The "Jolly Fat" Effect in Middle-Aged Korean Women
- Authors
- Yim, G[Yim, Gyeyoon]; Ahn, Y[Ahn, Younjhin]; Cho, J[Cho, Juhee]; Chang, Y[Chang, Yoosoo]; Ryu, S[Ryu, Seungho]; Lim, JY[Lim, Joong-Yeon]; Park, HY[Park, Hyun-Young]
- Issue Date
- Nov-2017
- Publisher
- MARY ANN LIEBERT, INC
- Keywords
- obesity; epidemiology; abdominal obesity; depression; epidemiology; middle aged; psychological stress
- Citation
- JOURNAL OF WOMENS HEALTH, v.26, no.11, pp.1236 - 1243
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- JOURNAL OF WOMENS HEALTH
- Volume
- 26
- Number
- 11
- Start Page
- 1236
- End Page
- 1243
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/26768
- DOI
- 10.1089/jwh.2016.6254
- ISSN
- 1540-9996
- Abstract
- Background: It has been hypothesized that depression and obesity are bi-directionally associated, and when overweight people appear to show a lower risk of depression, this supports the Jolly Fat hypothesis. The aim of this study was to examine the Jolly Fat hypothesis in middle-aged women in Korea, by different perceived stress levels. Methods: We performed a cross-sectional study of 44 to 56 aged Korean women (n=2201) who underwent a health check-up program at the healthcare centers of Kangbuk Samsung Hospital (Seoul and Suwon centers) in Korea. General and abdominal obesity were defined as body mass index 25kg/m(2) and waist circumference 85cm, respectively. Depressive symptoms were measured by a Korean version of the Center for Epidemiologic Studies-Depression scale. The association between obesity and depressive symptoms was investigated by using multiple logistic regression analyses by different levels of perceived stress, with adjustment for potential confounding factors. Results: The prevalence of general and abdominal obesity and depressive symptoms were 23.7%, 21.4%, and 16.5%, respectively. Women with general obesity were less likely to have depressive symptoms (odds ratio [OR]: 0.50; 95% confidence interval [CI]: 0.25-1.00; p-value: 0.049) in the low-stress group. We also found that women with abdominal obesity had a 60% decrease in the odds of having depressive symptoms (OR: 0.40; 95% CI: 0.18-0.87; p-value: 0.02) in the low-stress group. No significant association was found in the high-stress group. Conclusions: These findings indicate that the relationship between obesity and depressive symptoms in the Korean middle-aged women supports the Jolly Fat hypothesis. Further, our results underscore the role of stress as an important potential mediator exerting effects on the association between obesity and depressive symptoms.
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Collections - Samsung Advanced Institute for Health Sciences and Technology, SKKU > Samsung Advanced Institute for Health Sciences and Technology, SKKU > 1. Journal Articles
- Medicine > Department of Medicine > 1. Journal Articles
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