The associations between psychopathology and being overweight: a 20-year prospective study
DOKPE
- HASLER, G. ORCID National Institute of Health, Bethesda, Maryland, USA
- PINE, D. S. National Institute of Mental Health, Bethesda, Maryland, USA
- GAMMA, A. University of Zurich, Switzerland
- MILOS, G. University of Zurich, Switzerland
- AJDACIC, V. University of Zurich, Switzerland
- EICH, D. University of Zurich, Switzerland
- RÖSSLER, W. University of Zurich, Switzerland
- ANGST, J. University of Zurich, Switzerland
- 2004
Published in:
- Psychological Medicine. - Cambridge University Press (CUP). - 2004, vol. 34, no. 6, p. 1047-1057
Psychiatry and Mental health
Applied Psychology
Adult
Aggression
Body Mass Index
Cohort Studies
Depressive Disorder
Eating Disorders
Obesity
Prospective Studies
English
Background: Psychiatric disorders and being overweight are major health problems with increasing prevalence. The purpose of this study was to test the hypothesis that being overweight is associated with a range of psychiatric conditions including minor and atypical depressive disorders, binge eating, and aggression.
Method: Prospective community-based cohort study of young adults (n = 591) followed between ages 19 and 40. Information derived from six subsequent semi-structured diagnostic interviews conducted by professionals over twenty years. Outcomes were being overweight [body-mass index (BMI)> 25] and average yearly weight change between ages 20 and 40 (BMI slope).
Results: 18.9 % of the participants were classified as being overweight. Being overweight turned out to be a stable trait: 77.7% of subjects were assigned to the same weight class at each interview. Atypical depression and binge eating were positively associated with both, increased weight gain and being overweight, while psychiatric conditions associated with aggressive behaviors (aggressive personality traits, sociopathy) were positively associated with being overweight, but were not related to the rate of weight change. Generalized anxiety disorder was negatively associated with overweight. These results persisted after controlling for substance use, levels of physical activity, demographic variables and family history of weight problems.
Conclusions: This study shows relatively strong associations between eating-related and aggressive psychopathology and being overweight. Given the high prevalence rates of these conditions, this study encourages further research on the causality of psychopathology-overweight associations that might provide insight on novel preventive approaches for major health problems.
Method: Prospective community-based cohort study of young adults (n = 591) followed between ages 19 and 40. Information derived from six subsequent semi-structured diagnostic interviews conducted by professionals over twenty years. Outcomes were being overweight [body-mass index (BMI)> 25] and average yearly weight change between ages 20 and 40 (BMI slope).
Results: 18.9 % of the participants were classified as being overweight. Being overweight turned out to be a stable trait: 77.7% of subjects were assigned to the same weight class at each interview. Atypical depression and binge eating were positively associated with both, increased weight gain and being overweight, while psychiatric conditions associated with aggressive behaviors (aggressive personality traits, sociopathy) were positively associated with being overweight, but were not related to the rate of weight change. Generalized anxiety disorder was negatively associated with overweight. These results persisted after controlling for substance use, levels of physical activity, demographic variables and family history of weight problems.
Conclusions: This study shows relatively strong associations between eating-related and aggressive psychopathology and being overweight. Given the high prevalence rates of these conditions, this study encourages further research on the causality of psychopathology-overweight associations that might provide insight on novel preventive approaches for major health problems.
- Faculty
- Faculté des sciences et de médecine
- Department
- Master en médecine
- Language
-
- English
- Classification
- Pathology, clinical medicine
- License
- Rights reserved
- Open access status
- gold
- Identifiers
-
- DOI 10.1017/S0033291703001697
- ISSN 0033-2917
- ISSN 1469-8978
- Persistent URL
- https://folia.unifr.ch/unifr/documents/327486
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