Self-reported Physical Health as a Mediator of the Effects of BMI on Depression among People with Multiple Chronic Conditions
1School of Nursing, Shanghai Medical College, Fudan University, 200032 Shanghai, China
2IVF Center, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, 201204 Shanghai, China
DOI: 10.31083/j.jomh1809183 Vol.18,Issue 9,September 2022 pp.1-5
Published: 22 September 2022
Background: The current study examined whether the association between body mass index (BMI) and symptoms of depression is mediated by self-reported physical health among Chinese people with multiple chronic conditions (MCCs). Methods: This was a secondary analysis based on a previous cross-sectional survey using the Hospital Anxiety and Depression Scale (HADS) and Short Form-12 (SF-12). A convenience sample of Chinese people with MCCs (n = 351) was recruited and a mediation effect model using SPSS PROCESS was employed. Results: The results showed that self-reported physical health acted as a full mediator in the association between BMI and depression only for men with MCCs. Conclusions: The findings of this study suggest that decreased physical health should be of primary importance in the management of MCCs. Further intervention addressing weight control could be a strategy of particular interest for improving the mental health of people with MCCs.
body mass index; depression; multiple chronic conditions; obesity; physical health
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