Volume 3, Issue 1 (Feb 2018)                   JNFS 2018, 3(1): 4-12 | Back to browse issues page

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PhD Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:   (622 Views)
Background: Anxiety is a common psychological disorder that impacts on the quality of life. In recent decades, anxiety has increased, as well as obesity especially among young people. The aim of this study is to investigate the relationship between general and central obesity with anxiety among Iranian young men. Methods: This cross-sectional study was conducted in 2016 on 246 men who were selected through cluster sampling according to the inclusion criteria. Anthropometric measurements were performed according to the standard procedure. Anxiety was assessed by DASS questionnaires with Cronbach's coefficient 0.78. In the final analysis, confounding factors were controlled and P < 0.05 was considered statistically significant. Results: In this study, 27% of the population had extreme anxiety and 29% had moderate anxiety. In the adjusted model, there was an inverse relationship between anxiety and central obesity (OR = 0.25, 95% CI: 0.07-0.85, P-trend < 0.01), as well as total body fat. The odds ratio of anxiety based on body mass index groups was not significant. Conclusions: Overall central obesity and total body fat have an inverse relationship with anxiety. Prospective studies are required to confirm these associations in young populations.
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Type of article: orginal article | Subject: public specific
Received: 2017/01/12 | Accepted: 2017/06/17 | Published: 2018/01/30

1. Ainsworth BE, et al. 2000. Compendium of physical activities: an update of activity codes and MET intensities. Medicine and science in sports and exercise. 32 (9; SUPP/1): S498-S504.
2. Barlow DH 2004. Anxiety and its disorders: The nature and treatment of anxiety and panic. Guilford press.
3. Bodenlos JS, Lemon SC, Schneider KL, August MA & Pagoto SL 2011. Associations of mood and anxiety disorders with obesity: comparisons by ethnicity. Journal of psychosomatic research. 71 (5): 319-324.
4. Budge SL, Adelson JL & Howard KA 2013. Anxiety and depression in transgender individuals: the roles of transition status, loss, social support, and coping. Journal of consulting and clinical psychology. 81 (3): 545-557.
5. Burkhauser RV & Cawley J 2008. Beyond BMI: the value of more accurate measures of fatness and obesity in social science research. Journal of health economics. 27 (2): 519-529.
6. Caprio S, et al. 2008. Influence of race, ethnicity, and culture on childhood obesity: implications for prevention and treatment. Obesity. 16 (12): 2566-2577.
7. Carr D, Friedman MA & Jaffe K 2007. Understanding the relationship between obesity and positive and negative affect: the role of psychosocial mechanisms. Body Image. 4 (2): 165-177.
8. Cheng G, Zhang D & Ding F 2015. Self-esteem and fear of negative evaluation as mediators between family socioeconomic status and social anxiety in Chinese emerging adults. International journal of social psychiatry. 61 (6): 569-576.
9. Crisp A, Queenan M, Sittampaln Y & Harris G 1980. ‘Jolly fat’revisited. Journal of psychosomatic research. 24 (5): 233-241.
10. Crisp AH & McGuiness B 1976. Jolly fat: relation between obesity and psychoneurosis in general population. British medical journal. 3 (1): 7-9.
11. Demyttenaere K, et al. 2004. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. The journal of the American medical association. 291 (21): 2581-2590.
12. Derenne JL & Beresin EV 2006. Body image, media, and eating disorders. Academic psychiatry. 30 (3): 257-261.
13. Esmaillzadeh A, Mirmiran P, Azadbakht L, Amiri P & Azizi F 2006. Independent and inverse association of hip circumference with metabolic risk factors in Tehranian adult men. Preventive medicine. 42 (5): 354-357.
14. Finucane MM, et al. 2011. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9• 1 million participants. The lancet. 377 (9765): 557-567.
15. Flegal KM, Carroll MD, Ogden CL & Johnson CL 2002. Prevalence and trends in obesity among US adults, 1999-2000. The journal of the American medical association. 288 (14): 1723-1727.
16. Gallagher D, et al. 2000. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. The American journal of clinical nutrition. 72 (3): 694-701.
17. Gottfried H 2003. Temp (t) ing bodies: Shaping gender at work in Japan. Sociology. 37 (2): 257-276.
18. Grabe S, Ward LM & Hyde JS 2008. The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies. Psychological bulletin. 134 (3): 460-476.
19. Hall JE 2015. Guyton and Hall textbook of medical physiology. Elsevier Health Sciences.
20. Henry JD & Crawford JR 2005. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. British journal of clinical psychology. 44 (2): 227-239.
21. Hoffman DL, Dukes EM & Wittchen HU 2008. Human and economic burden of generalized anxiety disorder. Depression and anxiety. 25 (1): 72-90.
22. Jackson AS & Pollock ML 1985. Practical assessment of body-composition. Physician and sportsmedicine. 13 (5): 76-90.
23. Jackson LA 1995. Physical attractiveness and intelectual competence: A meta-analytic review. Social psychology quarterly. 58 (2): 108-122.
24. Jasienska G, Ziomkiewicz A, Górkiewicz M & Pająk A 2005. Body mass, depressive symptoms and menopausal status: an examination of the “Jolly Fat” hypothesis. Women's health issues. 15 (3): 145-151.
25. Kaminsky LA & Medicine ACoS 2006. ACSM's resource manual for guidelines for exercise testing and prescription. Lippincott Williams & Wilkins Baltimore, MD.
26. Kessler RC 1994. The national comorbidity survey of the United States. International review of psychiatry. 6 (4): 365-376.
27. Kessler RC, Chiu WT, Demler O & Walters EE 2005. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of general psychiatry. 62 (6): 617-627.
28. Klaczynski PA, Goold KW & Mudry JJ Culture, obesity stereotypes, self-esteem, and the “thin ideal”: A social identity perspective. Journal of youth and adolescence. 33 (4): 307-317.
29. Lader M 1985. The nature of clinical anxiety in modern society. Mental health nursing. 7 (1-4): 309-334.
30. Lovibond PF & Lovibond SH 1995. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy. 33 (3): 335-343.
31. Low S, Chin MC & Deurenberg-Yap M 2009. Review on epidemic of obesity. Annals academy of medicine singapore. 38 (1): 57-65.
32. Mather AA, Cox BJ, Enns MW & Sareen J 2009. Associations of obesity with psychiatric disorders and suicidal behaviors in a nationally representative sample. Journal of psychosomatic research. 66 (4): 277-285.
33. Menzies H 2009. No time: Stress and the crisis of modern life. D & M Publishers.
34. Mohammadi M-R, et al. 2005. An epidemiological survey of psychiatric disorders in Iran. Clinical practice and epidemiology in mental health. 1 (1): 16.
35. Ogden CL, Flegal KM, Carroll MD & Johnson CL 2002. Prevalence and trends in overweight among US children and adolescents, 1999-2000. The journal of the American medical association. 288 (14): 1728-1732.
36. Palinkas LA, Wingard DL & Barrett-Connor E 1996. Depressive symptoms in overweight and obese older adults: a test of the “jolly fat” hypothesis. Journal of psychosomatic research. 40 (1): 59-66.
37. Paul GP 2016. Study of academic anxiety psycho social conflicts and mental health among adolescents.
38. Popkin BM & Doak CM 1998. The obesity epidemic is a worldwide phenomenon. Nutrition reviews. 56 (4): 106-114.
39. Posavac HD, Posavac SS & Weigel RG 2001. Reducing the impact of media images on women at risk for body image disturbance: Three targeted interventions. Journal of social and clinical psychology. 20 (3): 324-340.
40. Reitzel LR, et al. 2017. Interactive effects of anxiety sensitivity and subjective social status on psychological symptomatology in Black adults. Behavioral medicine. 43 (4): 268-276.
41. Rivenes AC, Harvey SB & Mykletun A 2009. The relationship between abdominal fat, obesity, and common mental disorders: results from the HUNT study. Journal of psychosomatic research. 66 (4): 269-275.
42. Rosen BC 1998. Winners and losers of the information revolution: Psychosocial change and its discontents. Greenwood Publishing Group.
43. Sahebi A, Asghari MJ & Salari RS 2005. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. Iranian psychologists. 4 (1): 299-313.
44. Samani S & Joukar B 2007. A Study On The Reliability And Validity Of The Short Form Of The Depression Anxiety Stress Scale (DASS-21).
45. Scott KM, et al. 2008. Obesity and mental disorders in the general population: results from the world mental health surveys. International journal of obesity. 32 (1): 192-200.
46. Seligman ME, Walker EF & Rosenhan DL 2001. Abnormal psychology. Norton.
47. Simon GE, et al. 2006. Association between obesity and psychiatric disorders in the US adult population. Archives of general psychiatry. 63 (7): 824-830.
48. Sloan TS 1996. Damaged life: The crisis of the modern psyche. Psychology Press.
49. Spielberger CD 1983. Manual for the State-Trait Anxiety Inventory STAI (form Y)(" self-evaluation questionnaire").
50. Strine TW, et al. 2008. The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults. General hospital psychiatry. 30 (2): 127-137.
51. Stunkard AJ & Wadden TA 1993. Obesity: theory and therapy.
52. Sullivan S, Cloninger C, Przybeck T & Klein S 2007. Personality characteristics in obesity and relationship with successful weight loss. International journal of obesity. 31 (4): 669-674.
53. Tanios CY, et al. 2009. The epidemiology of anxiety disorders in the Arab world: a review. Journal of anxiety disorders. 23 (4): 409-419.
54. Toufexis DJ, Myers KM & Davis M 2006. The effect of gonadal hormones and gender on anxiety and emotional learning. Hormones and behavior. 50 (4): 539-549.
55. UNSW 2014. Depression Anxiety and Stress Scale (DASS).
56. Wainwright D & Calnan M 2002. Work stress: The making of a modern epidemic. McGraw-Hill Education (UK).
57. Wang Y, Rimm EB, Stampfer MJ, Willett WC & Hu FB 2005. Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. The American journal of clinical nutrition. 81 (3): 555-563.
58. Wei M, Gaskill SP, Haffner SM & Stern MP 1997. Waist Circumference as the Best Predictor of Noninsulin Dependent Diabetes Mellitus (NIDDM) Compared to Body Mass Index, Waist/hip Ratio and Other Anthropometric Measurements in Mexican Americans—A 7‐Year Prospective Study. Obesity research. 5 (1): 16-23.
59. Wellington CA & Bryson JR 2001. At face value? Image consultancy, emotional labour and professional work. Sociology. 35 (4): 933-946.
60. Whiteford HA, et al. 2013. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. The lancet. 382 (9904): 1575-1586.
61. WHO 2000. preventing and managing the global epidemic. Report of a WHO Consultation.
62. WHO 2013. Obesity and overweight. Fact sheet N 311. WHO Media Centre. Geneva, Switzerland.
63. Yamamiya Y, Cash TF, Melnyk SE, Posavac HD & Posavac SS 2005. Women's exposure to thin-and-beautiful media images: Body image effects of media-ideal internalization and impact-reduction interventions. Body image. 2 (1): 74-80.
64. Yim G, Ahn Y, Cho J, Lim J-Y & Park H-Y 2012. Abdominal obesity, depressive symptoms and stress status: An explanation for the “Joily fat”hypothesis in mddle-aged women in Korea. International journal of obesity. 36 (4): 595-602.
65. Yuan X & Devine D 2016. The role of anxiety in vulnerability for self-injurious behaviour: studies in a rodent model. Behavioural brain research. 311: 201-209.