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Physical environment may modify the association between depressive symptoms and change in waist circumference: the multi-ethnic study of atherosclerosis
Journal article   Open access

Physical environment may modify the association between depressive symptoms and change in waist circumference: the multi-ethnic study of atherosclerosis

Rosemay A Remigio-Baker, Ana V Diez Roux, Moyses Szklo, Rosa M Crum, Jeannie-Marie Leoutsakos, Manuel Franco, Pamela J Schreiner, Mercedes R Carnethon, Jennifer A Nettleton, Mahasin S Mujahid, …
Psychosomatics (Washington, D.C.), v 55(2)
Mar 2014
DOI: https://doi.org/10.1016/j.psym.2013.10.008
PMID: 24388121
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc3959258View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Adiposity Aged Aged, 80 and over Body Mass Index Depression - epidemiology Environment Design Female Humans Linear Models Male Middle Aged Multivariate Analysis Overweight - epidemiology Residence Characteristics - statistics & numerical data Social Environment United States - epidemiology Waist Circumference
Although the bidirectional association between depressive symptoms and adiposity has been recognized, the contribution of neighborhood factors to this relationship has not been assessed. This study evaluates whether physical and social neighborhood environments modify the bidirectional relationship between depressive symptoms and adiposity (measured by waist circumference and body mass index). Using data on 5,122 men and women (ages 45 to 84 years) from the Multi-Ethnic Study of Atherosclerosis (MESA) we investigated whether neighborhood physical (i.e., walking environment and availability of healthy food) and social (i.e., safety, aesthetics, and social coherence) environments modified the association between the following: (1) baseline elevated depressive symptoms (Center for Epidemiologic Study Depression Scale score ≥ 16) and change in adiposity (as measured by waist circumference and body mass index) and (2) baseline overweight/obesity (waist circumference > 102 cm for men and >88 cm for women, or body mass index ≥ 25 kg/m(2)) and change in depressive symptoms using multilevel models. Neighborhood-level factors were obtained from the MESA Neighborhood Study. A greater increase in waist circumference in participants with vs without elevated depressive symptoms was observed in those living in poorly-rated physical environments but not in those living in better-rated environments (interaction p = 0.045). No associations were observed with body mass index. Baseline overweight/obesity was not associated with change in depressive symptoms and there was no modification by neighborhood-level factors. Elevated depressive symptoms were associated with greater increase in waist circumference among individuals living in poorly-rated physical environments than in those in better-rated physical environments. No association was found between overweight/obesity and change in depressive symptoms.

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5 Record Views
10 citations in Web of Science
11 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#10 Reduced Inequalities

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
Psychology
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