Association of depression and obesity is mediated by weight perception

Paulitsch, Renata Gomes; Demenech, Lauro Miranda; Dumith, Samuel Carvalho

doi:10.1177/1359105319897778

Cited by 25 publications

(25 citation statements)

References 30 publications

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“…They also found that some groups were more vulnerable: being non-single, having more schooling and not engaging in physical activity. 43 Our data contrasted with different Brazilian studies showing regional heterogeneity. In our study, the association between higher rates of commuting-related physical activity and lifetime history of MDD lost its significance after adjustment.…”

Section: Discussioncontrasting

confidence: 99%

Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil

et al. 2021

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BACKGROUND: Cardiovascular risk factors can mediate the association between depression and cardiovascular diseases. OBJECTIVE: To evaluate cardiovascular risk factors in adult individuals with and without histories of major depression in the metropolitan region of São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study in São Paulo (SP), Brazil.METHODS: This study evaluated 423 individuals without any lifetime diagnosis of major depression and 203 individuals with a previous diagnosis of major depression (n = 626). The participants underwent a psychiatric evaluation using a structured clinical interview (SCID-1), an anthropometric evaluation and a clinical evaluation that included blood pressure measurement and assessment of fasting blood glucose, lipid profile and physical activity levels. RESULTS: Individuals with histories of major depression were more likely to be female (P < 0.0001). Individuals with lifetime diagnoses of major depression were more likely to be current smokers (odds ratio, OR 1.61; 95% confidence interval, CI 1.01-2.59) and to have diabetes (OR 1.79; 95% CI 1.01-3.21); and less likely to be obese (OR 0.58; 95% CI 0.35-0.94). CONCLUSION: Individuals with major depression had higher odds of presenting tobacco smoking and diabetes, and lower odds of being obese. Healthcare professionals need to be aware of this, so as to increase the rates of diagnosis and treatment in this population.

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Section: Discussioncontrasting

confidence: 99%

Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil

et al. 2021

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“…The themes identified here have all in a broad sense been identified elsewhere among populations with overweight and obesity. The well-reported psychological consequences of overweight largely stem from individuals with overweight themselves (Ciao et al, 2012;Paulitsch et al, 2019;Piana et al, 2013), and repeated research suggests that individuals with overweight not only recognize the physical health consequences associated with excess body weight (Piana et al, 2013;Tinker and Tucker, 1997;Weaver et al, 2008;Winter and Wuppermann, 2014) but also have a tendency to minimize the importance of these (Piana et al, 2013;Weaver et al, 2008;Winter and Wuppermann, 2014).…”

Section: Discussionmentioning

confidence: 99%

Perceptions of body weight that vary by body mass index: Clear associations with perceptions based on personal control and responsibility

et al. 2020

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This project aimed to identify the perceptions of body weight that vary by body mass index. First, a qualitative study explored body weight perceptions in 17 individuals with overweight. Second, a questionnaire was developed and completed by a UK sample with body mass index from 16.6 to 59.7 kg/m2 ( N = 328). A higher body mass index was associated with perceptions of less personal control and responsibility. Body mass index in females was also associated with three other questionnaire factors and body mass index in males with illness/medication. Thus, body mass index was associated with different perceptions of body weight. Focussing on personal control and responsibility may be useful for treatment and prevention.

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“…Needless to say, the treatment-seeking participants see obesity as a condition that needs to be changed. This point of view comes from perceived body weight (46), body dissatisfaction (47), and weight bias internalization (48), which are strongly in uenced by media exposure and negative beliefs about obesity in these communities (49). In contrast, since higher socioeconomic groups in developing countries are more likely to be obese, obesity sometimes is regarded as well-being and wealth (50).…”

Section: Discussionmentioning

confidence: 99%

Emotional states of different obesity phenotypes: A sex-specific results in a west-Asian population

Mehrabi

Amiri

Cheraghi

et al. 2020

Preprint

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Background The present study aimed to investigate the relationship of obesity phenotypes with depression, anxiety, and stress of the adult participants in Tehran Lipid and Glucose Study (TLGS). Methods Depression, anxiety, and stress levels of 2469 adult participants aged > 19 (1158 men and 1311 women) from Tehran Lipid and Glucose Study were examined among different obesity phenotypes in the current study. Weight, height, and waist circumferences of participants were measured by trained personnel. Obesity was defined as BMI ≥ 30 kg/m², and metabolically unhealthy status based on having metabolic syndrome (MetS) or diabetes type 2. Finally, four obesity phenotypes were defined: 1) Metabolically Healthy Non-Obese (MHNO), 2) Metabolically Healthy Obese (MHO) 3) Metabolically Unhealthy Non-Obese (MUNO), and 4) Metabolically Unhealthy Obese (MUO). Ordinal logistic regression analysis was used to compare sex-specific odds ratios. Results The mean age of 2469 men and women was 46.2 ± 15.9 and 45.6 ± 14.7, respectively. In total, women were more likely to experience different levels of depression (30.5%), anxiety (44.2%), and stress (43.5%). After adjusting for potential confounders, the odds of experiencing higher levels of anxiety were significantly greater in metabolically unhealthy men whether they were obese (OR: 1.78, 95% CI: 1.25–2.54; P = < 0.001) or non-obese (OR: 1.61, 95% CI: 1.17–2.21; P = < 0.001), and also in MUO women (OR: 1.73, 95% CI: 1.28–2.34; P = < 0.001) comparing to their MHNO counterparts. Moreover, the odds of experiencing higher levels of stress were significantly greater in MUNO men (OR: 1.40, 95% CI: 1.02–1.90; P = 0.04), and in MUO women (OR: 1.45, 95% CI: 1.07–1.96; P = 0.02) comparing to their MHNO counterparts. No difference in having higher levels of depression was observed in both genders. Conclusions Compared to MHNO individuals, MUO women and all metabolically unhealthy men reported higher levels of anxiety and stress. The obesity phenotypes were by no means associated with depression in men and women.

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Association of depression and obesity is mediated by weight perception

Cited by 25 publications

References 30 publications

Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil

Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil

Perceptions of body weight that vary by body mass index: Clear associations with perceptions based on personal control and responsibility

Emotional states of different obesity phenotypes: A sex-specific results in a west-Asian population

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