Association of Overweight with the Prevalence of Lifetime Psychiatric Disorders and Suicidality: General Population-based Study in Korea.
10.3346/jkms.2016.31.11.1814
- Author:
Byung Soo KIM
1
;
Sung Man CHANG
;
Su Jeong SEONG
;
Jee Eun PARK
;
Subin PARK
;
Jin Pyo HONG
;
Jae Nam BAE
;
Seong Jin CHO
;
Bong Jin HAHM
;
Dong Woo LEE
;
Jong Ik PARK
;
Jun Young LEE
;
Hong Jin JEON
;
Maeng Je CHO
Author Information
1. Department of Psychiatry, Kyungpook National University School of Medicine, Daegu, Korea. psyjang@hanmail.net
- Publication Type:Original Article
- Keywords:
Overweight;
Obesity;
Mental Disorders;
Suicide;
Cross-sectional Studies
- MeSH:
Administrative Personnel;
Body Mass Index;
Cross-Sectional Studies;
Depressive Disorder;
Epidemiologic Studies;
Female;
Humans;
Korea*;
Male;
Mental Disorders;
Mental Health;
Obesity;
Odds Ratio;
Overweight*;
Prevalence*;
Suicidal Ideation;
Suicide;
Tobacco Use Disorder
- From:Journal of Korean Medical Science
2016;31(11):1814-1821
- CountryRepublic of Korea
- Language:English
-
Abstract:
Many epidemiological studies suggest that overweight is associated with an elevated risk of psychiatric disorders and suicidal tendency. However, findings vary across studies, and some have contradictory results. We investigated the relationship of overweight with a range of psychiatric disorders and suicidality in the Korean general population. A multistage cluster sampling design was adopted. A total of 6,022 participants aged 18–74 years completed face-to-face interviews (response rate: 78.7%) including assessment of psychiatric disorders, suicidality, and height and weight. Overweight (defined as body mass index of ≥ 25) was associated with an increase in the lifetime prevalence of depressive disorders (adjusted odds ratio [AOR] 1.38; 95% confidence interval [CI], 1.07–1.77), suicidal ideation (AOR, 1.42; 95% CI, 1.20–1.68), and suicidal plans (AOR, 1.44; 95% CI, 1.02–2.03), controlling for sociodemographic variables. Subgroup analysis found that the association between overweight and depressive disorders exists only in women aged 18–44 years (AOR, 1.75; 95% CI, 1.07–2.89) while the association of overweight with suicidal ideation (AOR, 2.08; 95% CI, 1.53–2.82) and suicide plans (AOR, 2.59; 95% CI, 1.25–5.37) existed only in men aged 18–44 years. Overweight was associated with increased odds of nicotine use disorders in women aged 18–44 years (AOR, 2.35; 95% CI, 1.02–5.43), but the association was in the opposite direction in men aged 45–74 years (AOR, 0.64; 95% CI, 0.43–0.94). In conclusion, overweight is related to various psychiatric disorders and suicidality in Korea. Policy makers and clinicians should pay more attention to the mental health of overweight individuals.
