Anxiety level in overweight and obese children

M.L. Aryayev, D.S. Selimkhanova, I.M. Shevchenko
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Abstract

Purpose - to evaluate personal and situational anxiety levels in overweight and obese children. Materials and methods. 153 children (72 girls and 81 boys) aged 12-17 were involved in the study at the Odesa Regional Children’s Clinical Hospital. Anthropometric indicators (weight, height, body mass index (BMI)) were assessed taking into account the sex and age of children. Based on BMI values, 3 groups were selected: 1 - children with a body weight corresponding to age and gender - 47 persons (Control); 2 - children with excessive body weight - 50 persons (Overweight); 3 - children with obesity - 56 persons (Obesity). The state of personal and situational anxiety was determined using the Spielberger-Khanin questionnaire. Statistical data analysis was carried out using packages STATISTICA 12.0, MedCalc 20.0, Microsoft EXCEL 2003. Results. In children with obesity, the most common comorbidities were biliary dyskinesia (14.28%), arterial hypertension (10.52%), skin infections 4% and obstructive sleep apnea syndrome 2%. In the studied groups of children, the level of anxiety increased in proportion to the degree of increase in body weight. Personal anxiety in children with obesity compared to control was noted at a higher level - 50.1±1.04 and 30.27±0.98, respectively (χ2=49.9, p=0.0001). Situational anxiety also increased in children with obesity, but the differences were expressed to a lesser extent - 38.94±0.74 and 33.91±0.93 (χ2=5.49, p=0.019). Conclusions. The obtained results indicate the feasibility of further study and monitoring of the psycho-emotional state and quality of life of overweight and obese children and adolescents for individual psychological support and correction of psycho-emotional disorders. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors.
超重和肥胖儿童的焦虑水平
目的:评估超重和肥胖儿童的个人和情境焦虑水平。材料和方法。153名12-17岁的儿童(72名女孩和81名男孩)在敖德萨地区儿童临床医院参与了这项研究。考虑到儿童的性别和年龄,评估了人体测量指标(体重、身高、身体质量指数(BMI))。根据BMI值选择3组:1 -体重与年龄和性别相对应的儿童- 47人(对照组);2 -超重儿童- 50人(超重);3 -儿童肥胖- 56人(肥胖)。使用斯皮尔伯格-哈宁问卷来确定个人和情境焦虑状态。统计数据分析采用STATISTICA 12.0、MedCalc 20.0、Microsoft EXCEL 2003软件包。结果。在肥胖儿童中,最常见的合并症是胆道运动障碍(14.28%)、动脉高血压(10.52%)、皮肤感染(4%)和阻塞性睡眠呼吸暂停综合征(2%)。在被研究的儿童群体中,焦虑程度的增加与体重增加的程度成正比。肥胖儿童的个人焦虑水平高于对照组,分别为50.1±1.04和30.27±0.98 (χ2=49.9, p=0.0001)。情境焦虑在肥胖儿童中也有所增加,但差异较小,分别为38.94±0.74和33.91±0.93 (χ2=5.49, p=0.019)。结论。研究结果表明,进一步研究和监测超重和肥胖儿童和青少年的心理情绪状态和生活质量,为个体心理支持和心理情绪障碍的纠正提供可行性。这项研究是按照《赫尔辛基宣言》的原则进行的。本研究方案经参与单位当地伦理委员会批准。获得患者的知情同意进行研究。作者未声明存在利益冲突。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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