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Type: Journal article
Title: Are changes in depressive symptoms, general health and residential area socio-economic status associated with trajectories of waist circumference and body mass index?
Author: Niyonsenga, T.
Carroll, S.J.
Coffee, N.T.
Taylor, A.W.
Daniel, M.
Citation: PLoS One, 2020; 15(1):e0227029-1-e0227029-19
Publisher: Public Library of Science
Issue Date: 2020
ISSN: 1932-6203
Editor: Daoud, N.
Statement of
Theo Niyonsenga, Suzanne J. Carroll, Neil T. Coffee Anne W. Taylor, Mark Daniel
Abstract: OBJECTIVE:This study sought to assess whether changes in depressive symptoms, general health, and area-level socio-economic status (SES) were associated to changes over time in waist circumference and body mass index (BMI). METHODS:A total of 2871 adults (18 years or older), living in Adelaide (South Australia), were observed across three waves of data collection spanning ten years, with clinical measures of waist circumference, height and weight. Participants completed the Centre for Epidemiologic Studies Depression (CES-D) and Short Form 36 health questionnaires (SF-36 general health domain). An area-level SES measure, relative location factor, was derived from hedonic regression models using residential property features but blind to location. Growth curve models with latent variables were fitted to data. RESULTS:Waist circumference, BMI and depressive symptoms increased over time. General health and relative location factor decreased. Worsening general health and depressive symptoms predicted worsening waist circumference and BMI trajectories in covariate-adjusted models. Diminishing relative location factor was negatively associated with waist circumference and BMI trajectories in unadjusted models only. CONCLUSIONS:Worsening depressive symptoms and general health predict increasing adiposity and suggest the development of unhealthful adiposity might be prevented by attention to negative changes in mental health and overall general health.
Keywords: Humans
Body Mass Index
Follow-Up Studies
Depressive Disorder
Public Health
Socioeconomic Factors
Middle Aged
South Australia
Waist Circumference
Rights: © 2020 Niyonsenga et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
DOI: 10.1371/journal.pone.0227029
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