association between body mass index and depression the fat and jolly hypothesis for adolescents girls身体质量指数与抑郁症之间的联系青少年女孩的脂肪和欢乐的假说.pdfVIP
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association between body mass index and depression the fat and jolly hypothesis for adolescents girls身体质量指数与抑郁症之间的联系青少年女孩的脂肪和欢乐的假说
Revah-Levy et al. BMC Public Health 2011, 11:649
/1471-2458/11/649
RESEARCH ARTICLE Open Access
Association between Body Mass Index and
depression: the “fat and jolly” hypothesis for
adolescents girls
Anne Revah-Levy1,2,3*†, Mario Speranza1,2,4†, Caroline Barry1,2, Christine Hassler1,2, Isabelle Gasquet1,2,5,
Marie-Rose Moro1,2,6 and Bruno Falissard1,2,7
Abstract
Background: Results concerning the association between Body Mass Index (BMI) and depression in adolescence
are conflicting, some describing a linear association (increase in BMI with level of depression), some a U-shaped
association (both underweight and obesity are associated with high levels of depression), and they mostly concern
small samples. The purpose of this study was to describe the association between BMI and depression in a large
representative sample of French adolescents.
Methods: The association between BMI and depression, measured on the Adolescent Depression Rating Scale
(ADRS), was tested in a French national representative sample of 39542 adolescents aged 17. Self-report data is
derived from the 2008 ESCAPAD study, an epidemiological study based on a questionnaire focused on health and
drug consumption. We used spline function analysis to describe the association between BMI and depression.
Results: The association between BMI and depression is significant (p 0.001) and non-linear for both genders,
with no effect of parental working and marital status. For boys, there is U-shaped association. For girls the shape of
the association is complex and shows inverted convexity for high levels of BMI. The spline shows higher scores for
depression among overweight girls than among obese girls.
Conclusion: There is evidence for a gender difference in the association between BMI and depression in
adolescents, supporting the need to study boy
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