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Prospective Associations between Depression and Obesity for Adolescent Males and Females- A Systematic Review and Meta-Analysis of Longitudinal Studies

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  • Munim Mannan
  • Abdullah Mamun
  • Suhail Doi
  • Alexandra Clavarino

Abstract

Adolescent obesity and depression are increasingly prevalent and are currently recognised as major public health concerns worldwide. The aim of this study is to evaluate the bi-directional associations between obesity and depression in adolescents using longitudinal studies. A systematic literature search was conducted using Pubmed (including Medline), PsycINFO, Embase, CINAHL, BIOSIS Preview and the Cochrane Library databases. According to the inclusion criteria, 13 studies were found where seven studies evaluated depression leading to obesity and six other studies examined obesity leading to depression. Using a bias-adjusted quality effects model for the meta-analysis, we found that adolescents who were depressed had a 70% (RR 1.70, 95% CI: 1.40, 2.07) increased risk of being obese, conversely obese adolescents had an increased risk of 40% (RR 1.40, 95% CI: 1.16, 1.70) of being depressed. The risk difference (RD) of early adolescent depression leading to obesity is 3% higher risk than it is for obesity leading to depression. In sensitivity analysis, the association between depression leading to obesity was greater than that of obesity leading to depression for females in early adulthood compared with females in late adolescence. Overall, the findings of this study suggest a bi-directional association between depression and obesity that was stronger for female adolescents. However, this finding also underscores the importance of early detection and treatment strategies to inhibit the development of reciprocal disorders.

Suggested Citation

  • Munim Mannan & Abdullah Mamun & Suhail Doi & Alexandra Clavarino, 2016. "Prospective Associations between Depression and Obesity for Adolescent Males and Females- A Systematic Review and Meta-Analysis of Longitudinal Studies," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-18, June.
    • Handle: RePEc:plo:pone00:0157240
    DOI: 10.1371/journal.pone.0157240
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    References listed on IDEAS

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    1. Pine, D.S. & Cohen, P. & Brook, J. & Coplan, J.D., 1997. "Psychiatric symptoms in adolescence as predictors of obesity in early adulthood: A longitudinal study," American Journal of Public Health, American Public Health Association, vol. 87(8), pages 1303-1310.
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    1. Maren Hjelle Guddal & Synne Øien Stensland & Milada Cvancarova Småstuen & Marianne Bakke Johnsen & Ingrid Heuch & John-Anker Zwart & Kjersti Storheim, 2020. "Obesity in Young Adulthood: The Role of Physical Activity Level, Musculoskeletal Pain, and Psychological Distress in Adolescence (The HUNT-Study)," IJERPH, MDPI, vol. 17(12), pages 1-14, June.
    2. Hofmann, Sarah & Mühlenweg, Andrea, 2018. "Learning intensity effects in students’ mental and physical health – Evidence from a large scale natural experiment in Germany," Economics of Education Review, Elsevier, vol. 67(C), pages 216-234.
    3. Simeng Wang & Qi Sun & Lingling Zhai & Yinglong Bai & Wei Wei & Lihong Jia, 2019. "The Prevalence of Depression and Anxiety Symptoms among Overweight/Obese and Non-Overweight/Non-Obese Children/Adolescents in China: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 16(3), pages 1-17, January.
    4. Darren Haywood & Blake J. Lawrence & Frank D. Baughman & Barbara A. Mullan, 2021. "A Conceptual Model of Long-Term Weight Loss Maintenance: The Importance of Cognitive, Empirical and Computational Approaches," IJERPH, MDPI, vol. 18(2), pages 1-15, January.
    5. Małgorzata Obara-Gołębiowska & Hanna Brycz & Małgorzata Lipowska & Mariusz Lipowski, 2018. "The Role of Motivation to Reduce Obesity among Elderly People: Response to Priming Temptation in Obese Individuals," IJERPH, MDPI, vol. 15(2), pages 1-13, February.
    6. Svein Barene & Andreas Ruud-Tronsmoen & Patrick Foss Johansen, 2022. "Associations between Demographic Characteristics, Lifestyle Factors and School-Related Conditions and Symptoms of Mental Health Problems in Norwegian Upper Secondary School Students," IJERPH, MDPI, vol. 19(15), pages 1-12, August.
    7. Marcin Hachuła & Michał Kosowski & Kaja Zielańska & Marcin Basiak & Bogusław Okopień, 2023. "The Impact of Various Methods of Obesity Treatment on the Quality of Life and Mental Health—A Narrative Review," IJERPH, MDPI, vol. 20(3), pages 1-13, January.
    8. Carlos Bou-Sospedra & Mireia Adelantado-Renau & Maria Reyes Beltran-Valls & Diego Moliner-Urdiales, 2020. "Association between Health-Related Physical Fitness and Self-Rated Risk of Depression in Adolescents: Dados Study," IJERPH, MDPI, vol. 17(12), pages 1-9, June.
    9. Alexandra A. Brewis & Meg Bruening, 2018. "Weight Shame, Social Connection, and Depressive Symptoms in Late Adolescence," IJERPH, MDPI, vol. 15(5), pages 1-12, May.
    10. Evelina Sunesson & Emma Haglund & Ann Bremander & Håkan Jarbin & Ingrid Larsson, 2021. "Adolescents’ Experiences of Facilitators for and Barriers to Maintaining Exercise 12 Months after a Group-Based Intervention for Depression," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    11. Mahalul Azam & Rina Sulistiana & Arulita Ika Fibriana & Soesmeyka Savitri & Syed Mohamed Aljunid, 2021. "Prevalence of Mental Health Disorders among Elderly Diabetics and Associated Risk Factors in Indonesia," IJERPH, MDPI, vol. 18(19), pages 1-9, September.
    12. Park, Hansol & Kim, Taehoon & Kim, Jinho, 2023. "Longitudinal pathways from adolescent depressive symptoms to cardiovascular disease risk in adulthood," Social Science & Medicine, Elsevier, vol. 318(C).

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