Association Between Depressive Symptoms in Childhood and Adolescence and Overweight in Later Life

Liem, Eryn T.; Sauer, Pieter J. J.; Oldehinkel, Albertine J.; Stolk, Ronald P.

doi:10.1001/archpedi.162.10.981

Cited by 61 publications

(51 citation statements)

References 62 publications

(104 reference statements)

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“…There are previous studies that have investigated the association between weight change and mental disorders in the adult population, however most studies included adolescents (Haukkala et al, 2001;Blaine, 2008;Liem et al, 2008;Luppino et al 2010). Few of the large-scale studies examining mental health and weight associations have used well-defined DSM-IV depressive and anxiety diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Depressive and anxiety disorders: Associated with losing or gaining weight over 2 years?

Wit

Straten

Lamers

et al. 2015

Psychiatry Research

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a b s t r a c tThis longitudinal study examines to what extent different depressive and anxiety disorders and clinical characteristics are associated with subsequent weight change, while controlling for baseline weight, sociodemographics, health status, psychotropic medication use and (un)healthy lifestyle factors. Data are from a sample of 2447 respondents aged 18-65 years of the Netherlands Study of Depression and Anxiety (NESDA). Baseline depressive disorders and anxiety disorders were determined with the Composite International Diagnostic Interview (CIDI). Weight at baseline and after 2 years was measured and analyzed as continuous change score (mean change in weight 1 kg) and in categories of significant weight loss ( o1 S.D. weight change equaling o 4 kg), weight maintenance and weight gain ( 41 S.D., 46 kg). After full adjustment for covariates baseline comorbid anxiety and depressive disorder and baseline Major Depressive Disorder (MDD) were associated with significant 2-year weight gain. Both current and remitted MDD at baseline and a baseline dysthymia, but none of the anxiety disorders, were associated with significant weight loss. This longitudinal study confirms a U-curved link between depression and weight change over 2 years. Furthermore, a dose-response effect of depression severity on 2-year weight gain was found.

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Section: Introductionmentioning

confidence: 99%

Depressive and anxiety disorders: Associated with losing or gaining weight over 2 years?

Wit

Straten

Lamers

et al. 2015

Psychiatry Research

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show abstract

“…5,6 However, recent studies also suggest that depressive symptoms could put adolescents at risk of obesity. [7][8][9] Several cross-sectional studies provide evidence for a link between depressive symptoms and weight status or BMI in adolescence. 3,10,11 Using a nationally representative sample of US adolescents, BeLue and colleagues 10 found an association between several mental health indicators and overweight, including depression, anxiety, and stress coping.…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms Are Associated with Excess Weight and Unhealthier Lifestyle Behaviors in Urban Adolescents

Castillo

Francis²,

Wylie‐Rosett³

et al. 2014

Childhood Obesity

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Background: Adolescence is a critical period for the development of depressive symptoms and obesity. This study examined the association of depressive symptoms with standardized BMI (BMI z-score), lifestyle behaviors, and self-efficacy measures in a sample of urban adolescents.Methods: A school-based study was conducted among adolescents (N = 1508) enrolled from 11 public schools. Depressive symptoms were assessed with Kandel's depressive symptoms scale for adolescents. Fruit and vegetable intake and intake of energydense foods were assessed by a short food frequency questionnaire. Sedentary behavior and physical activity (PA) were obtained by self-report. Height and weight were measured directly and BMI z-scores were calculated. Mixed-effects models were used to examine the association of depressive symptoms with BMI z-score and lifestyle behaviors, accounting for clustering at school level and adjusting for confounders. Self-efficacy measures were evaluated as potential mediators.Results: The sample was 53% female, 75% Hispanic, and 82% US born, with a mean age of 13.9 years. Higher depressive symptoms were associated with higher BMI z-score (b = 0.02; p = 0.02), intake of energy-dense foods (b = 0.42; p < 0.001), and sedentary behavior (b = 0.48; p < 0.001), but lower PA (b = -0.03; p = 0.01). There was an interaction by gender in the association of depressive symptoms and PA. Self-efficacy mediated the association of depressive symptoms and PA.Conclusions: Obesity prevention and treatment programs should consider addressing the role of negative emotions as part of their preventive strategies.

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“…147 Depression in childhood is associated with obesity in adulthood. 148 Depression impairs patients' ability to implement behavior change and medical recommendations 149 and is associated with higher rates of attrition from pediatric weight management programs. 150 Recommended primary care screening methods 151 include the 9-item Patient Health Questionnaire-9 152 and the 2-item Patient Health Questionnaire-2 153 for adolescents and the internalizing subscale items of the Pediatric Symptom Checklist for younger children.…”

Section: Psychiatric Flat Affectmentioning

confidence: 99%

Physical Examination Findings Among Children and Adolescents With Obesity: An Evidence-Based Review

et al. 2016

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Overweight and obesity affects 1 in 3 US children and adolescents. Clinical recommendations have largely focused on screening guidelines and counseling strategies. However, the physical examination of the child or adolescent with obesity can provide the clinician with additional information to guide management decisions. This expert-based review focuses on physical examination findings specific to children and adolescents with obesity. For each physical examination element, the authors define the finding and its prevalence among pediatric patients with obesity, discuss the importance and relevance of the finding, describe known techniques to assess severity, and review evidence regarding the need for additional evaluation. The recommendations presented represent a comprehensive review of current evidence as well as expert opinion. The goal of this review is to highlight the importance of conducting a targeted physical examination during pediatric weight management visits.

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Association Between Depressive Symptoms in Childhood and Adolescence and Overweight in Later Life

Abstract: These results support a positive association between depressive symptoms at age 6 to 19 years and overweight in later life, assessed after a period of 1 to 15 years.

Cited by 61 publications

References 62 publications

Depressive and anxiety disorders: Associated with losing or gaining weight over 2 years?

Depressive and anxiety disorders: Associated with losing or gaining weight over 2 years?

Depressive Symptoms Are Associated with Excess Weight and Unhealthier Lifestyle Behaviors in Urban Adolescents

Physical Examination Findings Among Children and Adolescents With Obesity: An Evidence-Based Review

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