2013
DOI: 10.3389/fnins.2013.00177
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Metabolic disturbances connecting obesity and depression

Abstract: Obesity markedly increases the odds of developing depression. Depressed mood not only impairs motivation, quality of life and overall functioning but also increases the risks of obesity complications. Abdominal obesity is a better predictor of depression and anxiety risk than overall adipose mass. A growing amount of research suggests that metabolic abnormalities stemming from central obesity that lead to metabolic disease may also be responsible for the increased incidence of depression in obesity. As reviewe… Show more

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Cited by 243 publications
(170 citation statements)
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References 217 publications
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“…Chronic activation of pulsatile GC release in response to stress can alter the circadian release of GCs, and this aberrant regulation of the HPA axis has been identified as a common pathway in both metabolic and neuropsychiatric syndromes, such as diabetes, obesity, and mood disorders [83,86]. Abdominal obesity is associated with abnormal diurnal variation of GC release, with increased basal and stress-induced GC levels [87]. Similarly, MDD patients often display hypercortisolism [88] and hyperglycemia [89].…”
Section: The Stress System: Glucocorticoidsmentioning
confidence: 99%
See 1 more Smart Citation
“…Chronic activation of pulsatile GC release in response to stress can alter the circadian release of GCs, and this aberrant regulation of the HPA axis has been identified as a common pathway in both metabolic and neuropsychiatric syndromes, such as diabetes, obesity, and mood disorders [83,86]. Abdominal obesity is associated with abnormal diurnal variation of GC release, with increased basal and stress-induced GC levels [87]. Similarly, MDD patients often display hypercortisolism [88] and hyperglycemia [89].…”
Section: The Stress System: Glucocorticoidsmentioning
confidence: 99%
“…Furthermore, it has been proposed that leptin´s negative feedback on the HPA axis and subsequent downregulation of cortisol hyper-reactivity may have an antidepressant effect in animal models [94] and in humans [99,100]. Dysfunctional leptin activity at its midbrain and hypothalamic receptors may therefore contribute to the comorbidity of obesity and mood disorders [87]. Because the circadian clock coordinates both leptin release and activity of the HPA axis, disturbances of circadian rhythms may well contribute to co-morbid metabolic and psychiatric disorders by changing energy expenditure and food intake patterns as well as the ability to react appropriately to stress [84].…”
Section: Interaction Of the Hpa Axis With Leptinmentioning
confidence: 99%
“…These include: Dépression [132][133][134] Schizophrenia, -mood and anxiety disorders have been implicated in obesity and overweight according to published studies. [134][135][136] c. Appetite and satiety center dysfunction in brain: The brain also plays a role in obesity problem.…”
Section: B Mental Health and Psychiatric Problemsmentioning
confidence: 99%
“…HFHS diet consumption in both human and rodent has been associated with the progressive loss in spontaneous locomotor activity, and it has been shown that an acute reduction in locomotor activity is a major contributor to western diet-induced obesity in mice (Bjursell et al, 2008). Moreover HFHS diet were also link to the establishment of an addictive-like reward dysfunction and compulsive eating in obese rats (Johnson and Kenny, 2010) and depressive like behaviour (Hryhorczuk et al, 2013). Interestingly, obesityassociated cognitive impairment can be improved by selective lowering of circulating triglyceride (TG) (Farr et al, 2008).…”
Section: Introductionmentioning
confidence: 99%