Author/Authors :
Zhou, Yang Department of Emergency Medicine - Second Xiangya Hospital - Central South University, Changsha, China , Yang, Guifang Department of Emergency Medicine - Second Xiangya Hospital - Central South University, Changsha, China , Peng, Wen Department of Emergency Medicine - Second Xiangya Hospital - Central South University, Changsha, China , Zhang, Hongliang Department of Emergency Medicine - Second Xiangya Hospital - Central South University, Changsha, China , Peng, Zhenyu Department of Emergency Medicine - Second Xiangya Hospital - Central South University, Changsha, China , Ding, Ning Department of Emergency Medicine - Second Xiangya Hospital - Central South University, Changsha, China , Guo, Tao Department of Emergency Medicine - Second Xiangya Hospital - Central South University, Changsha, China , Cai, Yuzhong Department of Emergency Medicine - Second Xiangya Hospital - Central South University, Changsha, China , Deng, Qijian Department of Psychiatry - Second Xiangya Hospital - Central South University, Changsha, China , Chai, Xiangping Department of Emergency Medicine - Second Xiangya Hospital - Central South University, Changsha, China
Abstract :
Objective. To estimate the relationship between obesity (defined by both BMI and SAD) and various levels of depressive symptoms
in women in the United States. Methods. This is a cross-sectional design. All data were collected from NHANES 2011-2012 and
2013-2014. The Patient Health Questionnaire (PHQ-9) was the primary variable used to index depressive symptoms. SAD was
assessed using an abdominal caliper. We stratified participates into three groups according to SAD (trisection): T1: low (11.8-
18.4 cm), T2: middle (18.5-22.8 cm), and T3: high (22.9-40.1 cm). Other data were collected following the NHANES protocols.
We aimed to investigate the effects of obesity on the depression in the NHANES populations. Results. A total of 4477 women
were enrolled in the final study population. Participants with a high SAD had the highest risk of clinical depression symptoms
(OR = 1:2, 95% CI: 1.1-1.4), which was, in particular, the case for moderate-severe depression (OR = 1:4, 95% CI: 1.1-1.7) and
severe depression (OR = 1:4, 95% CI: 1.0-1.9). We also found a significant relationship between SAD and BMI (r = 0:836). We
did, however, not find a significant relationship between BMI and severe depression. Conclusions. SAD had a better correlation
with clinical depression symptoms than BMI, especially regarding severe depression symptoms.
Keywords :
Depression Symptoms , Different Types , Measures of Obesity , BMI , SAD
