The association between a body shape index and depressive symptoms: a cross-sectional study using NHANES data (2011–2018)

ObjectiveThis study aimed to explore the relationship between A Body Shape Index (ABSI) and depressive symptoms, and to evaluate the moderating effects of sociodemographic, lifestyle, and health factors.MethodsWe analyzed data from 19,659 participants in the 2011–2018 National Health and Nutrition E...

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Main Authors: Zheng Zhang, Xiang-Yan Ruan, Wei Ma
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1510218/full
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author Zheng Zhang
Xiang-Yan Ruan
Wei Ma
author_facet Zheng Zhang
Xiang-Yan Ruan
Wei Ma
author_sort Zheng Zhang
collection DOAJ
description ObjectiveThis study aimed to explore the relationship between A Body Shape Index (ABSI) and depressive symptoms, and to evaluate the moderating effects of sociodemographic, lifestyle, and health factors.MethodsWe analyzed data from 19,659 participants in the 2011–2018 National Health and Nutrition Examination Survey (NHANES). Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). ABSI was calculated from waist circumference, height, and BMI. Multiple linear regression models were employed to investigate the association between ABSI and depressive symptoms, with subgroup analyses to examine potential associations within specific populations.ResultsHigher ABSI was significantly associated with increased depressive symptoms, after adjusting for covariates including age, sex, race, marital status, poverty-income ratio, smoking, alcohol consumption, physical activity, diabetes, and hypertension. Individuals in the highest ABSI quartile (Q4) had significantly more depressive symptoms compared to those in the lowest quartile (Q1) (β = 0.22, 95% CI = 0.02–0.41, p = 0.0323). Subgroup analyses revealed that marital status and hypertension significantly moderated the association between ABSI and depressive symptoms.ConclusionThis study provides the first comprehensive analysis of the link between ABSI and depressive symptoms, suggesting that higher ABSI is associated with greater depressive symptoms. These findings highlight the potential importance of waist circumference and abdominal fat distribution in assessing depression risk. Future research should explore the causal mechanisms underlying this association and investigate the biological pathways involved, to inform more effective strategies for depression prevention and intervention.
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spelling doaj-art-97aeaab74617415c91d532f374bb23f32025-01-24T16:47:04ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011110.3389/fnut.2024.15102181510218The association between a body shape index and depressive symptoms: a cross-sectional study using NHANES data (2011–2018)Zheng Zhang0Xiang-Yan Ruan1Wei Ma2Department of Sports Science, Kyonggi University, Suwon, Republic of KoreaCollege of Martial Arts, Hebei Sports College, Shijiazhuang, ChinaCollege of Martial Arts, Hebei Sports College, Shijiazhuang, ChinaObjectiveThis study aimed to explore the relationship between A Body Shape Index (ABSI) and depressive symptoms, and to evaluate the moderating effects of sociodemographic, lifestyle, and health factors.MethodsWe analyzed data from 19,659 participants in the 2011–2018 National Health and Nutrition Examination Survey (NHANES). Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). ABSI was calculated from waist circumference, height, and BMI. Multiple linear regression models were employed to investigate the association between ABSI and depressive symptoms, with subgroup analyses to examine potential associations within specific populations.ResultsHigher ABSI was significantly associated with increased depressive symptoms, after adjusting for covariates including age, sex, race, marital status, poverty-income ratio, smoking, alcohol consumption, physical activity, diabetes, and hypertension. Individuals in the highest ABSI quartile (Q4) had significantly more depressive symptoms compared to those in the lowest quartile (Q1) (β = 0.22, 95% CI = 0.02–0.41, p = 0.0323). Subgroup analyses revealed that marital status and hypertension significantly moderated the association between ABSI and depressive symptoms.ConclusionThis study provides the first comprehensive analysis of the link between ABSI and depressive symptoms, suggesting that higher ABSI is associated with greater depressive symptoms. These findings highlight the potential importance of waist circumference and abdominal fat distribution in assessing depression risk. Future research should explore the causal mechanisms underlying this association and investigate the biological pathways involved, to inform more effective strategies for depression prevention and intervention.https://www.frontiersin.org/articles/10.3389/fnut.2024.1510218/fulla body shape indexdepressive symptomscrosssectional analysisNHANESassociation
spellingShingle Zheng Zhang
Xiang-Yan Ruan
Wei Ma
The association between a body shape index and depressive symptoms: a cross-sectional study using NHANES data (2011–2018)
Frontiers in Nutrition
a body shape index
depressive symptoms
crosssectional analysis
NHANES
association
title The association between a body shape index and depressive symptoms: a cross-sectional study using NHANES data (2011–2018)
title_full The association between a body shape index and depressive symptoms: a cross-sectional study using NHANES data (2011–2018)
title_fullStr The association between a body shape index and depressive symptoms: a cross-sectional study using NHANES data (2011–2018)
title_full_unstemmed The association between a body shape index and depressive symptoms: a cross-sectional study using NHANES data (2011–2018)
title_short The association between a body shape index and depressive symptoms: a cross-sectional study using NHANES data (2011–2018)
title_sort association between a body shape index and depressive symptoms a cross sectional study using nhanes data 2011 2018
topic a body shape index
depressive symptoms
crosssectional analysis
NHANES
association
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1510218/full
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