减肥方法和抑郁风险:来自NHANES 2005-2018队列的证据
Huijie Xu1, Zheng Zhang2, Yuanyuan Wang2
1Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; School of Education, Huazhong University of Science and Technology, Wuhan 430074, China.
Journal of affective disorders
|April 4, 2025
概括
像运动和卡路里控制这样的健康减肥方法可以减少抑郁症状. 相反,极端饮食和减肥药等有害做法增加了抑郁症的风险,突出了需要安全的体重管理策略的需要.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 减肥行为在全球普遍存在.
- 健康减肥可以改善身体和心理健康.
- 有害的减肥做法可能会增加抑郁症状.
研究的目的:
- 调查不同减肥策略与抑郁症状之间的关联.
- 为了区分健康减肥方法与有害减肥方法的心理影响.
主要方法:
- 来自国家健康和营养检查调查 (NHANES) (2005-2018) 的9334名成年人 (20-79岁) 的数据分析.
- 使用PHQ-9尺度评估抑郁症状.
- 将减肥方法分类为健康 (例如,卡路里控制,运动) 和有害 (例如,极端饮食,减肥药) 的做法,通过后勤回归来分析.
主要成果:
- 像低卡路里食物,运动和增加水果/蔬菜摄入量等健康方法与抑郁症状的减少有关 (例如,运动OR=0.61).
- 包括跳饭,减肥药和吐在内的有害方法与抑郁症状的增加有关 (例如,减肥药OR=1.90).
- 观察到一种剂量-反应关系:更有害的方法与更高的抑郁风险相关,而更健康的方法与更低的风险相关.
结论:
- 减肥实践具有显著的情感影响.
- 采用健康的减肥策略对于减轻抑郁风险至关重要.
- 促进安全和可持续的体重管理对于整体的身体和精神健康至关重要.
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