Depression, anxiety, and development of obesity from childhood to young adulthood in China

IF 3.5 2区 医学 Q2 PSYCHIATRY
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Abstract

Objective

To examine the cross-sectional and longitudinal bidirectional associations of depression and anxiety symptoms with the development of obesity over time among children and adolescents in different age groups from childhood to young adulthood.

Methods

This is a three-wave longitudinal study that included >200,000 school-aged children between 5 and 18 years. Participants were assessed at baseline, 6 months, and 12 months. Depression and anxiety symptoms, as well as participants' weight and height, were collected at each assessment. The cross-sectional associations between obesity and depression or anxiety were examined through ANOVA and Chi-square tests. Multivariable logistic regression analyses were performed to investigate their longitudinal bidirectional associations.

Results

The prevalence of obesity reached a peak in the age group between 12 and 14 years. Concurrently, higher mean BMI and obesity prevalence were associated with more severe symptoms of depression and anxiety in each age group (ps < 0.001). Longitudinally, depression and anxiety significantly increased the risk of development of obesity over time (odds ratios [ORs] = 1.08 to 1.77). Moreover, obesity significantly aggravated the risk of development of depression (ORs = 1.17 to 1.68) and anxiety (ORs = 1.25 to 1.71) over time and hindered the alleviation of depressive (ORs = 0.68 to 0.79) and anxiety symptoms (ORs = 0.73 to 0.74).

Conclusion

Findings suggest that there were bidirectional associations between obesity and psychological distress. It may be important to continuously track BMI and psychological conditions for children and adolescents over time to avoid the reinforcement of their negative reciprocal interactions.

抑郁、焦虑与中国儿童至青年期肥胖症的发展
目标研究从儿童期到青年期不同年龄段的儿童和青少年中,抑郁和焦虑症状与肥胖发展之间的横向和纵向双向关系。方法这是一项三波纵向研究,共纳入了>20万名5至18岁的学龄儿童。分别在基线、6 个月和 12 个月时对参与者进行评估。每次评估都会收集抑郁和焦虑症状以及参与者的体重和身高。肥胖与抑郁或焦虑之间的横断面关联通过方差分析和卡方检验进行检验。结果12至14岁年龄组的肥胖率达到高峰。同时,在每个年龄组中,较高的平均体重指数和肥胖率与较严重的抑郁和焦虑症状有关(PS < 0.001)。纵向来看,随着时间的推移,抑郁和焦虑会显著增加肥胖症的发病风险(几率比 [ORs] = 1.08 至 1.77)。此外,随着时间的推移,肥胖会明显增加抑郁(ORs = 1.17 至 1.68)和焦虑(ORs = 1.25 至 1.71)的发病风险,并阻碍抑郁症状(ORs = 0.68 至 0.79)和焦虑症状(ORs = 0.73 至 0.74)的缓解。研究结果表明,肥胖与心理困扰之间存在双向关联,因此,长期持续跟踪儿童和青少年的体重指数和心理状况,以避免两者之间的负向相互作用得到强化,可能具有重要意义。
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来源期刊
Journal of Psychosomatic Research
Journal of Psychosomatic Research 医学-精神病学
CiteScore
7.40
自引率
6.40%
发文量
314
审稿时长
6.2 weeks
期刊介绍: The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.
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