Psychological distress as a determinant of changes in body mass index over a period of 10 years |
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| Institution: | 1. Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands;2. Department of Public and Occupational Health Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands;1. Institute for Minority Health Research, University of Illinois at Chicago, 1819 W. Polk St. Suite #246, 246 COMW-MC 764, Chicago, IL 60612, USA;2. School of Public Health, University of Illinois at Chicago, 1603 W. Taylor St., (M/C 923), Chicago, IL 60612, USA;3. Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33124, USA;4. Institute for Behavioral and Community Health, San Diego State University, 9245 Sky Park Court, Suite 221, San Diego, CA 92123-4311, USA;5. Department of Preventive Medicine, Northwestern University, 680 N. Lakeshore Dr., Suite #1400, Chicago, IL, 60611, USA;6. Albert Einstein College of Medicine, 1300 Morris Park Ave., Belfer Building, Rm. #1306B, Bronx, NY, 10461, USA;7. Department of Public Health Sciences, University of Miami, 1120 N.W. 14th St., Rm #911, Miami, FL, 33136, USA;8. School of Public Health, University of Texas, 1200 Pressler St., Houston, TX 77030, USA;9. Department of Biostatistics, University of North Carolina at Chapel Hill, 137 E. Franklin St., Suite #203, Campus Box 8030, Chapel Hill, NC 27514-4145, USA;10. Department of Medicine and Department of Epidemiology, Columbia University Medical Center, PH 9 East Room 105, 630 West 168th Street, New York, NY 10032, USA;1. Berlin School of Public Health, Charité — Universitätsmedizin Berlin, 13347 Berlin, Germany;2. University of Applied Sciences, Oecotrophology, 48149 Münster, Germany;3. Institute for Social Medicine, Epidemiology and Health Economics, Charité — Universitätsmedizin Berlin, 10117 Berlin, Germany;4. Department of Medical Biometry and Epidemiology, University of Hamburg, 20246 Hamburg, Germany;5. Center of Rehabilitation Research, University of Potsdam, 14469 Potsdam, Germany;6. Department of Cardiology, Angiology, and Pulmology, University of Heidelberg, 69120 Heidelberg, Germany;1. College of Nursing and the Department of Epidemiology and Biostatistics, Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29208, USA;2. Department of Epidemiology and Biostatistics, Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29208, USA;3. Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29207, USA;4. Department of Pathology, Microbiology and Immunology, School of Medicine, University of South Carolina, Columbia, SC 29209, USA;5. College of Nursing, University of South Carolina, Columbia, SC, USA;6. Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29208, USA;7. Departments of Exercise Science and Epidemiology/Biostatistics, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC 29208, USA;8. Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA;9. Statewide Cancer Prevention & Control Program, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA;1. Centre for Food Policy, Department of Sociology, Room D110, School of Arts and Social Sciences, City University London, Northampton Square, London EC1V OHB, United Kingdom;2. British Heart Foundation Centre on Population Approaches for Non-Communicable Disease Prevention, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF, United Kingdom |
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| Abstract: | ObjectiveTo examine the longitudinal relationship between psychological distress and body mass index (BMI) changes over a period of five and ten years.MethodData were used from the Dutch, prospective, population based Doetinchem Cohort study over the period 1995/1999 until 2005/2009 (N = 5504). Psychological distress was assessed using the Mental Health Inventory (MHI-5). BMI (kg/m2) was calculated from measured body height and body weight. GEE analyses were used to examine the relationship between psychological distress at baseline and BMI change, and the development of overweight over five years. Linear and logistic regression analyses were used to examine these relations over ten years.ResultsPsychological distress predicted an extra overall increase in BMI of 0.14 kg/m2 (95% CI 0.03–0.25) over five years and an increase of 0.18 kg/m2 (95% CI 0.01–0.35) over ten years, when comparing psychologically distressed participants to psychologically healthy participants. This was especially the case among persons with normal weight (five years; B = 0.26 kg/m2, 95% CI = 0.12–0.40/ten years; B = 0.32 kg/m2 95% CI = 0.11–0.53) and moderate overweight (five years: B = 0.18 kg/m2, 95% CI = 0.02–0.35) at baseline. Psychological distress did not predict the development of overweight five and ten years later.ConclusionThe results in this study indicated that psychological distress predicted an increased risk in gaining weight, but did not result in an increased risk for developing overweight. |
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