To determine the association between abdominal obesity and depression among obese people.Design and method:
We conducted a cross-sectional study of healthcare workers form Chiang Mai University hospital. Questionnaires, interviews and physical examination were used to collect the data. Multiple logistic regression analyses, adjusted for possible confounders including demographic characteristics, socioeconomic status and underlying disease were performed to identify the association between abdominal obesity and depression.Results:
From 3204 participants, 602, 732 and 211 of them were overweight, obese class I and II, respectively. After adjusted for confounders, the odds ratio (aOR) of having depression in participants with abdominal obesity was 1.57 (95% CI, 1.03–2.39) among obese group. For the overweight group, having abdominal obesity was not associated with depression (aOR 1.13, 95% CI 0.44–2.92). In contrast, the individuals who were obese class I with abdominal obesity had higher odds of having depression (aOR1.82, 95% CI 1.05–3.14) compared to those without abdominal obesity.Conclusions:
The abdominal obesity was associated with depression among obese individuals. However, this association was not found among overweight individuals. For the obese workers, target interventions to reduce abdominal obesity in order to prevent depression are recommended.