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Body composition and depressive/anxiety symptoms in overweight and obese individuals with metabolic syndrome.

ABSTRACT: BACKGROUND:Several studies point to a correlation between obesity and the severity of depressive and anxiety symptoms in children and adults, but there are still some controversial points about this association. The aim of this study is to investigate the relationship between body composition and the severity of anxiety/depressive symptoms in overweight and obese individuals with Metabolic Syndrome (MS). METHODS:Fifty patients, 18-50 years old, overweight or obese and with the diagnosis of MS based on the International Diabetes Federation (IDF) criteria were selected for this study. Body composition was evaluated using Dual Energy X-ray Absorptiometry (DXA). Depressive symptoms were evaluated using the Hospital Anxiety and Depression Scale (HADS-Depression) and the Beck Depression Inventory (BDI). Anxiety symptoms were evaluated using HADS-Anxiety. RESULTS:No correlation was found between depressive symptoms (HADS-Depression or BDI) and Body Mass Index (BMI) (r?=?0.01; p?=?0.94 and r?=?-0.12, p?=?0.38; respectively), Waist Circumference (WC) (r?=?-0.06, p?=?0.67 and r?=?-0.22, p?=?0.12; respectively), and Waist-to-Hip Ratio (WHR) (r?=?-0.12, p?=?0.40 and r?=?-0.17, p?=?0.23; respectively). Additionally, no correlation was found among anxiety symptoms (HADS-Anxiety) and BMI (r?=?-0.15, p?=?0.27), and WHR (r?=?-0.17, p?=?0.24). In contrast, a significant correlation was found between percentage of total fat (DXA) and HADS-Depression (r?=?0.34, p?=?0.019) and HADS-Anxiety (r?=?0.30, p?=?0.039). Additionally, an inverse and strong correlation was found between lean mass (in grams) and HADS-Depression (r?=?-0.42, p?=?0.004), HADS anxiety (r?=?-0.57, p?

SUBMITTER: Guedes EP

PROVIDER: S-EPMC3913787 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature

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Body composition and depressive/anxiety symptoms in overweight and obese individuals with metabolic syndrome.

Guedes Erika P EP Madeira Eduardo E Mafort Thiago T TT Madeira Miguel M Moreira Rodrigo O RO Mendonça Laura Mc LM Godoy-Matos Amélio F AF Lopes Agnaldo J AJ Farias Maria Lucia F ML

Diabetology & metabolic syndrome 20131223 1

<h4>Background</h4>Several studies point to a correlation between obesity and the severity of depressive and anxiety symptoms in children and adults, but there are still some controversial points about this association. The aim of this study is to investigate the relationship between body composition and the severity of anxiety/depressive symptoms in overweight and obese individuals with Metabolic Syndrome (MS).<h4>Methods</h4>Fifty patients, 18-50 years old, overweight or obese and with the dia ...[more]

PMID: 24364839

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Project description:This study examined the effects of 4 weeks of living high-training low and high (LHTLH) under moderate hypoxia on body weight, body composition, and metabolic risk markers of overweight and obese females. Nineteen healthy overweight or obese females participated in this study. Participants were assigned to the normoxic training group (NG) or the LHTLH group (HG). The NG participants lived and trained at sea level. The HG participants stayed for approximately 10 hours in a simulated 2300?m normobaric state of hypoxia for six days a week and trained for 2 hours 3 times a week under the same simulated hypoxia. The interventions lasted for 4 weeks. All groups underwent dietary restriction based on resting metabolic rate. The heart rate of the participants was monitored every ten minutes during exercise to ensure that the intensity was in the aerobic range. Compared with the preintervention values, body weight decreased significantly in both the NG and the HG (-8.81?±?2.09% and -9.09?±?1.15%, respectively). The fat mass of the arm, leg, trunk, and whole body showed significant reductions in both the NG and the HG, but no significant interaction effect was observed. The percentage of lean soft tissue mass loss in the total body weight loss tended to be lower in the HG (27.61% versus 15.94%, P=0.085). Between the NG and the HG, significant interaction effects of serum total cholesterol (-12.66?±?9.09% versus -0.05?±?13.36%,) and apolipoprotein A1 (-13.66?±?3.61% versus -5.32?±?11.07%, P=0.042) were observed. A slight increase in serum high-density lipoprotein cholesterol (HDL-C) was observed in the HG (1.12?±?12.34%) but a decrease was observed in the NG (-11.36?±?18.91%). The interaction effect of HDL-C between NG and HG exhibited a significant trend (P=0.055). No added effects on serum triglycerides (TGs), low-density lipoprotein cholesterol (LDL-C), or APO-B were observed after 4 weeks of LHTLH. In conclusion, 4 weeks of LHTLH combined with dietary restriction could effectively reduce the body weight and body fat mass of overweight and obese females. Compared with training and sleeping under normoxia, no additive benefit of LHTLH on the loss of body weight and body fat mass was exhibited. However, LHTLH may help to relieve the loss of lean soft tissue mass and serum HDL-C.

Project description:BackgroundMetabolic syndrome (MetS) is one of the main reasons for elevated cardiovascular morbidity and mortality worldwide. Obese and overweight individuals are at high risk of developing these chronic diseases. The aim of this study was to characterize and establish sex-adjusted prevalence of metabolic syndrome and its components.MethodsA cross-sectional study was conducted in 2015, 689 (329 men and 360 women) aged 18-65 years from three refugee camps in the West Bank. International Diabetes Federation and modified National Cholesterol Education Program-Third Adult Treatment Panel definitions were used to identify MetS.ResultsThe overall prevalence of obesity and overweight was high, 63.1%; Obesity (42 and 29.2% in women men; respectively and overweight 25.8 and 28.9% in women and men; respectively. The prevalence of MetS among obese and overweight was significantly higher (69.4%) according to IDF than NCEP definition (52%) (p?<?0.002) with no significant differences between men and women using both definitions; (IDF; 71.8% men vs. 67.6% women, and (NCEP/ATP III; 51.9% men vs. 52.2% women). The prevalence of MetS increased significantly with increasing obesity and age when NCEP criterion is applied but not IDF. The prevalence of individual MetS components was: high waist circumference 81.3% according to IDF and 56.5% according to NCEP, elevated FBS 65.3% according to IDF and 56% according to NCEP, elevated blood pressure 48%, decreased HDL 65.8%, and elevated triglycerides 31.7%. Based on gender differences, waist circumferences were significantly higher in women according to both criteria and only elevated FBS was higher in women according to IDF criteria. Physical activity was inversely associated with MetS prevalence according to NCEP but not IDF. No significant associations were found with gender, smoking, TV watching, and family history of hypertension or diabetes mellitus.ConclusionIn this study, irrespective of the definition used, metabolic syndrome is highly prevalent in obese and overweight Palestinian adults with no gender-based differences. The contribution of the metabolic components to the metabolic syndrome is different in men and women. With the increase of age and obesity, the clustering of metabolic syndrome components increased remarkably. More attention through health care providers should, therefore, be given to the adult population at risk to reduce adulthood obesity and subsequent cardiovascular diseases.

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Body composition and depressive/anxiety symptoms in overweight and obese individuals with metabolic syndrome.

Publications

Body composition and depressive/anxiety symptoms in overweight and obese individuals with metabolic syndrome.

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