Home Health ‘A Vicious Cycle’: Decoding the Complex Link Between Obesity and Mental Health

‘A Vicious Cycle’: Decoding the Complex Link Between Obesity and Mental Health

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‘A Vicious Cycle’: Decoding the Complex Link Between Obesity and Mental Health

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FIT reached out to specialists to know how weight problems perpetuates psychological well being points and vice versa.

Surbhi Singh & Garima Sadhwani

Fit

Published:

FIT reached out to specialists to know the complicated relationship between psychological well being and weight problems.

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(Photo: Aroop Mishra/FIT)

<div class="paragraphs"><p><strong>FIT</strong> reached out to experts to understand the complex relationship between mental health and obesity.</p></div>

People who’ve excessive obesity are 5 instances extra possible to “have experienced an episode of major depression” than folks with a mean physique weight — that is what a 2018 examine, titled The Psychosocial Burden of Obesity, suggests.

The researchers of this examine additionally discovered that “approximately one-third of the candidates who opt for bariatric surgery report clinically significant symptoms of depression at the time of surgery, whereas about 50 percent report a lifetime history of depression.”

For the longest time, the well being implications of weight problems have been solely related to the bodily penalties it usually results in – diabetes, coronary heart illness, stroke, osteoarthritis, amongst others. The psychological well being results of weight problems have usually been neglected.

FIT reached out to specialists to know the complicated relationship between psychological well being and weight problems.

‘Higher Risk of Depression, Anxiety, Sleep Disorders’: How Obesity Manifests Mental Health Issues

As per the World Health Organization (WHO), weight problems is outlined as a persistent complicated illness outlined by extreme fats deposits that may considerably deteriorate your well being. An grownup is claimed to be overweight if they’ve a physique mass index (BMI) of over 30 (This varies primarily based on intercourse, age, and race).

According to the WHO, in 2022, one in eight folks on the earth have been dwelling with weight problems.

However, an necessary facet of weight problems – the way it can affect an individual’s psychological well being – continues to be not paid a lot consideration to.

Dr Kedar Tilwe, Consultant Psychiatrist, Fortis Hospital Mulund & Hiranandani Hospital, Vashi, chatting with FIT, defined that there are three totally different ways in which mental health and obesity are linked to one another:

  • Obesity deteriorating an individual’s psychological well being

  • Mental well being points (corresponding to anxiousness or consuming problems) inflicting weight problems

  • Obesity and psychological well being manifesting independently however impacting an individual’s general well being

Dr Tilwe notes that there are a number of psychological well being points that may crop up as a result of weight problems, and vice versa.

The most typical ways in which poor psychological well being manifests in overweight persons are depression and anxiousness.

“When we are growing up, we are brought up with certain ideal body types, depending on cultural and social factors. These influences play a crucial role in how we perceive ourselves as adults. It can cause body image issues which can further lead to depressive rumination, anxiety, and worsen your stress levels.”

Dr Kedar Tilwe

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The American Psychiatric Association says, “Rumination involves repetitive thinking or dwelling on negative feelings and distress and their causes and consequences.”

However, in line with the 2018 examine, titled The Psychosocial Burden of Obesity, the chance of despair is increased in overweight ladies than in overweight males.

But it does not finish there.

Patients usually begin indulging in behaviours corresponding to binge consuming or elevated substance abuse to quell their anxiousness – which once more results in weight acquire, consuming problems, and a better BMI, and causes a vicious cycle to type, says Dr Tilwe.

Dr Sweta Sharma, a psychologist at Gurgaon’s Manipal Hospital, says that every one of those elements, together with the social stigma of being overweight, can additional deliver up “feelings of shame and self-loathing,” including to emotions of hopelessness or worthlessness, that may additionally result in shallowness points.

Dr Tilwe goes on to say that folks combating psychological well being points usually take pleasure in binge consuming throughout the night time.

This, specialists say, may play a job in disrupting a correctly regulated sleep cycle, and have an effect on metabolism – rising urge for food and resulting in weight acquire.

But extra that that, it additionally poses the chance of insomnia, sleep apnea, and persistent stress.

The statistics present this too. At least 9 % sufferers who opted for bariatric surgical procedure have social anxiousness dysfunction, roughly 10 % have a historical past of illicit drug use or alcoholism, and 5-15 % wrestle with binge-eating dysfunction, states the 2018 examine quoted above.

The Vicious Cycle of Obesity and Low Self-Esteem

People usually discover it tough to deal with the social stigma and their unfavorable physique picture, which may perpetuate self-loathing and poisonous patterns of behaviour, says Dr Tilwe.

“What ends up happening is that people who are obese tend to isolate from their peers, avoid others, and distance themselves in the fear that others might be judging them for their weight or the way they look. They withdraw into themselves and might indulge in toxic behaviours.”

Dr Sharma agrees, including,

“This correlation is particularly noticed among introverts. This exacerbates the feeling of isolation and contributes to unhealthy eating habits.”

A 2023 examine, printed in Frontiers in Public Health, had acknowledged that folks dwelling with weight problems confirmed “significantly decreased levels of quality of life, as well as increased depression scores compared to people of normal weight.”

Not simply that, a number of research have proven that people who find themselves overweight or severely overweight are subjected to discrimination in numerous settings, be it instructional or skilled.

So what can folks combating weight problems and psychological well being points do then? The medical doctors that FIT spoke to have a number of options that will help you:

  • Try to apply conscious consuming – having fun with and specializing in what you eat to keep away from binge consuming.

  • Practice meditation or yoga.

  • Follow a balanced nutritious food regimen.

But, they preserve, that in case of medical weight problems, medical intervention is likely to be required and sufferers ought to search assist from professionals in the event that they’re combating psychological well being points as a result of weight problems, or vice versa.

(All of April, Quint FIT is decoding the alarming rise in weight problems in India and the varied well being dangers related to it. Follow our full protection here.)

(At The Quint, we’re answerable solely to our viewers. Play an energetic function in shaping our journalism by becoming a member. Because the reality is price it.)

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