title: Psychiatric Status across Body Mass Index in a Mediterranean Spanish Population.
abstract: BACKGROUND
  Mental and body weight disorders are among the major global health challenges, and their comorbidity may play an important role in treatment and prevention of both pathologies. A growing number of studies have examined the relationship between psychiatric status and body weight, but our knowledge is still limited.
  
  
  OBJECTIVE
  The present study aims to investigate the cross-sectional relationships of psychiatric status and body mass index (BMI) in Málaga, a Mediterranean city in the South of Spain.
  
  
  METHODS
  A total of 563 participants were recruited from those who came to his primary care physician, using a systematic random sampling, non-proportional stratified by BMI categories. Structured clinical interviews were used to assess current Axes-I and II mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). BMI was calculated as weight (Kg) divided by square of height in meters (m2). Logistic regression was used to investigate the association between BMI and the presence of any mental disorder. BMI was introduced in the models using restricted cubic splines.
  
  
  RESULTS
  We found that high BMI values were directly associated with mood and adjustment disorders, and low BMI values were directly associated with avoidant and dependent personality disorders (PDs). We observed an inverse relationship between low BMI values and cluster A PDs. There were not significant relationships between anxiety or substance-related disorders and BMI.
  
  
  CONCLUSIONS
  Psychiatric status and BMI are related in a Mediterranean Spanish population. A multidisciplinary approach to both pathologies becomes increasingly more necessary.
authors.affiliation: Department of Public Health and Psychiatry, University of Málaga, Málaga, Spain.
authors.forename: Mario
authors.initials: M
authors.lastname: Gutiérrez-Bedmar
authors.affiliation: Community Mental Health Service, University Hospital Virgen de la Victoria, Málaga, Spain.
authors.forename: Elena
authors.initials: E
authors.lastname: Villalobos Martínez
authors.affiliation: Department of Public Health and Psychiatry, University of Málaga, Málaga, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: García-Rodríguez
authors.affiliation: Department of Public Health and Psychiatry, University of Málaga, Málaga, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Muñoz-Bravo
authors.affiliation: Department of Public Health and Psychiatry, University of Málaga, Málaga, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Mariscal
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D019083:Mediterranean Region; D001523:Mental Disorders / Q000453:epidemiology / Q000473:pathology*; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology / Q000473:pathology / Q000523:psychology*; D013030:Spain / Q000453:epidemiology; D055815:Young Adult