Youths with extreme obesity: A high-risk group for pain and mental health impairments.

IF 3.9 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Obesity Facts Pub Date : 2024-09-18 DOI:10.1159/000540888

Hannah Schmidt,Ingo Menrath,Susanna Wiegand,Thomas Reinehr,Wieland Kiess,Johannes Hebebrand,Julia von Schnurbein,Reinhard W Holl,Rolf Holle,André Scherag,Martin Wabitsch,Stephanie Brandt-Heunemann

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Abstract

BACKGROUND Youths with extreme obesity (Body mass index (BMI)>40) are at increased risk for physical and mental health impairments but this patient group has received little attention in research. This study aimed to analyze the pain experience and mental health impairments of youths with extreme obesity compared to those with mild and moderate obesity (BMI=30-39.9) by considering gender differences. METHODS Cross-sectional data of 431 youths (M=16.6; SD=2.3; 53.1% female) were analyzed. Of these, 159 (36.8%) youths were characterized by extreme obesity. Self-reported sociodemographic data, pain-related variables, depression, and health-related quality of life (HRQoL) were assessed with standardized questionnaires. Data were analyzed with univariate tests and logistic regression models. RESULTS Youths with extreme obesity reported more pain in the last 4 weeks (p=.018), increased pain-related impairments in daily life (p=.009), more pain-related days of absence (p=.030), higher depression scores (p = .030), and reduced HRQoL (p=.005) compared to youths with mild and moderate obesity. In regression models, extreme obesity and pain in the last 4 weeks were associated when additionally including sex and age in the model (odds ratio 1.88; 95 % confidence interval 1.16 - 30.40, p=.010). In the subgroup of extreme obesity (n=159), women (n=83) reported more pain in the last 4 weeks (p=.001), higher depression scores (p<.001), and lower HRQoL (p<.001) compared to men (n=76). CONCLUSION These findings underpin the need for standardized assessments of pain and mental health, especially in the treatment of female youths with extreme obesity. Upcoming studies may analyze reciprocal interactions since both aspects are important barriers for lifestyle changes and weight loss.

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极度肥胖的青少年：疼痛和心理健康受损的高危人群。

背景极度肥胖（体重指数（BMI）40）的青少年出现身体和心理健康损害的风险更高，但这一患者群体在研究中却很少受到关注。本研究旨在通过考虑性别差异，分析极度肥胖与轻度和中度肥胖（BMI=30-39.9）青少年的疼痛体验和心理健康损害。方法分析了 431 名青少年（男=16.6；女=2.3；53.1%）的横断面数据。其中，159 名（36.8%）青少年具有极度肥胖的特征。通过标准化问卷对自我报告的社会人口学数据、疼痛相关变量、抑郁和健康相关生活质量（HRQoL）进行了评估。结果与轻度和中度肥胖的青少年相比，极度肥胖的青少年在过去 4 周内报告的疼痛次数更多 (p=.018)，与疼痛相关的日常生活障碍增加 (p=.009)，与疼痛相关的缺勤天数增加 (p=.030)，抑郁评分更高 (p=.030) 以及 HRQoL 降低 (p=.005)。在回归模型中，如果将性别和年龄也纳入模型，则极度肥胖与最近 4 周的疼痛有关联（几率比 1.88；95 % 置信区间 1.16 - 30.40，p=.010）。在极度肥胖亚组（n=159）中，与男性（n=76）相比，女性（n=83）在过去 4 周内报告的疼痛次数更多（p=.001），抑郁评分更高（p<.001），HRQoL 更低（p<.001）。接下来的研究可能会对相互影响进行分析，因为这两方面都是改变生活方式和减轻体重的重要障碍。

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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来源期刊

Obesity Facts 医学-内分泌学与代谢

CiteScore

6.80

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Obesity Facts'' publishes articles covering all aspects of obesity, in particular epidemiology, etiology and pathogenesis, treatment, and the prevention of adiposity. As obesity is related to many disease processes, the journal is also dedicated to all topics pertaining to comorbidity and covers psychological and sociocultural aspects as well as influences of nutrition and exercise on body weight. The editors carefully select papers to present only the most recent findings in clinical practice and research. All professionals concerned with obesity issues will find this journal a most valuable update to keep them abreast of the latest scientific developments.