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Gender Determines the Pattern of Correlation Between Body Mass Index and Major Depressive Disorder Among Children and Adolescents: Results From Iranian Children and Adolescents' Psychiatric Disorders Study Publisher Pubmed



Mohammadi MR1 ; Khaleghi A1 ; Mostafavi SA1 ; Ahmadi N2 ; Kamali K3 ; Hooshyari Z1 ; Ahmadi A1 ; Fadaei Fooladi M4 ; Mohammadzadeh S5 ; Hojjat SK6 ; Sarraf N7 ; Nazaribadie M8 ; Farshidfar Z9 ; Mohamadian F10 Show All Authors
Authors
  1. Mohammadi MR1
  2. Khaleghi A1
  3. Mostafavi SA1
  4. Ahmadi N2
  5. Kamali K3
  6. Hooshyari Z1
  7. Ahmadi A1
  8. Fadaei Fooladi M4
  9. Mohammadzadeh S5
  10. Hojjat SK6
  11. Sarraf N7
  12. Nazaribadie M8
  13. Farshidfar Z9
  14. Mohamadian F10
  15. Sajedi Z11
  16. Shahbakhsh R12
  17. Nasiri M13
  18. Chegeni M14
  19. Rostami R15
  20. Riasati A16
  21. Shahbazi K17
  22. Roshandel Rad M18
  23. Ghaneian M19
  24. Parsamehr H20
  25. Nilforoshan N21
  26. Naderi F22
  27. Noohi Tehrani L23
  28. Kaviani N24
  29. Davasazirani R25
  30. Hashemi Nasab SM26
  31. Kiani A27
  32. Amiri S28
  33. Ahmadipour A29
  34. Alavi SS1
  35. Salmanian M1
Show Affiliations
Authors Affiliations
  1. 1. Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, 1333795914, Iran
  2. 2. Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  3. 3. Department of Public Health, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran
  4. 4. Department of Psychology and Educational Sciences, Allameh Tabatabai University, Tehran, Iran
  5. 5. Department of Psychiatry, Neuroscience Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
  6. 6. Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
  7. 7. Department of Child and Adolescents Psychiatry, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran
  8. 8. Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran
  9. 9. Department of Health Psychology, Gorgan Islamic Azad University, Gorgan, Iran
  10. 10. Department of Psychology, Psychosocial Injuries Research Center, Ilam University of Medical Science, Ilam, Iran
  11. 11. Department of Psychology and Educational Sciences, University of Semnan, Semnan, Iran
  12. 12. Department of Clinical Psychology, University of Science and Culture, Tehran, Iran
  13. 13. Department of Clinical Psychology, University of Alzahra, Tehran, Iran
  14. 14. Department of Psychology, Arak University of Medical Sciences, Arak, Iran
  15. 15. Department of Psychiatry, Hafez Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
  16. 16. Department of Psychology, Payam Noor University, Pardis Branch, Pardis, Iran
  17. 17. Department of Psychology, Islamic Azad University, Karaj, Iran
  18. 18. Department of Psychiatry, Shafa Hospital, Guilan University of Medical Sciences, Rasht, Iran
  19. 19. Department of Psychology, Islamic Azad University, Najaf Abad Branch, Najaf Abad, Iran
  20. 20. Department of Psychology, Imam Reza Psychiatric Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran
  21. 21. Department of Psychology, Islamic Azad University, Yazd Branch, Yazd, Iran
  22. 22. Department of Psychology, Hormozgan University of Medical Sciences, Hormozgan, Iran
  23. 23. Department of Psychology, Islamic Azad University, Shahrood Branch, Shahrood, Iran
  24. 24. Health Deputy, Kerman University of Medical Sciences, Kerman, Iran
  25. 25. Community Mental Health and Addiction Department, Ahvaz University of Medical Sciences, Ahvaz, Iran
  26. 26. Department of Mental Health and Addiction, Golestan University of Medical Sciences, Gorgan, Iran
  27. 27. Department of Psychiatry, Urmia Medical University, Urmia, Iran
  28. 28. Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
  29. 29. Department of Psychiatry, Khalij-E Fars Hospital, Bushehr University of Medical Sciences, Bushehr, Iran

Source: Childhood Obesity Published:2019


Abstract

Background: We aimed to determine the correlation of BMI with depression and to determine the role of gender in this association, in a large study sample. Methods: We used the data of participants in the Iranian Children and Adolescents' Psychiatric Disorders (IRCAP) Study, conducted in 2017. This study was a national community-based, cross-sectional study in which the urban and rural areas of all provinces of Iran were covered. Overall 30,532 children and adolescents, ages 6-18, were randomly selected with the stratified cluster sampling method. Results: Of a total of 30,532 participants, 25,321, whose BMI had been measured and who had been interviewed with Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS), entered the study (12,455 boys and 12,866 girls). We categorized the participants according to the national cutoff points for BMI classification. After controlling for age, father's and mother's job and education, and place of residence, the odds ratio (OR) of depression in underweight, healthy weight, and overweight boys compared with obese boys was 2.19 [95% confidence interval (95% CI): 1.00-4.81], 1.06 (95% CI: 0.73-1.55), and 0.80 (95% CI: 0.49-1.32), respectively. In the girls' subgroup, after controlling for the aforementioned covariates, the OR of depression in healthy weight, overweight, and obese participants compared with underweight subjects was 1.29 (95% CI: 0.52-3.19), 1.54 (95% CI: 0.59-3.98), and 1.79 (95% CI: 0.68-4.69), respectively. Conclusions: Underweight boys were more likely diagnosed with depression than normal weight and overweight boys. While in girls, the probability of depression increased by increased BMI. © Copyright 2019, Mary Ann Liebert, Inc., publishers 2019.