Objective The aim of this study was to determine the prevalence of depression in obese and overweigth adolescents and, to evaluate the relationships between depression and cardiomethabolic risk factors in obese and overweight adolescents.
Method We performed a retrospective cross-sectional analysis of the data from overweight or obese adolescents 11 to 18 years of age who were evaluated in our clinic from January 2012 to December 2015. Depression was evaluated by Children’s Depression Inventory. Hypertension, dyslipidemia, hyperinsulinemia, hyperglycaemia and insulin resistance were defined as cardiometabolic risk factors. For statistical analysis, Chi-square test and logistic regression analysis were used.
Results Among 283 adolescents 26.5% were overweight, and 73.5% were obese, the mean age was 14.02±1.67 years and 59.4% of the subjects were girls. The SDS-BMI was in median 2.36±0.62, CDI score was in median 12.72±6.5, and 47 (16.6%) of the parcipitans were found depressed. Depression frequency was found higher in females than in males (p=0.047). No significant difference was found in depression scores between overweight and obese groups. The frequency of hypertension, dyslipidemia and insulin resistance were found similar between depressed and non depressed groups. In depressed group hyperinsulinemia was found more frequent than in non depressed group (p=0.026), in logistic regression analysis this relation disappeared.
Conclusion It is obvious that there is a close relationship between depression and obesity, but no association between depression and obesity related cardiometabolic risk factors was found in this study group.
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