Associations between anxiety disorder diagnoses and body mass index differ by age, sex and race

A population based study

Ramona S. DeJesus, Carmen Radecki Breitkopf, Jon Owen Ebbert, Lila J Rutten, Robert M. Jacobson, Debra J. Jacobson, Chun Fan, Jennifer St. Sauver

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Few large studies have examined correlations between anxiety and body mass index (BMI) by gender or racial groups using clinical data. Objective: This study aimed to determine associations between diagnosed anxiety disorders and BMI, and evaluate whether observed associations varied by demographic characteristics. Method: Data from the Rochester Epidemiology Project (REP) data linkage system were analyzed to examine associations between anxiety disorders and BMI among adults ages 18-85 residing in Olmsted County, MN in 2009 (n=103,557). Height and weight data were available for 75,958 people (73%). The international classification of underweight, overweight, and obesity by BMI was used. Results: Population consisted of 56% females, 92.8% White individuals, with median age of 46 years. When adjusted for age, sex, and race, we observed a U-shaped association between anxiety and BMI group. Underweight and obese individuals were more likely to have an anxiety diagnosis compared to normal weight individuals. Stratification by sex yielded a U-shaped association between anxiety and BMI only in women. Stratification by race showed a U-shaped association between anxiety and BMI only in the White population. Anxiety was significantly associated only with obesity in the Black population. Anxiety was not associated with a BMI category in Asian or Hispanic groups. Among elderly group, there is inverse correlation between anxiety and obesity. Conclusion: Our results suggest that anxiety may have heterogeneous associations with BMI in the population. Further research on potential mechanisms contributing to these findings will help direct efforts in anxiety and obesity management across diverse population groups.

Original languageEnglish (US)
Pages (from-to)67-74
Number of pages8
JournalClinical Practice and Epidemiology in Mental Health
Volume12
Issue number1
DOIs
StatePublished - 2016

Fingerprint

Anxiety Disorders
Body Mass Index
Anxiety
Population
Obesity
Thinness
Weights and Measures
Information Storage and Retrieval
Population Groups
Hispanic Americans
Information Systems
Epidemiology
Demography

Keywords

  • Anxiety
  • Body mass index
  • Correlation
  • Gender
  • Population based
  • Race

ASJC Scopus subject areas

  • Epidemiology
  • Psychiatry and Mental health

Cite this

@article{d7e10c4859c2491d959631063d870946,
title = "Associations between anxiety disorder diagnoses and body mass index differ by age, sex and race: A population based study",
abstract = "Background: Few large studies have examined correlations between anxiety and body mass index (BMI) by gender or racial groups using clinical data. Objective: This study aimed to determine associations between diagnosed anxiety disorders and BMI, and evaluate whether observed associations varied by demographic characteristics. Method: Data from the Rochester Epidemiology Project (REP) data linkage system were analyzed to examine associations between anxiety disorders and BMI among adults ages 18-85 residing in Olmsted County, MN in 2009 (n=103,557). Height and weight data were available for 75,958 people (73{\%}). The international classification of underweight, overweight, and obesity by BMI was used. Results: Population consisted of 56{\%} females, 92.8{\%} White individuals, with median age of 46 years. When adjusted for age, sex, and race, we observed a U-shaped association between anxiety and BMI group. Underweight and obese individuals were more likely to have an anxiety diagnosis compared to normal weight individuals. Stratification by sex yielded a U-shaped association between anxiety and BMI only in women. Stratification by race showed a U-shaped association between anxiety and BMI only in the White population. Anxiety was significantly associated only with obesity in the Black population. Anxiety was not associated with a BMI category in Asian or Hispanic groups. Among elderly group, there is inverse correlation between anxiety and obesity. Conclusion: Our results suggest that anxiety may have heterogeneous associations with BMI in the population. Further research on potential mechanisms contributing to these findings will help direct efforts in anxiety and obesity management across diverse population groups.",
keywords = "Anxiety, Body mass index, Correlation, Gender, Population based, Race",
author = "DeJesus, {Ramona S.} and {Radecki Breitkopf}, Carmen and Ebbert, {Jon Owen} and Rutten, {Lila J} and Jacobson, {Robert M.} and Jacobson, {Debra J.} and Chun Fan and {St. Sauver}, Jennifer",
year = "2016",
doi = "10.2174/1745017901612010067",
language = "English (US)",
volume = "12",
pages = "67--74",
journal = "Clinical Practice and Epidemiology in Mental Health",
issn = "1745-0179",
publisher = "Bentham Science Publishers B.V.",
number = "1",

}

TY - JOUR

T1 - Associations between anxiety disorder diagnoses and body mass index differ by age, sex and race

T2 - A population based study

AU - DeJesus, Ramona S.

AU - Radecki Breitkopf, Carmen

AU - Ebbert, Jon Owen

AU - Rutten, Lila J

AU - Jacobson, Robert M.

AU - Jacobson, Debra J.

AU - Fan, Chun

AU - St. Sauver, Jennifer

PY - 2016

Y1 - 2016

N2 - Background: Few large studies have examined correlations between anxiety and body mass index (BMI) by gender or racial groups using clinical data. Objective: This study aimed to determine associations between diagnosed anxiety disorders and BMI, and evaluate whether observed associations varied by demographic characteristics. Method: Data from the Rochester Epidemiology Project (REP) data linkage system were analyzed to examine associations between anxiety disorders and BMI among adults ages 18-85 residing in Olmsted County, MN in 2009 (n=103,557). Height and weight data were available for 75,958 people (73%). The international classification of underweight, overweight, and obesity by BMI was used. Results: Population consisted of 56% females, 92.8% White individuals, with median age of 46 years. When adjusted for age, sex, and race, we observed a U-shaped association between anxiety and BMI group. Underweight and obese individuals were more likely to have an anxiety diagnosis compared to normal weight individuals. Stratification by sex yielded a U-shaped association between anxiety and BMI only in women. Stratification by race showed a U-shaped association between anxiety and BMI only in the White population. Anxiety was significantly associated only with obesity in the Black population. Anxiety was not associated with a BMI category in Asian or Hispanic groups. Among elderly group, there is inverse correlation between anxiety and obesity. Conclusion: Our results suggest that anxiety may have heterogeneous associations with BMI in the population. Further research on potential mechanisms contributing to these findings will help direct efforts in anxiety and obesity management across diverse population groups.

AB - Background: Few large studies have examined correlations between anxiety and body mass index (BMI) by gender or racial groups using clinical data. Objective: This study aimed to determine associations between diagnosed anxiety disorders and BMI, and evaluate whether observed associations varied by demographic characteristics. Method: Data from the Rochester Epidemiology Project (REP) data linkage system were analyzed to examine associations between anxiety disorders and BMI among adults ages 18-85 residing in Olmsted County, MN in 2009 (n=103,557). Height and weight data were available for 75,958 people (73%). The international classification of underweight, overweight, and obesity by BMI was used. Results: Population consisted of 56% females, 92.8% White individuals, with median age of 46 years. When adjusted for age, sex, and race, we observed a U-shaped association between anxiety and BMI group. Underweight and obese individuals were more likely to have an anxiety diagnosis compared to normal weight individuals. Stratification by sex yielded a U-shaped association between anxiety and BMI only in women. Stratification by race showed a U-shaped association between anxiety and BMI only in the White population. Anxiety was significantly associated only with obesity in the Black population. Anxiety was not associated with a BMI category in Asian or Hispanic groups. Among elderly group, there is inverse correlation between anxiety and obesity. Conclusion: Our results suggest that anxiety may have heterogeneous associations with BMI in the population. Further research on potential mechanisms contributing to these findings will help direct efforts in anxiety and obesity management across diverse population groups.

KW - Anxiety

KW - Body mass index

KW - Correlation

KW - Gender

KW - Population based

KW - Race

UR - http://www.scopus.com/inward/record.url?scp=85006262242&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85006262242&partnerID=8YFLogxK

U2 - 10.2174/1745017901612010067

DO - 10.2174/1745017901612010067

M3 - Article

VL - 12

SP - 67

EP - 74

JO - Clinical Practice and Epidemiology in Mental Health

JF - Clinical Practice and Epidemiology in Mental Health

SN - 1745-0179

IS - 1

ER -