Relationship between body mass index and depression in women: A 7-year prospective cohort study. The APNA study

Marti, Amelia; Guillén-Grima, Francisco; Aubá, Enrique; Martí, Amelia; Brugos-Larumbe, Antonio

doi:10.1016/j.eurpsy.2015.11.003

Cited by 39 publications

(26 citation statements)

References 29 publications

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“…This was in contrast to most findings from Western studies, which have reported that clinical overweight or obesity is significantly associated with depression 31 32 33 34 . In addition, others have reported that both underweight and obesity are associated with depression, and a U-shaped relationship between depression and BMI has been described 35 36 . However, our findings are consistent with a previous study conducted in the Chinese elderly, which also demonstrated an inverse relationship between BMI and depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

Body mass index moderates the relationship between C-reactive protein and depressive symptoms: evidence from the China Health and Retirement Longitudinal Study

Qin

Liu

Yin

et al. 2017

Sci Rep

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The present study aimed to investigate the role of abnormal body mass index (BMI, kg/m2) in the depression-CRP (C-reactive protein) relationship in a healthy middle-aged and elderly Chinese population. Analytical samples were drawn from the China Health and Retirement Longitudinal Study (CHARLS), and participants were categorized by different BMI levels. Depressive subtypes were evaluated both at baseline and follow-up using the Center for Epidemiology Studies Depression scale. Hs-CRP and other variables were measured at baseline. Multiple linear regression analyses were used to evaluate the cross-sectional and longitudinal relationship between depression and baseline hs-CRP. Depression was significantly negatively associated with BMI (ρ = −0.077, p < 0.0001), with underweight associated with worse depressive symptoms than other BMI groups. Both cross-sectional and longitudinal associations between serum hs-CRP and depressive subtypes were significantly positive in the underweight group (p < 0.05). However, in the other BMI groups (from normal weight to obesity), the CRP-depression relationship was no longer significant (p > 0.05). The significant relationship between CRP and depression in the underweight group suggested that not only obesity but also a low BMI could explain a substantial portion of the inflammation-depression link.

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Section: Discussionmentioning

confidence: 99%

Body mass index moderates the relationship between C-reactive protein and depressive symptoms: evidence from the China Health and Retirement Longitudinal Study

Qin

Liu

Yin

et al. 2017

Sci Rep

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“…Or are changes in weight related to changes in depressive symptoms in a curvilinear pattern, with individuals becoming underweight and overweight scoring worse? Based on previous studies showing that underweight as well as overweight are associated with increased depressive symptoms [ 16 , 17 ], we hypothesize that the greater the change to the extreme of BMI, the greater the risk of an increase in depressive symptoms. More specifically, factors associated with obesity such as poor body image, maladaptive eating behaviors or avoidance of physical activity might explain the relationship between obesity and depressive symptoms [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Are changes in body-mass-index associated with changes in depressive symptoms? Findings of a population-based longitudinal study among older Germans

Hajek

König

2018

BMC Psychiatry

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BackgroundThe longitudinal relationship between BMI and depressive symptoms is not well understood. Therefore, we aimed at investigating the long-term association between body-mass-index (BMI) and depressive symptoms among older Germans.MethodsData were derived from a population-based longitudinal study of adults aged 40 and above in Germany (German Ageing Survey, DEAS). Four waves (2002–2014) were used. Depressive symptoms was assessed by the Center for Epidemiologic Studies Depression Scale (CES-D). Linear, quadratic and cubic terms were included for self-reported BMI. Fixed effects regressions were used to estimate the predictors of depressive symptoms.ResultsFE regressions showed a curvilinear effect of BMI on depressive symptoms in the total sample and in women, but not men, with significant gender differences. In sum, the greater the extreme of BMI (either higher or lower), the greater the risk for depressive symptoms in the total sample and in women.ConclusionOur findings indicate that the effect of BMI on depressive symptoms is by no means simple. The current study highlight the importance of comprehensive treatment of depression, which include management of (extreme) weight to manage depressive symptoms.

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“…With regard to maternal mental health symptoms and maternal nutritional status, our finding that there was no association between more severe symptoms and BMI also diverged from the existing literature. Studies from high-income countries found relations between depressive symptoms and BMI to resemble a U-shaped curve, where depressive symptoms are associated with both underweight and overweight in adults [54][55][56]. Among women in the perinatal period, one study found that women with normal pre-pregnancy BMI (compared to obese and underweight women) had signficantly lower risk of postpartum depression symptoms.…”

Section: Discussionmentioning

confidence: 99%

Mental health symptoms and their relations with dietary diversity and nutritional status among mothers of young children in eastern Democratic Republic of the Congo

Emerson

Caulfield

Kishimata³

et al. 2020

BMC Public Health

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Background: In developing countries, maternal mental health problems have been linked to sub-optimal child feeding practices and child underweight and stunting, but little is known about how maternal mental health is associated with mothers' own diets and nutritional status. The objective of the study was to investigate the association between mental health symptoms and diet and nutritional status of mothers of young children in South Kivu, DR Congo. Methods: Participants were 828 mothers of young children enrolled in a larger, quasi-experimental study evaluating a multi-year food security and nutrition project. The present analysis was conducted with cross-sectional data collected from 2015 to 2016. We assessed symptoms of anxiety and depression using the Hopkins Symptom Checklist-25 (HSCL-25) and post-traumatic stress disorder (PTSD) with the Harvard Trauma Questionnaire (HTQ), using a four-point Likert scale. Mean scale scores were calculated ranging from one to four. A variable was created for high distress (participants scoring in the upper quartile of both measures). Dietary diversity scores were calculated from the number of food groups (range zero to ten) consumed the previous day, identified from an open recall. Nutritional status was measured by body mass index (BMI) and underweight (BMI < 18.5 kg/m 2 , or mid-upper arm circumference < 23 cm for pregnant women). Bivariate and multivariate (adjusting for parent study intervention group, education, age, health, parity, livelihoods zone, and territory of origin) regression analyses were conducted. Results: Maternal mental health measures were positively and statistically significantly associated with higher dietary diversity scores in adjusted analyses (HSCL-25: ß= 0.18, p = 0.002, HTQ: ß= 0.12, p = 0.029, High Distress: ß= 0.47, p < 0.001). Mental health symptoms were not significantly associated with BMI (HSCL-25: ß = − 0.04, p = 0.824; HTQ: ß = 0.02, p = 0.913; High distress: ß= − 0.02, p = 0.938) or underweight (HSCL 25: OR = 0.91, p = 0.640; HTQ: OR = 1.03, p = 0.866; High distress: OR = 0.78, p = 0.489). Conclusions: More severe maternal mental health symptoms were associated with higher dietary diversity but not nutritional status, and the reasons for these findings are not clear from available data. More research is needed to identify underlying factors that could influence mental health symptomatology and diet quality among food insecure and extremely resource-limited populations.

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Relationship between body mass index and depression in women: A 7-year prospective cohort study. The APNA study

Abstract: In this 7-year prospective study in the APNA women population, depression emerged in 8.9%. Being underweight or obese (not overweight) at baseline is significantly associated with future onset of depression.

Cited by 39 publications

References 29 publications

Body mass index moderates the relationship between C-reactive protein and depressive symptoms: evidence from the China Health and Retirement Longitudinal Study

Body mass index moderates the relationship between C-reactive protein and depressive symptoms: evidence from the China Health and Retirement Longitudinal Study

Are changes in body-mass-index associated with changes in depressive symptoms? Findings of a population-based longitudinal study among older Germans

Mental health symptoms and their relations with dietary diversity and nutritional status among mothers of young children in eastern Democratic Republic of the Congo

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