Depression in Obese Persons Before Starting Complex Group Weight-Reduction Programme

Olszanecka-Glinianowicz, Magdalena; Zahorska-Markiewicz, Barbara; Kocełak, Piotr; Semik-Grabarczyk, Elżbieta; Dąbrowski, Piotr; Gruszka, Wojciech; Wikarek, Tomasz

doi:10.1177/0020764008095930

Cited by 12 publications

(11 citation statements)

References 18 publications

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“…The results were also comparable when the criterion of identity was gender. Therefore, it seems that baseline depression levels did not disturb the weight reduction, although as observed previously, the depression level increased with severe obesity [17,27].…”

Section: Discussionsupporting

confidence: 68%

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Is the depression level the factor influencing the effectiveness of the group weight reduction program?

Olszanecka-Glinianowicz¹,

Kocełak²,

Gruszka³

et al. 2014

noms

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Introduction: The aim of the study was to assess the influence of the depression level on the effects of the group weight reduction program. Material and methods:The study group involved 57 overweight and obese subjects [age 45.9 ± 13.9 years, body mass index (BMI) 35.5 ± 5.4 kg/m 2 ]. All patients participated in a 3-month group weight reduction program. Body mass and height were measured and BMI was calculated, the depression level was assessed using Beck's Depression Inventory (BDI) at baseline and at the end. Results: At baseline, the moderate depression level occurred in 8 women (BDI 23.1 ± 3.0 points), mild depression level in 22 subjects -20 women and 2 men (BDI 13.4 ± 2.4 points) and 27 subjects -22 women and 5 men did not have features of depression (BDI 5.5 ± 2.8 points). Subjects with severe and mild depression levels were significantly older than these without features of depression (p < 0.005). We did not observe differences of BMI between study subgroups. There were no correlations between body mass and BMI, and the depression levels. The body mass and depression levels decreased significantly in all study subgroups after the group weight reduction program with psychotherapy. We observed a significant decrease in both body mass and depression level in all study subgroups. The mean weight reduction was similar in all study subgroups. Conclusion:The depression level at baseline did not influence the effectiveness of the group weight reduction program.

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Section: Discussionsupporting

confidence: 68%

“…Magdalena Olszanecka-Glinianowicz 1 system activation [7,8], disturbance of neurotransmitter secretion [9][10][11][12][13] and immune activation [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Is the depression level the factor influencing the effectiveness of the group weight reduction program?

Olszanecka-Glinianowicz¹,

Kocełak²,

Gruszka³

et al. 2014

noms

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“…For the background group, at baseline, 26% of patients had BDI scores in the normal range (0-9), 38% in the mild depression range (10)(11)(12)(13)(14)(15)(16)(17)(18), 26% in the moderate depression range (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29) and 10% in the severe depression range (30+). The mean BDI score of this background group falls within the mild range (10-18) of depressive symptoms.…”

Section: Range Of Bdi Scoresmentioning

confidence: 99%

“…Several studies have reported little or no depressive symptoms in obese individuals [18,19] and even lower levels of depression in obese middle-aged men [20,21]. There are several studies indicating that as BMI increases, so do the depression levels [6,22]; this relationship has also been suggested to be a U-shaped association from underweight to obese class III [23]. Zhao et al [24] reported gender differences; specifically that in women, depression was increased when underweight, overweight, and obese class I only compared to normal weight and in men when underweight and obese class III only.…”

Section: Introductionmentioning

confidence: 99%

Characterization of the Improvement in Depressive Symptoms Following Bariatric Surgery

Hayden

Dixon

et al. 2010

OBES SURG

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“…Studies previously published indicate that levels of depressive symptoms increase proportionally as BMI increases (10,22). It is well known that after weight loss, either with bariatric surgery or any other type of intervention, depressive symptoms improve (23,24).…”

Section: Discussionmentioning

confidence: 99%

Effects of depressive symptoms on clinical outcomes, inflammatory markers and quality of life after a significant weight loss in a bariatric surgery sample

Francés¹,

Nicolau²,

Ayala³

et al. 2014

EJEA

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Nicolau J, Simó R, Sanchís P, Ayala L, Fortuny R, Rivera R, Masmiquel L. Effects of depressive symptoms on clinical outcomes, infl ammatory markers and quality of life after a signifi cant weight loss in a bariatric surgery sample. AbstractIntroduction: Obesity is linked to a low-grade chronic systemic infl ammation that improves after weight loss. Depressive disorder has been suggested to be associated with systemic infl ammation up regulation. Objective: We aimed to explore whether, after a signifi cant weight loss, the presence of depressive symptoms was associated with differences in terms of infl ammatory markers and quality of life. Methods: Sixty patients (78.3%♀, age 46.4 ± 9.9) who underwent bariatric surgery, with a minimum follow up of 18 months, were evaluated. For the screening of depression, the Beck Depression Inventory (BDI) was administered. Results: Ten subjects (16.6%) had a positive screening for depressive disorder. The percentage of patients with weight regain was greater among subjects with symptoms of depression (70% vs. 32%; p = 0.024), although no differences were seen regarding BMI prior to surgery and current BMI. Acute phase reactants were higher among subjects with symptoms of depression: platelets (319 ± 15 x 10^12/L vs. 232 ± 47 x 10 ^ 12/L; p = 0.001), erythrocyte sedimentation rate (24.7 ± 11.3 mm vs. 17 ± 10 mm; p = 0.03), fi brinogen (486 ± 107 mg/dL vs. 406 ± 66 mg/dL; p = 0.003), ferritin (106 ± 180 ng/ml vs. 34 ± 44 ng/ml; p = 0.014) and ultrasensitive C-reactive protein (0.96 ± 1.84 mg/dL vs. 0.24 ± 0.26 mg/dL; p = 0.008). All domains of quality of life were signifi cantly lower in the depressive group. Conclusions: Despite a signifi cant weight loss, infl ammatory markers are greater and quality of life lower when associated with depressive symptoms.

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Depression in Obese Persons Before Starting Complex Group Weight-Reduction Programme

Abstract: Depression often accompanies obesity. The depression levels increased in morbidly obese persons in comparison to moderately obese patients.

Cited by 12 publications

References 18 publications

Is the depression level the factor influencing the effectiveness of the group weight reduction program?

Is the depression level the factor influencing the effectiveness of the group weight reduction program?

Characterization of the Improvement in Depressive Symptoms Following Bariatric Surgery

Effects of depressive symptoms on clinical outcomes, inflammatory markers and quality of life after a significant weight loss in a bariatric surgery sample

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