Article2011

Depressive Symptom Clusters Are Differentially Associated with General and Visceral Obesity

Radboud M. Marijnissen · Boudewijn A.A. Bus · Suzanne Holewijn · Barbara Franke · Nitin B. Purandare · Jacqueline d Graaf +3 more

60 citations0/0 files storedJournal of the American Geriatrics Society

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Eating Disorders and Behaviors Obesity, Physical Activity, Diet Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

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<.001) and the cognitive- (β=0.08, P=.008) and somatic-affective symptom clusters (β=0.10, P=.001). WC (β=0.11, P<.001) and WHR (β=0.07, P=.004) were specifically associated with the somatic-affective symptom cluster. CONCLUSION: Visceral obesity, which is more indicative of vascular risk than BMI, is specifically associated with somatic-affective depressive symptom cluster, which might suggest that these symptoms are primarily due to a (subclinical) somatic condition.

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2020Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis 2010Overweight, Obesity, and Depression 2009Best Practices in Exploratory Factor Analysis: Four Recommendations for Getting the Most from Your Analysis 1999Review of community prevalence of depression in later life 2000Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study 2003Depression and obesity 2005Obesity and depression: results from the longitudinal Northern Finland 1966 Birth Cohort Study 2005Physical Attractiveness and Health in Western Societies: A Review.

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