波兰上西里西亚青少年超重与肥胖和抑郁障碍的关系

Iwona Lizończyk, J. Jośko-Ochojska
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摘要

背景:超重和肥胖是许多国家的主要健康问题,影响着越来越多的青少年。与其他欧洲国家相比,波兰儿童和青少年的体重增长最快。此外,这种过度的体重通常与抑郁障碍共存。这个问题的流行病学规模令人担忧。目的:评估青少年超重、肥胖和抑郁障碍的患病率,并确定这些障碍之间的相关性。材料与方法:对1002名高中生进行问卷调查。饮食习惯、饮食规律和吃零食的倾向通过作者的调查进行评估,而抑郁障碍则通过贝克抑郁量表进行评估。数据采用STATISTICA12.0进行处理。结果:在青少年研究组中,24.7%的人患有超重和肥胖。超重与不良的营养习惯和参与者家庭的超重问题有关。此外,超重和肥胖在男孩中更为明显(28.5%),学校类型也起到了一定作用。43.3%的学生出现抑郁障碍,其中女孩受到的影响更大(49.9%)。超重和肥胖学生出现的抑郁障碍更多(60.4%),其中女孩占71.1%。在患有抑郁症的青少年中,62.8%的人报告说情绪性进食,而超重加剧了这一问题(76.4%)。近62.7%的抑郁症学生表现出注意力下降和学习困难。同样,高达70%的超重和肥胖学生暴露出学习问题。结论:青少年的超重和肥胖率令人担忧,其中近一半的人患有抑郁症、注意力不集中和学习困难。此外,超重会加剧抑郁障碍、注意力集中和学习困难。有必要在青少年发展的早期阶段为其父母和教师提供健康教育。
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The Relationship between Overweight and Obesity and Depressive Disorders among Adolescents: Upper Silesia, Poland
Background: Overweight and obesity are key health problems in many countries that affect an increasing number of teenagers. Among Polish children and adolescents, the most rapid weight gain, compared to other European countries has been noted. In addition, this excessive body weight usually coexists with depressive disorders. The epidemiological scale of the problem is worrisome. Objectives: Assessment of the prevalence of overweight, obesity and depressive disorders in adolescents, and identifying correlations between these disorders. Materials and Methods: A group of 1002 high school students was analyzed. Eating habits, regularity of meals and inclination towards snacking were assessed with the author’s survey, while depressive disorder was evaluated with The Beck Depression Inventory questionnaire. Data were processed with STATISTICA 12.0. Results: In the study group of adolescents, 24.7% suffered from overweight and obesity. Excessive body weight was associated with poor nutritional habits and the problem of excess body mass in the participants’ families. In addition, overweight and obesity were more pronounced in boys (28,5%) and the type of school also played a role. Depressive disorders were revealed in 43.3% of the students, in which case girls were more affected (49.9%). More depressive disorders were reported in overweight and obese students (60.4%), including 71.1% of girls. Among adolescents with depressive disorders, 62.8% reported emotional eating, while excessive body weight exacerbated that problem (76.4%). Nearly 62.7% of the students with depressive disorder showed reduced concentration and learning difficulties. Similarly, up to 70% of overweight and obese students revealed learning problems. Conclusions: Rates of overweight and obesity among adolescents are alarming, and nearly half of them suffer from depressive disorders, reduced concentration and learning difficulties. Moreover, excessive body weight exacerbates depressive disorders, concentration and learning difficulties. There is a necessity to provide health education to adolescents, their parents, and teachers at an early stage of the development.
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