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Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Is body weight dissatisfaction a predictor of depression independent of body mass index, sex and age? Results of a cross-sectional study

Authors: Aline Richard, Sabine Rohrmann, Tina Lohse, Monika Eichholzer

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Little is known about the association of dissatisfaction with body weight - a component of body image - with depression in individuals of different sex, age, and with different body mass index (BMI). Hence, the aim of our study was to evaluate the association of body weight dissatisfaction (BWD) with depression in different sub-groups.

Methods

We analyzed data of 15,975 individuals from the cross-sectional 2012 Swiss Health Survey. Participants were asked about their body weight satisfaction. The validated Patient Health Questionnaire (PHQ-9) was used to ascertain depression. Age was stratified into three groups (18–29, 30–59, and ≥60 years). The body mass index (BMI) was calculated from self-reported body height and weight and categorized into underweight (BMI <18.5 kg/m2), normal weight (BMI 18.5–24.9 kg/m2), overweight (BMI 25.0–29.9 kg/m2), and obesity (BMI ≥30 kg/m2). The association between body weight dissatisfaction (BWD) and depression was assessed with logistic regression analyses and odds ratios (OR) with 95 % confidence intervals (CI) were computed.

Results

BWD was associated with depression in the overall group (OR 2.04, 95 % CI 1.66–2.50) as well as in men (OR 1.85, 95 % CI 1.34–2.56) and women (OR 2.25, 95 % CI 1.71–2.96) independent of BMI. The stratification by age groups showed significant associations of BWD with depression in young (OR 1.78, 95 % CI 1.16–2.74), middle-aged (OR 2.10, 95 % CI 1.61–2.74) and old individuals (OR 2.34, 95 % CI 1.30–4.23) independent of BMI. Stratification by BMI categories resulted in statistically significant positive associations of BWD and depression in underweight, normal weight, overweight and obese individuals.

Conclusion

BWD was associated with depression independent of BMI, sex and age.
Literature
1.
go back to reference Cash TF, Pruzinsky T. Body images: development, deviance, and change. New York: Guilford Press; 1990. Cash TF, Pruzinsky T. Body images: development, deviance, and change. New York: Guilford Press; 1990.
2.
go back to reference Blashill AJ, Wilhelm S. Body Image Distortions, Weight, and Depression in Adolescent Boys: Longitudinal Trajectories Into Adulthood. Psychol Men Masculin. 2014;15(4):445–51.CrossRef Blashill AJ, Wilhelm S. Body Image Distortions, Weight, and Depression in Adolescent Boys: Longitudinal Trajectories Into Adulthood. Psychol Men Masculin. 2014;15(4):445–51.CrossRef
3.
go back to reference Tiggemann M. Body image across the adult life span: stability and change. Body Image. 2004;1(1):29–41.CrossRefPubMed Tiggemann M. Body image across the adult life span: stability and change. Body Image. 2004;1(1):29–41.CrossRefPubMed
4.
go back to reference Forrester-Knauss C, Zemp Stutz E. Gender differences in disordered eating and weight dissatisfaction in Swiss adults: which factors matter? BMC Public Health. 2012;12:809.CrossRefPubMedPubMedCentral Forrester-Knauss C, Zemp Stutz E. Gender differences in disordered eating and weight dissatisfaction in Swiss adults: which factors matter? BMC Public Health. 2012;12:809.CrossRefPubMedPubMedCentral
5.
go back to reference Fallon EA, Harris BS, Johnson P. Prevalence of body dissatisfaction among a United States adult sample. Eat Behav. 2014;15(1):151–8.CrossRefPubMed Fallon EA, Harris BS, Johnson P. Prevalence of body dissatisfaction among a United States adult sample. Eat Behav. 2014;15(1):151–8.CrossRefPubMed
6.
go back to reference von Lengerke T, Mielck A, Group KS. Body weight dissatisfaction by socioeconomic status among obese, preobese and normal weight women and men: results of the cross-sectional KORA Augsburg S4 population survey. BMC Public Health. 2012;12:342.CrossRef von Lengerke T, Mielck A, Group KS. Body weight dissatisfaction by socioeconomic status among obese, preobese and normal weight women and men: results of the cross-sectional KORA Augsburg S4 population survey. BMC Public Health. 2012;12:342.CrossRef
7.
go back to reference Stice E, Shaw HE. Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. J Psychosom Res. 2002;53(5):985–93.CrossRefPubMed Stice E, Shaw HE. Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. J Psychosom Res. 2002;53(5):985–93.CrossRefPubMed
8.
go back to reference Jackson KL, Janssen I, Appelhans BM, Kazlauskaite R, Karavolos K, Dugan SA, Avery EA, Shipp-Johnson KJ, Powell LH, Kravitz HM. Body image satisfaction and depression in midlife women: the Study of Women's Health Across the Nation (SWAN). Arch Womens Ment Health. 2014;17(3):177–87.CrossRefPubMedPubMedCentral Jackson KL, Janssen I, Appelhans BM, Kazlauskaite R, Karavolos K, Dugan SA, Avery EA, Shipp-Johnson KJ, Powell LH, Kravitz HM. Body image satisfaction and depression in midlife women: the Study of Women's Health Across the Nation (SWAN). Arch Womens Ment Health. 2014;17(3):177–87.CrossRefPubMedPubMedCentral
9.
go back to reference Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet. 1997;349(9064):1498–504.CrossRefPubMed Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet. 1997;349(9064):1498–504.CrossRefPubMed
10.
go back to reference WHO. Mental Health action plan 2013–2020. Geneva: World Health Organization 2013; 2013. WHO. Mental Health action plan 2013–2020. Geneva: World Health Organization 2013; 2013.
11.
go back to reference Chen G, Guo GP, Gong JB, Xiao SY. The Association Between Body Dissatisfaction and Depression: An Examination of the Moderating Effects of Gender, Age, and Weight Status in a Sample of Chinese Adolescents. J Psychol Counc Sch. 2015;25(2):245–60.CrossRef Chen G, Guo GP, Gong JB, Xiao SY. The Association Between Body Dissatisfaction and Depression: An Examination of the Moderating Effects of Gender, Age, and Weight Status in a Sample of Chinese Adolescents. J Psychol Counc Sch. 2015;25(2):245–60.CrossRef
12.
go back to reference Ferreiro F, Seoane G, Senra C. Toward understanding the role of body dissatisfaction in the gender differences in depressive symptoms and disordered eating: a longitudinal study during adolescence. J Adolesc. 2014;37(1):73–84.CrossRefPubMed Ferreiro F, Seoane G, Senra C. Toward understanding the role of body dissatisfaction in the gender differences in depressive symptoms and disordered eating: a longitudinal study during adolescence. J Adolesc. 2014;37(1):73–84.CrossRefPubMed
13.
go back to reference Stice E, Hayward C, Cameron RP, Killen JD, Taylor CB. Body-image and eating disturbances predict onset of depression among female adolescents: a longitudinal study. J Abnorm Psychol. 2000;109(3):438–44.CrossRefPubMed Stice E, Hayward C, Cameron RP, Killen JD, Taylor CB. Body-image and eating disturbances predict onset of depression among female adolescents: a longitudinal study. J Abnorm Psychol. 2000;109(3):438–44.CrossRefPubMed
14.
go back to reference Paxton SJ, Neumark-Sztainer D, Hannan PJ, Eisenberg ME. Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. J Clin Child Adolesc Psychol. 2006;35(4):539–49.CrossRefPubMed Paxton SJ, Neumark-Sztainer D, Hannan PJ, Eisenberg ME. Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. J Clin Child Adolesc Psychol. 2006;35(4):539–49.CrossRefPubMed
15.
go back to reference Ferreiro F, Seoane G, Senra C. Gender-related risk and protective factors for depressive symptoms and disordered eating in adolescence: a 4-year longitudinal study. J Youth Adolesc. 2012;41(5):607–22.CrossRefPubMed Ferreiro F, Seoane G, Senra C. Gender-related risk and protective factors for depressive symptoms and disordered eating in adolescence: a 4-year longitudinal study. J Youth Adolesc. 2012;41(5):607–22.CrossRefPubMed
16.
go back to reference Pimenta AM, Sanchez-Villegas A, Bes-Rastrollo M, Lopez CN, Martinez-Gonzalez MA. Relationship between body image disturbance and incidence of depression: the SUN prospective cohort. Bmc Public Health. 2009;9:1. Pimenta AM, Sanchez-Villegas A, Bes-Rastrollo M, Lopez CN, Martinez-Gonzalez MA. Relationship between body image disturbance and incidence of depression: the SUN prospective cohort. Bmc Public Health. 2009;9:1.
17.
go back to reference Masheb RM, Grilo CM. The nature of body image disturbance in patients with binge eating disorder. Int J Eat Disord. 2003;33(3):333–41.CrossRefPubMed Masheb RM, Grilo CM. The nature of body image disturbance in patients with binge eating disorder. Int J Eat Disord. 2003;33(3):333–41.CrossRefPubMed
18.
go back to reference Schulte SJ, Thomas J. Relationship between eating pathology, body dissatisfaction and depressive symptoms among male and female adolescents in the United Arab Emirates. Eat Behav. 2013;14(2):157–60.CrossRefPubMed Schulte SJ, Thomas J. Relationship between eating pathology, body dissatisfaction and depressive symptoms among male and female adolescents in the United Arab Emirates. Eat Behav. 2013;14(2):157–60.CrossRefPubMed
19.
go back to reference Tang J, Yu Y, Du Y, Ma Y, Zhu H, Liu Z. Association between actual weight status, perceived weight and depressive, anxious symptoms in Chinese adolescents: a cross-sectional study. BMC Public Health. 2010;10:594.CrossRefPubMedPubMedCentral Tang J, Yu Y, Du Y, Ma Y, Zhu H, Liu Z. Association between actual weight status, perceived weight and depressive, anxious symptoms in Chinese adolescents: a cross-sectional study. BMC Public Health. 2010;10:594.CrossRefPubMedPubMedCentral
20.
go back to reference Puhl RM, Heuer CA. The stigma of obesity: a review and update. Obesity (Silver Spring). 2009;17(5):941–64.CrossRef Puhl RM, Heuer CA. The stigma of obesity: a review and update. Obesity (Silver Spring). 2009;17(5):941–64.CrossRef
21.
go back to reference Mannan M, Mamun A, Doi S, Clavarino A. Is there a bi-directional relationship between depression and obesity among adult men and women? Systematic review and bias-adjusted meta analysis. Asian J Psychiatr. 2016;21:51–66.CrossRefPubMed Mannan M, Mamun A, Doi S, Clavarino A. Is there a bi-directional relationship between depression and obesity among adult men and women? Systematic review and bias-adjusted meta analysis. Asian J Psychiatr. 2016;21:51–66.CrossRefPubMed
22.
go back to reference Kroenke CH, Bennett GG, Fuchs C, Giovannucci E, Kawachi I, Schernhammer E, Holmes MD, Kubzansky LD. Depressive symptoms and prospective incidence of colorectal cancer in women. Am J Epidemiol. 2005;162(9):839–48.CrossRefPubMed Kroenke CH, Bennett GG, Fuchs C, Giovannucci E, Kawachi I, Schernhammer E, Holmes MD, Kubzansky LD. Depressive symptoms and prospective incidence of colorectal cancer in women. Am J Epidemiol. 2005;162(9):839–48.CrossRefPubMed
23.
go back to reference Manea L, Gilbody S, McMillan D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a meta-analysis. CMAJ. 2012;184(3):E191–196.CrossRefPubMedPubMedCentral Manea L, Gilbody S, McMillan D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a meta-analysis. CMAJ. 2012;184(3):E191–196.CrossRefPubMedPubMedCentral
24.
go back to reference BASPO, BfS. Gesundheitswirksame Bewegung. Magglingen: BASPO. In.; 2013. BASPO, BfS. Gesundheitswirksame Bewegung. Magglingen: BASPO. In.; 2013.
25.
go back to reference Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jonsson B, Olesen J, Allgulander C, Alonso J, Faravelli C, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21(9):655–79.CrossRefPubMed Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jonsson B, Olesen J, Allgulander C, Alonso J, Faravelli C, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21(9):655–79.CrossRefPubMed
26.
go back to reference Daniels J. Weight and weight concerns: are they associated with reported depressive symptoms in adolescents? Journal of Pediatric Health Care: Official Publication of National Association of Pediatric Nurse Associates & Practitioners. 2005;19(1):33–41. Daniels J. Weight and weight concerns: are they associated with reported depressive symptoms in adolescents? Journal of Pediatric Health Care: Official Publication of National Association of Pediatric Nurse Associates & Practitioners. 2005;19(1):33–41.
27.
go back to reference Ting WH, Huang CY, Tu YK, Chien KL. Association between weight status and depressive symptoms in adolescents: role of weight perception, weight concern, and dietary restraint. Eur J Pediatr. 2012;171(8):1247–55.CrossRefPubMed Ting WH, Huang CY, Tu YK, Chien KL. Association between weight status and depressive symptoms in adolescents: role of weight perception, weight concern, and dietary restraint. Eur J Pediatr. 2012;171(8):1247–55.CrossRefPubMed
28.
29.
go back to reference Almeida S, Severo M, Araujo J, Lopes C, Ramos E. Body image and depressive symptoms in 13-year-old adolescents. J Paediatr Child Health. 2012;48(10):E165–171.CrossRefPubMed Almeida S, Severo M, Araujo J, Lopes C, Ramos E. Body image and depressive symptoms in 13-year-old adolescents. J Paediatr Child Health. 2012;48(10):E165–171.CrossRefPubMed
30.
go back to reference Thompson JK, Stice E. Thin-ideal internalization: Mounting evidence for a new risk factor for body-image disturbance and eating pathology. Curr Dir Psychol Sci. 2001;10(5):181–3.CrossRef Thompson JK, Stice E. Thin-ideal internalization: Mounting evidence for a new risk factor for body-image disturbance and eating pathology. Curr Dir Psychol Sci. 2001;10(5):181–3.CrossRef
31.
go back to reference McCreary DR, Saucier DM. Drive for muscularity, body comparison, and social physique anxiety in men and women. Body Image. 2009;6(1):24–30.CrossRefPubMed McCreary DR, Saucier DM. Drive for muscularity, body comparison, and social physique anxiety in men and women. Body Image. 2009;6(1):24–30.CrossRefPubMed
32.
go back to reference Gaskin JL, Pulver AJ, Branch K, Kabore A, James T, Zhang J. Perception or reality of body weight: which matters to the depressive symptoms. J Affect Disord. 2013;150(2):350–5.CrossRefPubMed Gaskin JL, Pulver AJ, Branch K, Kabore A, James T, Zhang J. Perception or reality of body weight: which matters to the depressive symptoms. J Affect Disord. 2013;150(2):350–5.CrossRefPubMed
33.
go back to reference Armstrong B, Westen SC, Janicke DM. The role of overweight perception and depressive symptoms in child and adolescent unhealthy weight control behaviors: a mediation model. J Pediatr Psychol. 2014;39(3):340–8.CrossRefPubMed Armstrong B, Westen SC, Janicke DM. The role of overweight perception and depressive symptoms in child and adolescent unhealthy weight control behaviors: a mediation model. J Pediatr Psychol. 2014;39(3):340–8.CrossRefPubMed
34.
go back to reference Gray WN, Crawford MJ, Follansbee-Junger K, Dumont-Driscoll MC, Janicke DM. Associations between actual and perceived weight and psychosocial functioning in children: the importance of child perceptions. Child Obes. 2012;8(2):147–54.CrossRefPubMed Gray WN, Crawford MJ, Follansbee-Junger K, Dumont-Driscoll MC, Janicke DM. Associations between actual and perceived weight and psychosocial functioning in children: the importance of child perceptions. Child Obes. 2012;8(2):147–54.CrossRefPubMed
35.
go back to reference Ali MM, Fang H, Rizzo JA. Body weight, self-perception and mental health outcomes among adolescents. J Ment Health Policy Econ. 2010;13(2):53–63.PubMed Ali MM, Fang H, Rizzo JA. Body weight, self-perception and mental health outcomes among adolescents. J Ment Health Policy Econ. 2010;13(2):53–63.PubMed
36.
go back to reference Eaton DK, Lowry R, Brener ND, Galuska DA, Crosby AE. Associations of body mass index and perceived weight with suicide ideation and suicide attempts among US high school students. Arch Pediatr Adolesc Med. 2005;159(6):513–9.CrossRefPubMed Eaton DK, Lowry R, Brener ND, Galuska DA, Crosby AE. Associations of body mass index and perceived weight with suicide ideation and suicide attempts among US high school students. Arch Pediatr Adolesc Med. 2005;159(6):513–9.CrossRefPubMed
37.
go back to reference Stevens SD, Herbozo S, Morrell HE, Schaefer LM, Thompson JK. Adult and childhood weight influence body image and depression through weight stigmatization. J Health Psychol. 2016. 2016; January 28, Epub first. Stevens SD, Herbozo S, Morrell HE, Schaefer LM, Thompson JK. Adult and childhood weight influence body image and depression through weight stigmatization. J Health Psychol. 2016. 2016; January 28, Epub first.
38.
go back to reference Hoebel BG, Leibowitz SF. Brain monoamines in the modulation of self-stimulation, feeding, and body weight. Res Publ Assoc Res Nerv Ment Dis. 1981;59:103–42.PubMed Hoebel BG, Leibowitz SF. Brain monoamines in the modulation of self-stimulation, feeding, and body weight. Res Publ Assoc Res Nerv Ment Dis. 1981;59:103–42.PubMed
Metadata
Title
Is body weight dissatisfaction a predictor of depression independent of body mass index, sex and age? Results of a cross-sectional study
Authors
Aline Richard
Sabine Rohrmann
Tina Lohse
Monika Eichholzer
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3497-8

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