Evidence map›Paper›PMID 28161899›Full record

ArticleAmerican journal of human biology : the official journal of the Human Biology Council2017

Weight, gender, and depressive symptoms in South Korea.

Alexandra A Brewis, Seung Yong Han, Cindi L SturtzSreetharan

Open access · hybridAbstract read
In one paragraph

Article in American journal of human biology : the official journal of the Human Biology Council, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
10.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Why Does Weight Gain Put More Stress on Women?Korean journal of family medicine · 2020
    Article
  14. Article
  15. Measuring Socioeconomic Inequalities in Obesity among Korean Adults, 1998⁻2015.International journal of environmental research and public health · 2019
    Article
  16. Article
  17. René Girard and the Mimetic Nature of Eating Disorders.Culture, medicine and psychiatry · 2018
    Article
  18. Article
  19. Weight Shame, Social Connection, and Depressive Symptoms in Late Adolescence.International journal of environmental research and public health · 2018
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Alexandra A BrewisSchool of Human Evolution and Social Change, Arizona State University, Tempe, Arizona, 85284-2402.
Seung Yong HanObesity Solutions, Arizona State University, Arizona State University, Tempe, Arizona, 85284-2402.
Cindi L SturtzSreetharanSchool of Human Evolution and Social Change, Arizona State University, Tempe, Arizona, 85284-2402.
Arizona State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesObesity consistently predicts depression risk, but the underlying mechanisms are poorly understood. Body concerns are proposed as key. South Korean society is characterized by extremely high levels of explicit weight stigma, possibly the highest globally. Using cross-sectional Korean 2014 National Health Examination Survey (KNHANES) data, we test this proposition in a nationally representative sample of South Korean adults (N = 5,632).

methodsDepressive symptoms (outcome variable), was based on the PHQ-9. Weight status (predictor variable), was based on direct measures of height and weight converted to BMI. Weight concern was self-reported. Mediation analyses tested how weight concern mediated the influence of weight status on depressive symptoms for women and men.

resultsCurrent weight status influenced depressive symptoms in Korean adults, but not always directly. Concerns of being "fat" mediated that relationship. The effect increased significantly as BMI increased within "normal" and overweight/obese categories for women, and in overweight/obese categories for men. Even though women classified as underweight were significantly more depressed than those in other weight categories, there was no similar mediation effect related to weight concerns.

conclusionFor South Koreans, the stress of adhering to social norms and avoiding stigma related to body weight seems to explain the relationship between higher body weight and more depressive symptoms. Women are more vulnerable overall, but men are not immune. This study demonstrates that body concerns help explain why weight predicts depression, and more broadly supports the proposition that widespread weight-related stigma is a potentially major, if unrecognized, driver of population-level health disparities.

Indexed as

Body Mass IndexAdultAgedAged, 80 and overBody ImageBody WeightCross-Sectional StudiesDepressionFemaleHumansMaleMiddle AgedRepublic of KoreaSex FactorsYoung Adult

Identifiers

PMID28161899
PMCPMC5573951
OpenAlexW2583491179

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.