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Prevalence of depressive symptoms in overweight and obese children and adolescents in mainland China: A meta-analysis of comparative studies and epidemiological surveys
Wen-Wang Rao1; Ji-Wen Zhang2; Qian-Qian Zong2,3; Feng-Rong An3; Gabor S. Ungvari4,5; Lloyd Balbuena6; Fang-Yu Yang2; Yu-Tao Xiang1
2019-05-01
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume250Pages:26-34
Abstract

Background

Obesity is associated with a higher risk of depression in children and adolescents. This is a meta-analysis of studies examining depressive symptoms in overweight and obese children and adolescents in China.

Methods

A systematic literature search was performed independently in both English (PubMed, EMBASE, Web of Science and Medline Complete) and Chinese (China National Knowledge Internet, WANFANG Data and WeiPu VIP) databases from their commencement date to December 31, 2018. The pooled prevalence of depressive symptoms was calculated using a random-effects model. Data analyses were performed with STATA Version 12.0, R Version 3.3.0 and R Studio Version 0.99.903.

Results

Twenty-two epidemiological and 18 comparative studies were included in the meta-analysis. The overall prevalence of depressive symptoms was 24.02% (95% CI: 15.92%–33.16%) in obese children and adolescents and 22.61% (95% CI: 14.87%–31.34%) in overweigh children and adolescents. Obese children and adolescents were more likely to suffer from depressive symptoms (OR = 1.877, 95% CI: 1.459–2.415, P < 0.001) than their non-obese counterparts. The use of different screening scales for depressive symptoms was significantly associated with the prevalence of depressive symptoms.

Conclusions

Depressive symptoms are common in overweight and obese children and adolescents in China. Obese, but not overweight children and adolescents had higher risk of depressive symptoms. In order to lessen the risk of depressive symptoms, regular screening and effective interventions should be implemented to reduce obesity and overweight in this population.

KeywordObesity Children Adolescents Depressive Symptoms Meta-analysis
DOI10.1016/j.jad.2019.02.045
Indexed BySSCI ; SSCI
Language英语
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000463865400005
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Cited Times [WOS]:1   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorYu-Tao Xiang
Affiliation1.Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
2.School of Nursing, Capital Medical University, Beijing, China
3.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
4.The University of Notre Dame Australia, Fremantle, Australia
5.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
6.Department of Psychiatry, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
First Author AffilicationFaculty of Health Sciences
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Wen-Wang Rao,Ji-Wen Zhang,Qian-Qian Zong,et al. Prevalence of depressive symptoms in overweight and obese children and adolescents in mainland China: A meta-analysis of comparative studies and epidemiological surveys[J]. Journal of Affective Disorders,2019,250:26-34.
APA Wen-Wang Rao.,Ji-Wen Zhang.,Qian-Qian Zong.,Feng-Rong An.,Gabor S. Ungvari.,...&Yu-Tao Xiang.(2019).Prevalence of depressive symptoms in overweight and obese children and adolescents in mainland China: A meta-analysis of comparative studies and epidemiological surveys.Journal of Affective Disorders,250,26-34.
MLA Wen-Wang Rao,et al."Prevalence of depressive symptoms in overweight and obese children and adolescents in mainland China: A meta-analysis of comparative studies and epidemiological surveys".Journal of Affective Disorders 250(2019):26-34.
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