Depressive Symptom Clusters Are Differentially Associated with General and Visceral Obesity

OBJECTIVES: To examine the relationship between obesity and depressive symptoms taking into account different measures for obesity (body mass index (BMI), waist circumference (WC), and waist‐to‐hip ratio (WHR)) and different depressive symptom clusters. DESIGN: Cross‐sectional population‐based surve...

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Published in:Journal of the American Geriatrics Society (JAGS) 2011-01, Vol.59 (1), p.67-72
Main Authors: Marijnissen, Radboud M., Bus, Boudewijn A.A., Holewijn, Suzanne, Franke, Barbara, Purandare, Nitin, de Graaf, Jacqueline, den Heijer, Martin, Buitelaar, Jan K., Oude Voshaar, Richard C.
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Aged
Biological and medical sciences
Body Mass Index
body mass index (BMI)
Chronic Disease - epidemiology
Comorbidity
Depression
Depressive Disorder - epidemiology
Depressive Disorder - physiopathology
Depressive Disorder - psychology
Female
General aspects
Humans
Linear Models
Male
Medical sciences
Mental depression
Metabolic diseases
Middle Aged
Mood disorders
Multivariate Analysis
Netherlands - epidemiology
Obesity
Obesity - epidemiology
Obesity - physiopathology
Obesity - psychology
Obesity, Abdominal - epidemiology
Obesity, Abdominal - physiopathology
Obesity, Abdominal - psychology
Older people
Principal Component Analysis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Waist Circumference
waist circumference (WC)
Waist-Hip Ratio
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Summary:OBJECTIVES: To examine the relationship between obesity and depressive symptoms taking into account different measures for obesity (body mass index (BMI), waist circumference (WC), and waist‐to‐hip ratio (WHR)) and different depressive symptom clusters. DESIGN: Cross‐sectional population‐based survey. SETTING: Baseline data of the Nijmegen Biomedical Study. PARTICIPANTS: One thousand two hundred eighty‐four persons aged 50 to 70. MEASUREMENTS: Obesity (BMI, WC, and WHR) and depressive symptoms were measured, the latter using the Beck Depression Inventory (BDI). Principal components analysis of the BDI items yielded two factors, one representing a cognitive‐affective symptom cluster and the other a somatic‐affective symptom cluster. Multiple regression analyses corrected for confounders were conducted for each measure of obesity, with separate models testing the BDI sum score and the depression symptom clusters. RESULTS: BMI was significantly associated with BDI sum score (β=0.12, P
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.2010.03228.x