Association between weight perception and psychological distress

被引:135
作者
Atlantis, E. [1 ]
Ball, K. [2 ]
机构
[1] Univ Sydney, Fac Hlth Sci, Exercise Hlth & Performance Fac Res Grp, Sydney, NSW 2141, Australia
[2] Deakin Univ, Sch Exercise & Nutr Sci, Ctr Phys Act & Nutr, Deakin, Vic, Australia
基金
英国医学研究理事会;
关键词
weight perception; misperception; underweight; overweight; depression; mental health;
D O I
10.1038/sj.ijo.0803762
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Background: Obesity is a well- known cause of cardiovascular disease burden and premature death, but effects on depressive symptoms remain equivocal. Depressive symptoms may be more common among the obese individuals who perceive themselves as overweight, rather than those who perceive themselves as having an acceptable weight. Our aim was to determine whether weight status and weight perceptions are independently associated with psychological distress. Methods: We conducted a cross- sectional study using data from the Australian National Health Survey 2004 - 2005 ( N= 17 253). All variables were collected by self- report. Adjusted multinomial logistic regression analysis was conducted to generate prevalence odds ratios with 95% confidence intervals ( 95% CI) for medium ( Kessler Psychological Distress Scale ( K10) scores of 20 - 29) and high ( K10 scores of 30 - 50) psychological distress ( compared with K10 scores of 10 - 19 as the reference) associated with weight status ( standard body mass index ( BMI) cutoffs for underweight, overweight and obesity vs normal weight), weight perception ( perceived underweight and overweight vs acceptable weight) and weight misperception ( incorrect with BMI vs correct with BMI) adjusting for numerous important covariates. Results: Overweight and underweight perception increased the odds of medium ( 40 and 50%) and high ( 50 and 120%) psychological distress, whereas weight status and weight misperception were not associated with psychological distress in adjusted analysis. Gender, alcohol consumed per week and post- school education were not significant covariates ( at P<0.10 level). Conclusions: Overweight and underweight perception rather than weight status or weight misperception are significant risk factors associated with medium and high psychological distress prevalence and effects appear to be uniform for men and women. Well- designed prospective studies are still needed to determine whether weight perceptions cause psychological distress, and if so, whether symptoms are significantly reduced following effective intervention.
引用
收藏
页码:715 / 721
页数:7
相关论文
共 48 条
[1]
AAPOR (American Association for Public Opinion Research), 2006, STAND DEF FIN DISP C
[2]
Interpreting scores on the Kessler Psychological Distress Scale (K10) [J].
Andrews, G ;
Slade, T .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 2001, 25 (06) :494-497
[3]
ATLANTIS E, 2007, INT J OBES
[4]
*AUSTR BUR STAT, 1998, AUSTR MEAS UP CANB
[5]
*AUSTR BUR STAT, 1997, 4326 0 MENT HLTH WEL
[6]
Too fat to exercise? Obesity as a barrier to physical activity [J].
Ball, K ;
Crawford, D ;
Owen, N .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 2000, 24 (03) :331-333
[7]
Perception of weight status and dieting behaviour in Dutch men and women [J].
Blokstra, A ;
Burns, CM ;
Seidell, JC .
INTERNATIONAL JOURNAL OF OBESITY, 1999, 23 (01) :7-17
[8]
Approaching the shared biology of obesity and depression: the stress axis as the locus of gene-environment interactions [J].
Bornstein, S. R. ;
Schuppenies, A. ;
Wong, M. -L. ;
Licinio, J. .
MOLECULAR PSYCHIATRY, 2006, 11 (10) :892-902
[9]
Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts:: Results from a general population study [J].
Carpenter, KM ;
Hasin, DS ;
Allison, DB ;
Faith, MS .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2000, 90 (02) :251-257
[10]
Self-perception of weight appropriateness in the United States [J].
Chang, VW ;
Christakis, NA .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2003, 24 (04) :332-339