Literature DB >> 25459364

Obesity and its relation to depressive symptoms and sedentary lifestyle in middle-aged women.

Juan E Blümel1, Peter Chedraui2, Sócrates Aedo3, Juan Fica4, Edward Mezones-Holguín4, Germán Barón4, Ascanio Bencosme4, Zully Benítez4, Luz M Bravo4, Andrés Calle4, Daniel Flores4, María T Espinoza4, Gustavo Gómez4, José A Hernández-Bueno4, Fiorella Laribezcoa4, Mabel Martino4, Selva Lima4, Alvaro Monterrosa4, Desiree Mostajo4, Eliana Ojeda4, William Onatra4, Hugo Sánchez4, Konstatinos Tserotas4, María S Vallejo4, Silvina Witis4, María C Zúñiga4.   

Abstract

BACKGROUND: The prevalence of obesity increases during female mid-life and although many factors have been identified, data from Latin America is lacking.
OBJECTIVE: To assess factors related to obesity among middle-aged women and determine the association with depressive symptoms, sedentary lifestyle and other factors.
METHODS: A total of 6079 women aged 40-59 years of 11 Latin American countries were asked to fill out the Goldberg Anxiety and Depression Scale, the Menopause Rating Scale, the Athens Insomnia Scale, the Pittsburgh Sleep Quality Index and a general questionnaire containing personal socio-demographic data, anthropometric measures and lifestyle information. Obesity was defined as a body mass index (BMI) ≥30 kg/m(2).
RESULTS: Obesity was observed in 18.5% and sedentary lifestyle in 63.9%. A 55.5% presented vasomotor symptoms, 12.2% had severe menopausal symptoms and 13.2% used hormone therapy for the menopause. Prevalence of depressive symptoms was 46.5% and anxiety 59.7%. Our logistic regression model found that significant factors associated to obesity included: arterial hypertension (OR: 1.87), depressive symptoms (OR: 1.57), sedentary lifestyle (OR: 1.50) diabetes mellitus (OR: 1.34), higher number of individuals living at home (OR: 1.31), sleep problems (OR:1.22), anxiety (OR: 1.21), having a stable partner (OR: 1.20), parity (OR: 1.16) and vasomotor symptoms (OR:1.14). A lower risk for obesity was found among women using hormonal contraceptives (OR: 0.69).
CONCLUSION: Obesity in middle-aged women is the consequence of the interaction of multiple factors. It was associated to hypertension, depressive symptoms, sedentary lifestyle, climacteric symptoms and other factors.
Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Entities:  

Keywords:  Depressed mood; Depressive symptoms; Menopause; Middle-aged women; Obesity; Sedentary lifestyle

Mesh:

Year:  2014        PMID: 25459364     DOI: 10.1016/j.maturitas.2014.10.007

Source DB:  PubMed          Journal:  Maturitas        ISSN: 0378-5122            Impact factor:   4.342


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