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The relationship between weight history and psychological health—Differences related to gender and weight loss patterns

BACKGROUND: The prevalence and burden of obesity continues to grow worldwide. Psychological comorbidities may not only influence quality of life, but may also hinder successful weight loss. The causality between excess weight and mental health issues is still not fully understood. The aim of the stu...

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Autores principales: Jung, Franziska U. C. E., Riedel-Heller, Steffi G., Luck-Sikorski, Claudia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9925088/
https://www.ncbi.nlm.nih.gov/pubmed/36780486
http://dx.doi.org/10.1371/journal.pone.0281776
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author Jung, Franziska U. C. E.
Riedel-Heller, Steffi G.
Luck-Sikorski, Claudia
author_facet Jung, Franziska U. C. E.
Riedel-Heller, Steffi G.
Luck-Sikorski, Claudia
author_sort Jung, Franziska U. C. E.
collection PubMed
description BACKGROUND: The prevalence and burden of obesity continues to grow worldwide. Psychological comorbidities may not only influence quality of life, but may also hinder successful weight loss. The causality between excess weight and mental health issues is still not fully understood. The aim of the study was to investigate whetherweight history parameters, (ie.age of onset) are related to psychological comorbidities. METHOD: The data were derived from a representative telephone survey in Germany, collecting information on weight loss patterns and mental health outcomes among individuals with BMI>30kg/m(2). Overall, 787 participants were examined in terms of depressive symptoms (Patient Health Questionnaire, PHQ-9) and anxiety (Generalized Anxiety Disorder Questionnaire, GAD7). In addition, participants were asked about different aspects of their weight history (ie. weight loss patterns and trajectories) over the lifespan. The relationship between weight history and mental health was analyzed using multivariate statistics. RESULTS: According to regression analyses, having had more weight loss attempts, a greater weight loss being desired and being a “weight maintainer” was associated with more symptoms of depression (p < 0.001), whereas a greater desired weight loss and being categorized as a “weight maintainer” was associated with more anxiety (p < 0.001). Moroever, the prevalence of depressive symptoms was significantly higher in male individuals who desire to lose more weight or had more weight loss attempts in the past. CONCLUSION: Gender-specific differences were observed in terms of weight history parameters, as well as mental health outcomes. Especially for men, weight loss patterns seem to be related to depressive symptoms. Concerning the overall results, it becomes clear that screening for weight history at the beginning of a multidisciplinary weight loss program in the context of gender-specific psychological comorbidities is important. The question remains why some aspects of weight history seem to be more important than others.
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spelling pubmed-99250882023-02-14 The relationship between weight history and psychological health—Differences related to gender and weight loss patterns Jung, Franziska U. C. E. Riedel-Heller, Steffi G. Luck-Sikorski, Claudia PLoS One Research Article BACKGROUND: The prevalence and burden of obesity continues to grow worldwide. Psychological comorbidities may not only influence quality of life, but may also hinder successful weight loss. The causality between excess weight and mental health issues is still not fully understood. The aim of the study was to investigate whetherweight history parameters, (ie.age of onset) are related to psychological comorbidities. METHOD: The data were derived from a representative telephone survey in Germany, collecting information on weight loss patterns and mental health outcomes among individuals with BMI>30kg/m(2). Overall, 787 participants were examined in terms of depressive symptoms (Patient Health Questionnaire, PHQ-9) and anxiety (Generalized Anxiety Disorder Questionnaire, GAD7). In addition, participants were asked about different aspects of their weight history (ie. weight loss patterns and trajectories) over the lifespan. The relationship between weight history and mental health was analyzed using multivariate statistics. RESULTS: According to regression analyses, having had more weight loss attempts, a greater weight loss being desired and being a “weight maintainer” was associated with more symptoms of depression (p < 0.001), whereas a greater desired weight loss and being categorized as a “weight maintainer” was associated with more anxiety (p < 0.001). Moroever, the prevalence of depressive symptoms was significantly higher in male individuals who desire to lose more weight or had more weight loss attempts in the past. CONCLUSION: Gender-specific differences were observed in terms of weight history parameters, as well as mental health outcomes. Especially for men, weight loss patterns seem to be related to depressive symptoms. Concerning the overall results, it becomes clear that screening for weight history at the beginning of a multidisciplinary weight loss program in the context of gender-specific psychological comorbidities is important. The question remains why some aspects of weight history seem to be more important than others. Public Library of Science 2023-02-13 /pmc/articles/PMC9925088/ /pubmed/36780486 http://dx.doi.org/10.1371/journal.pone.0281776 Text en © 2023 Jung et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Jung, Franziska U. C. E.
Riedel-Heller, Steffi G.
Luck-Sikorski, Claudia
The relationship between weight history and psychological health—Differences related to gender and weight loss patterns
title The relationship between weight history and psychological health—Differences related to gender and weight loss patterns
title_full The relationship between weight history and psychological health—Differences related to gender and weight loss patterns
title_fullStr The relationship between weight history and psychological health—Differences related to gender and weight loss patterns
title_full_unstemmed The relationship between weight history and psychological health—Differences related to gender and weight loss patterns
title_short The relationship between weight history and psychological health—Differences related to gender and weight loss patterns
title_sort relationship between weight history and psychological health—differences related to gender and weight loss patterns
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9925088/
https://www.ncbi.nlm.nih.gov/pubmed/36780486
http://dx.doi.org/10.1371/journal.pone.0281776
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