Physical activity and calorie intake mediate the relationship from depression to body fat mass among female Mexican health workers

Quezada, Amado D; Macías-Waldman, Nayeli; Salmerón, Jorge; Swigart, Tessa; Gallegos‐Carrillo, Katia

doi:10.1186/s12966-017-0612-x

Cited by 11 publications

(14 citation statements)

References 36 publications

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“…A cross-sectional study using data from National Health and Nutrition Examination Surveys in the United States showed that physical activity mediated 79% of the effect of MDD on BMI in young adults, but diet quality was not involved in this association 28 . A longitudinal study carried out with female Mexican health workers, exploring the bidirectional association between depression and body fat, showed that higher caloric intake and lower physical activity in leisure time mediated the effect of depressive symptoms on body fat, and no effects of obesity on depression were found 29 . In our data, obesity was associated with higher physical activity, contrary to what would be expected, which could explain the lack of an indirect effect by this variable.…”

Section: Discussionmentioning

confidence: 99%

Adiposity, depression and anxiety: interrelationship and possible mediators

et al. 2019

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OBJECTIVES To explore the association between adiposity, major depressive disorder and generalized anxiety disorder, and to assess the role of inflammation, diet quality and physical activity in this association.METHODS We used data from 2,977 individuals from the 1993 Pelotas Cohort (Brazil) who attended the 18- and 22-year follow-ups. We assessed general obesity using body mass index, fat mass index, and abdominal obesity using waist circumference. Major Depressive Disorder and generalized anxiety disorder were assessed using the mini-international neuropsychiatric interview. C-reactive protein and interleukin-6 (IL-6) levels were used as a measure of inflammation; diet quality was estimated using the revised diet quality index, and physical activity was assessed by the International physical activity questionnaire (IPAQ, min/day). The association between adiposity and major depressive disorder and generalized anxiety disorder was assessed using logistic regression, and the natural indirect effect via the mediators was estimated using G-computation.RESULTS General obesity assessed by body mass index (OR: 2.3; 95% CI:1.13; 4.85), fat mass index (OR: 2.6; 95%CI: 1.37; 4.83), and abdominal obesity (OR: 2.5; 95%CI: 1.18; 5.39) were associated with higher odds of major depressive disorder, whereas major depressive disorder was only associated with obesity assessed by body mass index (OR=1.9; 95% CI: 1.09; 3.46). Obesity and generalized anxiety disorder were not associated. C-reactive protein, diet quality and physical activity did not mediate the effect of obesity on major depressive disorder, and C-reactive protein mediated about 25% of the effect of major depressive disorder on adiposity.CONCLUSIONS Depression, but not generalized anxiety disorder, is associated with adiposity in both directions, with a stronger evidence for the direction obesity-depression. Inflammation explains part of the effect of major depressive disorder on obesity but not the other way around. Further research should explore other mechanisms that could be involved in the association between obesity and depression.

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Section: Discussionmentioning

confidence: 99%

Adiposity, depression and anxiety: interrelationship and possible mediators

et al. 2019

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“…Physical activity intervention plays a part in weight loss which happens to be an alternative for the prevention and treatment of the depression symptoms [ 76 ]. Moreover, poor sleep incite less motivation to do exercise that leads to weight gain and also obesity-related problemsas well as sleep disturbances [ 77 ].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, poor sleep incite less motivation to do exercise that leads to weight gain and also obesity-related problemsas well as sleep disturbances [ 77 ]. Promotingphysical activity in an individual’s lifestyle can also benefit in averting the potentialenhancement of chronic diseases for which body weight is a risk factor [ 76 ]. Consistent with previous literature [ 78 ], excessive weight gain probably happen alliance with low physical activity.…”

Section: Discussionmentioning

confidence: 99%

Postpartum depression symptoms in survey-based research: a structural equation analysis

2021

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Background Since the last decade, postpartum depression (PPD) has been recognized as a significant public health problem, and several factors have been linked to PPD. Mothers at risk are rarely undetected and underdiagnosed. Our study aims to determine the factors leading to symptoms of depression using Structural Equation Modeling (SEM) analysis. In this research, we introduced a new framework for postpartum depression modeling for women. Methods We structured the model of this research to take into consideration the Malaysian culture in particular. A total of 387 postpartum women have completed the questionnaire. The symptoms of postpartum depression were examined using the Edinburgh Postnatal Depression Scale (EPDS), and they act as a dependent variable in this research model. Results Four hundred fifty mothers were invited to participate in this research. 86% of the total distributed questionnaire received feedback. The majority of 79.6% of respondents were having depression symptoms. The highest coefficients of factor loading analysis obtained in every latent variable indicator were income (β = 0.77), screen time (β = 0.83), chips (β = 0.85), and anxiety (β = 0.88). Lifestyle, unhealthy food, and BMI variables were directly affected by the dependent variable. Based on the output, respondents with a high level of depression symptoms tended to consume more unhealthy food and had a high level of body mass indexes (BMI). The highest significant impact on depression level among postpartum women was unhealthy food consumption. Based on our model, the findings indicated that 76% of the variances stemmed from a variety of factors: socio-demographics, lifestyle, healthy food, unhealthy food, and BMI. The strength of the exogenous and endogenous variables in this research framework is strong. Conclusion The prevalence of postpartum women with depression symptoms in this study is considerably high. It is, therefore, imperative that postpartum women seek medical help to prevent postpartum depressive symptoms from worsening.

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“…Depression and anxiety appeared to lead to unhealthy lifestyles in rising studies, included physical inactivity, unhealthy diet, smoking habits (23), higher calorie intake, and body fat (24). Studies indicated that lifestyle changes had the potential to reduce the risk or symptoms of depression and anxiety (25,26).…”

Section: Introductionmentioning

confidence: 99%

“…Studies have found that hypertensive patients with anxiety or depression may display increased healthcare utilization (21) and the treatment of depression or anxiety disorders in individuals with hypertension may help improve medication adherence rates and healthcare outcomes (22). Depression and anxiety appeared to lead to unhealthy lifestyles in rising studies, included physical inactivity, unhealthy diet, smoking habits (23), higher calorie intake, and body fat (24). Studies indicated that lifestyle changes had the potential to reduce the risk or symptoms of depression and anxiety (25,26).…”

Section: Introductionmentioning

confidence: 99%

Anxiety and depression associated cardiovascular health behaviors among patients with hypertension

Liu

Tang

Yang

et al. 2021

Preprint

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Background: Anxiety and depression in hypertensive patients may lead to poor blood pressure control and increases the risk of disease mortality. Lifestyle impacts depression and anxiety. This study aimed to assess cardiovascular health behaviors (CHBs) associated with co-morbid anxiety and depression among patients with hypertension.Methods: We included 488 hypertensive patients from Changsha, China. We measured anxiety and depression using the self-rating anxiety scale (SAS), and the self-rating depression scale (SDS), respectively. CHBs (smoking, overweight/obesity, leisure physical activity (LPA), and fruit and vegetable consumption (FVC)) were assessed using the Cardiovascular Health in Ambulatory Care Research Team (CANHEART) index. We compared anxiety and depression prevalence of participants in different socio-demographic, CHBs, co-morbidities, family histories, assessed risk factors and their biological synergistic interaction.Results: The proportion of not ideal in smoking, overweight/obesity, LPA, and FVC were 63.9%, 49.8%, 30.7%, 78.3%, respectively. Displaying comorbidity of HLP and not obtaining adequate amounts of LPA were risk factors for both anxiety and depression. The synergy interaction between obtaining secondary education or less and displaying comorbidity of hyperlipidemia (HLP) for anxiety (OR=5.238, 95% CI=2.784, 9.856), and between not obtaining adequate amounts of LPA and obtaining manual labor for depression (OR=7.164, 95% CI=3.553, 14.443) was statistically significant.Conclusion: Our study indicated that doctors should pay more attention to the psychiatric health of hypertensive patients at lower education levels and with second comorbidities. More importantly, patients with hypertension working on manual jobs need to pay closer attention to how they spend their leisure time and strengthen LPA.

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Physical activity and calorie intake mediate the relationship from depression to body fat mass among female Mexican health workers

Cited by 11 publications

References 36 publications

Adiposity, depression and anxiety: interrelationship and possible mediators

Adiposity, depression and anxiety: interrelationship and possible mediators

Postpartum depression symptoms in survey-based research: a structural equation analysis

Anxiety and depression associated cardiovascular health behaviors among patients with hypertension

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