The association between depression and leptin is mediated by adiposity
Alanna A Morris1, Yusuf Ahmed, Neli Stoyanova
1Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA. aamorr3@emory.edu
Higher leptin levels in depression are linked to increased body fat, not depression itself. This suggests obesity, a common factor in depression, influences leptin levels.
Area of Science:
- Endocrinology
- Psychiatry
- Public Health
Background:
- Animal models suggest a link between leptin dysregulation and depression.
- Obesity, prevalent in depression, increases leptin production, potentially mediating this relationship.
Purpose of the Study:
- To investigate the association between depression severity and leptin levels in a human cohort.
- To determine if obesity mediates the relationship between depression and leptin.
Main Methods:
- The Beck Depression Inventory-II (BDI-II) was administered to 537 participants.
- Leptin levels and body mass index (BMI) were measured and analyzed.
- Multivariate regression models adjusted for various health factors.
Main Results:
- Individuals with moderate to severe depression exhibited significantly higher leptin levels and BMI compared to those with mild or no depression.
- The BDI-II score predicted leptin levels after multivariate adjustment.
- However, adjusting for BMI or waist circumference eliminated this association.
Conclusions:
- The association between depression and leptin levels appears to be mediated by increased adiposity.
- Findings suggest that obesity, rather than depression directly, influences leptin levels in this population.
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