Body mass index and depressive symptoms in adolescents in Taiwan: testing mediation effects of peer victimization and sleep problems

Chang, Ling-Yin; Chang, Hsing Yi; Wu, Wen Chi; Lin, Li‐Hua; Wu, Chi-Chen; Yen, Lee-Lan

doi:10.1038/ijo.2017.111

Cited by 14 publications

(39 citation statements)

References 55 publications

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“…The pooled β coefficient of the association between disturbed sleep and depression was 0.11 (95% CI, 0.06-0.15) and was based on 9 studies representing 14 067 participants between 5 and 19 years of age. 25,27,43,45,47,49,50,55,58 Metaregressions showed no evidence that the pooled estimate differed across any covariate, supporting the applicability of the pooled estimate to a broad spectrum of settings.…”

Section: Discussionmentioning

confidence: 85%

“…Complete data on β coefficients were available from 1 study on insomnia and depression 27 and from 8 studies on sleep disturbances and depression 25,43,45,47,49,50,55,58 (eTable 3 in the Supplement). The pooled β coefficient of the association between disturbed sleep and depression was 0.11 (95% CI, 0.06-0.15; P < .001; n = 14 067; I 2 = 50.8%; P = .04) (Figure 3).…”

Section: Pooled Estimates Of β Coefficientsmentioning

confidence: 99%

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Association Between Disturbed Sleep and Depression in Children and Youths

et al. 2021

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IMPORTANCE Disturbed sleep represents a potentially modifiable risk factor for depression in children and youths that can be targeted in prevention programs. OBJECTIVE To evaluate the association between disturbed sleep and depression in children and youths using meta-analytic methods. DATA SOURCES Embase, MEDLINE, PsycINFO, Scopus, Web of Science, and ProQuest Dissertations & Theses Global were searched for articles published from 1980 to August 2019. STUDY SELECTION Prospective cohort studies reporting estimates, adjusted for baseline depression, of the association between disturbed sleep and depression in 5-to 24-year-old participants from community and clinical-based samples with any comorbid diagnosis. Case series and reports, systematic reviews, meta-analyses, and treatment, theoretical, and position studies were excluded. A total of 8700 studies met the selection criteria. This study adhered to the guidelines of the Preferred Reporting Items for Systematic Reviews (PRISMA) and Meta-analyses and the Meta-analysis of Observational Studies in Epidemiology (MOOSE) statements. DATA EXTRACTION AND SYNTHESIS Study screening and data extraction were conducted by 2 authors at all stages. To pool effect estimates, a fixed-effect model was used if I 2 < 50%; otherwise, a random-effects model was used. The I 2 statistic was used to assess heterogeneity. The risk of bias was assessed using the Research Triangle Institute Item Bank tool. Metaregression analyses were used to explore the heterogeneity associated with type of ascertainment, type of and assessment tool for disturbed sleep and depression, follow-up duration, disturbed sleep at follow-up, and age at baseline. MAIN OUTCOME AND MEASURES Disturbed sleep included sleep disturbances or insomnia. Depression included depressive disorders or dimensional constructs of depression. Covariates included age, sex, and sociodemographic variables. RESULTS A total of 22 studies (including 28 895 patients) were included in the study, of which 16 (including 27 073 patients) were included in the meta-analysis. The pooled β coefficient of the association between disturbed sleep and depression was 0.11 (95% CI, 0.06-0.15; P < .001; n = 14 067; I 2 = 50.8%), and the pooled odds ratio of depression in those with vs without disturbed sleep was 1.50 (95% CI, 1.13-2.00; P = .005; n = 13 006; I 2 = 87.7%). Metaregression and sensitivity analyses showed no evidence that pooled estimates differed across any covariate. Substantial publication bias was found. (continued) Key Points Question Is disturbed sleep associated with depression in children and youths? Findings In this meta-analysis of 16 studies including 27 073 patients, pooled estimates supported the role of disturbed sleep as a risk factor for depression in children and youths. Effect size estimates were small but statistically significant. Meaning This study suggests that disturbed sleep is a component of the multifaceted risk profile of depression and should be included in prevention programs as early as childhood.

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Section: Discussionmentioning

confidence: 85%

Section: Pooled Estimates Of β Coefficientsmentioning

confidence: 99%

Association Between Disturbed Sleep and Depression in Children and Youths

et al. 2021

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“…The fact that body dissatisfaction lost its predictive power on depression levels of adolescents with a high BMIz further suggests that other factors, except body dissatisfaction, might play an important role in these adolescents’ depression levels. For example, peer victimization [ 75 ] or inflammation [ 76 ] have been shown to have a critical role in high BMI adolescents’ depression levels, which denotes the need for further research. Furthermore, there are other factors that can contribute to depressive symptoms in this group of adolescents, such as reduced physical activity, sedentary behavior or poor diet [ 77 ].…”

Section: Discussionmentioning

confidence: 99%

Is the Effect of Body Dissatisfaction on Depressive Symptoms Dependent on Weight Status? A Study with Early-to-Middle Adolescents

Carapeto

Domingos

Veiga

2020

EJIHPE

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Depression is a recognized mental health problem in adolescence and body dissatisfaction is an important risk factor. The main goal of this study is to examine the relationship between body dissatisfaction and depressive symptoms, and whether it depends on adolescents’ weight status, an issue that remains understudied. Two hundred and fourteen adolescents (12–16 years) completed self-report measures of depressive symptoms, body dissatisfaction and weight status (i.e., current body weight and height, to compute body mass index z-scores, BMIz). Hierarchical multiple regression and moderation analyses were conducted, accounting for gender and age effects on depressive symptoms. Body dissatisfaction was found to be a predictor of depressive symptoms for the low and median BMIz adolescents, but not for those with high BMIz. In addition, this interaction of body dissatisfaction and BMIz improved the ability of the regression model to explain depressive symptoms´ variance beyond the effect of gender and age. The high-BMIz adolescents presented higher body dissatisfaction but similar levels of depressive symptoms, compared to the lower BMIz adolescents. These findings suggest the influence of body dissatisfaction in the emergence of depressive symptoms in the first half of adolescence, and the importance of weight status throughout this path.

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“…The reverse association of physical activity with emotional distress has been well established in the past decades (5)(6)(7). An increasing body of literature indicates that physical activity can be beneficial on mental health among adolescents and young adults (8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Association of Sedentary Behavior With Anxiety, Depression, and Suicide Ideation in College Students

Jiang

Cao

et al. 2020

Front. Psychiatry

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Objectives: To investigate the association of sedentary behavior with anxiety, depression, and suicide ideation in multi-centered college students in China.Methods: This was a cross-sectional study of the first-year college student population. The students underwent a questionnaire survey inquiring about sedentary behavior (hours per day) and physical activity (minutes per week) during the past year. Anxiety, depression, and sleep quality were measured by the Generalized Anxiety Disorder Scale (GAD-2), the Patient Health Questionnaire (PHQ-2), and the Pittsburgh Sleep Quality Index (PSQI), respectively. Mixed models were used to estimate the associations, and adjusted odds ratios (AORs) were presented as the effect size. Mediation effect analysis was conducted to test the mediation effect of PSQI.Results: A total of 28,298 participants (response rate: 82%) completed the survey and were included in the final analyses. Crude and adjusted estimates consistently showed that both sedentary behavior and physical activity were significantly associated with mental illnesses. Sedentary behavior was positively associated with anxiety, depression, and suicidal behavior in a dose-response manner (AOR: 0.54–0.24; ≥7 h/day as reference), independent from the effect of physical activity (AOR: 0.78–0.41; no physical activity as reference). The association of sedentary behavior with mental health was partly mediated by sleep quality (25–71%).Conclusions: There is an independent dose-response association of sedentary behavior with mental well-being among college students in China, and this association may be partially attributable to impaired sleep quality. Attention should be drawn and actions should be taken by college educators and mental health providers.

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Body mass index and depressive symptoms in adolescents in Taiwan: testing mediation effects of peer victimization and sleep problems

Abstract: Peer victimization and sleep problems partly explain the link between BMI and depressive symptoms. Interventions to prevent or manage depressive symptoms may yield better results if they consider the effects of these two psychosocial factors rather than targeting BMI alone.

Cited by 14 publications

References 55 publications

Association Between Disturbed Sleep and Depression in Children and Youths

Association Between Disturbed Sleep and Depression in Children and Youths

Is the Effect of Body Dissatisfaction on Depressive Symptoms Dependent on Weight Status? A Study with Early-to-Middle Adolescents

Association of Sedentary Behavior With Anxiety, Depression, and Suicide Ideation in College Students

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