Obesity and anxiety symptoms: a systematic review and meta-analysis

Neuropsychiatr. 2019 Jun;33(2):72-89. doi: 10.1007/s40211-019-0302-9. Epub 2019 Feb 18.

Abstract

Background: Obesity and anxiety are the two most common health problems and increased body mass index can be lead to anxiety.

Objective: The aim of this meta-analysis was to investigate the frequency of anxiety symptoms in people who are obese/overweight.

Methods: For this purpose the authors systematically searched keywords in the databases PubMed, Scopus, PsycINFO and Google scholar through August 2018. After a comprehensive review, 25 studies were included into the meta-analysis.

Results: Results of the meta-analysis showed that the frequency of anxiety in obesity had a pooled odds ratio (OR) of 1.30 and a 95% confidence interval (CI) of 1.20-1.41 and in overweight had an OR of 1.10 and CI of 1.00-1.21. Comparison between obesity/overweight and normal weight showed high frequency of anxiety in obesity/overweight with respect to subgroups (sex, obesity and anxiety assessment, adjusted/unadjusted, anxiety duration and age). Evaluation of 25 studies included in the meta-analysis showed publication bias.

Conclusion: Overall, findings indicate anxiety occurs more frequently in obese/overweight people compared with normal weight people.

Keywords: Anxiety; Body mass index; Meta-analysis; Obesity; Overweight.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Anxiety / epidemiology*
  • Anxiety / psychology*
  • Body Mass Index
  • Comorbidity
  • Humans
  • Obesity / epidemiology*
  • Obesity / psychology*
  • Odds Ratio

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