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Associations between obesity and mental distress in late midlife: results from a large Danish community sample

BACKGROUND: To examine associations of Body mass Index (BMI) and mental distress in late midlife in a large Danish community sample and to investigate the effect of socio-demographic factors. METHODS: The study sample comprised 3613 Danish men and 1673 women aged 49–63 years from the Copenhagen Agei...

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Autores principales: Wimmelmann, Cathrine Lawaetz, Lund, Rikke, Christensen, Ulla, Osler, Merete, Mortensen, Erik Lykke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154079/
https://www.ncbi.nlm.nih.gov/pubmed/27999678
http://dx.doi.org/10.1186/s40608-016-0137-x
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author Wimmelmann, Cathrine Lawaetz
Lund, Rikke
Christensen, Ulla
Osler, Merete
Mortensen, Erik Lykke
author_facet Wimmelmann, Cathrine Lawaetz
Lund, Rikke
Christensen, Ulla
Osler, Merete
Mortensen, Erik Lykke
author_sort Wimmelmann, Cathrine Lawaetz
collection PubMed
description BACKGROUND: To examine associations of Body mass Index (BMI) and mental distress in late midlife in a large Danish community sample and to investigate the effect of socio-demographic factors. METHODS: The study sample comprised 3613 Danish men and 1673 women aged 49–63 years from the Copenhagen Ageing and Midlife Biobank (CAMB) with complete information on measured BMI, severity of mental symptoms assessed by the Symptom Check-List’ (SCL-90), and socio-demographic factors including sex, age, occupational social class, and educational duration. Linear and logistic regression were used to evaluate associations between BMI category and SCL-90. RESULTS: Unadjusted SCL-90 subscale scores differed significantly across BMI categories (p < 0.001) among both men and women with more mental distress in the underweight, obese and severely obese BMI categories except for the anxiety scale which was not associated with BMI category in women. In the adjusted analyses, all symptom scales remained significantly associated with BMI among men after adjusting for socio-demographic factors while only associations with somatization and depression scales remained significant for women.. When SCL-90 case status was applied as an outcome, significant unadjusted associations with BMI category were observed for somatization (p < 0.001), depression (p = 0.026) and the General Severity Index (p = 0.002) among men and somatization (p = 0.002) among women. Furthermore, somatization case-status was significantly predicted by BMI category (p < 0.001) in men after adjusting for socio-demographic factors. CONCLUSION: Results indicate more mental distress among underweight, obese and severely obese men and women after adjusting for socio-demographic factors. Furthermore, obese men have higher risk of reporting clinically relevant symptoms of somatization independently of socio-demographic factors.
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spelling pubmed-51540792016-12-20 Associations between obesity and mental distress in late midlife: results from a large Danish community sample Wimmelmann, Cathrine Lawaetz Lund, Rikke Christensen, Ulla Osler, Merete Mortensen, Erik Lykke BMC Obes Research Article BACKGROUND: To examine associations of Body mass Index (BMI) and mental distress in late midlife in a large Danish community sample and to investigate the effect of socio-demographic factors. METHODS: The study sample comprised 3613 Danish men and 1673 women aged 49–63 years from the Copenhagen Ageing and Midlife Biobank (CAMB) with complete information on measured BMI, severity of mental symptoms assessed by the Symptom Check-List’ (SCL-90), and socio-demographic factors including sex, age, occupational social class, and educational duration. Linear and logistic regression were used to evaluate associations between BMI category and SCL-90. RESULTS: Unadjusted SCL-90 subscale scores differed significantly across BMI categories (p < 0.001) among both men and women with more mental distress in the underweight, obese and severely obese BMI categories except for the anxiety scale which was not associated with BMI category in women. In the adjusted analyses, all symptom scales remained significantly associated with BMI among men after adjusting for socio-demographic factors while only associations with somatization and depression scales remained significant for women.. When SCL-90 case status was applied as an outcome, significant unadjusted associations with BMI category were observed for somatization (p < 0.001), depression (p = 0.026) and the General Severity Index (p = 0.002) among men and somatization (p = 0.002) among women. Furthermore, somatization case-status was significantly predicted by BMI category (p < 0.001) in men after adjusting for socio-demographic factors. CONCLUSION: Results indicate more mental distress among underweight, obese and severely obese men and women after adjusting for socio-demographic factors. Furthermore, obese men have higher risk of reporting clinically relevant symptoms of somatization independently of socio-demographic factors. BioMed Central 2016-12-12 /pmc/articles/PMC5154079/ /pubmed/27999678 http://dx.doi.org/10.1186/s40608-016-0137-x Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Wimmelmann, Cathrine Lawaetz
Lund, Rikke
Christensen, Ulla
Osler, Merete
Mortensen, Erik Lykke
Associations between obesity and mental distress in late midlife: results from a large Danish community sample
title Associations between obesity and mental distress in late midlife: results from a large Danish community sample
title_full Associations between obesity and mental distress in late midlife: results from a large Danish community sample
title_fullStr Associations between obesity and mental distress in late midlife: results from a large Danish community sample
title_full_unstemmed Associations between obesity and mental distress in late midlife: results from a large Danish community sample
title_short Associations between obesity and mental distress in late midlife: results from a large Danish community sample
title_sort associations between obesity and mental distress in late midlife: results from a large danish community sample
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154079/
https://www.ncbi.nlm.nih.gov/pubmed/27999678
http://dx.doi.org/10.1186/s40608-016-0137-x
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