Depression, anxiety, and psychosocial stressors across BMI classes: A Norwegian population study - The HUNT Study.

Eik-Nes, TT; Tokatlian, A; Raman, J; Spirou, D; Kvaløy, K

Depression, anxiety, and psychosocial stressors across BMI classes: A Norwegian population study - The HUNT Study.

Eik-Nes, TT Tokatlian, A Raman, J

Spirou, D

Kvaløy, K

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Publisher:: Frontiers Media
Publication Type:: Journal Article
Citation:: Frontiers in Endocrinology, 2022, 13, pp. 1-11
Issue Date:: 2022

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Field	Value	Language
dc.contributor.author	Eik-Nes, TT
dc.contributor.author	Tokatlian, A
dc.contributor.author	Raman, J https://orcid.org/0000-0002-1320-6177
dc.contributor.author	Spirou, D https://orcid.org/0000-0001-7073-7356
dc.contributor.author	Kvaløy, K
dc.date.accessioned	2022-11-01T05:03:53Z
dc.date.available	2022-07-19
dc.date.available	2022-11-01T05:03:53Z
dc.date.issued	2022
dc.identifier.citation	Frontiers in Endocrinology, 2022, 13, pp. 1-11
dc.identifier.issn	1664-2392
dc.identifier.issn	1664-2392
dc.identifier.uri	http://hdl.handle.net/10453/163108
dc.description.abstract	Background: Obesity is a global issue with detrimental health impacts. Recent research has highlighted the complexity of obesity due to its psychological correlates. The purpose of the present study was to explore the relationship between body mass index (BMI) and depression, anxiety, and psychosocial stress. Methods: Data, including demographic, height, and weight information from 23 557 adult participants was obtained from the fourth survey of the Norwegian population based Trøndelag Health Study (HUNT4, 2017-2019). The Hospital Anxiety and Depression Scale (HADS) was used to measure self-reported depression and anxiety. We also collected data on 10 domains of psychosocial stress (violence, mental violence, unwanted sex, cyber bullying, school bullying, history of own life-threatening disease, life-threatening disease in family, relationship problems, divorce, and sudden family death), which were aggregated into a cumulative measure of psychosocial stress. Results: Multinomial logistic regression was utilized for statistical analysis. In the full model, the relationship between depression, anxiety, and psychosocial stress were explored controlling for age, sex, income, marital status, and educational attainment. After adjustments, a significant relationship was found between depression and obesity I (OR = 1.05, 95% CI 1.03-1.06, p <.001) and II and III (OR = 1.10, 95% CI 1.06-1.14, p <.001). After the same adjustments, significant relationship between anxiety and overweight and obesity class I was found among elderly participants (≥65 years old). Psychosocial stress significantly and positively related to all levels of BMI, with or without considering anxiety and depression, after controlling for sex, age, educational attainment, marital status, and income in all age groups. Conclusions: Obesity is a multifaceted health problem, significantly related to psychological factors including depression and psychosocial stress, which supports the need for a multifaceted, targeted approach to obesity treatment.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	Frontiers Media
dc.relation.ispartof	Frontiers in Endocrinology
dc.relation.isbasedon	10.3389/fendo.2022.886148
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1111 Nutrition and Dietetics
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Anxiety
dc.subject.mesh	Body Mass Index
dc.subject.mesh	Depression
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Overweight
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Anxiety
dc.subject.mesh	Body Mass Index
dc.subject.mesh	Depression
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Overweight
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Body Mass Index
dc.subject.mesh	Depression
dc.subject.mesh	Anxiety
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Overweight
dc.title	Depression, anxiety, and psychosocial stressors across BMI classes: A Norwegian population study - The HUNT Study.
dc.type	Journal Article
utslib.citation.volume	13
utslib.location.activity	Switzerland
utslib.for	1103 Clinical Sciences
utslib.for	1111 Nutrition and Dietetics
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-01T05:03:50Z
pubs.publication-status	Published
pubs.volume	13

Abstract:

Background: Obesity is a global issue with detrimental health impacts. Recent research has highlighted the complexity of obesity due to its psychological correlates. The purpose of the present study was to explore the relationship between body mass index (BMI) and depression, anxiety, and psychosocial stress. Methods: Data, including demographic, height, and weight information from 23 557 adult participants was obtained from the fourth survey of the Norwegian population based Trøndelag Health Study (HUNT4, 2017-2019). The Hospital Anxiety and Depression Scale (HADS) was used to measure self-reported depression and anxiety. We also collected data on 10 domains of psychosocial stress (violence, mental violence, unwanted sex, cyber bullying, school bullying, history of own life-threatening disease, life-threatening disease in family, relationship problems, divorce, and sudden family death), which were aggregated into a cumulative measure of psychosocial stress. Results: Multinomial logistic regression was utilized for statistical analysis. In the full model, the relationship between depression, anxiety, and psychosocial stress were explored controlling for age, sex, income, marital status, and educational attainment. After adjustments, a significant relationship was found between depression and obesity I (OR = 1.05, 95% CI 1.03-1.06, p <.001) and II and III (OR = 1.10, 95% CI 1.06-1.14, p <.001). After the same adjustments, significant relationship between anxiety and overweight and obesity class I was found among elderly participants (≥65 years old). Psychosocial stress significantly and positively related to all levels of BMI, with or without considering anxiety and depression, after controlling for sex, age, educational attainment, marital status, and income in all age groups. Conclusions: Obesity is a multifaceted health problem, significantly related to psychological factors including depression and psychosocial stress, which supports the need for a multifaceted, targeted approach to obesity treatment.

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http://hdl.handle.net/10453/163108