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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2016, Number 3

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Salud Mental 2016; 39 (3)

Psychiatric symptoms, substance use, and other medical conditions in patients with obesity who seek treatment for weight loss

Marín-Navarrete R, Quintero J, Correas-Lauffer J, Cortés-Ramírez J, Villalobos-Gallegos L

Language: English
References: 49
Page: 109-116
PDF size: 171.69 Kb.


ABSTRACT

Introduction Scaling in obesity classes increases its effect on medical comorbidities and psychiatric symptoms. Anxiety and depression have a significant effect on treatment adherence and weight loss.
Objective This study had three aims: a) to evaluate the prevalence of psychiatric symptoms; b) to evaluate the interactions between obesity classes and demographic variables in relation to psychiatric symptoms; and c) to analyze the interactions between obesity classes, demographic variables, and psychiatric symptoms in association with medical comorbidities in a sample of obese individuals seeking treatment for weight loss.
Method Medical record review of 22 weight loss clinics during January-December 2014. Binomial logistic regression was carried to assess univariate associations, second- and third-order interactions.
Results Total sample was composed of 13,305 patients, mostly women (82.04%), married (53.66%), with elementary education (38.6%), mean body max index was 34.94 (SD = 4.39). The most prevalent psychiatric symptoms were anxiety (45.21%) and depression (16.36%). When analyzing interactions, it was found that men with class II obesity had higher odds for alcohol use (OR 1.56, IC 95% 1.10-2.22), and participants with obesity class III and married had more probability of diabetes II (OR 1.53, IC 95% 1.06-2.19).
Discussion and conclusion Results show the complexity of the relation between demographic variables, psychiatric symptoms, medical comorbidities and obesity, underscoring the need to tailor treatments based in such variables, to promote adherence and weight loss.


REFERENCES

  1. Ng M, Fleming T, Robinson M, Thomson B et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;384(9945):766-781. doi:10.1016/S0140- 6736(14)60460-8

  2. Barquera CS, Nonato CI, Rojas R, Rivera J. Obesidad en México: epidemiología y políticas de salud para su control y prevención. Gac Méd Mex 2010;146:397-407.

  3. De Schutter A, Lavie CJ, Milani RV. The impact of obesity on risk factors and prevalence and prognosis of coronary heart disease—the obesity paradox. Prog Cardiovasc Dis 2014;56(4):401-8. doi:10.1016/j. pcad.2013.08.003

  4. Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S et al. Murray CJL. Selected major risk factors and global and regional burden of disease. Lancet. 2002;360(9343):1347-1360. doi:10.1016/S0140-6736(02)11403-6

  5. Laditka SB, Laditka JN. Active life expectancy of Americans with diabetes: Risks of heart disease, obesity, and inactivity. Diabetes Res Clin Pr 2015;107(1):37-45. doi:10.1016/j.diabres.2014.10.008

  6. Poirier P, Giles TD, Bray GA, Hong Y et al. Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss: an update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical Activity Metabolism. Circulation 2006;113(6):898-918. doi: 10.1161/CIRCULATIONAHA.106.171016

  7. Freedman DM, Ron E, Ballard-Barbash R, Doody MM et al. Body mass index and all-cause mortality in a nationwide US cohort. Int J Obesity 2006;30(5):822-829. doi:10.1038/sj.ijo.0803193

  8. Olshansky SJ, Passaro DJ, Hershow RC, Layden J et al. A potential decline in life expectancy in the United States in the 21st Century. New Engl J Med 2005;352(11):1138-1145. doi: 10.1056/NEJMsr043743

  9. Zhang C, Rexrode KM, van Dam RM, Li TY et al. Abdominal obesity and the risk of all-cause, cardiovascular, and cancer mortality: sixteen years of follow-up in US women. Circulation 2008;117(13):1658-1667. doi: 10.1161/CIRCULATIONAHA.107.739714

  10. Jung H, Chang C. Is obesity related to deteriorating mental health of the U.S. working-age population? J Behav Med 2015;38(1):81-90. doi: 10.1007/s10865-014-9580-7

  11. Kessler RC, McGonagle KA, Zhao S, Nelson CB et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry 1994;51(1):8-19. doi:10.1001/archpsyc.1994.03950010008002

  12. Stunkard AJ, Faith MS, Allison KC. Depression and obesity. Biol Psychiatry 2003;54(3):330-337. doi:10.1016/S0006-3223(03)00608-5

  13. Brumpton B, Langhammer A, Romundstad P, Chen Y et al. The associations of anxiety and depression symptoms with weight change and incident obesity: The HUNT Study. Int J Obesity 2013(9):1268-1274. doi:10.1038/ijo.2012.204

  14. Gariepy G, Nitka D, Schmitz N. The association between obesity and anxiety disorders in the population: a systematic review and meta- analysis. Int J Obesity 2010;34(3):407-419. doi:10.1038/ijo.2009.252

  15. Luppino FS, de Wit LM, Bouvy PF, Stijnen T et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 2010;67(3):220-229. doi:10.1001/ archgenpsychiatry.2010.2.

  16. Markowitz S, Friedman MA, Arent SM. Understanding the Relation Between Obesity and Depression: Causal Mechanisms and Implications for Treatment. Clin Psychol-Sci Pr 2008;15(1):1-20.doi: 10.1111/j.1468-2850.2008.00106.x

  17. Nigatu YT, Reijneveld SA, de Jonge P, van Rossum E et al. The combined effects of obesity, abdominal obesity and major depression/anxiety on health-related quality of life: the LifeLines Cohort Study. Plos One 2016;11(2):e0148871-e. doi: 10.1371/journal.pone.0148871

  18. Scott KM, Bruffaerts R, Simon GE, Alonso J et al. Obesity and mental disorders in the general population: results from the world mental health surveys. Int J Obesity 2008;32(1):192-200. doi:10.1038/ sj.ijo.0803701

  19. de Wit LM, Luppino F,van Straten A, Penninx B et al. Depression and obesity: A meta-analysis of community based studies. Psychiatry Res 2010;178(3);230-205. doi:10.1016/j.psychres.2009.04.015

  20. Klinitzke G, Steinig J, Blüher M, Kersting A et al. Obesity and suicide risk in adults—A systematic review. J Affect Disorders 2013;145(3):277- 284. doi:10.1016/j.jad.2012.07.010

  21. Barry D, Petry NM. Associations between body mass index and substance use disorders differ by gender: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Addict Behav 2009;34(1):51-60. doi:10.1016/j.addbeh.2008.08.008

  22. Freedman DM, Sigurdson AJ, Rajaraman P, Doody MM et al. The Mortality Risk of Smoking and Obesity Combined. Am J Prev Med 2006;31(5):355-62. doi:10.1016/j.amepre.2006.07.022

  23. Ma J, Jemal A, Flanders WD, Ward EM. Joint association of adiposity and smoking with mortality among U.S. adults. Prev Med 2013;56(3/4):178-184. doi:10.1016/j.ypmed.2012.12.012

  24. Li L, Wu L-T. Substance use after bariatric surgery: A review. J Psychiatr Res 2016;76:16-29. doi:10.1016/j.jpsychires.2016.01.009

  25. Huang H, Russo J, Bauer AM, Chan Y-F et al. Depression care and treatment in a chronically ill Medicare population. Gen Hosp Psychiatry 2013;35(4):382-386. doi:10.1016/j.genhosppsych.2013.02.006

  26. Katon W, Ciechanowski P. Impact of major depression on chronic medical illness. J Psychosom Res 2002;53(4):859-863. doi: 10.1016/ S0022-3999(02)00313-6

  27. Faith MS, Matz PE, Jorge MA. Obesity-depression associations in the population. J Psychosom Res 2002;53(4):935-942. doi:10.1016/S0022- 3999(02)00308-2

  28. Friedman MA, Brownell KD. Psychological correlates of obesity: Moving to the next research generation. Psychol Bull 1995;117(1):3-20. doi: 10.1037/0033-2909.117.1.3

  29. Gutiérrez J, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S et al. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales [National Health and Nutrition Survey 2010]. Cuernavaca, México. 2012.

  30. Padilla-Téllez E, Ruiz García J, Rodríguez-Orozco AR. Asociación depresión-obesidad. Salud Publica Mexico 2009;51(4):275-276. doi: 10.1590/S0036-36342009000400001

  31. Lazarevich I, Irigoyen-Camacho ME, Velázquez-Alva MC. Obesity, eating behaviour and mental health among university students in Mexico city. Nutr Hosp 2013;28(6):1892-1899. doi: 10.3305/nh.2013.28.6.6873

  32. Worster A, Haines T. Advanced statistics: understanding medical record review (MRR) studies. Acad Emerg Med 2004;11(2):187-192. doi: 10.1111/j.1553-2712.2004.tb01433.x

  33. World Health Organization. Obesity and overweight [Fact sheet N°311]. 2015 [cited 2015 10/03]. Available from: http://www.who.int/ mediacentre/factsheets/fs311/en/.

  34. Simansky KJ. NIH symposium series: Ingestive mechanisms in obesity, substance abuse and mental disorders. Physiol Behav 2005;86(1– 2):1-4. doi:10.1016/j.physbeh.2005.06.016

  35. Volkow ND, Wise RA. How can drug addiction help us understand obesity? Nat Neurosci 2005(5):555-560. doi:10.1038/nn1452

  36. Wang G-J, Volkow ND, Logan J, Pappas NR et al. Brain dopamine and obesity. Lancet 2001;357(9253):354-357. doi:10.1016/S0140-6736(00)03643-6

  37. Wang G-J, Volkow ND, Telang F, Jayne M et al. Exposure to appetitive food stimuli markedly activates the human brain. Neuroimage 2004;21(4):1790-1797. doi:10.1016/j.neuroimage.2003.11.026

  38. Volkow ND, Fowler JS, Wang G-J. The addicted human brain: insights from imaging studies. J Clin Invest 2003;111(10):1444-1451. doi:10.1172/ JCI18533.

  39. Gough B, Conner MT. Barriers to healthy eating amongst men: a qualitative analysis. Soc Sci Med 2006;62(2):387-395. doi:10.1016/j. socscimed.2005.05.032

  40. Galdas PM, Cheater F, Marshall P. Men and health help-seeking behaviour: literature review. J Adv Nurs 2005;49(6):616-623. doi: 10.1111/j.1365-2648.2004.03331.x

  41. Kiernan M, Moore SD, Schoffman DE, Lee K et al. Social support for healthy behaviors: scale psychometrics and prediction of weight loss among women in a behavioral program. Obesity 2012;20(4):756-764. doi: 10.1038/oby.2011.293

  42. The Look AHEAD Research Group. The Look AHEAD Study: A Description of the lifestyle intervention and the evidence supporting it. Obesity 2006;14(5):737-752.doi: 10.1038/oby.2006.84

  43. Moroshko I, Brennan L, O’Brien P. Predictors of dropout in weight loss interventions: a systematic review of the literature. Obes Rev 2011;12(11):912-934. doi: 10.1111/j.1467-789X.2011.00915.x

  44. Bradshaw AJ, Horwath CC, Katzer L, Gray A. Non-dieting group interventions for overweight and obese women: what predicts non-completion and does completion improve outcomes? Public Health Nutr 2010;13(10):1622-1628.doi: 10.1017/S1368980009992977

  45. Elfhag K, Rössner S. Initial weight loss is the best predictor for success in obesity treatment and sociodemographic liabilities increase risk for dropout. Patient Educ Couns 2010;79(3):361-366. doi:10.1016/j.pec.2010.02.006

  46. Ogden J. The correlates of long-term weight loss: a group comparison study of obesity. Int J Obesity 2000;24(8):1018-1025.

  47. Jerome GJ, Myers VH, Young DR, Matthews-Ewald MR et al. Psychosocial predictors of weight loss by race and sex. Clin Obesity 2015(6):342-348. doi: 10.1111/cob.12120

  48. Cortese S, Moreira-Maia CR, St. Fleur D, Morcillo-Peñalver C et al. Association between ADHD and obesity: a systematic review and meta-analysis. Am J Psychiat 2016;173(1):34-43. doi: 10.1176/appi. ajp.2015.15020266

  49. Mazzeschi C, Pazzagli C, Buratta L, Reboldi GP et al. Mutual interactions between depression/quality of life and adherence to a multidisciplinary lifestyle intervention in obesity. J Clinical Endocrinology Metabolism 2012;97(12):E2261–E2265. doi: 10.1210/jc.2012-2364




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