Obesity in Bipolar Disorder and Major Depressive Disorder: Results from a National Community Health Survey on Mental Health and Well-Being

McIntyre, Roger S.; Konarski, Jakub Z.; Wilkins, Kathryn; Soczynska, Joanna K.; Kennedy, Sidney H.

doi:10.1177/070674370605100502

Cited by 141 publications

(87 citation statements)

References 30 publications

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“…Previous studies suggest that obesity may be significantly associated with major depressive disorder (MDD). [2][3][4][5][6][7][8][9][10] A unique set of paradoxical findings arises when we examine how obesity and depression are associated with each other among different racial/ethnic groups.…”

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confidence: 99%

“…The literature on the association between obesity and depression has been inconsistent, with most, but not all, 17,18 studies suggesting a positive association. [2][3][4][5][6][7][8][9][10]19,20 Despite the higher prevalence of obesity among some racial/ethnic groups, our understanding of the obesity-depression association among these groups is limited in the following ways. First, previous studies often have not specifically examined the association between obesity and depression among racial/ethnic groups.…”

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confidence: 99%

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Racial/Ethnic Differences in the Association between Obesity and Major Depressive Disorder: Findings from the Comprehensive Psychiatric Epidemiology Surveys

2010

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SYNOPSISObjectives. This study examined whether the association between obesity and 12-month prevalence of major depressive disorder (MDD) varied according to racial/ethnic status and nativity in representative national samples of black, Latino, Asian, and non-Hispanic white people.Methods. We used data from the Comprehensive Psychiatric Epidemiology Surveys.Results. In analyses by gender, obesity was associated with an elevated risk of MDD among non-Hispanic white women (adjusted odds ratio [AOR] =1.73; 95% confidence interval [CI] 1.27, 2.35; p50.001). Formal test for interaction revealed significant variation by race present between nonHispanic white women and black, Latin, and Asian women. No significant differences were evident among men. In analyses by nativity, the association between obesity and MDD was significant among U.S.-born non-Hispanic white women (AOR51.62; 95% CI 1.16, 2.27; p50.001) and U.S.-born black women (AOR51.29; 95% CI 1.01, 1.66; p50.041). Significant interactions were present among U.S.-born white and black women, Latin women, and Asian women. No significant interactions were evident among foreign-born women. Similarly, no significant differences were present among native-born or foreign-born men.Conclusions. The findings suggest that the association between obesity and MDD varies according to racial/ethnic status and nativity. Understanding the link between obesity and depression may be imperative to designing interventions to address body weight maintenance and reduction strategies among women.

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confidence: 99%

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confidence: 99%

Racial/Ethnic Differences in the Association between Obesity and Major Depressive Disorder: Findings from the Comprehensive Psychiatric Epidemiology Surveys

2010

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“…Perhaps the biggest of these factors is that of mental illness. 88 Having a psychiatric illness does not make weight gain inevitable, but it does often require that additional tools be added to lifestyle recommendations around diet and exercise. We also need to be aware of the role of weight bias, as this population is often subject to prejudice and discrimination, and treatment of any type may need to incorporate tools to alleviate feelings of rejection and guilt.…”

Section: Resultsmentioning

confidence: 99%

An Overview of Treatments for Obesity in a Population with Mental Illness

et al. 2012

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Obesity is associated with early mortality and has overtaken smoking as the health problem with the greatest impact on quality of life, mortality, and morbidity. Despite public health initiatives and numerous commercial enterprises focusing on weight loss, obesity rates continue to rise. In part, this is because obesity is a multifaceted, complex illness, impacted by numerous social, psychological, and behavioural factors that are unrecognized in most current initiatives. One significant factor associated with obesity is mental illness. While having a psychiatric illness does not make weight gain inevitable, it does often require that additional tools be added to lifestyle recommendations around diet and exercise. The following article reviews the common approaches to obesity management and addresses how these strategies can be implemented in psychiatric care. It is important that health professionals involved in the care of people with a mental illness become familiar with the interventions available to control and treat the obesity epidemic, as this will improve treatment compliance and ultimately lead to improved physical and psychological outcomes.

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“…These disorders include diabetes, hyperlipidemia, metabolic syndrome, migraine, thyroid illness, hypertension, lower back pain, asthma, chronic bronchitis, gastric ulcers, and obesity. 33,[35][36][37][38][39][40][41][42][43][44][45][46] It is important to remember that bipolar disorder may present with complaints related to any of these conditions. Comorbid obesity in bipolar disorder has recently received much attention.…”

Section: General Medical Comorbiditiesmentioning

confidence: 99%

“…47 The observed prevalence rates may reflect a trend toward weight gain and obesity in the general population; however, persons with bipolar disorder appear to be at greater risk of being obese than the general population. [42][43][44]47 Obesity in bipolar disorder is likely to be multifactorial in origin, involving various combinations of a more sedentary lifestyle, endogenous illness-related physiologic mechanisms, medication-related effects, and comorbid eating disorders. 44,[49][50][51] Whatever its origin, comorbid obesity is associated with increased medical morbidity and poorer psychiatric outcome in bipolar disorder.…”

Section: General Medical Comorbiditiesmentioning

confidence: 99%