Exploring the Relationship Between Obesity and Depression: A Cross-Sectional Study at Jinnah Postgraduate Medical Center (JPMC), Karachi

Authors

  • Sharif Jan Department of Medicine (Psychiatry), Jinnah Post-Graduate Medical Centre, Karachi
  • Muhammad Iqbal Afridi Jinnah Sindh Medical University Karachi, Sindh Pakistan
  • Muhammad Ayub Jinnah Post-Graduate Medical Centre, Karachi

DOI:

https://doi.org/10.46568/bios.v5i2-3-4.182

Keywords:

Depression, Obese, Mental Health, Anxiety

Abstract

Objective: Obesity and depression are highly prevalent and have a significant effect on morbidity and mortality worldwide. This study aimed to evaluate the relationship between obesity and depression at Jinnah Postgraduate Medical Center (JPMC), Karachi, from January 23 to June 23.

Materials and Methods: A cross-sectional study was conducted with 157 obese and 157 non-obese participants, aged 18 to 70, selected using non-probability consecutive sampling. Data collection included demographic variables and the Beck Depression Inventory-II questionnaire. Data was analyzed using the SPSS version 20, employing the Chi-square test to examine associations with depressive episodes. Statistical significance was established with a p-value of < 0.05.

Results: The study found that 43.31% of obese participants suffered from depression, with varying frequencies of depression, compared to 5.73% of non-obese individuals. A significant association was found among obese and non-obese individuals and their BIDS scores with p-values < 0.005 and < 0.001, respectively. BIDS score indicated a high prevalence of borderline clinical depression among obese individuals compared to non-obese. Age, gender, education, marital status, occupation, and socioeconomic status were also assessed, revealing a significant association with obesity status except for marital status (p-value = 0.249) with p-values 0.001, 0.041, 0.002, 0.249, and 0.049, respectively. In addition, obesity was more prevalent among alcohol consumers 11 (07.01%)  compared to smokers 28 (18.47%).

Conclusion: A significant association was found between obesity and depression. This association persisted even after considering factors like age, gender, education, marital status, occupation, and socioeconomic status. Furthermore, alcohol consumers were more prone to obesity.

References

Abou Abbas, L., Salameh, P., Nasser, W., Nasser, Z., & Godin, I. (2015). Obesity and symptoms of depression among adults in selected countries of the M iddle E ast: a systematic review and meta‐analysis. Clinical obesity, 5(1), 2-11.

Askari, J., Hassanbeigi, A., Khosravi, H. M., Malek, M., Hassanbeigi, D., Pourmovahed, Z., & Alagheband, M. (2013). The relationship between obesity and depression. Procedia-social and behavioral sciences, 84, 796-800.

Bailey, E. (March 6, 2024 ). Higher BMI is significantly associated with worse mental health, especially in women. https://www.medicalnewstoday.com/articles/higher-bmi-is-significantly-associated-with-worse-mental-health-especially-in-women

Blasco, B. V., García-Jiménez, J., Bodoano, I., & Gutiérrez-Rojas, L. (2020). Obesity and depression: its prevalence and influence as a prognostic factor: a systematic review. Psychiatry investigation, 17(8), 715.

Boutelle, K. N., Hannan, P., Fulkerson, J. A., Crow, S. J., & Stice, E. (2010). Obesity as a prospective predictor of depression in adolescent females. Health Psychology, 29(3), 293.

Courtemanche, C., Tchernis, R., & Ukert, B. (2018). The effect of smoking on obesity: Evidence from a randomized trial. Journal of health economics, 57, 31-44.

Dahlawi, M., Aldabbagh, M., Alzubaidy, B. A., Dahlawi, S., Alotaibi, R. N., Alsharif, W. K., Alosaimi, S. B., Hassan-Hussein, A., & Alsharif, W. (2024). Association Between Smoking Habits and Body Weight Among General Population in Saudi Arabia. Cureus, 16(1).

Dare, S., Mackay, D. F., & Pell, J. P. (2015). Relationship between smoking and obesity: a cross-sectional study of 499,504 middle-aged adults in the UK general population. PloS one, 10(4), e0123579.

El-Hazmi, M., & Warsy, A. (2002). Relationship between age and the prevalence of obesity and overweight in Saudi population. Bahrain Medical Bulletin, 24(2), 1-7.

Erem, C., Arslan, C., Hacihasanoglu, A., Deger, O., Topbaş, M., Ukinc, K., Ersöz, H. Ö., & Telatar, M. (2012). Prevalence of obesity and associated risk factors in a Turkish population (Trabzon city, Turkey). Obesity research, 12(7), 1117-1127.

Huang, X., Sun, Y., & Zhang, X. (2023). Overweight or Obesity Rate and Risk Factors in First-Episode and Drug-Naïve Patients with Major Depressive Disorder with Comorbid Abnormal Lipid Metabolism: A Large-Scale Cross-Sectional Study. Metabolites, 14(1), 26.

Jung, S. J., Woo, H.-t., Cho, S., Park, K., Jeong, S., Lee, Y. J., Kang, D., & Shin, A. (2017). Association between body size, weight change and depression: systematic review and meta-analysis. The British Journal of Psychiatry, 211(1), 14-21.

Markowitz, S., Friedman, M. A., & Arent, S. M. (2008). Understanding the relation between obesity and depression: causal mechanisms and implications for treatment. Clinical Psychology: Science and Practice, 15(1), 1.

Mulugeta, A., Zhou, A., Power, C., & Hyppönen, E. (2018). Obesity and depressive symptoms in mid-life: a population-based cohort study. BMC psychiatry, 18, 1-10.

Pereira-Miranda, E., Costa, P. R., Queiroz, V. A., Pereira-Santos, M., & Santana, M. L. (2017). Overweight and obesity associated with higher depression prevalence in adults: a systematic review and meta-analysis. Journal of the American College of Nutrition, 36(3), 223-233.

Pourhoseingholi, M. A., Vahedi, M., & Rahimzadeh, M. (2013). Sample size calculation in medical studies. Gastroenterology and hepatology from bed to bench, 6, 14-17.

Simon, G. E., Ludman, E. J., Linde, J. A., Operskalski, B. H., Ichikawa, L., Rohde, P., Finch, E. A., & Jeffery, R. W. (2008). Association between obesity and depression in middle-aged women. General hospital psychiatry, 30(1), 32-39.

Steer, R. A., Cavalieri, T. A., Leonard, D. M., & Beck, A. T. (1999). Use of the Beck depression inventory for primary care to screen for major depression disorders. General hospital psychiatry, 21(2), 106-111. https://doi.org/https://doi.org/10.1016/S0163-8343(98)00070-X

Sumińska, M., Podgórski, R., Bogusz‐Górna, K., Skowrońska, B., Mazur, A., & Fichna, M. (2022). Historical and cultural aspects of obesity: From a symbol of wealth and prosperity to the epidemic of the 21st century. Obesity Reviews, 23(6), e13440.

Tan, E. J., Raut, T., Le, L. K.-D., Hay, P., Ananthapavan, J., Lee, Y. Y., & Mihalopoulos, C. (2023). The association between eating disorders and mental health: an umbrella review. Journal of Eating Disorders, 11(1), 51.

Tardif, N., Salles, J., Guillet, C., Tordjman, J., Reggio, S., Landrier, J. F., Giraudet, C., Patrac, V., Bertrand‐Michel, J., & Migne, C. (2014). Muscle ectopic fat deposition contributes to anabolic resistance in obese sarcopenic old rats through e IF 2α activation. Aging cell, 13(6), 1001-1011.

Traversy, G., & Chaput, J.-P. (2015). Alcohol consumption and obesity: an update. Current obesity reports, 4, 122-130.

Wang, Z., Cheng, Y., Li, Y., Han, J., Yuan, Z., Li, Q., Zhong, F., Wu, Y., Fan, X., & Bo, T. (2022). The relationship between obesity and depression is partly dependent on metabolic health status: a nationwide inpatient sample database study. Frontiers in Endocrinology, 13, 880230.

Weinberger, N.-A., Kersting, A., Riedel-Heller, S. G., & Luck-Sikorski, C. (2017). Body dissatisfaction in individuals with obesity compared to normal-weight individuals: a systematic review and meta-analysis. Obesity facts, 9(6), 424-441.

Xu, Q., Anderson, D., & Lurie-Beck, J. (2011). The relationship between abdominal obesity and depression in the general population: A systematic review and meta-analysis. Obesity research & clinical practice, 5(4), e267-e278.

Xu, X., Zhou, M., Gao, R., Guo, Y., Tian, X., Bian, Z., Tan, Y., Pei, P., Yu, C., & Wang, S. (2019). Study on correlation between alcohol consumption and obesity in adults in China. Zhonghua liu xing bing xue za zhi= Zhonghua liuxingbingxue zazhi, 40(7), 759-764.

Yeomans, M. R. (2010). Alcohol, appetite and energy balance: is alcohol intake a risk factor for obesity? Physiology & behavior, 100(1), 82-89.

Yu, M., Shi, Y., Gu, L., & Wang, W. (2022). “Jolly fat” or “sad fat”: a systematic review and meta-analysis of the association between obesity and depression among community-dwelling older adults. Aging & mental health, 26(1), 13-25.

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Published

2024-09-30

How to Cite

Sharif Jan, Muhammad Iqbal Afridi, & Muhammad Ayub. (2024). Exploring the Relationship Between Obesity and Depression: A Cross-Sectional Study at Jinnah Postgraduate Medical Center (JPMC), Karachi. BioSight, 5(2-3-4), 1–8. https://doi.org/10.46568/bios.v5i2-3-4.182

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