Depressive Symptom Clusters Are Differentially Associated with General and Visceral Obesity

Radboud M. Marijnissen*, Boudewijn A. A. Bus, Suzanne Holewijn, Barbara Franke, Nitin Purandare, Jacqueline de Graaf, Martin den Heijer, Jan K. Buitelaar, Richard C. Oude Voshaar

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

53 Citations (Scopus)

Abstract

OBJECTIVES

To examine the relationship between obesity and depressive symptoms taking into account different measures for obesity (body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR)) and different depressive symptom clusters.

DESIGN

Cross-sectional population-based survey.

SETTING

Baseline data of the Nijmegen Biomedical Study.

PARTICIPANTS

One thousand two hundred eighty-four persons aged 50 to 70.

MEASUREMENTS

Obesity (BMI, WC, and WHR) and depressive symptoms were measured, the latter using the Beck Depression Inventory (BDI). Principal components analysis of the BDI items yielded two factors, one representing a cognitive-affective symptom cluster and the other a somatic-affective symptom cluster. Multiple regression analyses corrected for confounders were conducted for each measure of obesity, with separate models testing the BDI sum score and the depression symptom clusters.

RESULTS

BMI was significantly associated with BDI sum score (beta=0.12, P

CONCLUSION

Visceral obesity, which is more indicative of vascular risk than BMI, is specifically associated with somatic-affective depressive symptom cluster, which might suggest that these symptoms are primarily due to a (subclinical) somatic condition.

Original languageEnglish
Pages (from-to)67-72
Number of pages6
JournalJournal of the American Geriatrics Society
Volume59
Issue number1
DOIs
Publication statusPublished - Jan-2011

Keywords

  • depression
  • obesity
  • aged
  • body mass index (BMI)
  • waist circumference (WC)
  • CORONARY-HEART-DISEASE
  • MIDDLE-AGED WOMEN
  • BODY-MASS INDEX
  • MYOCARDIAL-INFARCTION
  • WAIST CIRCUMFERENCE
  • OLDER-ADULTS
  • POPULATION
  • HEALTH
  • PREVALENCE
  • LIFE

Fingerprint

Dive into the research topics of 'Depressive Symptom Clusters Are Differentially Associated with General and Visceral Obesity'. Together they form a unique fingerprint.

Cite this