肥胖,胰岛素抵抗和抑郁症状之间的关联:调解分析
Guoqiang Xiao1, Chenghua Lin1, Qiaoyu Lan2
1Department of Psychiatry and Psychology, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetries and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
BMC psychiatry
|April 11, 2025
概括
肥胖与抑郁症状有关,胰岛素抵抗 (IR) 部分调解了这种联系. 运动和不吸烟等生活方式因素可能会降低抑郁症的风险.
科学领域:
- 代谢健康和心理健康
- 慢性疾病的流行病学.
背景情况:
- 肥胖和抑郁症症状之间的联系是复杂的和有争议的.
- 胰岛素抵抗 (IR) 是连接这些疾病的潜在机械因素.
研究的目的:
- 为了研究身体质量指数 (BMI) 和抑郁症状之间的关系.
- 检查胰岛素抵抗 (IR) 在肥胖与抑郁症相关性中的调解作用.
主要方法:
- 利用国家健康和营养检查调查 (NHANES) 数据 (2005-2018) 对12744名参与者.
- 采用多变量逻辑回归,受限立方线和调解分析.
- 评估了与身体活动和吸烟状态的相互作用.
主要成果:
- 证实了肥胖和抑郁症状之间存在显著的关联.
- 胰岛素抵抗 (IR) 部分介导了超重/肥胖对抑郁症的影响 (54.13%介导).
- 体重指数显示了与抑郁症状的S型关联,与23.22kg/m2以上的正相关性.
结论:
- 肥胖与抑郁症状有显著的关联.
- 胰岛素抵抗部分介导了超重/肥胖和抑郁症之间的联系.
- 身体活动和戒烟可以减轻抑郁症的风险.
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