Association between anxiety levels and depression in adults with obesity
Abstract
Objective: To verify the association between levels of anxiety and depression of participants in a Multidisciplinary Program for the Treatment of Obesity, with anthropometric variables; body composition; biochemical and hemodynamic parameters; and health-related physical fitness.
Method: Quantitative, correlational, cross-sectional study carried out with adults who participated in the Multidisciplinary Program for the Treatment of Obesity in a municipality in the Northwest of Paraná. For data collection, anthropometric measurements were applied in July 2021; body composition; biochemical and hemodynamic parameters; health-related physical fitness tests; and scale to assess levels of anxiety and depression.
Results: 116 individuals participated in the study, 87.94% female, 12.06% male, with a mean age of 40 years. There was a considerable positive correlation between hemoglobin and hematocrit; total and LDL cholesterol; glucose and HbA1C1; weight and BMI; weight and abdominal circumference; weight and waist circumference; BMI and abdominal circumference; BMI and waist circumference; as well as anxiety and depression.
Conclusion: The levels of anxiety and depression of the participants of the Multidisciplinary Program for the Treatment of Obesity did not present a significant correlation with the variables of anthropometric measurements; body composition; biochemical and hemodynamic parameters; and health-related physical fitness assessment tests.
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References
Breland JY, Frayne SM, Timko C, Washington DL, Maguen S. Mental Health and Obesity among Veterans: A Possible Need for Integrated Care. Psychiatric services (Washington, D.C.), v. 71, n. 5, p. 506, 1 mai 2020. doi: 10.1176/appi.ps.201900078.
Pavlova NT, Kioskli K, Smith C, Picariello F, Rayner L, Moss-Morris R. Psychosocial aspects of obesity in adults with psoriasis: A systematic review. Skin Health Dis. 2021 May 3;1(2):e33. doi: 10.1002/ski2.33.
Sahle BW, Breslin M, Sanderson K, Patton G, Dwyer T, Venn A, et al. Association between depression, anxiety and weight change in young adults. BMC Psychiatry, v. 19, n. 1, 16 dez. 2019. doi: 10.1186/s12888-019-2385-z.
Schachter J, Martel J, Lin CS, Chang CJ, Wu TR, Lu CC et. al. Effects of obesity on depression: A role for inflammation and the gut microbiota. Brain Behav Immun. 2018 Mar;69:1-8. doi: 10.1016/j.bbi.2017.08.026.
Fulton S, Décarie-Spain L, Fioramonti X, Guiard B, Nakajima S. The menace of obesity to depression and anxiety prevalence. Trends Endocrinol Metab. 2022 Jan;33(1):18-35. doi: 10.1016/j.tem.2021.10.005.
Lin X, Li H. Obesity: Epidemiology, Pathophysiology, and Therapeutics. Front Endocrinol (Lausanne). 2021 Sep 6;12:706978. doi: 10.3389/fendo.2021.706978.
Puhl RM, Himmelstein MS, Pearl RL. Estigma do peso como fator psicossocial para a obesidade. American Psychologist. 2020; 75(2):274-289. doi: 10.1037/amp0000538.
Botega NJ, Bio MR, Zomignani MA, Junior CG, Pereira WAB. Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Ver. de Saúde Pública, 1995, v. 29, n. 5, p. https://doi.org/10.1590/S0034-89101995000500004.
Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Orientações para a coleta e análise de dados antropométricos em serviços de saúde: Norma Técnica do Sistema de Vigilância Alimentar e Nutricional - SISVAN/Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Brasília: Ministério da Saúde, 2011. 76 p.:il. – (Série G. Estatística e Informação em Saúde) ISBN 978-85-334-1813-4.
Heyward V. Asep methods recommendation: body composition assessment. J Exerc Physiol online. 2001; [citado 2022 dez 16]; 1971-9751(1):1–10. 14. Disponível em: https://www.researchgate.net/publication/237305356_ASEP_methods_recommendation_Body_composition_assessment
Rao L. Fatores que influenciam os exames laboratoriais. In: Williamson MA, Snyder LM. Wallach - Interpretação de exames laboratoriais. 10ª ed. Rio de Janeiro: Guanabara Koogam; 2016. 1225 p.
Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa ADM, et al. Diretrizes Brasileiras de Hipertensão Arterial – 2020. Arquivos Brasileiros de Cardiologia, v. 116, n. 3, p. 516-658-, 2021Tradução. [citado 2023 mar 06]; Disponível em: https://doi.org/10.36660/abc.20201238
Freitas Júnior IF. APTIDÃO FÍSICA RELACIONADA À SAÚDE EM ADULTOS. Rev. Bras. Ativ. Fís. Saúde [Internet]. 27º de agosto de 2012 [citado 2023 mar 01];1(2):39-48. Disponível em: https://rbafs.org.br/RBAFS/article/view/466
Gomes AP, Soares ALG, Menezes AMB, Assunção MC, Wehrmeister FC, Howe LD, Gonçalves H. Adiposity, depression and anxiety: interrelationship and possible mediators. Revista de saude publica, v. 53, n. 2019, 2019. doi: 10.11606/S1518-8787.2019053001119.
Zou B, Miao C, Chen J. Depression and Perceived Stress, but Not Anxiety, are Associated with Elevated Inflammation in an Obese Adult Population. Risk Manag Healthc Policy. 2020 Sep 9;13:1489-1497. doi: 10.2147/RMHP.S270359.
Abouzed M, Elsherbiny AM, Kamel A, Salama B, Elag KA, Abou Elzahab NF, Abdelkader HR, Altuhayni AS. Relation of Depression and Anxiety Disorders in Choosing Obesity Management in Obese Patients. Int J Prev Med. 11 de outubro de 2022; 13:136. doi: 10.4103/ijpvm.ijpvm_102_21.
Eik-Nes TT, Tokatlian A, Raman J, Spirou D, Kvaløy K. Depression, anxiety, and psychosocial stressors across BMI classes: A Norwegian population study - The HUNT Study. Front. Endocrinol. 2022. 13:886148. doi: 10.3389/fendo.2022.886148.
Lorenzi T. Manual de Hematologia. Propedêutica e clínica. Ed. Medsi, 3ª ed., Rio de Janeiro, 2003.
Koivula T, Lempiäinen S, Laine S, Sjöros T, Vähä-Ypyä H, Garthwaite T, et al. Cross-Sectional Associations of Body Adiposity, Sedentary Behavior, and Physical Activity with Hemoglobin and White Blood Cell Count. Int J Environ Res Public Health. 2022; 19(21):14347. doi: 10.3390/ijerph192114347.
Ge L, Sadeghirad B, Ball GDC, da Costa BR, Hitchcock CL, Svendrovski A, Kiflen R, et al. Comparison of dietary macronutrient patterns of 14 popular named dietary programmes for weight and cardiovascular risk factor reduction in adults: systematic review and network meta-analysis of randomised trials. BMJ. 2020 Apr 1;369:m696. doi: 10.1136/bmj.m696.
Tall AR, Gonzalez-Cabodevilla AG, Goldberg IJ. Addressing dyslipidemic risk beyond LDL-cholesterol. 4 jan 2022. 2022;132(1):e148559. doi: 10.1172/JCI148559.
Mazereel V, Detraux J, Vancampfort D, van Winkel R, De Hert M. Impact of Psychotropic Medication Effects on Obesity and the Metabolic Syndrome in People With Serious Mental Illness. Front Endocrinol (Lausanne). 2020 Oct 9;11:573479. doi: 10.3389/fendo.2020.573479.
Ahmed B, Sultana R, Greene MW. Adipose tissue and insulin resistance in obese. Biomed Pharmacother. Epub 2021 Feb 6. 137(6–7):111315. doi: 10.1016/j.biopha.2021.111315
ABESO. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Diretrizes brasileiras de obesidade. 4. ed. São Paulo: ABESO, 2016. [citado 2023 fev 16] Disponível em: https://abeso.org.br/wp-content/uploads/2019/12/Diretrizes-Download-Diretrizes-Brasileiras-de-Obesidade-2016.pdf
Penninx BWJH, Lange SMM. Metabolic syndrome in psychiatric patients: overview, mechanisms, and implications. Dialogues Clin Neurosci. 2018 Mar;20(1):63-73. doi: 10.31887/DCNS.2018.20.1/bpenninx.
Qiao T, Luo T, Pei H, Yimingniyazi B, Aili D, Aimudula A, Zhao H, Zhang H, Dai J, Wang D. Association between abdominal obesity indices and risk of cardiovascular events in Chinese populations with type 2 diabetes: a prospective cohort study. Cardiovasc Diabetol. 2022 Nov 1;21(1):225. doi: 10.1186/s12933-022-01670-x.
Gažarová M, Galšneiderová M, Mečiarová L. Obesity diagnosis and mortality risk based on a body shape index (ABSI) and other indices and anthropometric parameters in university students. Rocz Panstw Zakl Hig. 2019. 70(3):267-275. doi: 10.32394/rpzh.2019.0077.
WHO. Obesity and overweight. 2021. [citado 2021 nov 18] Disponível em: https://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight
Ministério da Saúde (Brasil). Secretaria de Atenção Primária à Saúde. Manual de atenção às pessoas com sobrepeso e obesidade no âmbito da Atenção Primária à Saúde (APS) do Sistema Único de Saúde. Brasília: Ministério da Saúde, 2021. [citado 8 jun. 2021] Disponível em: http://189.28.128.100/dab/docs/portaldab/publicacoes/manual_pessoas_sobrepeso.pdf
Hadi S, Momenan M, Cheraghpour K, Hafizi N, Pourjavidi N, Malekahmadi M, Foroughi M, Alipour M. Abdominal volume index: a predictive measure in relationship between depression/anxiety and obesity. Afr Health Sci. 2020 Mar;20(1):257-265. doi: 10.4314/ahs.v20i1.31.
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