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BMC Public Health
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Association between weight control failure and suicidal ideation in overweight and obese adults: a cross-sectional study

Authors: Yeong Jun Ju, Kyu-Tae Han, Tae-Hoon Lee, Woorim Kim, Jeong Hun Park, Eun-Cheol Park

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Korea has the highest suicide rate in the OECD and is one of the few OECD countries whose suicide rates have not decreased in recent years. To address these issues, we investigated the effects of weight control failure on suicidal ideation in the overweight and obese populations.

Methods

We performed a cross-sectional study using data from the Korea National Health and Nutrition Examination Survey (2008–2012) consisting of 6621 individuals 40 years of age or older. Logistic regression analysis was used to identify the relationship between weight control failure and suicidal ideation in the overweight and obese populations.

Results

A total of 6621 participants were analyzed in this study (overweight group: 2439; obese group: 4182). Among them, weight control failure (weight gain with weight loss efforts) was experienced in 962 obese (males 16.3 %, females 29.6 %) and 412 overweight individuals (males 9.1 %, females 23.4 %). Weight control failure was significantly associated with suicidal ideation in obese females (OR = 1.70, 95 % CI 1.21–2.39), but this association was not significant in obese males or in either sex of the overweight group.

Conclusions

Findings from this study suggest that weight control failure is associated with an increased risk of suicidal ideation among obese women. Furthermore, intervention programs that aim to address the prevalence of suicide, especially for obese women, are needed.
Literature
1.
Jang S-I, Nam J-M, Choi J, Park E-C. Disease management index of potential years of life lost as a tool for setting priorities in national disease control using OECD health data. Health Policy. 2014;115(1):92–9.CrossRefPubMed
2.
Hewlett E, Moran V. Making Mental Health Count: The Social and Economic Costs of Neglecting Mental Health Care. In: OECD Health Policy Studies. Paris: OECD Publishing; 2014.
3.
Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56(7):617–26.CrossRefPubMed
4.
Jeon G-S, Jang S-N, Rhee S-J, Kawachi I, Cho S-I. Gender differences in correlates of mental health among elderly Koreans. J Gerontol Ser B Psychol Sci Soc Sci. 2007;62(5):S323–9.CrossRef
5.
Kim K, Ryu E, Chon M-Y, Yeun E-J, Choi S-Y, Seo J-S, Nam B-W. Internet addiction in Korean adolescents and its relation to depression and suicidal ideation: a questionnaire survey. Int J Nurs Stud. 2006;43(2):185–92.CrossRefPubMed
6.
Kim D-S, Kim H-S. Early initiation of alcohol drinking, cigarette smoking, and sexual intercourse linked to suicidal ideation and attempts: findings from the 2006 Korean Youth Risk Behavior Survey. Yonsei Med J. 2010;51(1):18–26.CrossRefPubMedPubMedCentral
7.
Diefenbach GJ, Woolley SB, Goethe JW. The association between self-reported anxiety symptoms and suicidality. J Nerv Ment Dis. 2009;197(2):92–7.CrossRefPubMed
8.
Wardle J, Cooke L. The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab. 2005;19(3):421–40.CrossRefPubMed
9.
Blaine B. Does depression cause obesity? A meta-analysis of longitudinal studies of depression and weight control. J Health Psychol. 2008;13(8):1190–7.CrossRefPubMed
10.
11.
12.
13.
Davidson MH, Hauptman J, DiGirolamo M, Foreyt JP, Halsted CH, Heber D, Heimburger DC, Lucas CP, Robbins DC, Chung J. Weight control and risk factor reduction in obese subjects treated for 2 years with orlistat: a randomized controlled trial. JAMA. 1999;281(3):235–42.CrossRefPubMed
14.
Neumark-Sztainer D, Story M, Resnick MD, Blum RW. Psychosocial concerns and weight control behaviors among overweight and nonoverweight Native American adolescents. J Am Diet Assoc. 1997;97(6):598–604.CrossRefPubMed
15.
Falkner NH, Neumark‐Sztainer D, Story M, Jeffery RW, Beuhring T, Resnick MD. Social, educational, and psychological correlates of weight status in adolescents. Obes Res. 2001;9(1):32–42.CrossRefPubMed
16.
Crow S, Eisenberg ME, Story M, Neumark‐Sztainer D. Suicidal behavior in adolescents: relationship to weight status, weight control behaviors, and body dissatisfaction. Int J Eat Disord. 2008;41(1):82–7.CrossRefPubMed
17.
Park IB, Baik SH. Epidemiologic characteristics of diabetes mellitus in Korea: current status of diabetic patients using Korean Health Insurance Database. Korean Diab J. 2009;33(5):357–62.CrossRef
18.
Forman-Hoffman VL, Yankey JW, Hillis SL, Wallace RB, Wolinsky FD. Weight and depressive symptoms in older adults: direction of influence? J Gerontol Ser B Psychol Sci Soc Sci. 2007;62(1):S43–51.CrossRef
19.
Hong JS, Yi S-W, Kang HC, Jee SH, Kang HG, Bayasgalan G, Ohrr H. Age at menopause and cause-specific mortality in South Korean women: Kangwha Cohort Study. Maturitas. 2007;56(4):411–9.CrossRefPubMed
20.
Eliassen AH, Colditz GA, Rosner B, Willett WC, Hankinson SE. Adult weight change and risk of postmenopausal breast cancer. JAMA. 2006;296(2):193–201.CrossRefPubMed
21.
Simon RW. Gender, multiple roles, role meaning, and mental health. J Health Soc Behav. 1995;36:182–94.CrossRefPubMed
22.
Chin YR, Lee HY, So ES. Suicidal ideation and associated factors by sex in Korean adults: a population-based cross-sectional survey. Int J Public Health. 2011;56(4):429–39.CrossRefPubMed
23.
Lee M-S, Shin J-S, Lee J, Lee YJ, Kim M-R, Park KB, Shin D, Cho J-H, Ha I-H. The association between mental health, chronic disease and sleep duration in Koreans: a cross-sectional study. BMC Public Health. 2015;15(1):1.CrossRef
24.
EC WHO. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157.CrossRef
25.
Kweon S, Kim Y, Jang M-J, Kim Y, Kim K, Choi S, Chun C, Khang Y-H, Oh K. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol. 2014;43(1):69–77.CrossRefPubMedPubMedCentral
26.
Hosmer Jr DW, Lemeshow S, Sturdivant RX: Interpretation of the Fitted Logistic Regression Model. Applied Logistic Regression, Third Edition 2013:49-88. John Wiley & Sons, Inc., Hoboken, NJ, USA. doi: 10.​1002/​9781118548387.​ch3.
27.
Statistics Korea. Annual report on the cause of death statistics. Seioul: Korean National statistical Office; 2014.
28.
Park H, Park C, Oh S, Yoo H. Prevalence of obesity and metabolic syndrome in Korean adults. Obes Rev. 2008;9(2):104–7.CrossRefPubMed
29.
30.
31.
Cash TF, Brown TA. Gender and body images: Stereotypes and realities. Sex Roles. 1989;21(5–6):361–73.CrossRef
32.
Pingitore R, Dugoni BL, Tindale RS, Spring B. Bias against overweight job applicants in a simulated employment interview. J Appl Psychol. 1994;79(6):909.CrossRefPubMed
33.
34.
Friedman KE, Reichmann SK, Costanzo PR, Zelli A, Ashmore JA, Musante GJ. Weight stigmatization and ideological beliefs: relation to psychological functioning in obese adults. Obes Res. 2005;13(5):907–16.CrossRefPubMed
35.
Health KMO, Welfare. Korea national health and nutrition survey in 2008. Seoul: Korea Ministry of Health and Welfare; 2009.
36.
Sim JH, Go DG, Yoo YJ. The effect of an obesity control program on body composition and blood lipid level among middle-aged obese women in a health center. J Korean Acad Community Health Nurs. 2007;18(2):201–10.
37.
Newman VA, Flatt SW, Pierce JP. Telephone counseling promotes dietary change in healthy adults: results of a pilot trial. J Am Diet Assoc. 2008;108(8):1350–4.CrossRefPubMed
38.
Wing RR, Matthews KA, Kuller LH, Meilahn EN, Plantinga PL. Weight gain at the time of menopause. Arch Intern Med. 1991;151(1):97–102.CrossRefPubMed
39.
Wing RR, Jeffery RW. Benefits of recruiting participants with friends and increasing social support for weight loss and maintenance. J Consult Clin Psychol. 1999;67(1):132.CrossRefPubMed
40.
McLean N, Griffin S, Toney K, Hardeman W. Family involvement in weight control, weight maintenance and weight-loss interventions: a systematic review of randomised trials. Int J Obes. 2003;27(9):987–1005.CrossRef
41.
42.
Pickett KE, Kelly S, Brunner E, Lobstein T, Wilkinson RG. Wider income gaps, wider waistbands? An ecological study of obesity and income inequality. J Epidemiol Community Health. 2005;59(8):670–4.CrossRefPubMedPubMedCentral
43.
Sarlio-Lähteenkorva S, Lahelma E. The association of body mass index with social and economic disadvantage in women and men. Int J Epidemiol. 1999;28(3):445–9.CrossRefPubMed
44.
Molarius A, Seidell JC, Sans S, Tuomilehto J, Kuulasmaa K. Educational level, relative body weight, and changes in their association over 10 years: an international perspective from the WHO MONICA Project. Am J Public Health. 2000;90(8):1260–8.CrossRefPubMedPubMedCentral
45.
Zhang Q, Wang Y. Socioeconomic inequality of obesity in the United States: do gender, age, and ethnicity matter? Soc Sci Med. 2004;58(6):1171–80.CrossRefPubMed
46.
Mendez M, Cooper R, Luke A, Wilks R, Bennett F, Forrester T. Higher income is more strongly associated with obesity than with obesity-related metabolic disorders in Jamaican adults. Int J Obes. 2004;28(4):543–50.CrossRef
47.
Metadata
Title
Association between weight control failure and suicidal ideation in overweight and obese adults: a cross-sectional study
Authors
Yeong Jun Ju
Kyu-Tae Han
Tae-Hoon Lee
Woorim Kim
Jeong Hun Park
Eun-Cheol Park
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/s12889-016-2940-1

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