DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20205139

Obesity and depression, an analytical study among adults attending primary care clinics in Bahrain

Afaf A. M. Ali, Naseem F. Alalwan, Mona A. M. Ali, Adel S. Alsayyad

Abstract


Background: Both depression and obesity are widely spread problems with major public health implications. Obesity is a major risk factor for several chronic diseases. However, its consequences on mental health is less certain. This study explore the association between obesity and depression among adults in Bahrain.

Methods: A cross sectional study was conducted among adults ≥18 years attending general practice in four primary care health centers that have been selected randomly from the four governorate in Bahrain. Self-filled questionnaire that includes demographic information, depression scale and other behavioral and clinical factors were used as the study tool. Weight and height were measured for each participant and BMI was used to assess obesity. Depression was assessed using beck depression inventory scale, with a score of more than 16 to indicate clinical depression.

Results: The prevalence of depression is 16% while the prevalence of obesity is 42% among adults in the study. The prevalence of depression among underweight, normal weight, overweight and obese adults are almost the same (around 16%). Analysis using Chi Square test and regression analysis test showed no significant association between obesity and depression.

Conclusions: The present study did not confirm any relationship between obesity and depression among adults attending primary care clinics in Bahrain.


Keywords


Adults, Bahrain, Depression, Obesity, Primary care

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References


Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):442.

Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1999-2020; global burden of disease study. Lancet. 1997;349(9064):1498-504.

World Health Organization. Obesity. Available at https://www.who.int/topics/obesity/en/. Accessed 30 November 2019.

World Health Organization. BMI classification. Europe. Available at www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/ body-mass-index-bmi. Accessed 30 November 2019.

Alsayyad J, Omran A. National non-communicable diseases risk factor survey 2007 Kingdom of Bahrain. Ministry of Health. 2010:41.

World Health Organization. Nutrition clinics help tackle obesity in Bahrain. 2014. Available at https://www.who.int/features/2014/bahrain-tackle-obesity/en/. Accessed on 2 December 2019.

World Health Organization. Depression 2017 available at https:// www. who. int/ mental_ health/management/depression/en/. Accessed 2 December 2019.

Leon A, Olfson M, Broadhead W, Barrett JE, Blacklow RS, Keller MB, et al. Prevalence of mental disorders in primary care: implications for screening. Arch Fam Med. 1995;4(10):857-61.

Nasser J, Habib F, Hasan M, Khalil N. Prevalence of depression among people with diabetes attending diabetes clinics at primary health settings. Bahrain Medical Bulletin. 2009;31:3.

Hajeri A, Saleh L, Ali M, Alkowari S, Langawi J. Prevalence of depression among patients with sickle cell disease in Bahrain. J Bahrain Med Soc. 2017;29(3):41-7.

Cui J, Sun X, Li X, Ke M, Sun J, Yasmeen N, et al. Association between different indicators of obesity and depression in adults in Qingdao, China: a cross sectional study. Front Endocrinol. 2018;9:549.

Askaria J, Hassanbeigi A, Khosravi H, Malek M, Hassanbeigi D, Pourmovahed Z, et al. The relationship between obesity and depression. Elsevier. 2013;84:796-800.

Carey M, Small H, Yoong S, Boyes A, Bisquera A, Fisher R. Prevalence of comorbid depression and obesity in general practice: a cross sectional study. Br J Gen Pract. 2014;64(620):122-7.

Lustman PJ, Clouse RE, Griffith LS, Carney RM, Freedland KE. Screening for depression in Diabetes using the Beck Depression Invnetory. Psychosomatic Med. 1997;59:24-31.

Tilburg M, Georgiades A, Surwit R. Depression in type 2 Diabetes. In: Feinglos MN. Bethel MA. (Eds), type 2 Diabetes Mellitus: an Evidence-Based approach to Practical Management, Humana Press, USA, 2008:403-412.

Leentjens AFG, Verhey FRJ, Luijckx GJ, Troost J. The validity of the Beck Depression Inventory as a screening and diagnostic instrument for depression in patients with Parkinsons disease. Movement Disorder. 2000;15(6):1221-4.

Huffman JC, Doughty CT, Januzzi JL, Pirl WF, Smith FA, Fricchione GL. Screening for major depression in post myocardial infarction patients: operating characteristics of the Beck Depression Inventory -2. Int J Psychiatry Med. 2010;40:187-97.

Wit D, Luppino L, Straten A, Penninx B, Zitman F, Cuijpers P. Depression and obesity: a meta-analysis of community based studies. Psychiatry Res. 2010;178:230-5.

Keddie AM. Association between severe obesity and depression: results from the National Health and Nutrition Examination Survey, 2005-2006. Preventing Chronic Dis. 2011;8(3):57.

Scott KM, Bruffaerst R, Simon GE, Alonso J, Angermeyer M, Girolamo G, et al. Obesity and mental disorders in general population: results from the world mental health surveys. Int J Obesity. 2008;32:192-200.

Tashakori A, Riahi F, Mohammadpour A. The relationship between body mass index and depression among high school girls in ahvaz. Adv Med. 2016;2016:3645493.

Simon GE, Korff M, Saunders K, Miglioretti DL, Crane PK, Belle G, et al. Association between obesity and psychiatric disorders in the US adult population. Arch General Psychiatry. 2006;63(7):824-30.

Dong C, Sanchez L, Price R. Relationship of obesity to depression: a family-based study. Int J Obesity. 2004;28:790-5.

Turgunova L, Laryushina Y, Turmukhambetova A, Koichubekov B, Sorokina M, Korshukov I. The incidence of depression among the population of central Kazakhstan and its relationship with sociodemographic characteristics. Behavioural Neurol. 2017;1:7-9.

Johnston E, Johnson S, McLeod P, Johnston M. Relationship with sociodemographic characteristics with obesity. Canadian J Public Health 2004;95:179-83.