Gender Differences in Associations Between Body Mass Index and DSM-IV Mood and Anxiety Disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions

Barry, Danielle; Pietrzak, Robert H.; Petry, Nancy M.

doi:10.1016/j.annepidem.2007.12.009

Cited by 160 publications

(138 citation statements)

References 48 publications

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“…[7][8][9][10][11][12][13][14][15] Moreover, our results agree with the earlier studies in that the mental disorder status or its association with BMI levels varies by gender. 7,20,28,29,40 However, our results differed from those of several other studies that have reported no relationship 26 or an inverse association of overweight/obesity with mental disorders in men. [27][28][29] This could be explained by the differences in study population, measurements for psychiatric disorders or potential confounding variables included in the analyses in these studies.…”

Section: Discussionsupporting

confidence: 92%

“…3 A growing body of evidence has shown that obesity, highly prevalent and increasing in the United States and worldwide, [4][5][6] is associated with an increased risk of developing psychiatric disorders. [7][8][9][10][11][12][13][14][15] However, most of the earlier studies failed to evaluate the effects of obesity-related comorbidities (ORCs), lifestyle factors (such as smoking, alcohol drinking and physical activity) or other psychosocial factors (such as general health status, emotional support and life satisfaction) on mental health simultaneously, although these factors also affect mental health status 13,[16][17][18][19] or are associated with mental disorders. 16,[20][21][22][23][24][25] On the other hand, some other studies have found no relationship 26 or an inverse association of overweight/obesity with mental disorders in men.…”

Section: Introductionmentioning

confidence: 99%

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Depression and anxiety among US adults: associations with body mass index

et al. 2009

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Background: Obesity is associated with an increased risk of developing a variety of chronic diseases, most of which are associated with psychiatric disorders. We examined the associations of depression and anxiety with body mass index (BMI) after taking into consideration the obesity-related comorbidities (ORCs) and other psychosocial or lifestyle factors. Methods: We analyzed the data collected from 177 047 participants (agedX18 years) in the 2006 Behavioral Risk Factor Surveillance System. Current depression was assessed by the Patient Health Questionnaire-8 diagnostic algorithm. Lifetime diagnoses of depression, anxiety and ORCs were self-reported. The prevalence of the three psychiatric disorders was age standardized to the 2000 US population. Multivariate-adjusted prevalence ratios were computed to test associations of depression and anxiety with BMI using SUDAAN software. Results: The age-adjusted prevalence of current depression, lifetime diagnosed depression and anxiety varied significantly by gender. Within each gender, the prevalence of the three psychiatric disorders was significantly higher in both men and women who were underweight (BMIo18.5 kg/m 2 ), in women who were overweight (BMI: 25-o30 kg/m 2 ) or obese (BMIX30 kg/m 2 ), and in men who had class III obesity (BMIX40 kg/m 2 ) than in those with a normal BMI (18.5Ào25 kg/m 2 ). After adjusting for demographics, ORCs, lifestyle or psychosocial factors, compared with men with a normal BMI, men with a BMIX40 kg/m 2 were significantly more likely to have current depression or lifetime diagnosed depression and anxiety; men with a BMIo18.5 kg/m 2 were also significantly more likely to have lifetime diagnosed depression. Women who were either overweight or obese were significantly more likely than women with a normal BMI to have all the three psychiatric disorders.Conclusions: Our results demonstrate that disparities in the prevalence of depression and anxiety exist among people with different BMI levels independent of their disease status or other psychosocial or lifestyle factors.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Depression and anxiety among US adults: associations with body mass index

et al. 2009

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“…We found three additional studies through bibliography hand-searches, yielding 16 relevant publications for this systematic review. [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] Inter-rater agreement was good for study screening (kappa statistic 0.72, 95% CI: 0.57-0.87) and for quality assessment (kappa 0.75, 95% CI: 0.62-0.88). Tables 1 and 2 summarize the characteristics and main findings of the prospective and cross-sectional studies, respectively.…”

Section: Discussionmentioning

confidence: 99%

The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis

2009

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Anxiety disorders are the most prevalent mental disorders in developed countries. Obesity is hypothesized to be a risk factor for anxiety disorders but evidence supporting an association between these two conditions is not clear. The objectives of this paper were to systematically review the literature for a link between obesity and anxiety disorders in the general population, and to present a pooled estimate of association. We performed a systematic search for epidemiological articles reporting on obesity (explanatory variable) and anxiety disorders (outcome variable) in seven bibliographical databases. Two independent reviewers abstracted the data and assessed study quality. We found 16 studies (2 prospective and 14 cross-sectional) that met the selection criteria. Measures of effect from prospective data were mixed but cross-sectional evidence suggested a positive association between obesity and anxiety. The pooled odds ratio from cross-sectional studies was 1.4 (confidence interval: 1.2-1.6). Subgroup analyses revealed a positive association in men and women. Overall, a moderate level of evidence exists for a positive association between obesity and anxiety disorders. Questions remain regarding the role of obesity severity and subtypes of anxiety disorders. The causal relationship from obesity to anxiety disorders could not be inferred from current data; future etiologic studies are recommended.

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“…Contradictory results are presented by studies on the association between obesity and social anxiety (3,27,31,32). The frequency of social anxiety in obesity has been found to be 59% (9).…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, in our study it was found that, besides depression, increase of social anxiety level is a predictor for the development of obesity. Barry et al found a significant association between social anxiety and obesity and specified that this association occurred as obese people anticipate being negatively evaluated based on weight (27).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with social anxiety disorder in a group of obese Turkish female patients

2018

Turk J Med Sci

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Background/aim: Mental disorders may accompany obesity. This study aims to evaluate the association between social anxiety disorder (SAD) and obesity and the risk factors for SAD in obese female patients. Materials and methods:A total of 114 obese patients and 110 healthy controls were included. The Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), State and Trait Anxiety Inventory (STAI I-II), and Liebowitz Social Anxiety Scale (LSAS) were administered to assess anxiety, depression, and social anxiety levels. Scale scores were analyzed statistically. Results:The rate of SAD in obese female patients was found to be 8.8%. Anxiety, depression, and social anxiety levels were significantly higher in the obesity group compared to the control group (P < 0.05). According to linear regression analyses, a significant association between LSAS anxiety level and age, prior surgery, social support, history of being teased, BDI, and BAI was found. Conclusion:The present study shows that many factors are related to obesity and SAD in obese female patients. The clinical implications of these findings should be considered. Interventions for these factors may help prevent SAD in obese female patients.

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Gender Differences in Associations Between Body Mass Index and DSM-IV Mood and Anxiety Disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions

Cited by 160 publications

References 48 publications

Depression and anxiety among US adults: associations with body mass index

Depression and anxiety among US adults: associations with body mass index

The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis

Factors associated with social anxiety disorder in a group of obese Turkish female patients

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