ECE2021 Audio Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (223 abstracts)
1Hedi Chaker University Hospital, Department of Community Health and Epidemiology, sfax, Tunisia; 2Hedi Chaker University Hospital, Departement of endocrinology, sfax, Tunisia
Introduction
Obesity is recognized to be one of the greatest public health problems worldwide. In addition to physical health problems, obesity is also linked to an increased risk of mental health disorders such as anxiety. The objective of this study was to determine the prevalence of anxiety in obese adults and the factors associated with anxiety in this population.
Methods
We conducted a cross-sectional study on June and July 2020. We included all obese adults aged 19 to 64 years consulting at the basic health centre of Sfax and having a BMI greater than or equal to 30 kg/m2. We excluded pregnant and nursing women and patients with severe decompensated organic disease and psychiatric disorder. We used the Hospital Anxiety and Depression scale (HAD) to evaluate anxiety.
Results
One hundred and fifty patients were included in our study. The sex ratio (male/female) was 0.3. The median age of patients was 50 years (IQR 3758 years). Among the study population, we noted 40 diabetic patients (27.2%), 58 hypertensive patients (38.7%) and 12 smoking patients (8.0%). Thirty-four (22.7%) subjects had a heavy workload. Out of the 150 patients, 44(29.3%) had an extreme preoccupation of the body, 88(58.7%) had a low to moderate preoccupation of the body and 18 (12.0%) did not have a preoccupation of the body. The average anxiety score was 13.05 ± 3.3. We found that 113 (75.3%) of obese adults had definite anxiety symptoms and 26 (17.3%) had depression. We found that certain anxiety was more common among patients with extreme preoccupation to the body (88.6% vs 73.9% vs 50%, P = 0.003) and among those who have a heavy workload (88.2% vs 71.6%, P = 0.047). Nevertheless, there was no significant association between certain anxiety and depression (84.6% vs 73.4%, P = 0.2).
Conclusion
Anxiety was relatively high among people with obesity. Our study confirms the data from the literature, and underlines the need to set up a program to detect and act early on psychiatric disorders of obese.