title: Relationships of mental disorders and weight status in the Korean adult population.
abstract: The purpose of this study was to evaluate the associations between weight status and mental disorders, including depressive disorder, anxiety disorder and alcohol use disorder. A total of nationally representative 6,510 subjects aged 18-64 yr was interviewed in face-to-face household survey. Response rate was 81.7%. Mental disorders were diagnosed using the Korean version of the Composite International Diagnostic Interview (K-CIDI). The subjects reported their heights and weights. After adjusting for age and gender, the lifetime diagnosis of depressive disorder had a significant association with only the underweight group (odds ratio [OR], 1.68, 95% confidence interval [CI], 1.19-2.38). The association between underweight and depressive disorder was the strongest for subjects with a high education level (OR, 1.75, 95% CI, 1.2-2.56), subjects with a married/cohabiting status (OR, 1.94, 95% CI, 1.17-3.22) and smokers (OR, 2.58, 95% CI, 1.33-4.98). There was no significant association between obesity and depressive disorder in Korea. But there was a significant association between the underweight group and depressive disorder. The relationship between obesity and mental disorder in a Korean population was different from that in a Western population. These results suggest that the differences of traditional cultures and races might have an important effect on the associations between the weight status and mental disorders.
authors.affiliation: Department of Psychiatry, Inha University College of Medicine, Incheon, Korea.
authors.forename: Young-Kyung
authors.initials: YK
authors.lastname: Sunwoo
authors.forename: Jae Nam
authors.initials: JN
authors.lastname: Bae
authors.forename: Bong-Jin
authors.initials: BJ
authors.lastname: Hahm
authors.forename: Dong-Woo
authors.initials: DW
authors.lastname: Lee
authors.forename: Jong-Ik
authors.initials: JI
authors.lastname: Park
authors.forename: Seong-Jin
authors.initials: SJ
authors.lastname: Cho
authors.forename: Jun-Young
authors.initials: JY
authors.lastname: Lee
authors.forename: Jin-Yeong
authors.initials: JY
authors.lastname: Kim
authors.forename: Sung Man
authors.initials: SM
authors.lastname: Chang
authors.forename: Hong Jin
authors.initials: HJ
authors.lastname: Jeon
authors.forename: Maeng Je
authors.initials: MJ
authors.lastname: Cho
mesh_terms: D000293:Adolescent; D000328:Adult; D019973:Alcohol-Related Disorders / Q000175:diagnosis; D001008:Anxiety Disorders / Q000175:diagnosis; D001835:Body Weight; D003866:Depressive Disorder / Q000175:diagnosis; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology; D016017:Odds Ratio; D056910:Republic of Korea; D012307:Risk Factors; D013851:Thinness