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Relationship Between Obesity and Depression, Anxiety and Psychological Distress Among Iranian Health-Care Staff; [Relation Entre Obesite Et Depression, Anxiete Et Detresse Psychologique Parmi Le Personnel De Sante Iranien] Publisher Pubmed



Heidaribeni M1 ; Azizisoleiman F2 ; Afshar H3 ; Khosraviboroujeni H4 ; Keshteli AH5, 6 ; Esmaillzadeh A7 ; Adibi P6
Authors
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Authors Affiliations
  1. 1. Department of Nutrition, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. School of Health, Arak University of Medical Sciences, Arak, Iran
  3. 3. Psychosomatic Research Center, Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Menzies Health Institute Queensland, and School of Medicine, Griffith University, Gold Coast Campus, QLD, Australia
  5. 5. Department of Medicine, University of Alberta, Edmonton, AB, Canada
  6. 6. Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran

Source: Eastern Mediterranean Health Journal Published:2021


Abstract

Background: Psychological-related disorders such as obesity are a key contributor to morbidity and mortality. Aims: To assess the association between general and abdominal obesity with depression and anxiety among Iranian health-care staff. Methods: This cross-sectional study was conducted under the framework of the Study on the Epidemiology of Psychological Alimentary Health and Nutrition. A total of 4361 Iranian health-care staff were analysed for general obesity and 3213 for central obesity. Overweight and obesity was defined as body mass index 25.0–29.9 and ≥ 30.0 kg/m2, respectively. Abdominal obesity was defined as waist circumference (WC) ≥ 88 cm for females and ≥ 102 cm for males. The Iranian val-idated versions of the Hospital Anxiety and Depression Scale and the General Health Questionnaire were used to assess depression and anxiety. Results: Stratified analysis by sex revealed no significant relationship between general obesity, depression and anxiety among males. However, we found an inverse association between abdominal obesity (WC > 102 cm) and severe depression among males. In females, abdominal obesity was significantly associated with anxiety, before and after taking confound-ers into account. No significant association was seen between abdominal obesity and psychological distress in either sex after controlling for potential confounders. Conclusions: Abdominal obesity was associated with anxiety in Iranian adult females but not in males. Further studies, particularly prospective research, are required to confirm these findings. © World Health Organization (WHO) 2021.
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