Relationship between body mass index and depressive symptoms: the “fat and jolly” hypothesis for the middle-aged and elderly in China

Zhang, Lin; Liu, Kun; Li, Hong; Li, Dan; Chen, Zhuo; Zhang, Lili; Guo, Leilei

doi:10.1186/s12889-016-3864-5

Cited by 59 publications

(60 citation statements)

References 56 publications

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“…In total, 7119 participants who effectively completed the questionnaires were included in our research. The baseline of demographic variables was shown in Table 1, and most variables based on our previous studies [40][41][42][43][44] Table 1 showed the relationship between various characteristics and BP levels in the participants. Significant differences in distribution were observed between blood pressure status in the men in all of the variables, except cigarette smoking, alcohol consumption, eating habit, social and leisure activities, physical exercise, hepatitis history, anti-diabetic medication, and HDL-C. Age, CRP, HbA1c, FPG, LDL-C, BMI, TG, SUA, SBP, and DBP were significantly higher in hypertension than those in the normotension, whereas, eGFR level were lower in hypertension than that in the normotension.…”

Section: Resultsmentioning

confidence: 99%

“…Variables like age, educational levels (four categories, illiterate, less than elementary school, high school, and above vocational school), marital status (dichotomous variables, the single and married), place of residence (dichotomous variables, rural and urban), cigarette smoking (three categories, no, former smoke, and current smoke), alcohol consumption (three categories, no, less than once a month, and more than once a month), eating habit (three categories, ≤two meals per day, three meals per day, and ≥ four meals per day), social and leisure activities (dichotomous variables, no and yes), accidental injury (dichotomous variables, no and yes), physical exercise (three categories, no physical exercise, less than physical exercises, and regular physical exercises), history of liver disease (dichotomous variables, no and yes), history of cardiovascular diseases (dichotomous variables, no and yes), antidiabetic medication (dichotomous variables, no and yes), antilipidemic medication (dichotomous variables, no and yes), and antihypertensive medication (dichotomous variables, no and yes) were obtained using a self-reported questionnaire, and most variables based on our previous studies [40][41][42][43][44].…”

Section: Self-reported Factorsmentioning

confidence: 99%

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The interaction between serum uric acid and triglycerides level on blood pressure in middle-aged and elderly individuals in China: result from a large national cohort study

Zhang

Guo

et al. 2020

BMC Cardiovasc Disord

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Background: The purpose of the research was to explore the extent of interaction between triglycerides (TG) and serum uric acid (SUA) level with blood pressure (BP) in middle-aged and elderly individuals in China.Methods: Data were selected from the China Health and Retirement Longitudinal Study (CHARLS), a cross-sectional study. 3345(46.99%) men with average ages of 60.24 ± 9.24 years and 3774 (53.01%) women with average ages of 59.91 ± 9.95 years were included in the study. Differences between gender, or between categories of blood pressure levels were evaluated by t-test or chi-square test. The adjusted associations between various characteristics and BP status were first compared using linear regression models, as appropriate. Then, A general linear model adjusted for confounding factors (socio-demographic characteristics [age, educational levels, marital status, place of residence], health behaviors [cigarette smoking, alcohol drinking, eating habits, social and leisure activities, accidental injury, physical activities], medical history [history of cardiovascular diseases, hepatitis history, antidiabetic drugs, history of antilipidemic medication, anti-hypertensive therapy], metabolic measures [C-reactive protein (CRP), hemoglobin A1c (HbA1c), fasting plasma glucose (FPG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), estimated glomerular filtration rate (eGFR), body mass index (BMI)]) was used to examine the synergistic effect of SUA and TG level on BP in middle-aged and elderly individuals in China.Results: Age-adjusted partial Pearson's correlation coefficient showed that SUA and TG level positively correlated with both systolic blood pressure (SBP) and diastolic blood pressure (DBP) in both men and women. Multiple linear regression analysis showed the TG level was significantly and positively associated with SBP and DBP in both men (SBP: β =0.068, P = 0.001; DBP: β =0.064, P = 0.002) and women (SBP: β =0.061, P = 0.002; DBP: β =0.084, P = 0.000), but SUA were significantly and positively associated with SBP in both men (SBP: β =0.047, P = 0.013) and women (SBP: β =0.040, P = 0.028), regardless of other confounding factors. After adjusting for related potential confounders, evidence of interaction between SUA and TG level on SBP (men: β = − 1.090, P = 0.726; women: β = − 0.692, P = 0.861) and DBP (men: β = − 1.026, P = 0.572; women: β = − 0.794, P = 0.842) was not observed. Conclusion: The interaction effect of SUA and TG level on BP was not observed in our study. Moreover, high SUA level was significantly associated with SBP, while high TG level was strongly related to both DBP and SBP.

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Section: Resultsmentioning

confidence: 99%

Section: Self-reported Factorsmentioning

confidence: 99%

The interaction between serum uric acid and triglycerides level on blood pressure in middle-aged and elderly individuals in China: result from a large national cohort study

Zhang

Guo

et al. 2020

BMC Cardiovasc Disord

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“…Zhou et al [23] found that there was a negative association between BMI and depressive symptoms for males. The study on BMI and depression, including 6224 males and 6883 females, indicated that the underweight subjects were more likely to be depressed compared with the normal weight people, whereas overweight and obese men and women were less likely to be depressed than people of normal weight [24] . In a prospective cohort study of 1024 patients, depression was more common in women with PAD compared to those without PAD [25] .…”

Section: Discussionmentioning

confidence: 98%

Risk factors of depression in type 2 diabetes mellitus with lower extremity arterial disease in China

Chai

Zhang

Yuan

et al. 2020

Preprint

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BackgroundWe aimed to evaluate the prevalence and risk factors of depression in type 2 diabetes mellitus with lower extremity arterial disease. Methods: Four hundred and forty-one patients with type 2 diabetes mellitus were recruited from Peking University of International Hospital. All patients completed the Self-rating Depression Scale, which includes 20 items, using a 4-point scale. Univariable and multivariable logistic regression was conducted to investigate risk factors of depression in patients with lower extremity arterial disease. Results: The prevalence of depression in lower extremity arterial disease group was significantly higher than that in non- lower extremity arterial disease group(25% vs 16%, P = 0.018). In lower extremity arterial disease group(n = 215), depression score(46.18 ± 7.38 vs 44.03 ± 6.53, P = 0.003) significantly increased compared with non lower extremity arterial disease group(n = 226). Compared with male depressive patients, the proportion of female depressive patients(38% vs 15%, P = 0.003) was significantly higher in lower extremity arterial disease group. The depression score of female depressive patients(57.83 ± 3.29 vs 55.26 ± 1.59, P = 0.003) was significantly higher than that of male depressive patients. An increased risk of depression in female patients(crude OR: 2.50, 95% CI: 1.38–4.54, P = 0.003; adjusted OR: 2.34, 95% CI: 1.26–4.36, P = 0.008) and in patients with low body mass index(crude OR: 0.88, 95% CI: 0.80–0.96, P = 0.005; adjusted OR: 0.89, 95% CI: 0.81–0.97, P = 0.011) was detected. Conclusion: Both low body mass index and female are risk factors for depression.

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“…In addition, cumulative evidences indicate that mental disorder is a common comorbidity of obesity [7,8]. The prevalence of depressive symptoms in children and adolescents was approximate to 14% in China [9], and that in obese children and adolescents even reached to 23.62% [10]. Findings from a 2-year longitudinal study also suggested a significantly increased risk for poor well-being among overweight and obese children [11].…”

Section: Introductionmentioning

confidence: 99%

Associations of physical activity and fruit and vegetable intake with well-being and depressive symptoms among obese schoolchildren in Wuhan, China: a cross-sectional study

Fang

et al. 2018

BMC Public Health

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BackgroundThe prevalence of childhood obesity is increasing and psychological disorder is a common comorbidity of obesity. We investigated the associations of physical activity (PA) and fruit and vegetable (FV) intake with well-being and depressive symptoms among obese schoolchildren.MethodsParticipants included 188 obese children aged 9.8 ± 0.7 years living in Wuhan, China. Self-administered questionnaires were used to collect the children’s PA and FV intake information. PA was considered to be high if the child participated in sport and/or vigorous free play at least 3 days per week with 60 min per day, while sufficient FV intake was defined as consuming FV 5 times per day. Children’s well-being and depressive symptoms were assessed by standard questionnaires. Multiple logistic regression was performed to determine the odds ratios (ORs) and 95% confidence intervals (CIs) of the relationships of PA and FV intake with well-being and depressive symptoms.ResultsHigh PA and sufficient FV intake were independently associated with significantly decreased risks for depressive symptoms (for PA, OR: 0.39, 95% CI: 0.16–0.92; for FV, OR: 0.21, 95% CI: 0.08–0.55) and poor well-being (for PA, OR: 0.35, 95% CI: 0.16–0.74), respectively. Furthermore, interactive inverse associations were observed between combined high PA and sufficient FV intake with poor well-being and depressive symptoms. Compared to their counterparts, children with high PA and sufficient FV intake had significantly reduced risk for poor well-being (OR: 0.16, 95%CI: 0.05–0.55) and depressive symptoms (OR: 0.12, 95% CI: 0.03–0.48).ConclusionsHigh PA and sufficient FV intake are inversely associated with the risks of poor well-being and depressive symptoms among obese Chinese schoolchildren.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5779-9) contains supplementary material, which is available to authorized users.

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Relationship between body mass index and depressive symptoms: the “fat and jolly” hypothesis for the middle-aged and elderly in China

Cited by 59 publications

References 56 publications

The interaction between serum uric acid and triglycerides level on blood pressure in middle-aged and elderly individuals in China: result from a large national cohort study

The interaction between serum uric acid and triglycerides level on blood pressure in middle-aged and elderly individuals in China: result from a large national cohort study

Risk factors of depression in type 2 diabetes mellitus with lower extremity arterial disease in China

Associations of physical activity and fruit and vegetable intake with well-being and depressive symptoms among obese schoolchildren in Wuhan, China: a cross-sectional study

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