Obesity and Depression Go Hand in Hand

Over the past couple days I have talked to more than a few women who are depressed because they are overweight and can’t seem to do anything (consistently) about it. Often they feel like failures.


Then I happened on an interesting article explaining that middle-aged women are much more likely to be depressed if theyare obese, and vice versa. Rising excess weight goes along with less physical activity, higher calorie intake — and depression — according to the research.

The reason, said lead author Gregory Simon, M.D., is that depression and obesity likely fuel one another. “When people gain weight, they’re more likely to become depressed, and when they get depressed, they have more trouble losing weight,” said Simon, a psychiatrist and researcher at Group Health Cooperative in Seattle.

For the study, researchers interviewed 4,641 female health-plan enrollees, ages 40 to 65, by phone. The women were asked questions regarding height, weight, exercise levels, dietary habits and body image. They also completed the Patient Health Questionnaire, a measure of depression symptoms.

Women withclinical depression were more than twice as likely to be obese, defined as having a body-mass index (BMI) of 30 or more; likewise, obese women were more than twice as likely to be depressed.

Not surprisingly, women with BMIs at or above 30 exercised the least, had the poorest body image and ingested 20 percent more calories than those with lower BMIs. The depression-obesity association held even when the researchers factored in marital status, education, tobacco use and antidepressant use.

The association was stronger in this study than in previous, comparable ones — possibly because the sample was predominantly white and middle-class. “There is some evidence that being overweight is less stigmatized for men, for lower-income people and for women in nonwhite ethnic groups,” Simon said.

The stigma of being overweight could hurt self-esteem, and thus, efforts to lose weight, Simon said. “It’s not that these women are clueless,” he said. “It’s that they’re hopeless. The takeaway for obese women is to focus on rebuilding their spirit, which can help with losing pounds,” he said.

My take on this is that we need to give all the support we can to the women (and men) who wish to make a change to not only their physical size but to their life and well being.  No one wants (or needs) to be overweight, much less depressed. Life is too short...we need to enjoy every minute and be able to enjoy the bodies we live in!!