Comparison of Anxiety, Depression and Lifestyle in Obese and Normal Weight Children

Elham Jahanbin-Amirhandeh, M. Hakimjavadi, Abbas Ali Hosein-Khanzadeh, H. Hatamian
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引用次数: 2

Abstract

Background: Childhood obesity is a health issue that, in addition to physical complications, can have many psychological consequences such as anxiety and depression. The aim of the present study was to compare anxiety, depression and lifestyle in obese and normal weight children. Methods: We carried out a cross-sectional study in Rasht, North of Iran. The study population included all children studying at primary school in city of Rasht during 2015-2016. Using non-probability multi-stage sampling method, a total of 240 children were selected. Body mass index was used to assess obesity. Revised Children’s Manifest Anxiety Scale, Children Depression Inventory, and Lifestyle Assessment Questionnaire were used to measure anxiety, depression, and lifestyle, respectively. Analysis of covariance was used to compare adjusted mean of anxiety, depression, and lifestyle scores between the two groups. Results: The mean age of participants was 11.78 years (standard deviation = 0.7). There was no statistical significant difference between obese and normal weight children in anxiety and depression. The adjusted mean of lifestyle score in obese children (216, 95% confidence interval (CI): 211-221) was significantly lower than that in the normal weight group (224, 95% CI: 219-229). In both groups of obese and normal weight, the mean lifestyle scores in girls (214, 95% CI: 209-219) were significantly lower than boys (226, 95% CI: 221-231). Conclusion: This study found no significant association between obesity with psychological disorders of anxiety and depression. Regarding to the better lifestyle scores of normal weight children compared to that of obese children, prospective studies on school-age children’s lifestyle especially in girls is needed.
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肥胖与正常体重儿童焦虑、抑郁及生活方式的比较
背景:儿童肥胖是一个健康问题,除了身体并发症外,还会产生许多心理后果,如焦虑和抑郁。本研究的目的是比较肥胖儿童和正常体重儿童的焦虑、抑郁和生活方式。方法:我们在伊朗北部的拉什特进行了一项横断面研究。研究人群包括2015-2016年期间在拉什特市小学就读的所有儿童。采用非概率多阶段抽样方法,共选取240名儿童。体重指数被用来评估肥胖。采用修订后的《儿童明显焦虑量表》、《儿童抑郁量表》和《生活方式评估问卷》分别测量焦虑、抑郁和生活方式。采用协方差分析比较两组患者焦虑、抑郁和生活方式得分的调整后均值。结果:参与者的平均年龄为11.78岁(标准差= 0.7)。肥胖儿童与正常体重儿童在焦虑和抑郁方面无统计学差异。肥胖儿童生活方式评分的调整平均值(216,95%可信区间(CI): 211 ~ 221)显著低于正常体重组(224,95% CI: 219 ~ 229)。在肥胖组和正常体重组中,女孩的平均生活方式评分(214,95% CI: 209-219)明显低于男孩(226,95% CI: 221-231)。结论:本研究未发现肥胖与焦虑、抑郁等心理障碍之间存在显著相关性。关于正常体重儿童的生活方式得分高于肥胖儿童,需要对学龄儿童特别是女童的生活方式进行前瞻性研究。
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