肥胖人群焦虑抑郁情况与肥胖程度相关性的调查分析  

Prevalence of the anxiety and depression in obese population and its association with obesity in China

作　　者：陆迪菲 袁振芳[1] 杨丽华[2] 果佳 井路路[2] 姜勇[3] 李民[4] 王荣丽[4] 王远征[5] 张俊清[1] 郭晓蕙[1] LU Difei;YUAN Zhenfang;YANG Lihua(Department of Endocrinology, Peking University First Hospital , Beijing 100034, China)

机构地区：[1]北京大学第一医院内分泌科,100034 [2]北京大学第一医院临床营养科,100034 [3]北京大学第一医院普通外科,100034 [4]北京大学第一医院康复科,100034 [5]北京大学第一医院中西医结合科,100034

出　　处：《中国糖尿病杂志》2019年第8期592-596,共5页Chinese Journal of Diabetes

摘　　要：目的研究分析中国肥胖人群焦虑或抑郁状态的发病情况、程度及与BMI的相关性。方法选取2015年6月至2018年9月于北京大学第一医院多学科减重门诊就诊的肥胖患者706例,分为肥胖组(Ob)603例,非肥胖组(Con)103例。初诊时测量身高、体重、WC、臀围、人体脂肪率,填写合并症问卷并进行焦虑自我评分和抑郁自我评分的量表检查。结果两组焦虑和抑郁评分比较,焦虑自评量表评分(SAS)[(43. 8±18. 7)vs(43. 1±9. 2)],抑郁自评量表评分(SDS)[(46. 1±9. 5)vs(45. 3±9. 5)],差异无统计学意义(P>0. 05)。Ob组中重度焦虑者占1. 5%,中度焦虑者占4. 5%,轻度焦虑者占15. 7%,无焦虑者占78. 3%;Ob组中重度抑郁者占0. 3%,中度抑郁者占4. 8%,轻度抑郁者占18. 1%,无抑郁者占76. 8%。根据BMI分为正常组、超重组、肥胖组和严重肥胖组,其SAS分别为(40. 1±12. 3)、(43. 5±8. 8)、(42. 9±9. 2)、(45. 2±27. 6),SDS分别为(45. 1±12. 4)、(45. 4±9. 2)、(46. 0±9. 4)、(46. 3±9. 7),各组比较,差异无统计学意义(P>0. 05)。结论肥胖人群与非肥胖人群相比,焦虑和抑郁评分差异无统计学意义,且与BMI无相关性。Objective To investigate the prevalence and severity of anxiety and depression in obese population and its association with BMI in China.MethodsA total of 706 individuals who visited the multidisciplinary clinic for obesity in Peking University First Hospital were enrolled in this study from Jun.2015,to Sep. 2018. All the participants were divided into two groups:obesity group(n=603)and nonobesity group(n=103). Height,weight,waist circumference,hip circumference,body adipose rate were evaluated during the first visit. Questionnaires for comorbidity,SAS and SDS were performed in all the participants.ResultsThere was no significant difference in SAS scores between obese group(43. 8±18. 7)and non-obese group(43. 1±9. 2). In obesity group,the percentage of severe anxiety,moderate anxiety,mild anxiety and non-anxiety were 1. 5%,4. 5%,15. 7% and 78. 3% respectively;the percentage of severe depression,moderate depression,mild depression and non-depression were 0. 3%,4. 8%,18. 1% and76. 8% respectively. All the participants were further divided into four groups according to their BMI:normal group,overweight group,obesity group and severe obesity group. The SAS scores were(40. 1 ±12. 3),(43. 5±8. 8),(42. 9±9. 2),(45. 2±27. 6)in each group respectively,and the SDS scores were(45. 1±12. 4),(45. 4±9. 2),(46. 0±9. 4),(46. 3±9. 7),respectively. There was no statistical significance in SAS and SDS in the four groups.ConclusionIn our study population,anxiety and depression score were not significantly different between obese and non-obese groups,and were not associated with BMI.

关 键 词：肥胖 焦虑状态 抑郁状态 

分 类 号：R589.2[医药卫生—内分泌]