Association of Depression and Anxiety Disorders With Weight Change in a Prospective Community-Based Study of Children Followed Up Into Adulthood

ArticleinArchives of Pediatrics and Adolescent Medicine 160(3):285-91 · April 2006with22 Reads
Impact Factor: 5.73 · DOI: 10.1001/archpedi.160.3.285 · Source: PubMed
Abstract

To investigate childhood to adulthood weight change associated with anxiety and depression. The Children in the Community Study. A prospective longitudinal investigation. Albany and Saratoga Counties, New York. Eight hundred twenty individuals (403 females and 417 males) assessed at 4 time points: in 1983 when they were 9 to 18 years old (n = 776), in 1985 to 1986 when they were 11 to 22 years old (n = 775), in 1991 to 1994 when they were 17 to 28 years old (n = 776), and in 2001 to 2003 when they were 28 to 40 years old (n = 661). Anxiety disorders and depression assessed by structured diagnostic interview. Centers for Disease Control and Prevention body mass index z score (BMIz), a measure of weight status; and association of anxiety and depression with BMIz level and annual change. In females, anxiety disorders were associated with higher weight status, a BMIz of 0.13 (95% confidence interval, 0.01-0.25) units higher compared with females without anxiety disorders. Female depression was associated with a gain in BMIz of 0.09 units/y (95% confidence interval, 0.03-0.15 units/y), modified by the age when depression was first observed, such that early depression onset was associated with a higher subsequent BMIz than depression onset at older ages. In males, childhood depression was associated with a lower BMIz (-0.46; 95% confidence interval, -0.93 to 0.02 units lower at the age of 9 years), but BMIz trajectories for males with or without depression converged in adulthood; male anxiety disorders were not substantively associated with weight status. Anxiety disorders and depression were associated with a higher BMIz in females, whereas these disorders in males were not associated with a higher BMIz. These results, if causal and confirmed in other prospective studies, support treating female anxiety and depression as part of comprehensive obesity prevention efforts.

    • "While risk factors and lifestyle choices such as alcohol consumption may not have an immediate effect, they can be associated with negative long-term consequences [3, 4]. Psychological/mental health problems, which may emerge during this developmental stage [5], can often contribute to, or co-exist with physical health concerns, and persist into adulthood i.e. [6, 7]. These psychological and physical health problems, or vulnerabilities, can form an indivisible comorbidity [8], which can lead to poorer quality of life in adulthood compared to those that may not have concurrent health concerns [9] . "
    [Show abstract] [Hide abstract] ABSTRACT: Background: Adolescence is a significant developmental stage marked by physical, psychological and social changes. While adolescents are generally perceived to be healthy, this stage of development is also associated with an emergence of risk factors that may have long-term consequences for their wellbeing. The aim of this study was to assess health related quality of life (HRQoL), and possible gender and age differences, in a sample of secondary school-aged adolescents over a three-year time period. Methods: Australian adolescents (n = 403, aged 12-15 at baseline) across six New South Wales high schools completed the KIDSCREEN-27 Questionnaire at three time points. The KIDSCREEN-27 measures five HRQoL domains (physical wellbeing, psychological wellbeing, autonomy and parents relations, social support and peers, and school environment). Mixed-between-within-subjects ANOVA analyses were employed to examine HRQoL over time and across age and gender. Results: HRQoL rates were comparable to the European-based KIDSCREEN norms with the exception of psychological wellbeing, which was considerably lower in this study's sample. Conclusions: Although statistically significant, the changes in HRQoL may not be clinically significant, as the effect sizes were small and therefore those changes would not be readily noticeable. Those changes, however, suggest that, while HRQoL is predominantly stable over time, fluctuations and declines, such as those found for females, may be early indicators of physical and psychological vulnerabilities. If such vulnerabilities are detected timely; they may be addressed with preventative measures or appropriate interventions.
    Full-text · Article · Dec 2016 · Health and Quality of Life Outcomes
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    • "If early life depressive symptoms increased the risk for schizophrenia with later onset, this might partly explain our findings. Thus, while depressive symptoms in adolescence are associated with overweight or obesity in women [26], results in men suggest an inverse or non-significant relationship [27,28]. Suboptimal living conditions related to slow body growth have been associated with aspects of personality [29] as well as with hospitalization for personality disorders303132, and alcohol use disorder [33,34]. "
    [Show abstract] [Hide abstract] ABSTRACT: Methods: Population-based cohort study with childhood anthropometric measures obtained annually from the age of 7 to 13 years in 253,353 Danes born 1930-1976 and followed to 31 December 2010. During this period, 4936 were registered with schizophrenia. The associations of childhood BMI with risk of schizophrenia were estimated with Cox regression models. Results: Childhood BMI was significantly inversely associated with risk of schizophrenia, however with different patterns among boys and girls. In boys, childhood BMI had an inverse non-linear association with schizophrenia risk dependent on age at diagnosis; in particular, a surprisingly strong association was found between leanness and later onset of schizophrenia. In girls, the risk of schizophrenia decreased linearly with increasing BMI z-score (HR: 0.93; 95% CI: 0.88-0.98). In both boys and girls, birth weight was inversely associated with later risk. In girls, but not in boys, birth weight appeared to significantly modify the associations; there was a somewhat stronger inverse association in the lowest birth weight category. Conclusion: Birth weight as well as childhood BMI at ages 7 through 13 years is associated with risk of schizophrenia in both genders, but with a particular high risk of late-onset in lean boys irrespective of birth weight, and in lean girls with low birth weight. If replicated, these observations may inform preventive efforts build on schizophrenia trajectories rooted in early life.
    Full-text · Article · Apr 2016 · European Psychiatry
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    • "It is possible that the inhibitory effect of the extract against the glycine/NMDA receptor complex or pathway also contributed to the memory improvement in the Morris water maze test. Significant weight changes (increase or decrease) are found among many depressed patients [36]. This could be attributed to the condition and/or antidepressant-induced adverse effects [10, 37] . "
    Full-text · Article · Apr 2016 · Journal of basic and clinical physiology and pharmacology
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