Prospective association between obesity and depression: evidence from the Alameda County Study
- 27 March 2003
- journal article
- Published by Springer Science and Business Media LLC in International Journal of Obesity
- Vol. 27 (4), 514-521
- https://doi.org/10.1038/sj.ijo.0802204
Abstract
OBJECTIVE: To examine the temporal relation between obesity and depression to determine if each constitutes a risk factor for the other. DESIGN: A two-wave, 5-y-observational study with all measures at both times. SUBJECTS: A total of 2123 subjects, 50 y of age and older, who participated in the 1994 and 1999 waves of the Alameda County Study. MEASUREMENTS: Obesity defined as body mass index (BMI)30. Depression assessed using DSM-IV symptom criteria for major depressive episodes. Covariates include indicators of age, gender, education, marital status, social support, life events, physical health problems, and functional limitations. RESULTS: Obesity at baseline was associated with increased risk of depression 5 y later, even after controlling for depression at baseline and an array of covariates. The reverse was not true; depression did not increase the risk of future obesity. CONCLUSION: These results, the first ever on reciprocal effects between obesity and depression, add to a growing body of evidence concerning the adverse effects of obesity on mental health. More studies are needed on the relation between obesity and mental health and implications for prevention and treatment.Keywords
This publication has 36 references indexed in Scilit:
- Disturbances of Appetite and Weight Regulation in Seasonal Affective DisorderAnnals of the New York Academy of Sciences, 2006
- Effects of Age on Validity of Self-Reported Height, Weight, and Body Mass Index: Findings from the Third National Health and Nutrition Examination Survey, 1988–1994Journal of the American Dietetic Association, 2001
- Weight Gain in Depression Remitted with Antidepressants: Pharmacological or Recovery Effect?Psychotherapy and Psychosomatics, 1998
- Symptoms of depression and changes in body weight from adolescence to mid-lifeInternational Journal of Obesity, 1998
- Self-reported sleep disturbance as a prodromal symptom in recurrent depressionJournal of Affective Disorders, 1997
- Overweight and DepressionJournal of Health and Social Behavior, 1994
- Changes in the frequency distribution pattern of body weight in patients with major depressionActa Psychiatrica Scandinavica, 1993
- Body Mass Definitions of ObesityEpidemiology, 1990
- Carbohydrates and DepressionScientific American, 1989
- Jolly fat: relation between obesity and psychoneurosis in general population.BMJ, 1976