Mental Distress, Obesity and Body Fat Distribution in Middle‐Aged Men

Rosmond, Roland; Lapidus, Leif; Mårin, Per; Björntorp, Per

doi:10.1002/j.1550-8528.1996.tb00542.x

Cited by 198 publications

(180 citation statements)

References 24 publications

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“…Obesity prevalence GA King et al Similar to physical inactivity, the prevalence of obesity is suggested to be inversely related to education, socioeconomic status, and cultural in¯uences. 2,40 Analysis of the NHANES III database shows that for the general US population above age 20 y, the prevalence of obesity (BMI b 30 kgam 2 ) was reported to be approximately 20% for men and 25% for women. 3 Our study found the prevalence of obesity for the disease-free adults above 20 y of age employed in high and low activity occupations to be 16.8% (15.1% for men and 19.1% for women).…”

Section: Discussionmentioning

confidence: 99%

Relationship of leisure-time physical activity and occupational activity to the prevalence of obesity

et al. 2001

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OBJECTIVE: To assess the interaction between leisure-time physical activity (LTPA) and occupational activity (OA) on the prevalence of obesity. DESIGN: Secondary data analysis of a population based cross-sectional US national sample (NHANES III). SUBJECTS: A total of 4889 disease-free, currently employed adults over age 20 y. MEASUREMENTS: Subjects body mass index (BMI) was categorized as (1) obese (BMI ! 30 kgam 2 ), or (2) non-obese (BMI`30 kgam 2 ). LTPA was divided into four categories: (1) no LTPA; (2) irregular LTPA; (3) regular moderate intensity LTPA; and (4) regular vigorous intensity LTPA. OA was grouped as (1) high OA and (2) low OA. Age, gender, race ± ethnicity, smoking status, urbanization classi®cation, alcohol consumption and income were statistically controlled. RESULTS: In all, 16.8% (s.e. 0.7) of the total subject population were obese (15.1% (s.e. 1.1) of men and 19.1% (s.e. 1.1) of women). Logistic regression revealed that compared to those who engage in no LTPA and have low levels of OA, the likelihood of being obese is 42% (95% CI 0.35, 0.96) lower for those who engage in no LTPA and have high OA, 48% (95% CI 0.32, 0.83) lower for those who have irregular LTPA and have high levels of OA, and about 50% lower for all those who have regular LTPA through moderate or vigorous activity levels regardless of OA level. CONCLUSION: When considering disease free adults above 20 y of age employed in high and low activity occupations, a high level of occupational activity is associated with a decreased likelihood of being obese.

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Section: Discussionmentioning

confidence: 99%

Relationship of leisure-time physical activity and occupational activity to the prevalence of obesity

et al. 2001

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“…Language may affect BMI through its association with mental health. Among both Latinos and Asians, English proficiency has been associated with increased psychological distress (Zhang et al, 2012); poorer mental health, in turn, has been associated with increased BMI (Rosmond et al, 1996).…”

Section: English Proficiencymentioning

confidence: 99%

Duration of U.S. stay and body mass index among Latino and Asian immigrants: A test of theoretical pathways

Bostean

2015

Social Science & Medicine

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Studies find that longer-term immigrants have higher body mass index (BMI) than their more recently-arrived counterparts. Most interpretations of these health patterns by duration of U.S. residence rely on theories of immigrant integration; they posit that with increasing time in the United States, immigrants incorporate economically, socially, and culturally into aspects of U.S. society, and that these changes impact health. Few studies empirically examine whether these aspects of integration are indeed mediators of the association between duration of U.S. stay and BMI, and if their patterns differ across immigrant subgroups. This study examines data from the National Latino and Asian American Survey, using path analytic methods to simultaneously test six hypothesized mediators between duration and BMI: household income, English language ability, ethnic identity, family cohesion, acculturative stress and discrimination for both Latino and Asian immigrants, stratified by gender. We find little evidence for an association between duration and BMI for either Latino or Asian men. For women, duration and BMI have a significant and positive relationship, although the pathways differ between the two ethnic groups.For Latina women, household income and acculturative stress are significant indirect pathways, although they work in opposing directions. For Asian women, English proficiency and discrimination are significant indirect pathways. Our findings reveal complex pathways between duration and BMI that vary by ethnicity and gender and highlight limitations in the negative acculturation theory, which suggests that exposure to the United States should have a net negative impact on health. In contrast, our findings suggest not all groups show declining health with longer duration, as measured by BMI, and that integration processes do not always translate into health differences in the expected directions. Future research on duration patterns may need to consider alternative explanations beyond incorporation-based processes, such as cross-national health theories or age, period, cohort effects.3

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“…22 Animal studies indicate that social stress leads to visceral fat deposition, 23 and a high waist ± hip ratio has been correlated with work dissatisfaction, unemployment and negative life events such as divorce, after adjustment for BMI, smoking and alcohol consumption. 24 Georges et al 25 reported that higher abdominal fat was associated with lower control at work, but the relationship was no longer signi®cant after adjusting for education. Experimentally, it has been found that central adiposity leads to heightened cardiovascular responsiveness to standardised mental stress tasks.…”

Section: Introductionmentioning

confidence: 99%

The influence of abdominal obesity and chronic work stress on ambulatory blood pressure in men and women

et al. 1999

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OBJECTIVE: To assess the in¯uence of abdominal obesity and work stress (operationalised as low control over work) on ambulatory blood pressure on a working day and evening. PARTICIPANTS AND METHODS: 156 school teachers (58 men and 98 women) carried out ambulatory blood pressure and heart rate monitoring on a work day and evening. Cardiovascular activity was also measured under baseline conditions on another occasion, when body weight, height, waist and hip circumference were assessed. Perceived control over work was assessed by questionnaire, along with mental health, anger expression and social support. 126 participants repeated the protocol after 12 months. Waistahip ratio was used as the index of abdominal obesity. RESULTS: Baseline blood pressure was positively associated with waistahip ratio in men, but ambulatory blood pressure and heart rate were not independently related to waistahip ratio or job control. However, blood pressure and heart rate recorded during the working day and evening were elevated in men with high waistahip ratio who experienced low job control, independently of age and body weight. Effects for diastolic blood pressure and heart rate were replicated after 12 months. Body mass index was not related to blood pressure or heart rate during the day or evening after adjustment for age and waist circumference. Low job control was associated with poor psychological well-being, negative mood and lack of social support. CONCLUSIONS: The results are consistent with the hypothesis that abdominal obesity in men is characterised by a tendency towards heightened stress-induced physiological activation, but that this tendency will only be manifest in the presence of appropriate environmental challenges such as chronic work stress.

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Mental Distress, Obesity and Body Fat Distribution in Middle‐Aged Men

Cited by 198 publications

References 24 publications

Relationship of leisure-time physical activity and occupational activity to the prevalence of obesity

Relationship of leisure-time physical activity and occupational activity to the prevalence of obesity

Duration of U.S. stay and body mass index among Latino and Asian immigrants: A test of theoretical pathways

The influence of abdominal obesity and chronic work stress on ambulatory blood pressure in men and women

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