The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults

Tara W. Strine, Ali H. Mokdad, Shanta R. Dube, Lina S. Balluz, Olinda Gonzalez, Joyce T. Berry, Ron Manderscheid, Kurt Kroenke

Research output: Contribution to journalArticle

265 Citations (Scopus)

Abstract

Objective: The aim of this study was to examine the extent to which depression and anxiety are associated with smoking, obesity, physical inactivity and alcohol consumption in the US population using the Patient Health Questionnaire 8 (PHQ-8) and two questions on lifetime diagnosis of anxiety and depression. Methods: Data were analyzed in 38 states, the District of Columbia and two territories using the 2006 Behavioral Risk Factor Surveillance System (n=217,379), a large state-based telephone survey. Results: Overall, adults with current depression or a lifetime diagnosis of depression or anxiety were significantly more likely than those without each diagnosis to smoke, to be obese, to be physically inactive, to binge drink and drink heavily. There was a dose-response relationship between depression severity and the prevalence of smoking, obesity and physical inactivity and between history of depression (never depressed, previously depressed, currently depressed) and the prevalence of smoking, obesity, physical inactivity, binge drinking and heavy drinking. Lifetime diagnosis of depression and anxiety had an additive association with smoking prevalence. Conclusion: The associations between depression, anxiety, obesity and unhealthy behaviors among US adults suggest the need for a multidimensional and integrative approach to health care.

Original languageEnglish
Pages (from-to)127-137
Number of pages11
JournalGeneral Hospital Psychiatry
Volume30
Issue number2
DOIs
StatePublished - Mar 2008

Fingerprint

Independent Living
Anxiety
Obesity
Depression
Smoking
Behavioral Risk Factor Surveillance System
Binge Drinking
Telephone
Smoke
Alcohol Drinking
Drinking
Delivery of Health Care
Health

Keywords

  • Adverse health behaviors
  • Anxiety
  • Depression
  • Obesity
  • Patient Health Questionnaire 8

ASJC Scopus subject areas

  • Emergency Medicine
  • Medicine(all)
  • Psychiatry and Mental health

Cite this

The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults. / Strine, Tara W.; Mokdad, Ali H.; Dube, Shanta R.; Balluz, Lina S.; Gonzalez, Olinda; Berry, Joyce T.; Manderscheid, Ron; Kroenke, Kurt.

In: General Hospital Psychiatry, Vol. 30, No. 2, 03.2008, p. 127-137.

Research output: Contribution to journalArticle

Strine, Tara W. ; Mokdad, Ali H. ; Dube, Shanta R. ; Balluz, Lina S. ; Gonzalez, Olinda ; Berry, Joyce T. ; Manderscheid, Ron ; Kroenke, Kurt. / The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults. In: General Hospital Psychiatry. 2008 ; Vol. 30, No. 2. pp. 127-137.
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