Metabolic disturbances connecting obesity and depression
Open accessAbstract
Obesity markedly increases the odds of developing depression. Depressed mood not only impairs motivation, quality of life and overall functioning but also increases the risks of obesity complications. Abdominal obesity is a better predictor of depression and anxiety risk than overall adipose mass. A growing amount of research suggests that metabolic abnormalities stemming from central obesity that lead to metabolic disease may also be responsible for the increased incidence of depression in obesity. As reviewed here, a higher mass of dysfunctional adipose tissue is associated with several metabolic disturbances that are either directly or indirectly implicated in the control of emotions and mood. To better comprehend the development of depression in obesity, this review pulls together select findings addressing the link between adiposity, diet and negative emotional states and discusses the evidence that alterations in glucocorticoids, adipose-derived hormones, insulin and inflammatory signaling that are characteristic of central obesity may be involved.
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Increased cardio-metabolic dysfunction has been associated with worse mental and cognitive symptoms in people with schizophrenia, major depressive disorder, bipolar disorder and binge eating disorder.
“Moreover, increased cardio-metabolic dysfunction has been associated with worse mental and cognitive symptoms in those with schizophrenia [98], MDD [99], bipolar disorder [100] and binge eating disorder [101].”
From Exercise as Medicine for Mental and Substance Use Disorders: A Meta-review of the Benefits for Neuropsychiatric and Cognitive Outcomes (2020) · cites this paper as [99]
The Insulin section reports that, in patients with MDD and abdominal obesity or metabolic syndrome, reduced insulin resistance correlated with reduced depressive symptoms. This supports the association with mental symptoms for the MDD portion of the sentence, which cites this paper as [99]. The passages do not establish an association with worse cognitive symptoms in people with MDD; the other diagnoses have separate citations. (LLM, conf=0.84)
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- Authors
- Hryhorczuk, C., Sharma, S., & Fulton, S. E.
- Affiliations
- Université de Montréal (CA)
- Corresponding author
- Fulton, Stephanie E.
- Venue
- Frontiers in Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2013
- Volume
- 7
- Pages
- 177-177
- ISSN
- 1662-453X (ISSN-L)
- PMC
- PMC3791387
- OpenAlex
- W2100391099
- Cited by
- 322
- References
- 225
- Citations by year
- 2026: 18 · 2025: 30 · 2024: 22 · 2023: 20 · 2022: 28 · 2021: 27 · 2020: 32 · 2019: 35 · 2018: 17 · 2017: 21 · 2016: 20 · 2015: 26 · 2014: 26
- FWCI
- 2.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Neuroscience (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- obesity, depression, abdominal obesity, metabolic disorders, glucocorticoids, adipokines, insulin resistance, inflammation, diet, mood regulation, anxiety
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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