What is the Importance of Body Composition in Obesity-related Depression?/Obezite Iliskili Depresyonda Vucut Kompozisyonunun Onemi Nedir?

• Published in: The Eurasian journal of medicine Vol. 49; no. 2; p. 102
• Main Authors: Koksal, Ulkuhan Iner, Erturk, Zeynep, Koksal, Ali Riza, Ozsenel, Ekmel Burak, Kaptanogullari, Ozlem Harmankaya
• Format: Journal Article
• Language: English
• Published: AVES 01.06.2017
• Subjects: Analysis; Body composition; Depression (Mood disorder); Health aspects; Obesity; Risk factors
• ISSN: 1308-8734; 1308-8742
• DOI: 10.5152/eurasianjmed.2017.16129

Objective: It is known that depression is common in obese individuals. Besides the effects of obesity, pathogenic effects of increase in visceral and abdominal fat mass on depression are also being investigated. Our study aimed to show the relationship between visceral fat percentage detected with practical methods and the presence and severity of depression. Materials and Methods: Our study included 104 obese patients and 50 healthy controls. In all individuals, the severity of depression was assessed using the Beck Depression Inventory (BDI). Anthropometric measurements, visceral fat percentage, and body fat percentage were measured using the bioelectric impedance method. Results: The mean age was 51.5 [+ or -] 12.3 years, and 65 participants (62.5%) were women. BDI scores were statistically higher in the obese group than in the control group (23.1 [+ or -] 10.9 and 12.1 [+ or -] 9.4, p<0.001). In the obese group, 63.5% of patients were depressed, and in the control group, this was 24%. Women were more depressed in the obese group, but there was no significant difference between men and women in the control group. Body fat percentage was the highest correlating parameter with depression severity. Positive correlation was found between depression severity and body mass index, waist circumference, hip circumference, and visceral fat percentage. In the logistic regression analysis, obesity was found as an independent risk factor for depression (OR: 4.84, 2.1-10.7, p<0.001). Conclusion: According to the results of our study, obesity is a significant and independent risk factor for depression. Obesity type and body composition are important factors that determine the severity of depression. Keywords: Obesity, depression, body composition, bioelectric impedance Amac: Depresyonun obezlerde sik goruldugu bilinmektedir. Obezite varliginin yaninda, viseral ve abdominal yag kitlesindeki artisin depresyon uzerindeki etkileri de arastirilmaktadir. Biz de calismamizda pratik yontemlerle tespit edilen viseral yag orani ile depresyon varligi ve siddeti arasindaki iliskiyi gostermeyi amacladik. Gerec ve Yontem: Calismamiza 104 obez hasta ve 54 saglikli kontrol alindi. Tum bireylerde depresyon siddeti Beck depresyon olcegi ile degerlendirildi (BDI). Antropometrik olcumler, viseral yag orani ve vucut yag orani biyoelektrik impedans yontemi ile olculdu. Bulgular: Ortalama yas 51,5 [+ or -] 12,3 olarak bulundu ve vakalarin 65 tanesi (62,5%) kadindi. BDI skorlari obez grupta kontrol grubuna gore istatistiksel olarak anlamli bicimde yuksekti (23,1 [+ or -] 10,9 ve 12,1 [+ or -] 9,4 p<0,001). Obez gruptaki hastalarin % 63,5'i, kontrol grubundakilerin ise %24'u depresifti. Obez gruptaki kadinlarda depresyon daha fazla idi, ancak kontrol grubunda kadinlar ve erkekler arasinda anlamli fark yoktu. Vucut yag orani, depresyon siddeti ile en yuksek korelasyon gosteren parametreydi. Depresyon siddeti ile vucut kitle indeksi, bel cevresi, kalca cevresi ve viseral yag orani arasinda pozitif korelasyon vardi. Lojistik regresyon analizinde obezite, depresyon icin bagimsiz bir risk faktoru olarak bulundu (OR: 4,84, 2,1-10,7, p<0,001). Sonuc: Calismamizin sonuclarina gore, obezite depresyon icin onemli ve bagimsiz bir risk faktorudur. Obezite tipi ve vucut kompozisyonu depresyonun siddetini belirleyen onemli faktorlerdir. Anahtar Kelimeler: Obezite, depresyon, vucut kompozisyonu, biyoelektrik impedans