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題名 | Association of Body Mass Index and Depressive Symptoms in a Chinese Community Population: Results from the Health Promotion Knowledge, Attitudes, and Performance Survey in Taiwan=身體質量指數與憂鬱症狀的關聯性:臺灣社區健康促進知識、態度及行為研究結果 |
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作者 | 余男文; 陳景彥; 劉嘉逸; 周躍麟; 張家銘; Yu, Nan-wen; Chen, Ching-yen; Liu, Chia-yi; Chau, Yeuk-lun; Chang, Chia-ming; |
期刊 | 長庚醫誌 |
出版日期 | 20111100、20111200 |
卷期 | 34:6 2011.11-12[民100.11-12] |
頁次 | 頁620-627 |
分類號 | 412.5 |
語文 | eng |
關鍵詞 | 身體質量指數; 憂鬱; 心寬體胖假說; BMI; Depression; Jolly fat hypothesis; |
英文摘要 | Background: The association between obesity and depression remains equivocal. The aims of this study were to examine the association between body mass index (BMI) and depressive symptoms in the Chinese adult population. Methods: In this study, data from the Health Promotion Knowledge, Attitudes, and Performance Survey, conducted in 2002 among 20,385 Taiwanese adults (aged 18-64 years), were used. Depressive symptoms were assessed by the Taiwanese Depression Questionnaire (cut off point 19). Weight status was categorized as underweight (BMI < 18.5 kg/m2), normal weight (BMI 18.5- 23.9 kg/m2), overweight (BMI 24-26.9 kg/m2), and obese (BMI 27 kg/m2). Results: Bivariate analyses revealed that underweight men and women had higher risks of depressive symptoms than normal weight individuals. After controlling for education, income, occupation, smoking status, marital status, presence of chronic disease, exercise, and weight control measures, we found that underweight men were significantly more likely to have depressive symptoms than normal weight men (Adjusted odds ratio [AOR] 2.68, 95% confidence interval [CI] 1.85-3.88). On the contrary, obese women were significantly less likely to have depressive symptoms than normal weight women (AOR 0.62, 95% CI 0.46-0.83). Conclusion: The associations of BMI and depressive symptoms were different between genders. Underweight men ran a higher risk of depression than normal weight men, and overweight women had a lower risk than normal weight women. These findings support the “jolly fat” hypothesis among the adult population in the Chinese community. |
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