Document Type : Original Article

Authors

1 Child Growth and Development Research Center

2 Cardiac Rehabilitation Research Center

3 Department of Pediatric Endocrinology, Isfahan University of Medical Sciences, Isfahan, Iran

4 Hypertension Research Center, Isfahan Cardiovascular Research Institute,

Abstract

Introduction: Obesity is a growing problem in all countries which leads to various physical,
psychological, and social problems. The present study aimed to assess depression
in children and adolescents aged 10-18-year old compared with the control group.
Materials and Methods: In a case-control study, from among the 10- to 18-year-old students
of the five education districts of Isfahan, 100 people (50 girls and 50 boys) were selected as
obese children with the Body Mass Index (BMI) of greater than 95th percentile for their age
and gender and 100 others (50 girls and 50 boys) as the control group with the BMI of 5th to
85th percentile. The case and control groups were matched for age, gender, and socio-economic
status. After calculating BMI based on weight (kg)/height2 (meter), subjects were interviewed
based on DSM IV criteria to diagnose clinical depression. The severity of children’s depression
was measured using standardized questionnaire. Results: The mean age of the case group
was 12.2 ± 1.86-years old and that of the control group 13.06 ± 2.25. They were, respectively,
diagnosed with depression of 7% and 6%. The mean depression score of the case group
was 11.7 ± 5.3 and that of the control group was 10.6 ± 6.03 with no statistical significance.
Discussion: Given our findings, the Jolly fat hypothesis applies to the case group. It seems
that health policy-makers need to make intervention plans to change behavior; attitude, skill,
and knowledge (BASK) of the public toward obesity and its long-term side-effects.

Keywords

1. Visscher TL, Seidell JC. The public health impact of obesity. Annu
Rev Public Health 2001;22:355‑75.
2. Sampsel S, May J. Assessment and management of obesity and
comorbid conditions. Dis Manag 2007;10:252‑65.
3. Wang Y, Lim H. The global childhood obesity epidemic and the
association between socio‑economic status and childhood obesity.
Int Rev Psychiatry 2012;24:176‑88.
4. Ekelund U, Ong K, Linné Y, Neovius M, Brage S, Dunger DB, et al.
Upward weight percentile crossing in infancy and early childhood
independently predicts fat mass in young adults: The Stockholm
Weight Development Study (SWEDES). Am J Clin Nutr 2006;
83:324‑30.
5. Novak M, Ahlgren C, Hammarström A. A life‑course approach in
explaining social inequity in obesity among young adult men and
women. Int J Obes (Lond) 2006;=30:191‑200.
6. Atlantis E, Baker M. Obesity effects on depression: Systematic
review of epidemiological studies. Int J Obes (Lond) 2008;
32:881‑91.
7. Roberts RE, Strawbridge WJ, Deleger S, Kaplan GA. Are the fat
more jolly? Ann Behav Med 2002;24:169‑80.
8. Mather AA, Cox BJ, Enns MW, Sareen J. Associations of obesity
with psychiatric disorders and suicidal behaviors in a nationally
representative sample. J Psychosom Res 2009;66:277‑85.
9. Hach I, Ruhl UE, Klose M, Klotsche J, Kirch W, Jacobi F. Obesity
and the risk for mental disorders in a representative German adult
sample. Eur J Public Health 2007;17:297‑305.
10. Friedman KE, Reichmann SK, Costanzo PR, Musante GJ. Body
image partially mediates the relationship between obesity and
psychological distress. Obes Res 2002;10:33‑41.
11. Johnston E, Johnson S, McLeod P, Johnston M. The relation of
body mass index to depressive symptoms. Can J Public Health
2004;95:179‑83.
12. Han C, Jo SA, Seo JA, Kim BG, Kim NH, Jo I, et al. Adiposity
parameters and cognitive function in the elderly: Application of “Jolly
Fat” hypothesis to cognition. Arch Gerontol Geriatr 2009;49:e133‑8.
13. Ebbling CB, Pawlak DB, Ludwig DS. Childhood obesity: Public health
crisis, common sense cure. Lancet 2002;360:473‑82.
14. Diagnostic and Statistical Manual of Mental Disorders, Fourth
Edition. Washington, DC: American Psychiatric Association; 1994.
15. Kovacs M. The children’s depression inventory. Psychopharmacol
Bull 1985;21:995‑8.
16. Dehshiri GH, Najafi M, Sheikhi M, Habibi Asgarabad M. Investigating
primary psychometric properties of children’s depression
inventory (CDI). J Fam Res 2009;5:159‑77.
17. Mikkilä V, Lahti‑Koski M, Pietinen P, Virtanen SM, Rimpelä M.
Associates of obesity and weight dissatisfaction among Finnish
adolescents. Public Health Nutr 2003;6:49‑56.
18. Wadden TA, Foster GD, Stunkard AJ, Linowitz JR. Dissatisfaction
with weight and figure in obese girls: Discontent but not depression.
Int J Obes 1989;13:89‑97.
19. Makara‑Studzińska M, Zaborska A. Obesity and body image.
Psychiatr Pol 2009;43:109‑14.
20. Wardle J, Cooke L. The impact of obesity on psychological
well‑being. Best Pract Res Clin Endocrinol Metab 2005;19:421‑40.
21. López‑Guimerà G, Neumark‑Sztainer D, Hannan P, Fauquet J, Loth K,
Sánchez‑Carracedo D. Unhealthy Weight‑control Behaviours,Dieting and Weight Status: A cross‑cultural comparison between
North American and Spanish adolescents. Eur Eat Disord Rev 2013;
21:276‑83.
22. Williams KJ, Taylor CA, Wolf KN, Lawson RF, Crespo R. Cultural
perceptions of healthy weight in rural Appalachian youth. Rural
Remote Health 2008;8:932.
23. Bergstrom RL, Neighbors C, Lewis MA. Do men find “bony”
women attractive?: Consequences of misperceiving opposite sex
perceptions of attractive body image. Body Image 2004;1:183‑91.
24. Revah‑Levy A, Speranza M, Barry C, Hassler C, Gasquet I, Moro MR,
Falissard B. Association between Body Mass Index and depression:
The “fat and jolly” hypothesis for adolescents girls. BMC Public Health
2011;11:649.