Yıl: 2020 Cilt: 16 Sayı: 4 Sayfa Aralığı: 385 - 391 Metin Dili: İngilizce DOI: 10.5222/BMJ.2020.74946 İndeks Tarihi: 05-05-2021

Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity

Öz:
Objective: The aim of this study was to examine whether the presence of depression in overweight or obese adolescents increases the likelihood of cardiometabolic risk factors.Method: We performed a retrospective cross-sectional analysis of the data obtained from overweight or obese, adolescents aged 11-18 years, who were evaluated in our clinic from January 2012 to December 2015. Depression was evaluated by “Children’s Depression Inventory”. Hypertension, dyslipidemia, hyperinsulinemia, hyperglycemia and insulin resistance were defined as cardiometabolic risk factors. The degree of obesity was calculated as the body mass index standard deviation score.Results: Among 283 adolescents who were included in the study, 75 (26.5%) were overweight, and 208 (73.5%) were obese. The mean age was 14.02±1.67 years and 168 (59.4%) subjects were girls. The mean body mass index standard deviation score was 2.36±0.62, The mean Children’sDepression Inventory score was 12.72±6.5, and 47 (16.6%) of the participants were in depression. Depression was more frequently detected in females than in males (p=0.047). Body mass index standard deviation score was in positive correlation with Children’s Depression Inventory scores (r=0.123, p= 0.038). In univariate analyses, hyperinsulinemia was found to be 2.3 times more frequent in depressed group than in nondepressed group (p=0.026). In logistic regression analysis this relation disappeared.Conclusion: We showed that severity of depression increased, as the degree of obesity increased, but we could not find any clear relationship between depression and cardiometabolic risk factors in overweight or obese adolescents.
Anahtar Kelime:

Aşırı Ağırlıklı ve Şişman Ergenlerde Depresyon ve Kardiyometabolik Risk Etmenlerinin İlişkisi

Öz:
Amaç: Bu çalışmanın amacı aşırı ağırlıklı ya da şişman ergenlerde depresyon varlığının kardiyometabolik risk etmenlerini artırıp artırmadığını incelemektir. Yöntem: Ocak 2012 - Aralık 2015 tarihleri arasında kliniğimizde değerlendirilen, 11-18 yaş arası aşırı ağırlıklı ya da şişmanergenlerin verilerinin geriye dönük kesitsel çözümlemesi yapıldı. Depresyon, “Çocuklar için Depresyon Ölçeği” ile değerlendirildi. Hipertansiyon, dislipidemi, hiperinsülinemi, hiperglisemi ve insülin direnci kardiyometabolik risk etmenleri olarak tanımlandı. Şişmanlık derecesi, beden kitle indeksi standart sapma skoru olarak hesaplandı. Bulgular: Çalışmaya alınan 283 ergenden 75'i (% 26.5) aşırı ağırlıklı, 208'i (% 73.5) şişmandı. Olguların yaş ortalaması 14.02 ± 1.67 yıldı ve 168'i (% 59.4) kızdı. Beden kitle indeksi standart sapma skoru ortalama değeri 2.36 ± 0.62, Çocuklar için Depresyon Ölçeği ortalama puanı 12.72 ± 6.5 idi ve katılımcıların 47'sinde (% 16.6) depresyon saptandı. Depresyon sıklığı kızlarda erkeklerden daha yüksek saptandı (p = 0.047). Beden kitle indeksi standart sapma skoru ile Çocuklar için Depresyon Ölçeği puanları arasında aynı yönlü anlamlı ilişki saptandı (r=0.123, p = 0.038). Tek değişkenli çözümlemelerde depresyonu olanlarda hiperinsülinemi, depresyonu olmayanlara gören 2.3 kat daha sık bulundu (p = 0.026). Lojistik regresyon çözümlemesinde bu ilişki kayboldu. Sonuç: Şişmanlığın derecesi arttıkça depresyonun şiddetinin arttığını gösterdik, ancak aşırı ağırlıklı ya da şişman ergenlerde depresyon ve kardiyometabolik risk etmenleri arasında bir ilişki bulamadık
Anahtar Kelime:

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APA Okbay Güneş A, BİNGÖL ÇAĞLAYAN R, Sen Demirdogen E, Kose S, Erginoz E, ERCAN O, ALİKAŞİFOĞLU M (2020). Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. , 385 - 391. 10.5222/BMJ.2020.74946
Chicago Okbay Güneş Aslı,BİNGÖL ÇAĞLAYAN R.HÜLYA,Sen Demirdogen Ezgi,Kose Selmin,Erginoz Ethem,ERCAN OYA,ALİKAŞİFOĞLU MÜJGAN Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. (2020): 385 - 391. 10.5222/BMJ.2020.74946
MLA Okbay Güneş Aslı,BİNGÖL ÇAĞLAYAN R.HÜLYA,Sen Demirdogen Ezgi,Kose Selmin,Erginoz Ethem,ERCAN OYA,ALİKAŞİFOĞLU MÜJGAN Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. , 2020, ss.385 - 391. 10.5222/BMJ.2020.74946
AMA Okbay Güneş A,BİNGÖL ÇAĞLAYAN R,Sen Demirdogen E,Kose S,Erginoz E,ERCAN O,ALİKAŞİFOĞLU M Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. . 2020; 385 - 391. 10.5222/BMJ.2020.74946
Vancouver Okbay Güneş A,BİNGÖL ÇAĞLAYAN R,Sen Demirdogen E,Kose S,Erginoz E,ERCAN O,ALİKAŞİFOĞLU M Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. . 2020; 385 - 391. 10.5222/BMJ.2020.74946
IEEE Okbay Güneş A,BİNGÖL ÇAĞLAYAN R,Sen Demirdogen E,Kose S,Erginoz E,ERCAN O,ALİKAŞİFOĞLU M "Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity." , ss.385 - 391, 2020. 10.5222/BMJ.2020.74946
ISNAD Okbay Güneş, Aslı vd. "Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity". (2020), 385-391. https://doi.org/10.5222/BMJ.2020.74946
APA Okbay Güneş A, BİNGÖL ÇAĞLAYAN R, Sen Demirdogen E, Kose S, Erginoz E, ERCAN O, ALİKAŞİFOĞLU M (2020). Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. Bakırköy Tıp Dergisi, 16(4), 385 - 391. 10.5222/BMJ.2020.74946
Chicago Okbay Güneş Aslı,BİNGÖL ÇAĞLAYAN R.HÜLYA,Sen Demirdogen Ezgi,Kose Selmin,Erginoz Ethem,ERCAN OYA,ALİKAŞİFOĞLU MÜJGAN Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. Bakırköy Tıp Dergisi 16, no.4 (2020): 385 - 391. 10.5222/BMJ.2020.74946
MLA Okbay Güneş Aslı,BİNGÖL ÇAĞLAYAN R.HÜLYA,Sen Demirdogen Ezgi,Kose Selmin,Erginoz Ethem,ERCAN OYA,ALİKAŞİFOĞLU MÜJGAN Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. Bakırköy Tıp Dergisi, vol.16, no.4, 2020, ss.385 - 391. 10.5222/BMJ.2020.74946
AMA Okbay Güneş A,BİNGÖL ÇAĞLAYAN R,Sen Demirdogen E,Kose S,Erginoz E,ERCAN O,ALİKAŞİFOĞLU M Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. Bakırköy Tıp Dergisi. 2020; 16(4): 385 - 391. 10.5222/BMJ.2020.74946
Vancouver Okbay Güneş A,BİNGÖL ÇAĞLAYAN R,Sen Demirdogen E,Kose S,Erginoz E,ERCAN O,ALİKAŞİFOĞLU M Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity. Bakırköy Tıp Dergisi. 2020; 16(4): 385 - 391. 10.5222/BMJ.2020.74946
IEEE Okbay Güneş A,BİNGÖL ÇAĞLAYAN R,Sen Demirdogen E,Kose S,Erginoz E,ERCAN O,ALİKAŞİFOĞLU M "Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity." Bakırköy Tıp Dergisi, 16, ss.385 - 391, 2020. 10.5222/BMJ.2020.74946
ISNAD Okbay Güneş, Aslı vd. "Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity". Bakırköy Tıp Dergisi 16/4 (2020), 385-391. https://doi.org/10.5222/BMJ.2020.74946