DOES OBESITY INCREASE THE RISK OF MENTAL DISORDERS?

 

DOES OBESITY INCREASE THE RISK OF MENTAL DISORDERS?






Being obese significantly increases the chances of also developing mental disorders. This applies to all age groups, with women at higher risk than men for most diseases, as a recent study by the Complexity Science Hub and the Medical University of Vienna shows. The results were published in the specialist journal Translational Psychiatry.

"We analyzed a population-wide national registry of inpatient hospitalizations in Austria from 1997 to 2014 to determine the relative risks of comorbidities in obesity and identify statistically significant sex differences," explains Elma Dervic of the Complexity Science Hub. Consequently, it became evident that an obesity diagnosis significantly enhances the likelihood of a wide range of mental disorders across all age groups -- including depression, nicotine addiction, psychosis, anxiety, eating, and personality disorders. "From a clinical point of view, these results emphasise the need to raise awareness of psychiatric diagnoses in obese patients and, if necessary, to consult specialists at an early stage of diagnosis," says Michael Leutner of the Medical University of Vienna.

FIRST DIAGNOSIS: OBESITY

"In order to find out which illness typically appeared prior and subsequently to the obesity diagnosis, we had to develop a new method," explains Dervic. This allowed the researchers to determine if there were trends and typical patterns in disease occurrence.

In the case of all co-diagnoses, except the psychosis spectrum, obesity was, in all likelihood, the first diagnosis made before the manifestation of a psychiatric diagnosis. "Until now, physicians often considered psychopharmacological medications to cause the association between mental disorders and obesity and diabetes. This may be true for schizophrenia, where we see the opposite time order. Still, our data does not support this for depression or other psychiatric diagnoses," explains Alexander Kautzky from the Department of Psychiatry and Psychotherapy of the Medical University Vienna. However, whether obesity directly affects mental health or whether early stages of psychiatric disorders are inadequately recognized is unknown.

GREATER IMPACT ON WOMEN

Surprisingly, the researchers found significant gender differences for most disorders -- with women showing an increased risk for all diseases except schizophrenia and nicotine addiction.

While 16.66% of obese men also suffer from nicotine abuse disorder, this is only the case in up to 8.58% of obese women. The opposite is true for depression. The rate of diagnosed depressive episodes was almost three times higher in obese women (13.3% obese; 4.8% non-obese). Obese men were twice as likely to be affected (6.61% obese; 3.21% non-obese).

COUNTERACT AT A YOUNG AGE

Obesity is a highly prevalent disease worldwide, affecting over 670 million people. The condition promotes metabolic disorders, and severe cardio-metabolic complications (diabetes mellitus, arterial hypertension, and dyslipidemia) have been extensively researched.

Since this study now also shows that obesity often precedes severe mental disorders, the findings underscore its importance as a pleiotropic risk factor for health problems of all kinds. This is primarily true for young age groups, where the risk is most pronounced. For this reason, thorough screening for mental health problems in obese patients is urgently needed to facilitate prevention or ensure that appropriate treatment can be given, so the researchers conclude.

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