上海市浦东新区中老年人体重指数与抑郁症状的关联分析

目的 调查上海市浦东新区中老年人群中体重指数(body mass index,BMI)与抑郁症状现况,探究其可能的关联,为社区心理健康促进提供建议.方法 采用2019年"上海市浦东新区健康城市建设评估项目"数据,该项目采用配额抽样的方法,共调查6000名浦东新区常住居民.本次研究共纳入40岁以上中老年人2823例,调查...

Association between body mass index and depression symptom of middle-aged and elderly people in Pudong New Area of Shanghai,China

Objective To surrey the body mass index (BMI) and depression symptom among the middle-aged and elderly population in Pudong New Area of Shanghai,China,and to explore their association,so as to provide suggestions for the mental health promotion in communities. Methods We utilized the data of the "Shanghai Pudong New Area Healthy City Evaluation Project" in 2019,which adopted a quota sampling method to survey a total of 6 000 Pudong New Area permanent residents.A total of 2 823 cases of middle-aged and elderly people over 40 years old were included in this study.The survey included the subject's basic information,lifestyle,subjective well-being and depression symptom,etc.The Personal Well-being Index (PWI) Scale was used to evaluate subjective well-being,and PHQ-9 was used to evaluate depression symptom.The subjects were divided into normal,overweight and obese groups according to their BMI.A One-Way χ² test was used to compare the difference in the prevalence of depression symptom between different characteristic groups;Logistic regression was used to analyze the association between BMI and depression symptom. Results In all the 2 823 subjects,there were 38.5% of overweight and 6.7% of obese.The prevalence of depression symptom in middle-aged and elderly people was 46.5%.The prevalence of depression symptom was 44.7% in normal BMI group,47.4% in overweight group,and 56.1% in obese group.After controlling for sociodemographic factors,self-rated economic status,self-rated health status,subjective well-being and lifestyle,it was found that in the male population,compared with normal group,overweight group (OR=1.342,95%CI:1.053-1.710) and obese group (OR=1.960,95%CI:1.208-3.179) had a higher risk of depression symptom (P<0.05);while the association between overweight,obese and depression symptom was not statistically significant (all P>0.05) in the female population. Conclusion BMI is associated with depression symptom among middle-aged and elderly residents.Overweight and obese may be a risk factor for middle-aged and elderly men (over 40 years old) in Pudong New Area,but this association does not exist in middle-aged and elderly women.We need pay more attention to the male who were overweight or obese in intervention of depression symptom.