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    Can familial factors account for the association of body mass index with poor mental health in men or women

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    Authors
    Schur, Ellen
    Godfrey, Kathryn M.
    Dansie, Elizabeth
    Buchwald, Dedra
    Pagoto, Sherry L.
    Afari, Niloofar
    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2013-09-01
    Keywords
    Adult
    *Body Mass Index
    Cholestasis
    Cross-Sectional Studies
    Depression
    Female
    Health Status
    Humans
    Male
    Mental Disorders
    Obesity
    Pneumonia
    Psychiatric Status Rating Scales
    Stress, Psychological
    Obesity
    Mental health
    Genetics
    Familial
    Body mass index
    Behavior and Behavior Mechanisms
    Community Health
    Community Health and Preventive Medicine
    Mental and Social Health
    Psychiatry
    Public Health
    Public Health Education and Promotion
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    Link to Full Text
    http://dx.doi.org/10.1016/j.genhosppsych.2013.04.004
    Abstract
    OBJECTIVE: This study examined if associations between body mass index (BMI) and mental and physical health were independent of genetic and familial factors. METHOD: Data from 2831 twins (66% female) were used in an epidemiological co-twin control design with measures of BMI and mental and physical health outcomes. Generalized estimating equation regressions assessed relationships between BMI and health outcomes controlling for interdependency among twins and demographics. Within-pair regression analyses examined the association of BMI with health outcomes controlling for genetic and familial influences. RESULTS: Adjusted analyses with individual twins found associations in women between BMI and perceived stress (P=.01) and depression (P=.002), and the link between BMI and depression (P=.03) was significant in men. All physical health outcomes were significantly related to BMI. Once genetic and familial factors were taken into account, mental health outcomes were no longer significantly associated with BMI. BMI in women remained related to ratings of physical health (P=.01) and body pain (P=.004), independent of genetic and familial influences. CONCLUSION: These findings suggest that genetic and familial factors may account for the relationship between increased weight and poor mental health.
    Source
    Schur E, Godfrey KM, Dansie E, Buchwald D, Pagoto S, Afari N. Can familial factors account for the association of body mass index with poor mental health in men or women? Gen Hosp Psychiatry. 2013 Sep-Oct;35(5):502-7. doi:10.1016/j.genhosppsych.2013.04.004.
    DOI
    10.1016/j.genhosppsych.2013.04.004
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44595
    PubMed ID
    23664570
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.genhosppsych.2013.04.004
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