Association between waist-to-height ratio and anxiety in middle-aged women: a secondary analysis of a cross-sectional multicenter Latin American study

Arroyo, Karen J.; Ramos-Torres, Gabriela; Mezones‐Holguín, Edward; Blümel, Juan E.; Barón, Germán; Bencosme, Ascanio; Benítez, Zully; Bravo, Luz M.; Calle, Andrés; Flores, Daniel; Espinoza, María T.; Gómez, Gustavo; Hernández-Bueno, José A.; Martino, Mabel; Lima, Selva; Monterrosa, Álvaro; Mostajo, Desireé; Ojeda, Eliana; Onatra, William; Sánchez, Hugo; Tserotas, Konstantinos; Vallejo, María S.; Zúñiga, María C.; Chedraui, Peter

doi:10.1097/gme.0000000000001089

Cited by 8 publications

(5 citation statements)

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“…In contrast to our results, a recent study from the Netherlands Mental Health Survey and Incidence Study-2 found obesity, based on BMI, to be a significant risk factor for the onset of anxiety disorders during a three-year follow-up period [53]. Other studies have also observed a significant association between WHR and WHtR and depression and anxiety, particularly among women [56,57].…”

Section: Discussioncontrasting

confidence: 99%

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Dose-response association of obesity and risk of mental health among tehranian residents: result of a cross-sectional study

Jibril,

Ganjeh,

Mirrafiei

et al. 2024

BMC Public Health

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Background Obesity and mental health issues are two of the most prevalent global public health issues for a significant portion of people. The purpose of this study was to investigate the relationship between obesity indicators and mental health in Tehran-dwelling Iranian adults. Methods We conducted a cross-sectional study on healthy Iranian adults using a convenience sampling technique. The short form of the Depression Anxiety and Stress Scale (DASS-21) was used to measure the outcome, and independent variables included body mass index (BMI), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), body adiposity index (BAI), and a body shape index (ABSI). The relationship between obesity and mental health was investigated using a multivariate logistic regression model. The non-linear dose-response relationships were evaluated using restricted cubic splines (RCS) with three knots. The Benjamini-Hochberg procedure was used to adjust for multiple testing. Results In our study of 434 participants, females made up 52% of the participants, with a mean age of 38.57 years. In all, 54.6%, 53.9%, and 56.6% were classified as having anxiety, depression, and stress respectively. Logistic regression analysis showed that the odds of mental health components including anxiety, depression, or stress was not significantly different across the tertiles of the obesity indicators. We observed a significant dose-response relationship between BAI and ABSI and the risk of anxiety (PBenjamini-Hochberg 0.028 > Pdose-response 0.023) and stress (PBenjamini-Hochberg 0.028 > Pdose-response 0.003) but not depression (PBenjamini-Hochberg 0.014 < Pdose-response 0.018). The lowest risk for anxiety was observed in people with a BAI of 28% and ABSI equal to 0.079. The risk of stress seemed to increase beyond an ABSI of 0.086. Conclusion Our findings showed no direct linear association between obesity indices and anxiety. However, a dose-response relationship was observed between BAI and ABSI and the risk of anxiety and stress, indicating the need for further investigation.

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Section: Discussioncontrasting

confidence: 99%

“…There is disagreement over the link between obesity and mental health disorders as some studies show significant effects [53][54][55][56][57] while others do not [56,58,59].…”

Section: Discussionmentioning

confidence: 99%

Dose-response association of obesity and risk of mental health among tehranian residents: result of a cross-sectional study

Jibril,

Ganjeh,

Mirrafiei

et al. 2024

BMC Public Health

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“…This study shows a positive and significant correlation between Hamilton's Depression rating scale and BMI in agreement with 28 showed a strong association between mental disorder and being obese or overweight amongst females compared to males. 29…”

Section: Discussionmentioning

confidence: 99%

Phenotype of mental health women presented with widespread pain

2021

Proceedings of the Second Scientific Conference on Women's Health

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“…So that, different studies indicated that obesity may has positive correlation with depression and anxiety (7) (8) (9). For example, Karen J et al in a recent publication found that waist-to-height ratio is associated with anxiety in Latin American middle-aged women (10), whereas depression was associated with body mass index (BMI) in American women in midlife (11), (12), (13).…”

Section: Introductionmentioning

confidence: 99%

The association among anthropometric measurements, body composition and dietary inflammatory index with anxiety and depression in Iranian adolescent girls: a cross-sectional study

Eslahi,

Kheymehkaboud,

Banikazemi

et al. 2024

Preprint

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Background and aims: The prevalence of anxiety and depression in Iranian adolescent girls is increasing, which is very worrying. Few studies have been done about anthropometric measurements and DII with anxiety and depression in teenage girls. This study aimed to evaluate the association among anthropometric measurements and DII with anxiety and depression in Iranian adolescent girls. Methods: Totally, 260 adolescent girls aged 15-18 years were recruited in this study from four schools in Kashan, Isfahan province, Iran. The anthropometric and body composition of students were measured by InBody770. Assessment of the dietary inflammatory index was conducted using a validated semi-quantitative FFQ. The DASS-21 were completed by all participants in this study, to calculate depression and anxiety score. Results: There were a significant positive association between BMI (OR: 5.73, 95% CI: 1.11-6.30), BFM (OR: 4.80, 95% CI: 1.20-5.53) and WHR (OR: 3.66, 95% CI: 2.96-4.16) and depression. Besides, the association between anxiety and BMI (OR: 2.26, 95% CI: 1.87-5.84), BFM (OR: 2.07, 95% CI: 0.79-3.40) and WHR (OR: 2.60, 95% CI: 1.94-2.59) also were significantly positive. In contrast, similar to depression a reverse association were found between FFM (OR: 0.52, 95% CI: 0.49-0.65) with anxiety respectively (OR: 0.42, 95% CI: 0/35-0/59), (OR: 0.52, 95% CI: 0.49-0.65). Results obtained from modeling DII as a continuous variable identified a positive association between DII with BMI (OR: 1.43, 95% CI: 1.22-2.99), BFM (OR: 3.22, 95% CI: 1.1-5.9) and WHR (OR: 1.15, 95% CI: 1.05-3.39). Also, reverse association between DII with FFM (OR: 0.46, 95% CI: 0.11-0.62) and SLM (OR: 0.32, 95% CI: 0.04, 0.51) were seen. Conclusion: The present study showed that there is significant positive association among anthropometric measurements and anxiety and depression in adolescent girls. Furthermore, association between anthropometric measurements and DII were positive. Although, no association was found between the DII, depression and anxiety, girls with higher DII had more chance to have higher anthropometric measurements.

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Association between waist-to-height ratio and anxiety in middle-aged women: a secondary analysis of a cross-sectional multicenter Latin American study

Abstract: In this series, WHtR was associated with anxiety in middle-aged women. It is advisable to further study this anthropometric measure in order for it to be incorporated in the routine clinical practice and evaluation of middle-aged women.

Cited by 8 publications

References 43 publications

Dose-response association of obesity and risk of mental health among tehranian residents: result of a cross-sectional study

Dose-response association of obesity and risk of mental health among tehranian residents: result of a cross-sectional study

Phenotype of mental health women presented with widespread pain

The association among anthropometric measurements, body composition and dietary inflammatory index with anxiety and depression in Iranian adolescent girls: a cross-sectional study

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