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Association Between Obesity and Psychiatric Disorders in the US Adult Population

Simon, Gregory E ; Von Korff, Michael ; Saunders, Kathleen ; Miglioretti, Diana L ; Crane, Paul K ; van Belle, Gerald ; Kessler, Ronald C

Archives of general psychiatry, 2006-07, Vol.63 (7), p.824-830

Chicago, IL: American Medical Association

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Título:
Association Between Obesity and Psychiatric Disorders in the US Adult Population
Autor: Simon, Gregory E ; Von Korff, Michael ; Saunders, Kathleen ; Miglioretti, Diana L ; Crane, Paul K ; van Belle, Gerald ; Kessler, Ronald C
Assuntos: Adult ; Adults ; Anxiety Disorders - diagnosis ; Anxiety Disorders - epidemiology ; Biological and medical sciences ; Bipolar Disorder - diagnosis ; Bipolar Disorder - epidemiology ; Body Mass Index ; Clinical psychology ; Comorbidity ; Cross-Sectional Studies ; Depressive Disorder, Major - diagnosis ; Depressive Disorder, Major - epidemiology ; Female ; General aspects ; Health Surveys ; Humans ; Male ; Medical sciences ; Mental depression ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Metabolic diseases ; Middle Aged ; Obesity ; Obesity - diagnosis ; Obesity - epidemiology ; Prevalence ; Psychiatric Status Rating Scales ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Sex Factors ; Substance-Related Disorders - diagnosis ; Substance-Related Disorders - epidemiology ; United States - epidemiology
É parte de: Archives of general psychiatry, 2006-07, Vol.63 (7), p.824-830
Descrição: BACKGROUND Epidemiologic data suggest an association between obesity and depression, but findings vary across studies and suggest a stronger relationship in women than men. OBJECTIVE To evaluate the relationship between obesity and a range of mood, anxiety, and substance use disorders in the US general population. DESIGN Cross-sectional epidemiologic survey. SETTING Nationally representative sample of US adults. PARTICIPANTS A total of 9125 respondents who provided complete data on psychiatric disorder, height, and weight. Response rate was 70.9%. MAIN OUTCOME MEASURES Participants completed an in-person interview, including assessment of a range of mental disorders (assessed using the World Health Organization Composite International Diagnostic Interview) and height and weight (by self-report). RESULTS Obesity (defined as body mass index [calculated as weight in kilograms divided by the square of height in meters] of ≥30) was associated with significant increases in lifetime diagnosis of major depression (odds ratio [OR], 1.21; 95% confidence interval [CI], 1.09-1.35), bipolar disorder (OR, 1.47; 95% CI, 1.12-1.93), and panic disorder or agoraphobia (OR, 1.27; 95% CI, 1.01-1.60). Obesity was associated with significantly lower lifetime risk of substance use disorder (OR, 0.78; 95% CI, 0.65-0.93). Subgroup analyses found no difference in these associations between men and women, but the association between obesity and mood disorder was strongest in non-Hispanic whites (OR, 1.38; 95% CI, 1.20-1.59) and college graduates (OR, 1.44; 95% CI, 1.14-1.81). CONCLUSIONS Obesity is associated with an approximately 25% increase in odds of mood and anxiety disorders and an approximately 25% decrease in odds of substance use disorders. Variation across demographic groups suggests that social or cultural factors may moderate or mediate the association between obesity and mood disorder.Arch Gen Psychiatry.2006;63:824-830 -->
Editor: Chicago, IL: American Medical Association
Idioma: Inglês

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Association Between Obesity and Psychiatric Disorders in the US Adult Population

Simon, Gregory E ; Von Korff, Michael ; Saunders, Kathleen ; Miglioretti, Diana L ; Crane, Paul K ; van Belle, Gerald ; Kessler, Ronald C

Chicago, IL: American Medical Association

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