Cited by 577Mental Health Treatment and AccessSmoking Behavior and CessationObesity, Physical Activity, Diet

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The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults.

Strine, Tara W., Mokdad, Ali H., Dube, Shanta R., Balluz, Lina S., Gonzalez, Olinda, Berry, Joyce T., Manderscheid, Ron, Kroenke, Kurt·2008·General Hospital Psychiatry

DOI 10.1016/j.genhosppsych.2007.12.008

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Abstract

Objective The aim of this study was to examine the extent to which depression and anxiety are associated with smoking, obesity, physical inactivity and alcohol consumption in the US population using the Patient Health Questionnaire 8 (PHQ-8) and two questions on lifetime diagnosis of anxiety and depression.Methods Data were analyzed in 38 states, the District of Columbia and two territories using the 2006 Behavioral Risk Factor Surveillance System (n=217,379), a large state-based telephone survey.Results Overall, adults with current depression or a lifetime diagnosis of depression or anxiety were significantly more likely than those without each diagnosis to smoke, to be obese, to be physically inactive, to binge drink and drink heavily. There was a dose-response relationship between depression severity and the prevalence of smoking, obesity and physical inactivity and between history of depression (never depressed, previously depressed, currently depressed) and the prevalence of smoking, obesity, physical inactivity, binge drinking and heavy drinking. Lifetime diagnosis of depression and anxiety had an additive association with smoking prevalence.Conclusion The associations between depression, anxiety, obesity and unhealthy behaviors among US adults suggest the need for a multidimensional and integrative approach to health care.

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Authors: Strine, T. W., Mokdad, A. H., Dube, S. R., Balluz, L. S., Gonzalez, O., Berry, J. T., Manderscheid, R., & Kroenke, K.
Affiliations: Centers for Disease Control and Prevention (US)
Substance Abuse and Mental Health Services Administration (US)
Regenstrief Institute (US)
Corresponding author: Strine, Tara W.
ORCID: Mokdad, Ali H.
Dube, Shanta R.
Kroenke, Kurt
Venue: General Hospital Psychiatry
Publisher: Elsevier BV
Published: 2008-03
Volume: 30
Issue: 2
Pages: 127-137
ISSN: 0163-8343 (ISSN-L)
DOI: 10.1016/j.genhosppsych.2007.12.008
OpenAlex: W2053464248
Cited by: 577
References: 94
Citations by year: 2026: 18 · 2025: 25 · 2024: 21 · 2023: 34 · 2022: 48 · 2021: 43 · 2020: 44 · 2019: 20 · 2018: 25 · 2017: 31 · 2016: 32 · 2015: 42 · 2014: 41 · 2013: 28 · 2012: 32
FWCI: 40.60
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: General Hospital Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: depression, anxiety, obesity, smoking, physical inactivity, binge drinking, heavy drinking, harmful habits, depression severity, community-dwelling adults, Behavioral Risk Factor Surveillance System
MeSH terms: Adolescent, Adult, Alcohol Drinking, Anxiety, Depression, Female, Humans, Male, Middle Aged, Motor Activity, Obesity, United States, Health Behavior, Behavioral Risk Factor Surveillance System

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The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults.

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