Obesity and its relation to depressive symptoms and sedentary lifestyle in middle-aged women

  • Juan E. Blümel
  • , Peter Chedraui
  • , Sócrates Aedo
  • , Juan Fica
  • , Edward Mezones-Holguín
  • , Germán Barón
  • , Ascanio Bencosme
  • , Zully Benítez
  • , Luz M. Bravo
  • , Andrés Calle
  • , Daniel Flores
  • , María T. Espinoza
  • , Gustavo Gómez
  • , José A. Hernández-Bueno
  • , Fiorella Laribezcoa
  • , Mabel Martino
  • , Selva Lima
  • , Alvaro Monterrosa
  • , Desiree Mostajo
  • , Eliana Ojeda
  • William Onatra, Hugo Sánchez, Konstatinos Tserotas, María S. Vallejo, Silvina Witis, María C. Zúñiga

Research output: Contribution to journalArticlepeer-review

56 Scopus citations

Abstract

Background The prevalence of obesity increases during female mid-life and although many factors have been identified, data from Latin America is lacking. Objective To assess factors related to obesity among middle-aged women and determine the association with depressive symptoms, sedentary lifestyle and other factors.

Methods A total of 6079 women aged 40-59 years of 11 Latin American countries were asked to fill out the Goldberg Anxiety and Depression Scale, the Menopause Rating Scale, the Athens Insomnia Scale, the Pittsburgh Sleep Quality Index and a general questionnaire containing personal socio-demographic data, anthropometric measures and lifestyle information. Obesity was defined as a body mass index (BMI) ≥30 kg/m2.

Results Obesity was observed in 18.5% and sedentary lifestyle in 63.9%. A 55.5% presented vasomotor symptoms, 12.2% had severe menopausal symptoms and 13.2% used hormone therapy for the menopause. Prevalence of depressive symptoms was 46.5% and anxiety 59.7%. Our logistic regression model found that significant factors associated to obesity included: arterial hypertension (OR: 1.87), depressive symptoms (OR: 1.57), sedentary lifestyle (OR: 1.50) diabetes mellitus (OR: 1.34), higher number of individuals living at home (OR: 1.31), sleep problems (OR:1.22), anxiety (OR: 1.21), having a stable partner (OR: 1.20), parity (OR: 1.16) and vasomotor symptoms (OR:1.14). A lower risk for obesity was found among women using hormonal contraceptives (OR: 0.69).

Conclusion Obesity in middle-aged women is the consequence of the interaction of multiple factors. It was associated to hypertension, depressive symptoms, sedentary lifestyle, climacteric symptoms and other factors.

Original languageEnglish
Pages (from-to)100-105
Number of pages6
JournalMaturitas
Volume80
Issue number1
DOIs
StatePublished - 1 Jan 2015
Externally publishedYes

Keywords

  • Depressed mood
  • Depressive symptoms
  • Menopause
  • Middle-aged women
  • Obesity
  • Sedentary lifestyle

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