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U-shaped relationship between depression and body mass index in the Korean adults

Published online by Cambridge University Press:  23 March 2020

J.-H. Lee ,
S.K. Park ,
J.-H. Ryoo ,
C.-M. Oh ,
J.-M. Choi ,
R.S. McIntyre ,
R.B. Mansur ,
H. Kim ,
S. Hales  and
J.Y. Jung
J.-H. Lee
Affiliation:
Department of Psychiatry, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea Department of Psychiatry, University of Toronto, Ontario, Canada Mood Disorders Psychopharmacology Unit, University Health Network, Toronto, Ontario, Canada
S.K. Park
Affiliation:
Cohort Team, Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University, School of medicine, Seoul, Korea
J.-H. Ryoo
Affiliation:
Departments of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, Korea
C.-M. Oh
Affiliation:
Departments of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, Korea
J.-M. Choi
Affiliation:
Departments of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, Korea
R.S. McIntyre
Affiliation:
Department of Psychiatry, University of Toronto, Ontario, Canada Mood Disorders Psychopharmacology Unit, University Health Network, Toronto, Ontario, Canada Department of Pharmacology, University of Toronto, Ontario, Canada
R.B. Mansur
Affiliation:
Department of Psychiatry, University of Toronto, Ontario, Canada Mood Disorders Psychopharmacology Unit, University Health Network, Toronto, Ontario, Canada
H. Kim
Affiliation:
Department of Psychiatry, University of Toronto, Ontario, Canada
S. Hales
Affiliation:
Department of Psychiatry, University of Toronto, Ontario, Canada Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
J.Y. Jung*
Affiliation:
Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University, School of medicine, Seoul, Korea
*
*Corresponding author. Total Healthcare center, Kangbuk Samsung Hospital, 78 Saemunan-gil, Jongro-Gu, 110-746 Seoul, Republic of Korea. Fax: +82 2 2001 2626. E-mail address:jjy0501@naver.com (J.Y. Jung).
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Abstract

Background:

Although a number of studies have examined the relationship between depression and obesity, it is still insufficient to establish the specific pattern of relationship between depression and body mass index (BMI) categories. Thus, this study was aimed to investigate the relationship between depression and BMI categories.

Methods:

A cross-sectional study was conducted for a cohort of 159,390 Korean based on Kangbuk Samsung Health Study (KSHS). Study participants were classified into 5 groups by Asian-specific cut-off of BMI (18.5, 23, 25 and 30 kg/m2). The presence of depression was determined by Center for Epidemiologic Studies-Depression scales (CES-D) = 16 and = 25. The adjusted odd ratios (ORs) for depression were evaluated by multiple logistic regression analysis, in which independent variable was 5 categories of BMI and dependent variable was depression. Subgroup analysis was conducted by gender and age.

Results:

When normal group was set as a reference, the adjusted ORs for depression formed U-shaped pattern of relationship with BMI categories [underweight: 1.31 (1.14–1.50), overweight: 0.94 (0.85–1.04), obese group: 1.01 (0.91–1.12), severe obese group: 1.28 (1.05–1.54)]. This pattern of relationship was more prominent in female and young age group than male and elderly subgroup. BMI level with the lowest likelihood of depression was 18.5 kg/m2 to 25 kg/m2 in women and 23 kg/m2 to 25 kg/m2 in men.

Conclusions:

There was a U-shaped relationship between depression and BMI categories. This finding suggests that both underweight and severe obesity are associated with the increased risk for depression.

Keywords

DepressionBody mass indexUnderweightObesity
Type
Original article
Information
European Psychiatry , Volume 45 , September 2017 , pp. 72 - 80
Copyright
Copyright © European Psychiatric Association 2017

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