肥胖和心理健康之间的双向关联:英国生物银行的一项前瞻性队列研究

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Obesity Pub Date : 2025-05-01 DOI:10.1002/oby.24296
Meng Lv, Ying Li, Zihan Guo, Lu Ma, Lei Zhang
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引用次数: 0

摘要

目的:探讨肥胖指标与心理健康之间的双向关系。方法:利用来自英国生物银行60319名参与者的纵向数据,我们探讨了心理健康(包括神经质、最近的抑郁症状、可能的抑郁状态、压力、躁狂、生活满意度和幸福感)和肥胖指标(包括BMI、腰围、体脂率和不同肥胖类型)之间的双向关联。结果:多变量logistic回归和混合效应模型显示:1)BMI和一般肥胖与近期抑郁症状、可能抑郁状态、经历至少一种类型的压力(特别是来自严重疾病、伤害、人身攻击或经济困难的压力)和生活满意度(特别是健康满意度和经济状况满意度)呈双向相关;2)腰围和腹部肥胖与近期抑郁症状和经济状况满意度呈双向相关;3)体脂率和高体脂率与近期抑郁症状、经济困难压力、健康满意度和经济状况满意度呈双向相关。结论:肥胖的具体指标与心理健康的双向关联取决于肥胖的类型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bidirectional associations between adiposity and mental health: a prospective cohort study of the UK Biobank

Objective

This study aimed to examine the bidirectional associations between indicators of adiposity and mental health.

Methods

Using longitudinal data from 60,319 UK Biobank participants, we explored the bidirectional associations between mental health (including neuroticism, recent depressive symptoms, probable depression status, stress, mania, life satisfaction, and happiness) and adiposity indicators (including BMI, waist circumference, body fat percentage, and different obesity types).

Results

The multivariate logistic regressions and mixed-effects models revealed the following: 1) BMI and general obesity were bidirectionally associated with recent depressive symptoms, having probable depression status, experiencing at least one type of stress (especially stress from serious illness, injury, or assault to oneself or financial difficulties), and life satisfaction (especially health satisfaction and financial situation satisfaction); 2) waist circumference and abdominal obesity were bidirectionally associated with recent depressive symptoms and financial situation satisfaction; and 3) body fat percentage and high body fat percentage were bidirectionally associated with recent depressive symptoms, experiencing stress from financial difficulties, health satisfaction, and financial situation satisfaction.

Conclusions

The bidirectional associations between specific indicators of adiposity and mental health depend on the types of adiposity.

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来源期刊
Obesity
Obesity 医学-内分泌学与代谢
CiteScore
11.70
自引率
1.40%
发文量
261
审稿时长
2-4 weeks
期刊介绍: Obesity is the official journal of The Obesity Society and is the premier source of information for increasing knowledge, fostering translational research from basic to population science, and promoting better treatment for people with obesity. Obesity publishes important peer-reviewed research and cutting-edge reviews, commentaries, and public health and medical developments.
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