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Depression, anxiety and health status across different BMI classes: A representative study in Germany
Abstract
Background Changes in body mass index (BMI) over the course of one's lifetime are related to the development of mental disorders. In the current study we compared symptoms of depression, generalized anxiety as well as general health status in the four BMI-classes: underweight, normal weight, overweight and obesity. Furthermore, mediator role of general health status on the relationship between BMI and depression and generalized anxiety was analyzed.Methods A representative sample (random-route sampling) of the German population (N = 2350) was investigated in a cross-sectional survey by measuring the three questionnaires PHQ-9, GAD-7 and EQ-5D-5L.Results The results showed significant differences between the four BMI-classes in all three questionnaires. Individuals with obesity demonstrated higher values in depression, anxiety and general health compared to the three other BMI-classes. However, there was no U-shaped association between BMI and depression, anxiety and health-related quality of life. Regarding to the mediation analysis, general health status fully mediated the association between BMI, depressive symptoms as well as generalized anxiety symptoms.Limitations The assessment of the three factors depression, anxiety and general health status were measured by questionnaires, but no clinical diagnoses can be provided.Conclusions Evidence supports that individuals with obesity have an increased risk for depression and anxiety as well as lower general health. Further research on potential intervention and strategies in public health policies is needed to be able to target the developing of mental disorders in individuals with obesity. Taking their general health status into account is also of great importance.
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“Additionally, on average participants reported higher depressive symptom and anxiety symptom scores than found in previous studies with adults with overweight/obesity [40, 41]”
Citations
Cites
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765
Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L)
Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., Bonsel, G., & Badia, X. (2011) · Quality of Life Research · doi:10.1007/s11136-011-9903-x · Cited by 9,795
Estimation and Inference in Econometrics.
Chambers, M. J., Davidson, R., & MacKinnon, J. G. (1994) · The Economic Journal · doi:10.2307/2234656 · Cited by 5,436
Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008) · Medical Care · doi:10.1097/mlr.0b013e318160d093 · Cited by 4,527
Self-citationOverweight, Obesity, and Depression: A Systematic Review and Meta-analysis of Longitudinal Studies
Luppino, F. S., de Wit, L. M., Bouvy, P. F., Stijnen, T., Cuijpers, P., Penninx, B. W. J. H., & Zitman, F. G. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.2 · Cited by 4,322
Hubert, H. B., Feinleib, M., McNamara, P. M., & Castelli, W. P. (1983) · Circulation · doi:10.1161/01.cir.67.5.968 · Cited by 4,241
Estimation and Inference in Econometrics.
Levin, A., Davidson, R., & MacKinnon, J. G. (1994) · Journal of the American Statistical Association · doi:10.2307/2290953 · Cited by 2,465
Bhaskaran, K., Douglas, I., Forbes, H., dos-Santos-Silva, I., Leon, D. A., & Smeeth, L. (2014) · The Lancet · doi:10.1016/s0140-6736(14)60892-8 · Cited by 1,707
Cause-Specific Excess Deaths Associated With Underweight, Overweight, and Obesity
Flegal, K. M., Graubard, B. I., Williamson, D. F., & Gail, M. H. (2007) · JAMA · doi:10.1001/jama.298.17.2028 · Cited by 1,542
Raison, C. L., & Miller, A. H. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.9.1554 · Cited by 1,197
Kocalevent, R.-D., Hinz, A., & Brähler, E. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.04.006 · Cited by 748
Self-citationPrevalence of complicated grief in a representative population-based sample.
Kersting, A., Brähler, E., Glaesmer, H., & Wagner, B. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.11.032 · Cited by 628
Self-citationKolotkin, R. L., & Andersen, J. R. (2017) · Clinical Obesity · doi:10.1111/cob.12203 · Cited by 590
The impact of obesity on health-related quality-of-life in the general adult US population
Jia, H., & Lubetkin, E. I. (2005) · Journal of Public Health · doi:10.1093/pubmed/fdi025 · Cited by 558
Wu, Y., & Berry, D. C. (2018) · Journal of Advanced Nursing · doi:10.1111/jan.13511 · Cited by 536
Obesity and Inflammation: Epidemiology, Risk Factors, and Markers of Inflammation
Rodríguez-Hernández, H., Simental‐Mendía, L. E., Ramírez, G. R., & Reyes-Romero, M. A. (2013) · International Journal of Endocrinology · doi:10.1155/2013/678159 · Cited by 509
Obesity and mental disorders in the general population: results from the world mental health surveys
Scott, K. M., Bruffaerts, R., Simon, G. E., Alonso, J., Angermeyer, M. C., de Girolamo, G., Demyttenaere, K., Gasquet, I., Haro, J. M., Karam, E. G., et al. (2007) · International Journal of Obesity · doi:10.1038/sj.ijo.0803701 · Cited by 500
Health-related quality of life measured using the EQ-5D–5L: South Australian population norms
McCaffrey, N., Kaambwa, B., Currow, D. C., & Ratcliffe, J. (2016) · Health and Quality of Life Outcomes · doi:10.1186/s12955-016-0537-0 · Cited by 478
Anxiety disorders and inflammation in a large adult cohort
Vogelzangs, N., Beekman, A. T. F., de Jonge, P., & Penninx, B. W. J. H. (2013) · Translational Psychiatry · doi:10.1038/tp.2013.27 · Cited by 458
Depression and anxiety among US adults: associations with body mass index
Zhao, G., Ford, E. S., Dhingra, S., Li, C., Strine, T. W., & Mokdad, A. H. (2009) · International Journal of Obesity · doi:10.1038/ijo.2008.268 · Cited by 423
Health Related Quality of Life
(2014) · Springer eBooks · doi:10.1007/978-94-007-0753-5_101744 · Cited by 423
Depression and body mass index, a u-shaped association
de Wit, L. M., van Straten, A., van Herten, M., Penninx, B. W. J. H., & Cuijpers, P. J. (2009) · BMC Public Health · doi:10.1186/1471-2458-9-14 · Cited by 419
Sach, T., Barton, G., Doherty, M., Muir, K. R., Jenkinson, C., & Avery, A. J. (2006) · International Journal of Obesity · doi:10.1038/sj.ijo.0803365 · Cited by 264
Health-Related Quality of Life
Sitlinger, A. P., & Zafar, S. Y. (2018) · Surgical Oncology Clinics of North America · doi:10.1016/j.soc.2018.05.008 · Cited by 248
Hinz, A., Kohlmann, T., Stöbel‐Richter, Y., Zenger, M., & Brähler, E. (2013) · Quality of Life Research · doi:10.1007/s11136-013-0498-2 · Cited by 246
Self-citationde Jonge, P., Mangano, D. T., & Whooley, M. A. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31815743ca · Cited by 234
Psychobiological factors of resilience and depression in late life
Laird, K. T., Krause, B., Funes, C., & Lavretsky, H. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0424-7 · Cited by 229
Abraham, S. B., Rubino, D., Sinaii, N., Ramsey, S., & Nieman, L. K. (2013) · Obesity · doi:10.1002/oby.20083 · Cited by 227
Association between body size, weight change and depression: systematic review and meta-analysis
Jung, S. J., Woo, H.-T., Cho, S., Park, K., Jeong, S., Lee, Y. J., Kang, D., & Shin, A. (2017) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.116.186726 · Cited by 211
The Diagnosis and Treatment of Anxiety Disorders
Ströhle, A., Gensichen, J. S., & Domschke, K. (2018) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2018.0611 · Cited by 194
Suarez, E. C., Lewis, J. G., Krishnan, R. R., & Young, K. H. (2004) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2004.01.002 · Cited by 185
Smolderen, K. G. E., Spertus, J. A., Reid, K. J., Buchanan, D. M., Krumholz, H. M., Denollet, J., Vaccarino, V., & Chan, P. S. (2009) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.109.868588 · Cited by 177
The impact of obesity on health-related quality of life in Spain
Busutil, R., Espallardo, O., Torres, A., Martínez-Galdeano, L., Zozaya, N., & Hidalgo‐Vega, Á. (2017) · Health and Quality of Life Outcomes · doi:10.1186/s12955-017-0773-y · Cited by 169
Associations between depression and different measures of obesity (BMI, WC, WHtR, WHR)
Wiltink, J., Michal, M., Wild, P. S., Zwiener, I., Blettner, M., Münzel, T. F., Schulz, A., Kirschner, Y., & Beutel, M. E. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-223 · Cited by 130
Roh, L., Braun, J., Chioléro, A., Bopp, M., Rohrmann, S., Faeh, D., & for the Swiss National Cohort Study Group (2014) · BMC Public Health · doi:10.1186/1471-2458-14-371 · Cited by 111
Personality factors and suicide risk in a representative sample of the German general population
Blüml, V., Kapusta, N. D., Doering, S., Brähler, E., Wagner, B., & Kersting, A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0076646 · Cited by 102
Self-citationCheung, P. W. H., Wong, C. K. H., Samartzis, D., Luk, K. D. K., Lam, C. L. K., Cheung, K., & Cheung, J. P. Y. (2016) · Scoliosis and Spinal Disorders · doi:10.1186/s13013-016-0083-x · Cited by 88
Pickering, R. P., Goldstein, R. B., Hasin, D. S., Blanco, C., Smith, S. M. R., Huang, B., Pulay, A. J., Ruan, W. J., Saha, T. D., Stinson, F. S., et al. (2011) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.10m06077gry · Cited by 86
Hossain, S., Anjum, A., Hasan, M. T., Hossain, M. S., Hossain, M. S., & Hossain, M. S. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.153 · Cited by 86
Emrani, Z., Sari, A. A., Zeraati, H., Olyaeemanesh, A., & Daroudi, R. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01365-5 · Cited by 85
Yfantopoulos, J., & Chantzaras, A. E. (2016) · The European Journal of Health Economics · doi:10.1007/s10198-016-0807-0 · Cited by 74
Gewichtung in der Umfragepraxis
(1994) · VS Verlag für Sozialwissenschaften eBooks · doi:10.1007/978-3-663-08044-2 · Cited by 67
DeJesus, R. S., Breitkopf, C. R., Ebbert, J. O., Rutten, L. J. F., Jacobson, R. M., Jacobson, D. J., Fan, C. L., & Sauver, J. L. S. (2016) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/1745017901612010067 · Cited by 64
Wagner, B., Klinitzke, G., Brähler, E., & Kersting, A. (2013) · Depression and Anxiety · doi:10.1002/da.22105 · Cited by 63
Self-citationU-shaped relationship between depression and body mass index in the Korean adults
Lee, J.-H., Park, S. K., Ryoo, J., Oh, C., Choi, J., McIntyre, R. S., Mansur, R. B., Kim, H. S., Hales, S., & Jung, J. Y. (2017) · European Psychiatry · doi:10.1016/j.eurpsy.2017.05.025 · Cited by 61
Fermont, J. M., Blazeby, J. M., Rogers, C. A., Wordsworth, S., & on behalf of the By-Band-Sleeve Study Management Group (2017) · PLoS ONE · doi:10.1371/journal.pone.0189190 · Cited by 53
Varela, C., Andrés, A., & Saldaña, C. (2019) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-019-00760-2 · Cited by 51
The Hypothalamic-Pituitary-Adrenal Axis, Obesity, and Chronic Stress Exposure: Foods and HPA Axis
Rutters, F., la Fleur, S. E., Lemmens, S. G. T., Born, J. R., Martens, M. J. I., & Adam, T. C. (2012) · Current Obesity Reports · doi:10.1007/s13679-012-0024-9 · Cited by 50
Body mass index and health-related quality of life among young Swiss men
Dey, M., Gmel, G. E., & Mohler‐Kuo, M. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-1028 · Cited by 49
Badawi, G., Pagé, V., Smith, K. J., Gariépy, G., MALLA, A. K., Wang, J., Boyer, R., Strychar, I. M., LESAGE, A. D., & Schmitz, N. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.07.018 · Cited by 49
Adiposity, depression and anxiety: interrelationship and possible mediators
Gomes, A. P., Soares, A. G., Menezes, A. M. B., Assunção, M. C. F., Wehrmeister, F. C., Howe, L. D., & Gonçalves, H. (2019) · Revista de Saúde Pública · doi:10.11606/s1518-8787.2019053001119 · Cited by 49
Obesity and health related quality of life in the general adult population of the Canary Islands
Serrano‐Aguilar, P., Muñoz‒Navarro, S., Ramallo‐Fariña, Y., & Trujillo-Martín, M. M. (2008) · Quality of Life Research · doi:10.1007/s11136-008-9427-1 · Cited by 48
Do Anxiety Disorders Play a Role in Adolescent Obesity?
ROBERTS, R. E., & Duong, H. T. (2016) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9786-8 · Cited by 47
Witt, J. (2009) · BMC Public Health · doi:10.1186/1471-2458-9-s1-s7 · Cited by 46
Lim, J. H., & Park, H. S. (2016) · International Journal of Clinical Practice · doi:10.1111/ijcp.12801 · Cited by 41
Suastika, K., Dwipayana, I. M. P., Saraswati, M. R., Gotera, W., Budhiarta, A. A. G., Sutanegara, N. D., Gunadi, G. N. P., Nadha, K. B., Wita, W., Rina, K., et al. (2011) · Diabetes and Vascular Disease Research · doi:10.1177/1479164111422828 · Cited by 34
Das ADM-Stichproben-System Stand: 1993
ADM-Stichproben, A., & Wendt, B. (1994) · VS Verlag für Sozialwissenschaften eBooks · doi:10.1007/978-3-663-08044-2_14 · Cited by 23
Depletion of the p43 Mitochondrial T3 Receptor Increases Sertoli Cell Proliferation in Mice
Fumel, B., Roy, S., Fouchécourt, S., Livera, G., Parent, A., Casas, F., & Guillou, F. (2013) · PLoS ONE · doi:10.1371/journal.pone.0074015 · Cited by 21
Yang, Y., Herting, J. R., & Choi, J.-S. (2015) · Quality of Life Research · doi:10.1007/s11136-015-1193-2 · Cited by 20
Niyonsenga, T., Carroll, S. J., Coffee, N. T., Taylor, A. W., & Daniel, M. (2020) · PLoS ONE · doi:10.1371/journal.pone.0227029 · Cited by 9
Bashkin, O., Horne, R., & Peytremann‐Bridevaux, I. (2017) · Diabetes Spectrum · doi:10.2337/ds16-0063 · Cited by 4
Flagged first, then by citations
2 of the 63 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Ströhle, 2018, Diagnostik und Therapie von Angsterkrankungen, Dtsch
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Rentrop, V., Damerau, M., Schweda, A., Steinbach, J., Schüren, L. C., Niedergethmann, M., Skoda, E.-M., Teufel, M., & Bäuerle, A. (2022) · JMIR Formative Research · doi:10.2196/31229 · Cited by 42
Zhang, H., Gao, H., Zhu, Y., Zhu, Y., Dang, W., Wei, R., & Yan, H. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.774237 · Cited by 39
Wang, Y., Zhang, X., Li, Y., Gui, J., Mei, Y., Yang, X., Liu, H., Guo, L., Li, J., Lei, Y., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1153316 · Cited by 32
Yu, X., Tian, S., Wu, L., Zheng, H., Liu, M., & Wu, W. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.01.083 · Cited by 34
Metadata
- Authors
- Herhaus, B., Kersting, A., Brähler, E., & Petrowski, K.
- Affiliations
- Johannes Gutenberg University Mainz (DE)
- Leipzig University (DE)
- Corresponding author
- Herhaus, Benedict
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 276
- Pages
- 45-52
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W3041667723
- Cited by
- 102
- References
- 63
- Citations by year
- 2026: 8 · 2025: 24 · 2024: 26 · 2023: 10 · 2022: 11 · 2021: 23
- FWCI
- 4.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Keywords
- body mass index, obesity, depression, generalized anxiety disorder, health-related quality of life, underweight, overweight, mediation, mental illness
- MeSH terms
- Anxiety, Cross-Sectional Studies, Depression, Germany, Health Status, Humans, Quality of Life, Body Mass Index
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