Is body weight dissatisfaction a predictor of depression independent of body mass index, sex and age? Results of a cross-sectional study
Background:
Little is known about the association of dissatisfaction with body weight - a component of body image - with depression in individuals of different sex, age, and with different body mass index (BMI). Hence, the aim of our study was to evaluate the association of body weight dissatisfaction (BWD) with depression in different sub-groups.
Methods:
We analyzed data of 15,975 individuals from the cross-sectional 2012 Swiss Health Survey. Participants were asked about their body weight satisfaction. The validated Patient Health Questionnaire (PHQ-9) was used to ascertain depression. Age was stratified into three groups (18–29, 30–59, and ≥60 years). The body mass index (BMI) was calculated from self-reported body height and weight and categorized into underweight (BMI <18.5 kg/m2), normal weight (BMI 18.5–24.9 kg/m2), overweight (BMI 25.0–29.9 kg/m2), and obesity (BMI ≥30 kg/m2). The association between body weight dissatisfaction (BWD) and depression was assessed with logistic regression analyses and odds ratios (OR) with 95 % confidence intervals (CI) were computed.
Results:
BWD was associated with depression in the overall group (OR 2.04, 95 % CI 1.66–2.50) as well as in men (OR 1.85, 95 % CI 1.34–2.56) and women (OR 2.25, 95 % CI 1.71–2.96) independent of BMI. The stratification by age groups showed significant associations of BWD with depression in young (OR 1.78, 95 % CI 1.16–2.74), middle-aged (OR 2.10, 95 % CI 1.61–2.74) and old individuals (OR 2.34, 95 % CI 1.30–4.23) independent of BMI. Stratification by BMI categories resulted in statistically significant positive associations of BWD and depression in underweight, normal weight, overweight and obese individuals.
Conclusion:
BWD was associated with depression independent of BMI, sex and age.
Keywords:
Depression, Body weight, Weight dissatisfaction, Switzerland
Autoři:
Aline Richard; Sabine Rohrmann; Tina Lohse; Monika Eichholzer *
Vyšlo v časopise:
BMC Public Health 2016, 16:863
Kategorie:
Research article
prolekare.web.journal.doi_sk:
https://doi.org/10.1186/s12889-016-3497-8
© 2016 The Author(s).
Open access
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The electronic version of this article is the complete one and can be found online at: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3497-8
Souhrn
Background:
Little is known about the association of dissatisfaction with body weight - a component of body image - with depression in individuals of different sex, age, and with different body mass index (BMI). Hence, the aim of our study was to evaluate the association of body weight dissatisfaction (BWD) with depression in different sub-groups.
Methods:
We analyzed data of 15,975 individuals from the cross-sectional 2012 Swiss Health Survey. Participants were asked about their body weight satisfaction. The validated Patient Health Questionnaire (PHQ-9) was used to ascertain depression. Age was stratified into three groups (18–29, 30–59, and ≥60 years). The body mass index (BMI) was calculated from self-reported body height and weight and categorized into underweight (BMI <18.5 kg/m2), normal weight (BMI 18.5–24.9 kg/m2), overweight (BMI 25.0–29.9 kg/m2), and obesity (BMI ≥30 kg/m2). The association between body weight dissatisfaction (BWD) and depression was assessed with logistic regression analyses and odds ratios (OR) with 95 % confidence intervals (CI) were computed.
Results:
BWD was associated with depression in the overall group (OR 2.04, 95 % CI 1.66–2.50) as well as in men (OR 1.85, 95 % CI 1.34–2.56) and women (OR 2.25, 95 % CI 1.71–2.96) independent of BMI. The stratification by age groups showed significant associations of BWD with depression in young (OR 1.78, 95 % CI 1.16–2.74), middle-aged (OR 2.10, 95 % CI 1.61–2.74) and old individuals (OR 2.34, 95 % CI 1.30–4.23) independent of BMI. Stratification by BMI categories resulted in statistically significant positive associations of BWD and depression in underweight, normal weight, overweight and obese individuals.
Conclusion:
BWD was associated with depression independent of BMI, sex and age.
Keywords:
Depression, Body weight, Weight dissatisfaction, Switzerland
Zdroje
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