在低收入和中等收入国家,肥胖是否与抑郁症有关? 来自印度尼西亚的纵向证据
David Colozza1, Isabella Guo1,2, Astrid Citra Padmita1
1Nutrition Section, UNICEF, Jakarta, Indonesia.
International journal of obesity (2005)
|April 2, 2025
概括
在印度尼西亚,超重的青少年没有显示与抑郁症状的联系,但成年人体重超重时抑郁症状较少. 这与高收入国家形成鲜明对比,表明独特的社会文化因素影响了这种关系.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 较高的体重与高收入国家的抑郁症状增加有关.
- 低收入和中等收入国家 (LMICs) 的体重与抑郁症之间的关系不太清楚,特别是在流行病学转型期间.
- 这项研究调查了印度尼西亚的体重与抑郁症状的相关性,这是一个LMIC.
研究的目的:
- 检查印尼青少年和成年人的体重和抑郁症状之间的纵向关系.
- 确定高收入国家关于超重和抑郁症的发现是否适用于印度尼西亚.
- 探索这种关系的潜在社会文化调节者.
主要方法:
- 利用了2007年和2015年印度尼西亚家庭生活调查的纵向数据.
- 包括青少年 (年龄14-19岁) 和成人 (年龄≥20岁).
- 使用流行病学研究中心的抑郁症尺度 (CES-D-10) 评估抑郁症症状,并通过BMI ≥23定义超重/肥胖,通过按性别和年龄分层的线性随机和固定效应模型进行分析.
主要成果:
- 在印尼青少年中,超重和抑郁症状之间没有发现任何关联.
- 与不超重的成年人相比,超重的成年人报告了明显较低的抑郁症状.
- 这些关联在随机和固定效应模型中保持一致,没有观察到基于性别的显著差异.
结论:
- 该研究发现,印尼青少年的抑郁症状与超重之间没有联系,与高收入国家不同.
- 在印尼成年人中,超重与抑郁症状风险降低有关.
- 调查结果表明,印尼的超重污名和潜在低估抑郁症症状较低,强调需要政策解决心理健康问题和超重的结构性原因.
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