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Title: Psychiatric Status across Body Mass Index in a Mediterranean Spanish Population.
Authors: Gutiérrez-Bedmar, Mario
Villalobos Martínez, Elena
García-Rodríguez, Antonio
Muñoz-Bravo, Carlos
Mariscal, Alberto
metadata.dc.contributor.authoraffiliation: [Gutiérrez-Bedmar,M; García-Rodríguez,A; Muñoz-Bravo,C; Mariscal,A] Department of Public Health and Psychiatry, University of Málaga, Málaga, Spain. [Villalobos-Martínez,E] Community Mental Health Service, University Hospital Virgen de la Victoria, Málaga, Spain.
Keywords: Trastornos de adaptación;Ansiedad;Índice de masa corporal;Peso corporal;Comorbilidad;Manual diagnóstico y estadístico de los trastornos mentales;Modelos logísticos;España
metadata.dc.subject.mesh: Medical Subject Headings::Psychiatry and Psychology::Mental Disorders::Adjustment Disorders
Medical Subject Headings::Psychiatry and Psychology::Mental Disorders::Anxiety Disorders
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Body Constitution::Body Weights and Measures::Body Mass Index
Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Body Constitution::Body Weights and Measures::Body Size::Body Weight
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Epidemiologic Factors::Comorbidity
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Statistics as Topic::Models, Statistical::Logistic Models
Medical Subject Headings::Information Science::Information Science::Information Services::Documentation::Vocabulary, Controlled::Diagnostic and Statistical Manual of Mental Disorders
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Issue Date: 18-Dec-2015
Publisher: Public Library of Science
Citation: Gutiérrez-Bedmar M, Villalobos Martínez E, García-Rodríguez A, Muñoz-Bravo C, Mariscal A. Psychiatric Status across Body Mass Index in a Mediterranean Spanish Population. PLoS ONE. 2015; 10(12):e0145414
Abstract: BACKGROUND Mental and body weight disorders are among the major global health challenges, and their comorbidity may play an important role in treatment and prevention of both pathologies. A growing number of studies have examined the relationship between psychiatric status and body weight, but our knowledge is still limited. OBJECTIVE The present study aims to investigate the cross-sectional relationships of psychiatric status and body mass index (BMI) in Málaga, a Mediterranean city in the South of Spain. MATERIALS AND METHODS A total of 563 participants were recruited from those who came to his primary care physician, using a systematic random sampling, non-proportional stratified by BMI categories. Structured clinical interviews were used to assess current Axes-I and II mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). BMI was calculated as weight (Kg) divided by square of height in meters (m2). Logistic regression was used to investigate the association between BMI and the presence of any mental disorder. BMI was introduced in the models using restricted cubic splines. RESULTS We found that high BMI values were directly associated with mood and adjustment disorders, and low BMI values were directly associated with avoidant and dependent personality disorders (PDs). We observed an inverse relationship between low BMI values and cluster A PDs. There were not significant relationships between anxiety or substance-related disorders and BMI. CONCLUSION Psychiatric status and BMI are related in a Mediterranean Spanish population. A multidisciplinary approach to both pathologies becomes increasingly more necessary.
Description: Journal Article;
metadata.dc.identifier.doi: 10.1371/journal.pone.0145414
ISSN: 1932-6203 (Online)
Appears in Collections:01- Artículos - Hospital Virgen de la Victoria

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