INFLUENCE OF SOCIODEMOGRAPHIC FACTORS AND BODY MASS INDEX ON DEVELOPMENT OF DEPRESSION IN OBESE AND OVERWEIGHT PEOPLE

  • Marijana C Jandrić-Kočić Dom zdravlja Krupa na Uni, služba porodične medicine
Keywords: nutritional disorder, mental health, depression

Abstract


Introduction: Overweight and obesity are accompanied by changes in a person's pathophysiology, somatic and aesthetic aspects, and often a strong unpleasant emotional component that results in the development of psychiatric disorders, primarily depression. Objective:The study aimed to examine the existence of a statistically significant association of sociodemographic factors and body mass index (BMI) with the intensity of depression in obese and overweight people.                                                                                                      Method: The study was performed as a cross-sectional study at the Health Center Krupa na Uni (Republika Srpska, Bosnia and Herzegovina) in the period from 01.12.2018. to 01.10.2019. The sample consisted of  90 overweight and obese individuals, 58 (64.4%) women and 32 (35.6%) men with a mean age of 55.0 ± 6.9 years. In addition to the general questionnaire, the study used Beck's Depression Inventory (BDI). The chi-square test was used in the statistical analysis of the data.                                                                                                  Result: Depression was found in 45 (50.0%) study participants (31.1% mild depression, 15.6% moderate depression, and 3.3% severe depression). There was a statistically significant higher intensity of depression in female subjects and body mass index ≥ 25.            Conclusion: Female gender is an independent predictor of depression intensity in overweight and obese individuals. There is a strong correlation between body mass index and depression intensity. Level of education, place of residence and age are not consistent with the presence and severity of depression in overweight and obese individuals.

Author Biography

Marijana C Jandrić-Kočić, Dom zdravlja Krupa na Uni, služba porodične medicine
specijalizacija porodične medicine

References

1. Jing C, Xiufen S, Xiaojing L, Ma K, Jianping S, Nafeesa Y et al. Depression,Obesity,Body Mass Index,Waste circumference,Cross sectional study. Frontiers in Endocrinology.2018. Available from: https://doi.org/10.3389/fendo.2018.00549
2. Latas M. Depresija i gojaznost - koji je pravi izbor medikamenata? Medicinski glasnik Specijalne bolnice za bolesti štitaste žlezde i bolesti metabolizma 'Zlatibor'. 2017; 22(67):92-100. Available from: https://scindeks-clanci.ceon.rs/data/pdf/1821-1925/2017/1821-19251767092L.pdf
3. Jantaratnotaiab N, Mosikanonc K, Leed Y, McIntyred RS. The interface of depression and obesity. Obesity Research & Clinical Practice. 2017; 11 (1): 1-10. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1871403X16300692#!
4. Milaneschi Y, Simmons WK, van Rossum EFC et al. Depression and obesity: evidence of shared biological mechanisms. Mol Psychiatry. 2019; 24: 18–33. Available from: https://doi.org/10.1038/s41380-018-0017-5
5. Ouakinin SRS, Barreira DP, Gois CJ. Depression and Obesity: Integrating the Role of Stress, Neuroendocrine Dysfunction and Inflammatory Pathways. Front Endocrinol (Lausanne). 2018; 9: 431. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079193/
6. Inta D, Wölnerhanssen BK, Meyer-Gerspach AC et al. Common Pathways in Depression and Obesity: The Role of Gut Microbiome and Diets. 2020; 7: 15-21. Available from: https://link.springer.com/article/10.1007/s40473-020-00199-1#citeas
7. Stanković Ž, Jašović-Gašić M. Klinički značaj komorbiditeta depresije, gojaznosti i metaboličkog sindroma. Engrami. 2010; 32(3):63-70. Available from: https://scindeks.ceon.rs/article.aspx?artid=0351-26651003063S
8. Castanon N, Luheshi G Layé S. Role of neuroinflammation in the emotional and cognitive alterations displayed by animal models of obesity. Front Neurosci. (2015) 9:229. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4490252/
9. Woo YS, Seo HJ, McIntyre RS, Bahk WM. Obesity and Its Potential Effects on Antidepressant Treatment Outcomes in Patients with Depressive Disorders: A Literature Review. Int J Mol Sci. 2016;17(1):80. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730324/
10. Afari N, Noonan C, Goldberg J, Roy-Byrne P, Schur E, Golnari G, Buchwald D. Depression and obesity: do shared genes explain the relationship? Depress Anxiety. 2010 ; 27 (9): 799-806. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2949065/
11. Stanković Ž, Jašović-Gašić M. Klinički značaj komorbiditeta depresije, gojaznosti i metaboličkog sindroma. Engrami. 2010; 32(3):63-70. Available from: https://scindeks.ceon.rs/article.aspx?query=ISSID%26and%268665&page=5&sort=8&stype=0&backurl=%2fissue.aspx%3fissue%3d8665
12. Purnell JQ. Definitions, Classification, and Epidemiology of Obesity. Endotext. 2018. Dostupno na: https://www.ncbi.nlm.nih.gov/books/NBK279167/.
13. Stanojević D, Jaredić B, Mandić S. Depresivnost kod adolescenata na Kosovu i Metohiji. Timočki medicinski glasnik. 2012; 40(3): 187-220. dostupno na: http://www.tmg.org.rs/v370406.htm.
14. Jackson-Koku G. Questionnaire review. Beck Depression Inventory. Occupational Medicine 2016;66:174–175. Available from: https://watermark.silverchair.com/kqv087.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAl4wggJaBgkqhkiG9w0BBwagggJLMIICRwIBADCCAkAGCSqGSIb3.
15. Soo Min H, Yang-Im H. Relationship between obesity and depression in Korean adults Korea National Health and Nutrition Examination Survey 2014. Medicine. 2017; 96 (52): p e9478. Available from: https://journals.lww.com/md-journal/Fulltext/2017/12290/Relationship_between_obesity_and_depression_in.48.aspx
16. Carey M, Small H, Yoong SL, Boyes A, Bisquera A, Sanson-Fisher R. Prevalence of comorbid depression and obesity in general practice: a cross-sectional survey. British Journal of General Practice. 2014; 64 (620): e122-e127. Available from: https://bjgp.org/content/64/620/e122
17. Gudelj-Rakić J, Davidović D, Avramović D, Backović D, Jorga J. Medijatori povezanosti gojaznosti i depresije kod odraslih gojaznih ambulantnih bolesnika. Srpski arhiv za celokupno lekarstvo. 2007; 135(1-2):61-66. Available from: https://scindeks-clanci.ceon.rs/data/pdf/0370-8179/2007/0370-81790702061G.pdf.
18. Chauvet-Gelinier J-C, Roussot A, Cottenet J, Brindisi M-C, Petit J-M, Bonin B, et al. Depression and obesity, data from a national administrative database study: Geographic evidence for an epidemiological overlap. PLoS ONE. 2019; 14 (1): e0210507. Available from: https://doi.org/10.1371/journal.pone.0210507.
19. Vittengl JR. Mediation of the bidirectional relations between obesity and depression among women. Psychiatry Research 2018; 264: 254–259. Available from: http://www.midus.wisc.edu/findings/pdfs/1793.pdf
20. Mannan M, Mamun A, Doi S, Clavarin A. Prospective Associations between Depression and Obesity for Adolescent Males and Females- A Systematic Review and Meta-Analysis of Longitudinal Studies. Plos One. 2016. Available from: https://journals.plos.org/plosone/article/metrics?id=10.1371/journal.pone.0157240
21. Matta J, Carette C, Rives Lange C, Czernichow S. French and worldwide epidemiology of obesity. Presse Med. 2018; 47 (5):434-438. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0755498218301866?via%3Dihub
22. Gibson-Smith D, Halldorsson TI, Bot M et al. Childhood overweight and obesity and the risk of depression across the lifespan. BMC Pediatr. 2020; 20 (25). Available from: https://doi.org/10.1186/s12887-020-1930-8
Published
2021/03/25
Section
Original Scientific Paper