Association between obesity status in young adulthood and disability pension

Neovius, Martin; Kark, Malin; Rasmussen, Finn

doi:10.1038/ijo.2008.70

Cited by 54 publications

(63 citation statements)

References 33 publications

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“…These findings support earlier epidemiological studies, which have studied relations between weight status and mental disorders, where they have found that obesity was associated with increased risk of mood and anxiety disorders, 7,9 increased risk of depression, 8 and increased risk of personality and alcohol use disorders. 9 Our study results extend previous findings in Swedish men 3,4 by specifically investigating psychiatric disorders as reasons for DPs. Furthermore, participants with preexisting psychiatric disorders were excluded, which is likely to have reduced the risk of reverse causation.…”

Section: Discussionsupporting

confidence: 86%

“…Earlier studies have only explored major disease groups such as cardiovascular diseases, musculoskeletal diseases and psychiatric disorders in general. 4,12,13 Rissanen et al 13 showed an increased risk of DP with increasing BMI and reported that the increased risks were due to an excess of cardiovascular and musculoskeletal diseases, but not due to mental illnesses. Månsson et al, 12 however, found both an increased risk of diseases related to obesity, for example, cardiovascular and musculoskeletal disorders, and an increased risk of mental disorders, in line with our study results.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Previous research has shown that overweight and obesity in young adulthood are associated with risk of obtaining disability pension (DP) and premature death in future. [3][4][5] Conversely, two studies also showed an increased risk of DP among underweight individuals. 3,4 Psychiatric disorders are the most common disease category underlying newly granted DPs in Sweden, especially among younger adults (p40 years).…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] Conversely, two studies also showed an increased risk of DP among underweight individuals. 3,4 Psychiatric disorders are the most common disease category underlying newly granted DPs in Sweden, especially among younger adults (p40 years). DPs due to psychiatric disorders are thus causing major productivity losses in the society.…”

Section: Introductionmentioning

confidence: 99%

“…Månsson et al 12 reported an increased risk of DP due to mental disorders among overweight and obese middle-aged men whereas Rissanen et al 13 reported no such association. We have previously reported an increased risk of DP due to any psychiatric disorder among underweight, overweight and obese men, 4 but the relationships between underweight, overweight and obesity and DP attained for more specific groups of psychiatric disorders are largely unexplored. Furthermore, potential bias due to preexisting psychiatric disorders has not been explored in the previous studies.…”

Section: Introductionmentioning

confidence: 99%

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Obesity status and risk of disability pension due to psychiatric disorders

2010

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Objective: The aim of this study was to investigate associations between underweight, overweight and obesity in young adult men and risk of disability pension (DP) due to psychiatric disorders. Design and subjects: In this nationwide study of 1 110 139 Swedish men (mean age 18.3 ± 0.5 years), weight, height and muscular strength were measured at mandatory military conscription testing . Information on DP , residential area, parental socioeconomic position and education and preexisting psychiatric disorders was obtained by record linkage of national registers. Results: During 26 million person-years of follow-up, 19 684 men received DP due to psychiatric disorders. After adjustment, hazard ratios (HRs) due to any psychiatric disorder were 1.20 (95% CI: 1.15-1.26) for underweight, 1.14 (95% CI: 1.08-1.21) for overweight and 1.43 (95% CI: 1.28-1.60) for obesity compared to normal weight. For affective disorders, HRs were elevated for underweight (1.24, 95% CI: 1.16-1.32), overweight (1.19, 95% CI: 1.10-1.28) and obesity (1.55, 95% CI: 1.33-1.81), whereas for substance abuse increased risks were seen only for underweight (1.41, 95% CI: 1.23-1.61) and obesity (1.50, 95% CI: 1.07-2.12). For nonaffective disorders (including schizophrenia) overweight (HR ¼ 0.87, 95% CI: 0.76-1.00) and obesity (HR ¼ 0.79, 95% CI: 0.57-1.10) seemed to be protective, although not statistically significant. HRs for personality disorders were increased for underweight (1.18, 95% CI: 1.04-1.34), overweight (1.16, 95% CI: 1.00-1.30) and obesity (1.40, 95% CI: 1.03-1.90). Conclusion: Underweight and overweight were associated with small risk increases, whereas higher risks for DP were generally found for obesity.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Obesity status and risk of disability pension due to psychiatric disorders

2010

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Investing in the Wellbeing of Young People

et al. 2014

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This chapter looks in detail at the economic arguments for investing in measures to promote and protect the wellbeing of young people. We look at what is known about the long‐term benefits of good wellbeing, as well as the consequences of poor wellbeing, indicating the many economic impacts that been identified in studies that have followed young people for many decades into adulthood. Highly cost‐effective actions to protect psychological wellbeing, address overweight and obesity, and reduce risks from alcohol, smoking, and sexual behavior can be identified. In addition, there is compelling evidence, largely from a U.S. context, suggesting that investing in preschool educational interventions can generate positive returns on investment over the life course.

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