Association of Body Mass Index and Depressive Symptoms in a Chinese Community Population Results from the Health Promotion Knowledge, Attitudes, and Performance Survey in Taiwan.docVIP

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Association of Body Mass Index and Depressive Symptoms in a Chinese Community Population Results from the Health Promotion Knowledge, Attitudes, and Performance Survey in Taiwan.doc

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Association of Body Mass Index and Depressive Symptoms in a Chinese Community Population Results from the Health Promotion Knowledge, Attitudes, and Performance Survey in Taiwan

Original Article 620 Association of Body Mass Index and Depressive Symptoms in a Chinese Community Population: Results from the Health Promotion Knowledge, Attitudes, and Performance Survey in Taiwan Nan-Wen Yu, MD; Ching-Yen Chen, MD; Chia-Yi Liu, MD; Yeuk-Lun Chau, MS; Chia-Ming Chang, MD, PhD Background: The association between obesity and depression remains equivocal. The aims of this study were to examine the association between body mass index (BMI) and depressive symptoms in the Chinese adult population. Methods: In this study, data from the Health Promotion Knowledge, Attitudes, and Performance Survey, conducted in 2002 among 20,385 Taiwanese adults (aged 18-64 years), were used. Depressive symptoms were assessed by the Taiwanese Depression Questionnaire (cut off point 19). Weight status was categorized as underweight (BMI 18.5 kg/m 2 2 ), normal weight (BMI 18.5- ), and obese (BMI ? 27 23.9 kg/m ), overweight (BMI 24-26.9 kg/m 2 kg/m ). 2 Results: Bivariate analyses revealed that underweight men and women had higher risks of depressive symptoms than normal weight individuals. After control- ling for education, income, occupation, smoking status, marital status, pres- ence of chronic disease, exercise, and weight control measures, we found that underweight men were significantly more likely to have depressive symptoms than normal weight men (Adjusted odds ratio [AOR] 2.68, 95% confidence interval [CI] 1.85-3.88). On the contrary, obese women were sig- nificantly less likely to have depressive symptoms than normal weight women (AOR 0.62, 95% CI 0.46-0.83). Conclusion: The associations of BMI and depressive symptoms were different between genders. Underweight men ran a higher risk of depression than normal weight men, and overweight women had a lower risk than normal weight women. These findings support the “jolly fat” hypothesis among the ad