The data used in this study came from the follow-up survey of the CHARLS targeting the middle-aged and older population (45+) in China. The CHARLS is an ongoing national longitudinal study administered by the National School for Development (China Center for Economic Research), with exams performed every 2 years for a total of 3 waves from 2011 to 2015. The first national baseline survey of the CHARLS was fielded between June 2011 and March 2012 and involved 17,705 respondents who were chosen randomly with a probability proportional to scale (PPS) in 450 villages/resident committees, 150 counties/districts and 28 provinces. The respondents were interviewed face-to-face in their homes via computer-assisted personal interviewing (CAPI) technology. Physical parameters, such as the respondents’ standing height, weight and waist circumference (WC), were measured by the trained investigators with standardized equipment (Index: height; Equipment: SecaTM213 Stadiometer Manufacturer/source: China Seca (Hangzhou) Co., Ltd. Index: weight; Equipment: OmronTMHN-286Scale Manufacturer/source: Krill Technology (Yangzhou) Co., Ltd. Index: waist circumference; Equipment: Soft Tape Measure Manufacturer/source: None.). The medical ethics committee approved the CHARLS study, and all interviewees were required to sign informed consent, Ethics approval for the data collection in CHARLS was obtained from the Biomedical Ethics Review Committee of Peking University (IRB00001052–11015). Ethics approval for the use of CHARLS data was obtained from the University of Newcastle Human Research Ethics Committee (H-2015-0290).
This study used the baseline data from 2011 and follow-up data from 2013 and 2015. To research the association between BMI (WC) and the onset of depression, we limited the samples to respondents who had no depression symptoms in 2011 and had received physical examinations in each of the three surveys. A total of 3337 subjects were included.
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