Obezite ile Depresyon ve Anksiyete Düzeyleri Arasındaki İlişki: Kesitsel, Vaka Kontrol Çalışması

Fatma Balkoca, Mahcube Cubukcu, Nur ŞİMŞEK YURT
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Abstract

Aim: This study aims to investigate the relationship between obesity and depression and anxiety by determining the depression and anxiety levels of obese and non-obese patients. Material and Methods: This study was carried out between 01.02.2022 and 30.04.2022 at Samsun University Faculty of Medicine. Among all the patients registered in the obesity center, 110 patients who met the inclusion criteria and 110 non-obese patients who applied to the family medicine clinic as the control group were included in the study. Data were collected through a questionnaire formed using sociodemographic characteristics, Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Results: The study encompassed of 220 patients, among whom 144 individuals (constituting 65.5% of the sample) were identified as female. Depression and anxiety levels were higher in obese subjects than in non-obese subjects (p=0.020, p=0.040, respectively). Once the body mass index (BMI) groups of the participants were compared according to BDI and BAI, severe depression symptoms and severe anxiety symptoms higher in the morbidly obese group. The difference between the groups according to both BDI and BAI was found to be statistically significant (respectively; p=0.005, p=0.008). The presence of moderate and severe depression and anxiety symptoms were determined as independent risk factors for the development of obesity (respectively; OR=5.329, 95% CI 2.98-13.41, p=0.012; OR=3.452, 95% CI 1.56-7.89, p=0.023). Conclusion: This study revealed that the prevalence of depression and anxiety symptoms was found to be high in obese individuals. It was observed that as BMI increased, the severity of depression and anxiety symptoms increased.
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目的:通过测定肥胖和非肥胖患者的抑郁和焦虑水平,探讨肥胖与抑郁和焦虑的关系。材料和方法:本研究于2022年2月1日至2022年4月30日在三星大学医学院进行。在肥胖中心登记的所有患者中,符合纳入标准的110例患者和向家庭医学诊所申请的110例非肥胖患者作为对照组纳入研究。通过社会人口学特征问卷、贝克抑郁量表(BDI)和贝克焦虑量表(BAI)收集数据。结果:研究纳入220例患者,其中144例(占样本的65.5%)为女性。肥胖受试者的抑郁和焦虑水平高于非肥胖受试者(p=0.020, p=0.040)。一旦根据BDI和BAI对参与者的身体质量指数(BMI)组进行比较,重度抑郁症状和重度焦虑症状在病态肥胖组中更高。各组间BDI和BAI的差异均有统计学意义(分别为;p = 0.005, p = 0.008)。中度和重度抑郁和焦虑症状的存在被确定为肥胖发展的独立危险因素(分别;OR=5.329, 95% CI 2.98 ~ 13.41, p=0.012;OR=3.452, 95% CI 1.56-7.89, p=0.023)。结论:本研究发现肥胖人群抑郁和焦虑症状的患病率较高。据观察,随着体重指数的增加,抑郁和焦虑症状的严重程度也会增加。
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