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Aile Hekimliği Polikliniğine Başvuran Hastaların Beden Kitle İndeksi ve Depresyon Düzeyleri Arasındaki İlişkinin Değerlendirilmesi

Year 2026, Issue: Advanced Online Publication, 66 - 79
https://doi.org/10.19127/mbsjohs.1754872

Abstract

References

  • Umay B, Demiralp N, Koç H. Investigation of the relationship between body image and depression. Çanakkale Onsekiz Mart Journal of Sports Sciences. 2024;7(2):1–10.
  • Yıldız S, Eliş Yıldız S. The relationship between bullying and depression: a study among healthcare workers in Kars, Turkey. Istanbul Commerce University Journal of Social Sciences. 2009;8(15):133–50.
  • Özmen D, Özmen E, Ergin D, Soysal S, Unsal S, Bugay N. The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents. BMC Public Health. 2007 Apr 27;7:80. doi: 10.1186/1471-2458-7-80.
  • WONCA Europe. The European Definition of General Practice / Family Medicine. 2011 Edition. Available from: https://www.woncaeurope.org/page/definition-of-general-practice-family-medicine [Accessed 2022 Oct 25].
  • World Health Organization. Integrating mental health into primary care: A global perspective. Geneva: WHO Press; 2008.
  • Carpenter KM, Hasin DS, Allison DB, Faith MS. Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study. Am J Public Health. 2000;90(2):251–7.
  • Crisp AH, McGuiness B. Jolly fat: relation between obesity and psychoneurosis in the general population. Br Med J. 1976;1:7–9.
  • Deveci A, Demet MM, Özmen B, Kafesçiler SÖ, Özmen E, Hekimsoy Z, et al. Treatment response and alexithymia in obesity. Klinik Psikiyatri Dergisi. 2006;9(4):170–6.
  • Ross CE. Overweight and depression. J Health Soc Behav. 1994;35(1):63–79.
  • Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. Twelve‑year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169–80. doi:10.1007/s10654-013-9771-5.
  • Djernes JK. Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatr Scand. 2006;113(5):372–87.
  • Stone AA, Schwartz JE, Broderick JE, Deaton A. A snapshot of the age distribution of psychological well-being in the United States. Proc Natl Acad Sci U S A. 2010;107(22):9985–90.
  • Albert PR. Why is depression more prevalent in women? J Psychiatry Neurosci. 2015;40(4):219–21.
  • Salk RH, Hyde JS, Abramson LY. Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms. Psychol Bull. 2017;143(8):783–822.
  • Kayahan B, Altıntoprak E, Karabilgin S, Öztürk Ö. Prevalence of depression and its severity among women aged 15–49 years. Anatolian Journal of Psychiatry. 2003;4(4):208–19.
  • Yalçın C. Investigation of psychiatric comorbidity in patients diagnosed with obesity [Specialization Thesis]. Afyonkarahisar: Afyon Kocatepe University Faculty of Medicine, Department of Mental Health and Diseases; 2013.
  • Nyaruchuca CN, Achen JH, Msuya JM, Shayo NB, Kulwa KB. Prevalence and awareness of obesity among people of different age groups in educational institutions in Morogoro, Tanzania. East Afr Med J. 2003;80(2):68–72.
  • Coyne JC, Thompson R, Palmer SC. Marital quality, coping with conflict, and depression: a longitudinal investigation. J Fam Psychol. 2001;15(1):123–34.
  • Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med. 2008;7(7):e1000316.
  • Whisman MA, Uebelacker LA. Impairment and distress associated with relationship discord in a national sample of married or cohabiting adults. J Fam Psychol. 2003;17(4):561–6.
  • Cutler DM, Glaeser EL, Shapiro JM. Why have Americans become more obese? J Econ Perspect. 2003;17(3):93–118.
  • Monteiro CA, Moura EC, Conde WL, Popkin BM. Socioeconomic status and obesity in adult populations of developing countries: a review. Bull World Health Organ. 2004;82:940–6.
  • Şengül S, Lopcu K, Cam S. Correlation between educational status and cardiovascular risk factors in an overweight and obese Turkish female population. Int J Epidemiol. 1999;28(3):445–49.
  • Sarlio-Lahteenkorva S, Lahelma E. The association of body mass index with social and economic disadvantage in women and men. Int J Epidemiol. 1999;28(3):445–9.
  • Kim TJ, von dem Knesebeck O. Is an insecure job better for health than having no job at all? A systematic review of studies investigating the health-related risks of both job insecurity and unemployment. BMC Public Health. 2015;15(1):985.
  • Devaux M, Sassi F. Social inequalities in obesity and overweight in 11 OECD countries. Eur J Public Health. 2013;23(3):464–9.
  • Mammen G, Faulkner G. Physical activity and the prevention of depression. Am J Prev Med. 2013;45(5):649–57.
  • Blumenthal JA, Babyak MA, Moore KA, Craighead WE, Herman S, Khatri P, et al. Effects of exercise training on older patients with major depression. Arch Intern Med. 1999;159(19):2349–56.

Evaluation of the Relationship Between Body Mass Index and Depression Levels of Patients Applying to the Family Medicine Outpatient Clinic

Year 2026, Issue: Advanced Online Publication, 66 - 79
https://doi.org/10.19127/mbsjohs.1754872

Abstract

Objective: This study aimed to evaluate the relationship between Body Mass Index (BMI) and depression levels among patients admitted to the family medicine outpatient clinic, as well as the sociodemographic factors influencing this relationship.
Method: This single-center, cross-sectional study was conducted with 205 individuals who applied to the Family Medicine Outpatient Clinic of Giresun University Training and Research Hospital between October 16, 2024, and April 16, 2025. The sample size was determined using G*Power analysis, and ethical approval was obtained with the decision number 16.10.2024/05. Participants underwent height and weight measurements and completed an 11-item questionnaire including sociodemographic information and the Beck Depression Inventory. Data were analyzed using SPSS version 26.0, and a p-value of < 0.05 was considered statistically significant.
Results: In this study, no statistically significant relationship was found between BMI and depression. However, a weak positive correlation was observed between age and BMI, while a weak negative correlation was found between age and depression. Depression levels were higher among women and unmarried individuals. Married, less educated, and unemployed participants had significantly higher BMI values. In addition, individuals who engaged in regular physical activity had lower levels of depression.
Conclusion: In this study, no statistically significant relationship was found between BMI and depression levels. This result indicates that obesity and depression interact in a multidimensional manner influenced by individual differences. Therefore, holistic and multidisciplinary approaches encompassing both physical and mental health are recommended in primary care settings.

Supporting Institution

No

Thanks

The authors would like to appreciate the patients participation in this study.

References

  • Umay B, Demiralp N, Koç H. Investigation of the relationship between body image and depression. Çanakkale Onsekiz Mart Journal of Sports Sciences. 2024;7(2):1–10.
  • Yıldız S, Eliş Yıldız S. The relationship between bullying and depression: a study among healthcare workers in Kars, Turkey. Istanbul Commerce University Journal of Social Sciences. 2009;8(15):133–50.
  • Özmen D, Özmen E, Ergin D, Soysal S, Unsal S, Bugay N. The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents. BMC Public Health. 2007 Apr 27;7:80. doi: 10.1186/1471-2458-7-80.
  • WONCA Europe. The European Definition of General Practice / Family Medicine. 2011 Edition. Available from: https://www.woncaeurope.org/page/definition-of-general-practice-family-medicine [Accessed 2022 Oct 25].
  • World Health Organization. Integrating mental health into primary care: A global perspective. Geneva: WHO Press; 2008.
  • Carpenter KM, Hasin DS, Allison DB, Faith MS. Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study. Am J Public Health. 2000;90(2):251–7.
  • Crisp AH, McGuiness B. Jolly fat: relation between obesity and psychoneurosis in the general population. Br Med J. 1976;1:7–9.
  • Deveci A, Demet MM, Özmen B, Kafesçiler SÖ, Özmen E, Hekimsoy Z, et al. Treatment response and alexithymia in obesity. Klinik Psikiyatri Dergisi. 2006;9(4):170–6.
  • Ross CE. Overweight and depression. J Health Soc Behav. 1994;35(1):63–79.
  • Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. Twelve‑year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169–80. doi:10.1007/s10654-013-9771-5.
  • Djernes JK. Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatr Scand. 2006;113(5):372–87.
  • Stone AA, Schwartz JE, Broderick JE, Deaton A. A snapshot of the age distribution of psychological well-being in the United States. Proc Natl Acad Sci U S A. 2010;107(22):9985–90.
  • Albert PR. Why is depression more prevalent in women? J Psychiatry Neurosci. 2015;40(4):219–21.
  • Salk RH, Hyde JS, Abramson LY. Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms. Psychol Bull. 2017;143(8):783–822.
  • Kayahan B, Altıntoprak E, Karabilgin S, Öztürk Ö. Prevalence of depression and its severity among women aged 15–49 years. Anatolian Journal of Psychiatry. 2003;4(4):208–19.
  • Yalçın C. Investigation of psychiatric comorbidity in patients diagnosed with obesity [Specialization Thesis]. Afyonkarahisar: Afyon Kocatepe University Faculty of Medicine, Department of Mental Health and Diseases; 2013.
  • Nyaruchuca CN, Achen JH, Msuya JM, Shayo NB, Kulwa KB. Prevalence and awareness of obesity among people of different age groups in educational institutions in Morogoro, Tanzania. East Afr Med J. 2003;80(2):68–72.
  • Coyne JC, Thompson R, Palmer SC. Marital quality, coping with conflict, and depression: a longitudinal investigation. J Fam Psychol. 2001;15(1):123–34.
  • Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med. 2008;7(7):e1000316.
  • Whisman MA, Uebelacker LA. Impairment and distress associated with relationship discord in a national sample of married or cohabiting adults. J Fam Psychol. 2003;17(4):561–6.
  • Cutler DM, Glaeser EL, Shapiro JM. Why have Americans become more obese? J Econ Perspect. 2003;17(3):93–118.
  • Monteiro CA, Moura EC, Conde WL, Popkin BM. Socioeconomic status and obesity in adult populations of developing countries: a review. Bull World Health Organ. 2004;82:940–6.
  • Şengül S, Lopcu K, Cam S. Correlation between educational status and cardiovascular risk factors in an overweight and obese Turkish female population. Int J Epidemiol. 1999;28(3):445–49.
  • Sarlio-Lahteenkorva S, Lahelma E. The association of body mass index with social and economic disadvantage in women and men. Int J Epidemiol. 1999;28(3):445–9.
  • Kim TJ, von dem Knesebeck O. Is an insecure job better for health than having no job at all? A systematic review of studies investigating the health-related risks of both job insecurity and unemployment. BMC Public Health. 2015;15(1):985.
  • Devaux M, Sassi F. Social inequalities in obesity and overweight in 11 OECD countries. Eur J Public Health. 2013;23(3):464–9.
  • Mammen G, Faulkner G. Physical activity and the prevention of depression. Am J Prev Med. 2013;45(5):649–57.
  • Blumenthal JA, Babyak MA, Moore KA, Craighead WE, Herman S, Khatri P, et al. Effects of exercise training on older patients with major depression. Arch Intern Med. 1999;159(19):2349–56.
There are 28 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Article
Authors

Aslı Dikmen 0009-0008-1941-6707

Arzu Ayraler 0000-0002-5244-7571

Submission Date July 31, 2025
Acceptance Date November 16, 2025
Early Pub Date December 1, 2025
Published in Issue Year 2026 Issue: Advanced Online Publication

Cite

Vancouver Dikmen A, Ayraler A. Evaluation of the Relationship Between Body Mass Index and Depression Levels of Patients Applying to the Family Medicine Outpatient Clinic. Mid Blac Sea J Health Sci. 2025(Advanced Online Publication):66-79.