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Multidisciplinary Approach to Obesity Management: A Case Report
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The triple threat for chronic disease: obesity, race, and depression
Tracy Stecker1, John C Fortney, Diane E Steffick
1Veterans Affairs Health Services Research and Development (HRS&D) Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR 72114, USA. steckertracy@uams.edu
Insights
African-American race, obesity, and depression independently increase chronic disease risk. These factors interact, creating a "triple threat" for developing certain chronic diseases, impacting patient health outcomes.
Area of Science:
- Public Health
- Clinical Medicine
- Epidemiology
Background:
- Obesity and depression are prevalent health issues.
- Chronic diseases pose a significant burden on healthcare systems.
- Understanding risk factors for chronic diseases is crucial for prevention.
Purpose of the Study:
- To investigate the interrelationships between race, obesity, depression, and chronic disease.
- To identify independent and interactive risk factors for chronic disease development.
Main Methods:
- Retrospective analysis of primary care patient data over 3 years.
- Inclusion of 8,197 patients in the study cohort.
- Statistical analysis to determine independent and interactive effects of risk factors.
Main Results:
- Sixty-three percent of patients were overweight (26%) or obese (37%).
- African-American race, obesity, and depression independently increased chronic disease likelihood.
- Significant interaction effects were observed between these risk factors.
Conclusions:
- Race, obesity, and depression act as independent risk factors for chronic disease.
- These factors interact synergistically, presenting a "triple threat" for chronic disease development.
- Targeting these interconnected risk factors may improve patient health outcomes.
Abstract:
The authors investigated the interrelationships between race, obesity, depression, and chronic disease by abstracting data from all primary-care patients seen at a family-medicine clinic over a 3-year period. A total of 8,197 patients were included in the analysis. Sixty-three percent of patients were either overweight (26%) or obese (37%). African-American race, obesity, and having a diagnosis of depression each independently and significantly increased the likelihood of having a chronic disease. Also, these risk factors interacted to create an increased likelihood of disease prevalence. Thus, obesity, race, and depression interacted to create a "triple threat" of developing certain chronic diseases.
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