之间存在联系,但需要更多的人口特定数据.
研究的目的:
- 研究肥胖与成年女性常见精神疾病 (CMD) 患病率之间的关联.
- 为了确定肥胖女性与不肥胖女性之间的CMD风险.
- 为了确定与肥胖和CMD相关的人口人口和生活方式因素.
主要方法:
- 一项基于人口的横截面研究于2015年在巴西圣莱奥波尔多 (São Leopoldo) 进行.
- 981名成年女性 (年龄在20-60岁) 的代表性样本参与了调查.
- 使用自我报告问卷 (SRQ-20 ≥8) 评估常见精神障碍 (CMD),并根据体重指数 (BMI ≥30.0 kg/m2) 定义肥胖.
- 使用具有强大的方差的波桑回归来计算流行率 (PR) 和95%信心区间 (CI).
主要成果:
- 在样本中,CMD的患病率为33.7%,肥胖率为31.2%.
- 肌肉疾病在受教育程度较低,经济阶级较低,吸烟者和不够活跃的女性中更为常见.
- 肥胖在老年女性 (50-60岁) 中更为普遍,受教育程度较低,不饮酒,身体活动不足.
- 经过对混因素进行调整后,肥胖女性患心血管疾病的可能性增加了22% (PR = 1.22;95% CI 1.02-1.45;p = 0.030).
结论:
- 肥胖与女性常见精神疾病 (CMD) 存在之间存在显著的关联.
- 该研究在研究的巴西城市人口中确定了肥胖和心血管疾病的高患病率.
- 调查结果强调了解决肥胖问题作为女性心理健康问题的潜在风险因素的重要性.
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