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Depression, Insomnia, and Obesity Among Post-9/11 Veterans: Eating Pathology as a Distinct Health Risk Behavior
Christine M Ramsey1, Allison E Gaffey2,3, Cynthia A Brandt2,4
1Mental Illness Research Education and Clinical Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19130, USA.
Military Medicine
|June 21, 2022
Summary
Co-occurring depression and insomnia increase obesity risk in veterans, with eating behaviors confounding this link. Understanding these complex relationships is key for targeted veteran health interventions.
Area of Science:
- Public Health
- Epidemiology
- Mental Health Research
Background:
- Understanding chronic health conditions and behaviors is crucial for effective interventions.
- Obesity is a significant health concern, particularly among veteran populations.
Purpose of the Study:
- To examine the effects of depression, insomnia, and their co-occurrence on obesity risk.
- To investigate the role of health risk behaviors, especially eating pathologies, as confounders.
Main Methods:
- Study included 1,094 Iraq and Afghanistan conflict era veterans.
- Logistic regression models analyzed obesity risk based on depression and insomnia status.
- Health risk behaviors (eating pathology, physical activity, smoking, hazardous drinking) were assessed as confounders.
Main Results:
- Obesity was most prevalent in veterans with both depression and insomnia (53.2%).
- Maladaptive eating behaviors confounded the depression-obesity link, but not the insomnia-obesity link.
- Physical activity, smoking, and hazardous drinking did not confound the depression or insomnia-obesity associations.
Conclusions:
- Complex interplay exists between multiple health conditions and behaviors contributing to obesity.
- Findings can refine interventions for veterans, improving resource allocation and reducing obesity's health impact.
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