Associations of obesity with psychiatric disorders and suicidal behaviors in a nationally representative sample

Mather, Amber A.; Cox, Brian J.; Enns, Murray W.; Sareen, Jitender

doi:10.1016/j.jpsychores.2008.09.008

Cited by 225 publications

(183 citation statements)

References 39 publications

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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%

“…Seven studies in this review performed subgroup analysis by anxiety disorder subtypes. 30,[36][37][38][39]43,44 Evidence was largely mixed with the exception of specific phobia, which was consistently associated with obesity among studies that analyzed this subtype. In the only study that analyzed post-traumatic stress disorder (PTSD), 43 the authors found post-traumatic stress disorder was most strongly associated with obesity compared with other anxiety subtypes.…”

Section: Discussionmentioning

confidence: 99%

“…Cross-sectional findings generally pointed to a weak but positive association between obesity and anxiety disorders. Seven studies showed a significant positive association [30][31][32]39,[41][42][43] while five showed a positive trend that was nonsignificant for at least one gender stratum. 34,35,37,44,45 In the largest study on obesity and anxiety disorder to date, Zhao et al 45 analyzed data from 177 047 American adults.…”

Section: Study Selectionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

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

2009

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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%

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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“…It was previously reported that individuals with eating disorders have 60% more psychiatric comorbidities compared with general population [39]. Despite the recognized association of these disorders [40,41], more studies are needed to clarify the underlying mechanisms these disorders [42]. Concomitant to reduction in the frequency of BED, depression was reduced, which may be contributing to the improvement of QoL of the individuals under intensive intervention on lifestyle.…”

Section: Discussionmentioning

confidence: 99%

Benefits on quality of life concomitant to metabolic improvement in intervention program for prevention of diabetes mellitus

et al. 2011

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Objective To evaluate whether an interdisciplinary intervention program on lifestyle results in better quality of life (QoL) and lower frequencies of depression and binge eating disorder (BED) in individuals at risk for type 2 diabetes mellitus. Methods A total of 177 individuals (32.2% men, age 55.4 ± 12.5 years) at risk for diabetes were allocated to a 9-month traditional (TI) or intensive interdisciplinary intervention (II) on dietary habits and physical activity including psychoeducative groups. They were submitted to questionnaires and clinical and laboratory examinations. Predictors of non-adherence were analyzed by logistic regression. Results Only individuals submitted to II had blood pressure and plasma glucose levels reduced. Frequencies of depression reduced in both interventions but of BED only in II (28.0-4.0%, P \ 0.001). Increments in the scores of SF-36 domains (physical functioning: 11.1 ± 14.0 vs. 5.3 ± 13.0, role-emotional: 20.4 ± 40.2 vs. 6.2 ± 43.8, P = 0.05) were greater in the II than in TI, respectively. Changes in SF-36 correlated with decreases in anthropometry, blood pressure and glucose levels, depression and BED scores. Male gender was independently associated with non-adherence to the II. Conclusions In addition to metabolic benefits, an interdisciplinary approach may induce desirable extrametabolic effects, favoring the control of psychiatric disorders and improving the QoL of individuals at risk for diabetes.

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Associations of obesity with psychiatric disorders and suicidal behaviors in a nationally representative sample

Cited by 225 publications

References 39 publications

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

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

Benefits on quality of life concomitant to metabolic improvement in intervention program for prevention of diabetes mellitus

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