JOURNAL ARTICLE

Serious psychological distress and its associations with body mass index: findings from the 2007 Behavioral Risk Factor Surveillance System

Guixiang Zhao, Earl S Ford, Chaoyang Li, Tara W Strine, Satvinder Dhingra, Joyce T Berry, Ali H Mokdad
International Journal of Public Health 2009, 54 Suppl 1: 30-6
19424662

OBJECTIVES: To examine the associations of body mass index (BMI) with serious psychological distress (SPD) after taking into consideration the obesity-related comorbidities (ORCs), lifestyle factors, or emotional support.

METHODS: Self-reported data (n = 153,865) from the 2007 BRFSS were analyzed. Psychological distress was assessed by the Kessler-6 Questionnaire; respondents with a Kessler-6 score of > or = 13 were defined as having SPD. The adjusted prevalence ratios (APRs) with 95 % confidence intervals (CIs) were estimated using log-binomial regression analyses.

RESULTS: Overall, 3.2 % of U.S. adults had SPD. The prevalence of SPD was significantly higher among men who were underweight or obese, or among women who were underweight, overweight or obese, compared to those with a normal BMI. The APRs for SPD were 1.58 (95 % CI: 1.06-2.35) in adults who were underweight, and were 1.21 (95 % CI: 1.04-1.41), 1.31 (95 % CI: 1.07-1.61), and 1.36 (95 % CI: 1.13-1.63), respectively, in obese adults with BMI of 30-<35 kg/m(2), 35-<40 kg/m(2), and > or =40 kg/m(2) (adults with a normal BMI as the referent).

CONCLUSION: An abnormal BMI is associated with an increased likelihood of having SPD independent of multiple ORCs, lifestyle factors, or emotional support.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
19424662
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"