CAJ | 학술논문

目的：探讨唐山地区人群抑郁对超重和肥胖患病率的影响。方法选取唐山市开滦社区成年人2180人，每个研究对象均接受人体学测量和问卷调查。抑郁状态的评定采用患者健康问卷（PHQ‐9）量表进行评定。抑郁状态对体质量异常的影响采用单因素和多因素Logistic回归进行分析。结果超重和肥胖人群中抑郁评分显著高于体质量正常人群，中度和重度抑郁状态人群的患病率也显著高于体质量正常人群。抑郁评分是超重和肥胖的显著危险因子，对应的 OR值分别为1．43（95％ C I：1．05～1．95，P＜0．05）和1．07（95％ C I：1．04～1．10，P＜0．05）。与无或轻度抑郁状态相比，中度和重度抑郁状态能显著增加超重的患病风险（OR＝2．28，95％ C I：1．49～3．49，P＜0．05；OR＝3．47，95％ C I：2．06～5．84，P＜0．05），也能显著增加肥胖的患病风险（OR＝1．22，95％ C I：1．03～1．45，P＜0．05；OR＝1．81，95％ C I：1．44～2．29，P＜0．05）。结论抑郁状态能促进超重和肥胖的发生，在对超重和肥胖的干预或预防过程中应重视精神心理因素的作用。
목적：탐토당산지구인군억욱대초중화비반환병솔적영향。방법선취당산시개란사구성년인2180인，매개연구대상균접수인체학측량화문권조사。억욱상태적평정채용환자건강문권（PHQ‐9）량표진행평정。억욱상태대체질량이상적영향채용단인소화다인소Logistic회귀진행분석。결과초중화비반인군중억욱평분현저고우체질량정상인군，중도화중도억욱상태인군적환병솔야현저고우체질량정상인군。억욱평분시초중화비반적현저위험인자，대응적 OR치분별위1．43（95％ C I：1．05～1．95，P＜0．05）화1．07（95％ C I：1．04～1．10，P＜0．05）。여무혹경도억욱상태상비，중도화중도억욱상태능현저증가초중적환병풍험（OR＝2．28，95％ C I：1．49～3．49，P＜0．05；OR＝3．47，95％ C I：2．06～5．84，P＜0．05），야능현저증가비반적환병풍험（OR＝1．22，95％ C I：1．03～1．45，P＜0．05；OR＝1．81，95％ C I：1．44～2．29，P＜0．05）。결론억욱상태능촉진초중화비반적발생，재대초중화비반적간예혹예방과정중응중시정신심리인소적작용。
Objective To investigate the potential effect of depression on overweight and obesity in Tangshan city .Methods A total of 2 180 subjects were enrolled into this cross‐sectional survey conducted in Kailuan community .Anthropometric measurement and structured questionnaire survey were administered to each subject .Status of depression was assessed by Patient Health Ques‐tionaire‐9(PHQ‐9) .The potential effect of depression on overweight and obesity was analyzed with Logistic regression .Results The average score of PHQ‐9 as well as the prevalence of moderate or major status of depression in people with overweight and obe‐sity was significantly higher than those with normal weight .The multivariate logistic regression showed that the score of PHQ‐9 was a risk factor for prevalence of overweight and obesity (OR=1 .43 ,95% CI:1 .05-1 .95 ,P<0 .05;OR=1 .07 ,95% CI:1 .04-1 .10 ,P<0 .05) .In comparison to the none/mild depression ,moderate and major depression could significantly increase the risk for overweight (OR=2 .28 ,95% CI:1 .49-3 .49 ,P<0 .05 ;OR=3 .47 ,95% CI:2 .06-5 .84 ,P<0 .05) and obesity (OR=1 .22 ,95%CI:1 .03-1 .45 ,P<0 .05 ;OR=1 .81 ,95% CI:1 .44-2 .29 ,P<0 .05) .Conclusion The depression status could contribute to the development of overweight and obesity and the role of psychological elements should be taken into consideration in overweight and obesity management .