期刊论文详细信息
BMC Public Health
Body mass index and subjective well-being in young adults: a twin population study
Aila Rissanen2  Anna Keski-Rahkonen1  Elina Sihvola2  Anu Raevuori4  Jaakko Kaprio3  Milla S Linna1 
[1] Hjelt Institute, Department of Public Health, University of Helsinki, Helsinki, Finland;Department of Psychiatry, Helsinki University Central Hospital, Helsinki, Finland;Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Helsinki, Finland;Department of Adolescent Psychiatry, Helsinki University Central Hospital, Helsinki, Finland
关键词: Twin study;    Eating disorders;    GHQ-20;    Life satisfaction;    Subjective well-being;    Body mass index;   
Others  :  1162449
DOI  :  10.1186/1471-2458-13-231
 received in 2012-07-11, accepted in 2013-02-27,  发布年份 2013
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【 摘 要 】

Background

Body mass index (BMI) is associated with subjective well-being. Higher BMI is believed to be related with lower well-being. However, the association may not be linear. Therefore, we investigated whether a nonlinear (U-shaped) trend would better describe this relationship, and whether eating disorders might account for the association in young adults.

Methods

FinnTwin16 study evaluated multiple measures of subjective well-being, including life satisfaction, General Health Questionnaire (GHQ-20), satisfaction with leisure time, work, and family relationships, and satisfaction with sex life in young adulthood in the 1975–79 birth cohorts of Finnish twins (n=5240). We studied the relationship between indicators of subjective well-being and BMI both in full birth cohorts and in subgroups stratified by lifetime DSM-IV eating disorders.

Results

We found an inverse U-shaped relationship between all indicators of subjective well-being and BMI in men. There was no overall association between BMI and subjective well-being in women. However, there was an inverse U-shaped relationship between BMI and indicators of subjective well-being in women with a lifetime eating disorder and their healthy female co-twins. Subjective well-being was optimal in the overweight category.

Conclusions

Both underweight and obesity are associated with impaired subjective well-being in young men. The BMI reflecting optimal subjective well-being of young men may be higher than currently recognized. Categorization of body weight in terms of BMI may need to be reassessed in young men. BMI and subjective well-being are related in women with a lifetime eating disorder, but not in the general population of young women.

【 授权许可】

   
2013 Linna et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH: The disease burden associated with overweight and obesity. JAMA 1999, 282:1523-1529.
  • [2]Petry NM, Barry D, Pietrzak RH, Wagner JA: Overweight and obesity are associated with psychiatric disorders: results from the national epidemiologic survey on alcohol and related conditions. Psychosom Med 2008, 70:288-297.
  • [3]Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, et al.: Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 2010, 67:220-229.
  • [4]Childers DK, Allison DB: The ‘obesity paradox’: a parsimonious explanation for relations among obesity, mortality rate and aging? Int J Obes 2010, 34:1231-1238.
  • [5]de Wit LM, van Straten A, van Herten M, Penninx BW, Cuijpers P: Depression and body mass index, a U-shaped association. BMC Publ Health 2009, 9:14. BioMed Central Full Text
  • [6]Ford ES, Moriarty DG, Zack MM, Mokdad AH, Chapman DP: Self-reported body mass index and health-related quality of life: findings from the behavioral risk factor surveillance system. Obes Res 2001, 9:21-31.
  • [7]Wee HL, Cheung YB, Loke WC, Tan CB, Chow MH, Li SC, et al.: The association of body mass index with health-related quality of life: an exploratory study in a multiethnic Asian population. Value Health 2008, 11(Suppl 1):S105-S114.
  • [8]Hopman WM, Berger C, Joseph L, Barr SI, Gao Y, Prior JC, et al.: The association between body mass index and health-related quality of life: data from CaMos, a stratified population study. Qual Life Res 2007, 16:1595-1603.
  • [9]Han TS, Tijhuis MA, Lean ME, Seidell JC: Quality of life in relation to overweight and body fat distribution. Am J Public Health 1998, 88:1814-1820.
  • [10]Fontaine KR, Barofsky I: Obesity and health-related quality of life. Obes Rev 2001, 2:173-182.
  • [11]Larsson U, Karlsson J, Sullivan M: Impact of overweight and obesity on health-related quality of life - a Swedish population study. Int J Obes Relat Metab Disord 2002, 26:417-424.
  • [12]Lean ME, Han TS, Seidell JC: Impairment of health and quality of life in people with large waist circumference. Lancet 1998, 351:853-856.
  • [13]de Wit L, Luppino F, van Straten A, Penninx B, Zitman F, Cuijpers P: Depression and obesity: a meta-analysis of community-based studies. Psychiatry Res 2010, 178:230-235.
  • [14]Diener E: Subjective well-being. Psychol Bull 1984, 95:542-575.
  • [15]Ali SM, Lindstrom M: Socioeconomic, psychosocial, behavioural, and psychological determinants of BMI among young women: differing patterns for underweight and overweight/obesity. Eur J Public Health 2006, 16:325-331.
  • [16]McCrea RL, Berger YG, King MB: Body mass index and common mental disorders: exploring the shape of the association and its moderation by age, gender and education. Int J Obes 2011, 36:414-421.
  • [17]Hudson JI, Hiripi E, Pope HG Jr, Kessler RC: The prevalence and correlates of eating disorders in the national comorbidity survey replication. Biol Psychiatry 2007, 61:348-358.
  • [18]Keski-Rahkonen A, Hoek HW, Susser ES, Linna MS, Sihvola E, Raevuori A, et al.: Epidemiology and course of anorexia nervosa in the community. Am J Psychiatry 2007, 164:1259-1265.
  • [19]Keski-Rahkonen A, Hoek HW, Linna MS, Raevuori A, Sihvola E, Bulik CM, et al.: Incidence and outcomes of bulimia nervosa: a nationwide population-based study. Psychol Med 2009, 39:823-831.
  • [20]Preti A, Girolamo G, Vilagut G, Alonso J, Graaf R, Bruffaerts R, et al.: The epidemiology of eating disorders in six european countries: results of the ESEMeD-WMH project. J Psychiatr Res 2009, 43:1125-1132.
  • [21]Keski-Rahkonen A, Sihvola E, Raevuori A, Kaukoranta J, Bulik CM, Hoek HW, et al.: Reliability of self-reported eating disorders: optimizing population screening. Int J Eat Disord 2006, 39:754-762.
  • [22]First M, Spitzer R, Gibbon M, Williams J: Structured clinical interview for DSM-IV-TR axis I disorders, research version, non-patient edition (SCID-I/NP). New York: Biometrics Research, New York State Psychiatric Institute; 2002.
  • [23]Goldberg DP: The detection of psychiatric illness by questionnaire. London: Oxford University Press; 1972.
  • [24]Penninkilampi-Kerola V, Miettunen J, Ebeling H: A comparative assessment of the factor structures and psychometric properties of the GHQ-12 and the GHQ-20 based on data from a Finnish population-based sample. Scand J Psychol 2006, 47:431-440.
  • [25]Koivumaa-Honkanen H, Kaprio J, Honkanen R, Viinamaki H, Koskenvuo M: Life satisfaction and depression in a 15-year follow-up of healthy adults. Soc Psychiatry Psychiatr Epidemiol 2004, 39:994-999.
  • [26]Koivumaa-Honkanen H, Honkanen R, Viinamaki H, Heikkila K, Kaprio J, Koskenvuo M: Life satisfaction and suicide: a 20-year follow-up study. Am J Psychiatry 2001, 158:433-439.
  • [27]Allardt E: About dimension of welfare: an explanatory analysis of the comparative Scandinavian survey. University of Helsinki research group of comparative sociology research report 1. Helsinki, Finland: University of Helsinki; 1973.
  • [28]Mustelin L, Silventoinen K, Pietilainen K, Rissanen A, Kaprio J: Physical activity reduces the influence of genetic effects on BMI and waist circumference: a study in young adult twins. Int J Obes 2009, 33:29-36.
  • [29]Latvala A, Dick DM, Tuulio-Henriksson A, Suvisaari J, Viken RJ, Rose RJ, et al.: Genetic correlation and gene-environment interaction between alcohol problems and educational level in young adulthood. J Stud Alcohol Drugs 2011, 72:210-220.
  • [30]Lahti-Koski M, Pietinen P, Heliovaara M, Vartiainen E: Associations of body mass index and obesity with physical activity, food choices, alcohol intake, and smoking in the 1982–1997 FINRISK studies. Am J Clin Nutr 2002, 75:809-817.
  • [31]Pajari M, Pietilainen KH, Kaprio J, Rose RJ, Saarni SE: The effect of alcohol consumption on later obesity in early adulthood - a population-based longitudinal study. Alcohol Alcohol 2010, 45:173-179.
  • [32]Blow FC, Serras AM, Barry KL: Late-life depression and alcoholism. Curr Psychiatry Rep 2007, 9:14-19.
  • [33]Williams RL: A note on robust variance estimation for cluster-correlated data. Biometrics 2000, 56:645-646.
  • [34]Barry D, Pietrzak RH, Petry NM: Gender differences in associations between body mass index and DSM-IV mood and anxiety disorders: results from the national epidemiologic survey on alcohol and related conditions. Ann Epidemiol 2008, 18:458-466.
  • [35]Zhao G, Ford ES, Dhingra S, Li C, Strine TW, Mokdad AH: Depression and anxiety among US adults: associations with body mass index. Int J Obes 2009, 33:257-266.
  • [36]Goldney RD, Dunn KI, Air TM, Dal Grande E, Taylor AW: Relationships between body mass index, mental health, and suicidal ideation: population perspective using two methods. Aust N Z J Psychiatry 2009, 43:652-658.
  • [37]McLaren L, Beck CA, Patten SB, Fick GH, Adair CE: The relationship between body mass index and mental health. A population-based study of the effects of the definition of mental health. Soc Psychiatry Psychiatr Epidemiol 2008, 43:63-71.
  • [38]Raevuori A, Keski-Rahkonen A, Bulik CM, Rose RJ, Rissanen A, Kaprio J: Muscle dissatisfaction in young adult men. Clin Pract Epidemiol Ment Health 2006, 4(2):6.
  • [39]Wee HL, Wu Y, Thumboo J, Lee J, Tai ES: Association of body mass index with short-form 36 physical and mental component summary scores in a multiethnic Asian population. Int J Obes 2010, 34:1034-1043.
  • [40]Jia H, Lubetkin EI: The impact of obesity on health-related quality-of-life in the general adult US population. J Public Health 2005, 27:156-164.
  • [41]Bjerkeset O, Romundstad P, Evans J, Gunnell D: Association of adult body mass index and height with anxiety, depression, and suicide in the general population: the HUNT study. Am J Epidemiol 2008, 167:193-202.
  • [42]Afari N, Noonan C, Goldberg J, Roy-Byrne P, Schur E, Golnari G, et al.: Depression and obesity: do shared genes explain the relationship? Depress Anxiety 2010, 27:799-806.
  • [43]Lilenfeld LR, Kaye WH, Greeno CG, Merikangas KR, Plotnicov K, Pollice C, et al.: A controlled family study of anorexia nervosa and bulimia nervosa: psychiatric disorders in first-degree relatives and effects of proband comorbidity. Arch Gen Psychiatry 1998, 55:603-610.
  • [44]Wade TD, Bulik CM, Neale M, Kendler KS: Anorexia nervosa and major depression: shared genetic and environmental risk factors. Am J Psychiatry 2000, 157:469-471.
  • [45]Rissanen A, Heliovaara M, Aromaa A: Overweight and anthropometric changes in adulthood: a prospective study of 17,000 Finns. Int J Obes 1988, 12:391-401.
  • [46]Chitkara B, Macdonald A, Reveley AM: Twin birth and adult psychiatric disorder. An examination of the case records of the Maudsley Hospital. Br J Psychiatry 1988, 152:391-398.
  • [47]Kendler KS, Martin NG, Heath AC, Eaves LJ: Self-report psychiatric symptoms in twins and their nontwin relatives: are twins different? Am J Med Genet 1995, 60:588-591.
  • [48]Kaprio J: The Finnish Twin cohort study: an update. Twin Res Hum Genet 2013. epub ahead of print
  • [49]Pinheiro AP, Raney TJ, Thornton LM, Fichter MM, Berrettini WH, Goldman D, et al.: Sexual functioning in women with eating disorders. Int J Eat Disord 2010, 43:123-129.
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