Gender differences in the associations between body mass index, depression, anxiety, and stress among endocrinologists in China
Abstract Background Depression, anxiety, and stress symptoms have been found to be associated with overweight or obesity, but the gender differences in the associations have not been well-examined. Based on a national sample of endocrinologists in China, we examined such associations with a focus on...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Psychology |
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| Online Access: | https://doi.org/10.1186/s40359-023-01150-1 |
| _version_ | 1797845701488541696 |
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| author | Fei Xie Licong Jiang Yuanli Liu Mingxiao Wang Huanzhong Liu Feng Jiang Yinuo Wu Yi-Lang Tang |
| author_facet | Fei Xie Licong Jiang Yuanli Liu Mingxiao Wang Huanzhong Liu Feng Jiang Yinuo Wu Yi-Lang Tang |
| author_sort | Fei Xie |
| collection | DOAJ |
| description | Abstract Background Depression, anxiety, and stress symptoms have been found to be associated with overweight or obesity, but the gender differences in the associations have not been well-examined. Based on a national sample of endocrinologists in China, we examined such associations with a focus on gender differences. Methods Data were collected from endocrinologists in China using an online questionnaire, which included demographic data, body weight, and height. Depression, anxiety, and stress symptoms were assessed using the Depression, Anxiety, and Stress Scale-21 (DASS-21). Results In total, 679 endocrinologists (174 males and 505 females) completed the survey. One-fourth (25.6%) were classified as overweight, with a significant gender difference (48.9% in males vs. 17.6% in females, p < 0.05). Overall, 43.4% of the participants endorsed probable depressive symptoms (54.6% in males and 39.6% in females, p = 0.004), 47.6% for anxiety (51.7% in males vs. 46.1% in females, p = 0.203), and 29.6% for stress symptoms (34.5% in males vs. 27.92% in females, p = 0.102). After controlling for confounders, in the whole group, male gender (aOR = 4.07, 95% CI:2.70–6.14, p < 0.001), depression (aOR = 1.05, 95% CI:1.00-1.10, p = 0.034) and age (aOR = 1.03, 95% CI:1.00-1.05, p = 0.018) were positively associated with overweight. In males, depression (aOR = 1.14, 95% CI:1.05–1.25, p = 0.002), administration position (aOR = 4.36, 95% CI:1.69–11.24, p = 0.002), and night shifts/month (aOR = 1.26, 95% CI:1.06–1.49, p = 0.008) were positively associated with overweight, while anxiety (aOR = 0.90, 95% CI:0.82–0.98, p = 0.020) was negatively associated with overweight. In females, only age (aOR = 1.04, 95% CI:1.01–1.07, p = 0.014) was significantly associated with overweight status, while depression and anxiety were not associated with overweight. Stress symptoms were not associated with overweight in either gender. Conclusions One-fourth of endocrinologists in China are overweight, with a rate in males nearly triple the one in females. Depression and anxiety are significantly associated with overweight in males but not females. This suggests possible differences in the mechanism. Our findings also highlight the need to screen depression and overweight in male physicians and the importance of developing gender-specific interventions. |
| first_indexed | 2024-04-09T17:44:21Z |
| format | Article |
| id | doaj.art-da5dfcb91b254759be0d2784547b389b |
| institution | Directory Open Access Journal |
| issn | 2050-7283 |
| language | English |
| last_indexed | 2024-04-09T17:44:21Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj.art-da5dfcb91b254759be0d2784547b389b2023-04-16T11:28:21ZengBMCBMC Psychology2050-72832023-04-011111810.1186/s40359-023-01150-1Gender differences in the associations between body mass index, depression, anxiety, and stress among endocrinologists in ChinaFei Xie0Licong Jiang1Yuanli Liu2Mingxiao Wang3Huanzhong Liu4Feng Jiang5Yinuo Wu6Yi-Lang Tang7Department of Outpatient, Taihe Hospital, Hubei University of MedicineSchool of Medicine and Pharmacy, Wuhan University of BioengineeringSchool of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical CollegeDepartment of Cardiology, Emergency General HospitalDepartment of Psychiatry, Chaohu Hospital of Anhui Medical UniversitySchool of International and Public Affairs, Shanghai Jiao Tong UniversityChinese Academy of Medical Sciences & Peking Union Medical CollegeDepartment of Psychiatry and Behavioral Sciences, Emory UniversityAbstract Background Depression, anxiety, and stress symptoms have been found to be associated with overweight or obesity, but the gender differences in the associations have not been well-examined. Based on a national sample of endocrinologists in China, we examined such associations with a focus on gender differences. Methods Data were collected from endocrinologists in China using an online questionnaire, which included demographic data, body weight, and height. Depression, anxiety, and stress symptoms were assessed using the Depression, Anxiety, and Stress Scale-21 (DASS-21). Results In total, 679 endocrinologists (174 males and 505 females) completed the survey. One-fourth (25.6%) were classified as overweight, with a significant gender difference (48.9% in males vs. 17.6% in females, p < 0.05). Overall, 43.4% of the participants endorsed probable depressive symptoms (54.6% in males and 39.6% in females, p = 0.004), 47.6% for anxiety (51.7% in males vs. 46.1% in females, p = 0.203), and 29.6% for stress symptoms (34.5% in males vs. 27.92% in females, p = 0.102). After controlling for confounders, in the whole group, male gender (aOR = 4.07, 95% CI:2.70–6.14, p < 0.001), depression (aOR = 1.05, 95% CI:1.00-1.10, p = 0.034) and age (aOR = 1.03, 95% CI:1.00-1.05, p = 0.018) were positively associated with overweight. In males, depression (aOR = 1.14, 95% CI:1.05–1.25, p = 0.002), administration position (aOR = 4.36, 95% CI:1.69–11.24, p = 0.002), and night shifts/month (aOR = 1.26, 95% CI:1.06–1.49, p = 0.008) were positively associated with overweight, while anxiety (aOR = 0.90, 95% CI:0.82–0.98, p = 0.020) was negatively associated with overweight. In females, only age (aOR = 1.04, 95% CI:1.01–1.07, p = 0.014) was significantly associated with overweight status, while depression and anxiety were not associated with overweight. Stress symptoms were not associated with overweight in either gender. Conclusions One-fourth of endocrinologists in China are overweight, with a rate in males nearly triple the one in females. Depression and anxiety are significantly associated with overweight in males but not females. This suggests possible differences in the mechanism. Our findings also highlight the need to screen depression and overweight in male physicians and the importance of developing gender-specific interventions.https://doi.org/10.1186/s40359-023-01150-1EndocrinologistsBody mass indexOverweightMental healthGender difference |
| spellingShingle | Fei Xie Licong Jiang Yuanli Liu Mingxiao Wang Huanzhong Liu Feng Jiang Yinuo Wu Yi-Lang Tang Gender differences in the associations between body mass index, depression, anxiety, and stress among endocrinologists in China BMC Psychology Endocrinologists Body mass index Overweight Mental health Gender difference |
| title | Gender differences in the associations between body mass index, depression, anxiety, and stress among endocrinologists in China |
| title_full | Gender differences in the associations between body mass index, depression, anxiety, and stress among endocrinologists in China |
| title_fullStr | Gender differences in the associations between body mass index, depression, anxiety, and stress among endocrinologists in China |
| title_full_unstemmed | Gender differences in the associations between body mass index, depression, anxiety, and stress among endocrinologists in China |
| title_short | Gender differences in the associations between body mass index, depression, anxiety, and stress among endocrinologists in China |
| title_sort | gender differences in the associations between body mass index depression anxiety and stress among endocrinologists in china |
| topic | Endocrinologists Body mass index Overweight Mental health Gender difference |
| url | https://doi.org/10.1186/s40359-023-01150-1 |
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