Şişman Çocuk ve Ergenlerde Depresyonun Uyku Miktarı ve Şişmanlığın Derecesi ile İlişkisi

Year 2021, Volume: 5 Issue: 1, 42 - 47, 23.04.2021

Fahri Çelebi Bahar Özcabı Ayla Güven

https://doi.org/10.30565/medalanya.784624

Abstract

Amaç: Bu çalışmada amacımız şişman çocuk ve ergenlerde şişmanlık ile ilişkili antropometrik ölçümler ile depresyon ve uyku süresi arasındaki ilişkiyi araştırmaktır.

Yöntemler: Çalışmaya kırk şişman çocuk ve ergen dahil edildi. Vücut kitle indeksi yaş ve cinsiyete göre 95 persentil ve üstünde olanlar şişman olarak tanımlandı. Sosyodemografik ve klinik veriler yazarlar tarafından oluşturulan sosyodemografik ve klinik veri formu kullanılarak elde edildi. Çalışmaya katılan çocuk ve gençlere “Çocuklar için depresyon ölçeği (ÇDÖ)” doldurtuldu. Katılımcıların boy ve kilosu kaydedildi, vücut kitle indeksi (VKİ) ve vücut kitle indeksi standart sapması (VKİ-SDS) hesaplandı.

Çalışmaya katılanlar VKİ değerine göre şişmanlık şiddeti açısından Sınıf 1 ve sınıf 2 olanlar 1.grup ve sınıf 3 olanlar 2. grup olarak gruplandırıldı. Gruplar sosyodemografik özellikler, depresyon ve uyku süresi açısından karşılaştırıldı.

Bulgular: Çalışmaya katılan 40 olgunun 25’i kızdı ve ortalama yaş 12.8±2.6 idi. Depresyonu olanlarda vücut ağırlığı, VKİ, VKİ-SDS ve uyku süresi depresyonu olmayanlara göre anlamlı olarak farklıydı. 2.grupta (Sınıf 3) ÇDÖ puanları anlamlı olarak daha yüksekti. ÇDÖ skorları vücut ağırlığı, VKİ, VKİ-SDS ile pozitif, uyku süresi ile negatif korelasyon göstermekteydi.

Sonuç: Şişman çocuk ve gençlerde yüksek depresyon skorları şişmanlık şiddeti ve azalmış uyku süresi ile ilişkili olabilir. Şişman çocuk ve ergenlerin depresyon ve uyku bozuklukları açısından bir çocuk ergen psikiyatrisi uzmanı ile birlikte takip edilmesinin önemli ve gerekli olduğu düşünülmektedir.

Keywords

Şişmanlık, Depresif belirtiler, vücut kitle indeksi, uyku

The Relationship Between Obesity, Depressive Symptoms and Sleep Duration in Children and Adolescents

Abstract

Aim: In this study, we aimed to investigate the relationship between symptoms of depression and sleep duration with anthropometric measurements in obese children and adolescents.

Methods: Forty children and adolescents (25 girls) diagnosed with obesity were included. Sociodemographic and clinical data were obtained using the sociodemographic and clinical data form. Age, gender, height and weight values were recorded; body mass index (BMI), percentile and standard deviations (SDS) were calculated. Children’s Depression Inventory (CDI) was used to assess depression. The degree of obesity was classified according to the BMI values of the cases, the cases in class 1 and 2 were grouped as “subgroup 1”, and the cases in class 3 as “subgroup 2”. Groups were compared in terms of sociodemographic features, depression and sleep duration.

Results: Mean age of the group was 12.8±2.6 years. There was a significant difference in patients with depression in terms of body weight, body weight SDS, BMI, BMI-SDS and sleep duration compared to those without depression. CDI scores in subgroup 2 were significantly higher than subgroup 1. CDI scores were positively correlated with body weight, BMI and BMI-SDS and negatively correlated with sleep duration. Sleep duration was negatively correlated with body weight and BMI.

Conclusion: Depressive symptoms and sleep duration may be associated with the severity of obesity in children. We consider that the assessment of depression and sleep disorders by a pediatric psychiatrist is important and useful in children with obesity.

Keywords

Obesity, Depressive Symptoms, Body Mass Index, Sleep

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