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Tytuł pozycji:

Associations between depression and the incident risk of obesity in southwest China: A community population prospective cohort study.

Tytuł:
Associations between depression and the incident risk of obesity in southwest China: A community population prospective cohort study.
Autorzy:
Liu T; Guizhou Center for Disease Control and Prevention, Guiyang, China.
Wu B; School of Public Health, Fudan University, Shanghai, China.; National Health Commission of People's Republic of China (NHC) Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China.
Yao Y; Guizhou Center for Disease Control and Prevention, Guiyang, China.
Chen Y; School of Public Health, Fudan University, Shanghai, China.; National Health Commission of People's Republic of China (NHC) Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China.
Zhou J; Guizhou Center for Disease Control and Prevention, Guiyang, China.
Xu K; School of Public Health, Fudan University, Shanghai, China.; National Health Commission of People's Republic of China (NHC) Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China.
Wang N; School of Public Health, Fudan University, Shanghai, China.; National Health Commission of People's Republic of China (NHC) Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China.
Fu C; School of Public Health, Fudan University, Shanghai, China.; National Health Commission of People's Republic of China (NHC) Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China.
Źródło:
Frontiers in public health [Front Public Health] 2023 Jan 19; Vol. 11, pp. 1103953. Date of Electronic Publication: 2023 Jan 19 (Print Publication: 2023).
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: Lausanne : Frontiers Editorial Office
MeSH Terms:
Obesity, Abdominal*/epidemiology
Obesity, Abdominal*/complications
Depression*/epidemiology
Adult ; Humans ; Risk Factors ; Prospective Studies ; Obesity/epidemiology ; Obesity/complications ; China/epidemiology
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Contributed Indexing:
Keywords: Chinese; community population; depression; obesity; prospective cohort study
Entry Date(s):
Date Created: 20230206 Date Completed: 20230207 Latest Revision: 20230329
Update Code:
20240104
PubMed Central ID:
PMC9893117
DOI:
10.3389/fpubh.2023.1103953
PMID:
36741957
Czasopismo naukowe
Objective: This study aimed to describe the incidence of obesity and investigate associations between depression and the risk of incident obesity among residents in Southwest China.
Methods: A 10-year prospective cohort study of 4,745 non-obese adults was conducted in Guizhou, southwest China from 2010 to 2020. Depression was assessed by the Patient Health Questionnaire-9 (PHQ-9) while the obesity was identified by waist circumference (WC) and/or body mass index (BMI). Cox proportional hazard models were used to estimate hazard ratios (HR), and 95% confidence intervals (CIs) of depression and incident obesity.
Results: A total of 1,115 incident obesity were identified over an average follow-up of 7.19 years, with an incidence of 32.66 per 1,000 PYs for any obesity, 31.14 per 1,000 PYs and 9.40 per 1,000 PYs for abdominal obesity and general obesity, respectively. After adjustment for potential confounding factors, risks of incident abdominal obesity for subjects with minimal (aHR: 1.22, 95% CI: 1.05, 1.43), and mild or more advanced depression (aHR: 1.27, 95% CI: 1.01, 1.62) were statistically higher than those not depressed, while there was no significant association with incident general obesity. The risks of any incident obesity among subjects with minimal (aHR: 1.21, 95% CI: 1.04, 1.40), mild or more advanced depression (aHR: 1.30, 95% CI: 1.03, 1.64) were significantly higher than those not depressed and positive association was found for PHQ score per SD increase (aHR: 1.07, 95%CI: 1.01, 1.13), too. The association was stronger significantly in Han Chinese (minimal: aHR: 1.27, 95% CI: 1.05, 1.52; mild or more advanced: aHR: 1.70, 95% CI: 1.30, 2.21) and farmers (minimal: aHR: 1.64, 95% CI: 1.35, 2.01; mild or more advanced: aHR: 1.82, 95% CI: 1.32, 2.51).
Conclusion: Depression increased the risk of incident obesity among adults in Southwest China, especially among Han Chinese and farmers. This finding suggests that preventing and controlling depression may benefit the control of incident obesity.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2023 Liu, Wu, Yao, Chen, Zhou, Xu, Wang and Fu.)

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