Depression, anxiety, and psychosocial stressors across BMI classes: A Norwegian population study - The HUNT Study

Eik‐Nes, Trine Tetlie; Tokatlian, Audrey; Raman, Jayanthi; Spirou, Dean; Kvaløy, Kirsti

doi:10.3389/fendo.2022.886148

Cited by 12 publications

(8 citation statements)

References 57 publications

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“… 87 Furthermore, multinomial logistic regression shows that depression is significantly and positively related to BMI. 88 …”

Section: Literature Reviewmentioning

confidence: 99%

The Nonlinear Relationship Between Body Mass Index (BMI) and Perceived Depression in the Chinese Population

Li¹,

Li²,

Liu³

et al. 2023

PRBM

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Purpose Existing studies on the association between BMI and depression report conflicting results with some demonstrating a positive relationship, while others a negative link or insignificant correlation. Very limited research on the nonlinear relationship between BMI and depression has yet to clarify the reliability and robustness of the potential nonlinearity and whether a more complex association exists. This paper aims to systematically investigate the nonlinear relationship between the two factors applying rigorous statistical methods, as well as explore the heterogeneity of their association. Materials and Methods A large-scale nationally representative dataset, Chinese General Social Survey, is used to empirically analyze the nonlinear relationship between BMI and perceived depression. Various statistical tests are employed to check the robustness of the nonlinearity. Results Results indicate that there is a U-shaped relationship between BMI and perceived depression, with the turning point (25.718) very close to while slightly larger than the upper limit of the range of healthy weight (18.500 ≤ BMI < 25.000) defined by World Health Organization. Both very high and low BMIs are associated with increased risk for depressive disorders. Furthermore, perceived depression is higher at almost all BMI levels among individuals who are older, female, lower educated, unmarried, in rural areas, belonging to ethnic minorities, non-Communist Party of China members, as well as those with lower income and uncovered by social security. In addition, these subgroups have smaller inflection points and their self-rated depression is more sensitive to BMI. Conclusion This paper confirms a significant U-shaped trend in the association between BMI and depression. Therefore, it is important to account for the variations in this relationship across different BMI categories when using BMI to predict depression risk. Besides, this study clarifies the management goals for achieving an appropriate BMI from a mental health perspective and identifies vulnerable subgroups at higher risk of depression.

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“… 87 Furthermore, multinomial logistic regression shows that depression is significantly and positively related to BMI. 88 …”

Section: Literature Reviewmentioning

confidence: 99%

The Nonlinear Relationship Between Body Mass Index (BMI) and Perceived Depression in the Chinese Population

Li¹,

Li²,

Liu³

et al. 2023

PRBM

View full text Add to dashboard Cite

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“…Probably it was because of the higher values of BMI, which might have resulted from the lower frequency of sports training. Some studies positively associate psychosocial stress with all BMI levels (Eik-Nes et al, 2022). However, other studies have found an inverted U-shaped relationship, where lower levels of anxiety are associated with both low and very high BMI, and high levels of anxiety are associated with medium to high BMI (Haghighi et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Cross-cultural comparison of sports anxiety among Indian and Polish sports players in a post-COVID world: a pilot study

Rawat,

Błachnio

2024

Health Psychology Report

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BackgroundThere is a need for cross-cultural research on the relationship between competitive anxiety, BMI, and sports training fre-quency in athletes. Especially in a post-COVID-19 world, adverse changes associated with weight gain and increased seden-tary lifestyles have been observed. Whether this trend occurs in athletes and how BMI and frequency of sports training af-fect anxiety levels in Polish and Indian athletes are the subjects of this study.Participants and procedureOne hundred athletes were successfully recruited in India (n = 50, gender-balanced), and in Poland (n = 50, gender-balanced). Their age ranged from 18 to 30 (Indian athletes: M = 23.65, SD = 2.75; Polish athletes: M = 23.50, SD = 3.27). The level of competitive anxiety was measured using the Sports Anxiety Scale-2. Respondents were asked about demographics along with weight, height, and frequency of training. A t-test was used to compare the total anxiety score, subscale scores, and BMI between the Indian and Polish samples. A two-factor ANOVA with repeated measures was administered to evaluate the interaction between Indian and Polish athletes’ trait anxiety and BMI. Moreover, the interaction between Indian and Polish athletes’ BMI and frequency of sports training was also tested.ResultsThe results showed that there was a significant difference between the anxiety levels of Indian and Polish athletes t(73.41) = –4.28, p < .001. The interaction between BMI and total anxiety score between Polish and Indian sports players was significant (p = .001). However, no statistically significant interaction was found between frequency of sports training and BMI.ConclusionsThe anxiety levels are higher due to higher BMI. These adverse changes in the behavioural area and their effects on physical health also concern young athletes. Further research is necessary to assess the late impact of the pandemic on the lives of athletes as these costs are accompanied by many others localized in the psychological sphere, which are only becoming apparent.

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“…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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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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Depression, anxiety, and psychosocial stressors across BMI classes: A Norwegian population study - The HUNT Study

Cited by 12 publications

References 57 publications

The Nonlinear Relationship Between Body Mass Index (BMI) and Perceived Depression in the Chinese Population

The Nonlinear Relationship Between Body Mass Index (BMI) and Perceived Depression in the Chinese Population

Cross-cultural comparison of sports anxiety among Indian and Polish sports players in a post-COVID world: a pilot study

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

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