Prevalence of Anxiety in Adults Obese in Baghdad (Obesity Center) According to Standard Scoring System (Beck Anxiety Inventory)

Abstract

Objectives: The purpose of this study was to determine the extent to which anxiety and obesity-related, and whether it is in fact the issue of poor eating habits, to determine the prevalence of anxiety among the topics of people seeking to obesity and the study of anxiety and social relationship symptoms of anxiety with age treatment, and the duration of obesity , body mass index (BMI) and binge eating (BE).

Study DesignThe study is a cross-sectional descriptive study conducted in Baghdad city during the period from November 2014  to November 2015, which assess mental health and psychosocial situation patient Committed to diet , BMI, physical and socio demographics for both obese males and females who live in the Baghdad city and attending Obesity research and therapy center in Alkindy college of  Baghdad university medicine The sample of the study is a judgmental sample .The data were collected during a four months period since beginning of December 2014 to the end of March  2015.The total number of patient involved in the study is (320) Person, 20 were selected for a pilot study which were excluded from the main sample (16) patients from female and (four) males  refuse to participate in the study .and remain(300) sample which classificated to females It is the largest in the sample estimates 74%   and males It is the smallest in the sample estimates26%.                                                                                      

Setting of the Study

The setting of the study in Baghdad city.Baghdad University.Kindy College of Medicine Obesity research and therapy center.

Subjects and Methods

This study included both patients male and female aged 20-60, living in the Baghdad city, the data were gathered through structured direct interview technique and developed questionnaire that include many questions about personal and demographic information, health status, psychosocial status, and food intake method .measure body mass index (BMI) (weight[kg]/height[m2]), through measuring  height , weight and waist. In this study during the interview  the questions about anxiety Patients were asked to clarify the concern has to do with weight gain and not worry in general show that the age group of 20-40yrs categories concern linked to the appearance of the body shape change either age group above 40yrs is increasing concern concurrently chronic diseases related to obese such as high blood pressure and joint pain , take period  asked  to each patient about anxiety only 15 minutes knowing that the data collection was all days of the week except Friday and Saturday begin at 8:30 A.m and continue until 1:30 p.m, The questionnaire  are standard only Translated is divided into two parts.

Part 1: primary information, which includes personal and social (demographic) information, and also indirect information related to the study. Personal and demographic information.

Part 2: specialized information which includes four domains and illustrated as follows: Health status, Psychological status, and physical activity and Food intake.

Results

The results indicated that the majority of study sample (74%) were females and the remaining were males (26%), while regarding  age group the studied sample are distributing similarly at first of the three groups, and they are accounted (87%), Marital Status, married were reported vast majority of the studied sample, and they are accounted (77.7%). With respect "Occupation", the largest part of the studied sample are Unemployed and they are accounted (67%). Finally, quarter of the studied sample had high educational level, and they are accounted (24.7%), while whom had low educational levels, such that primary, intermediate, and secondary schools are accounted (60.67%), Anthropometric results the majority of obese had reported with third class, and they are accounted (53%),while Waist circumference results the majority of waist had reported with Type-1, and they are accounted (50.7%), Physical Activity majority of responding are reported with moderate group, and they are accounted (53.25%). assessments of different scaling system (BAI) among the studied sample Results that majority responding having a moderate assessments, and they are accounted (52.3%). Results ordered statistics concerning defected numbers of scaling system (BAI) among studied of obesity sample prevalence (> 2 : 3) times, since mean value of defected individuals, item Nervous have large number defected is(271) consider order (1)while item Face Flushed has small number defected is(83) consider order(21). relationship among Beck Anxiety Inventory scoring scales (BAI) with  socio-demographical, Physical Activity ,diseases related to obese having high significant in at P<0.01, Results that BMI and Waist Circumference having significant relationships with an overall assessment of scaling system BAI at P<0.05, The study was extracted workers depending on the operator and technical anaylsis, a body massهindex and waist circumference for people who have obesity excessively and its relation to these factors scale anxiety "rate to find which factor has a strong effect statistically. As a result, it was found that the minimum impact was represented by" body mass index " , when the maximum effect represented "in waist circumference."  Showing that the relationship between anxiety and obesity inverse relationship to obesity claim to anxiety and anxiety as well as cause obesity.

Conclusions

-Socio-Demographical Characteristics Variables having an conventional distribution .and that similar to who had weight . except of gender factor which shows that female has three time are suffering from obesity associated with anxiety profile in contrast of male and that might be interpreted gender impact of obesity status on female, About Eighty percent of the studied sample are recorded obese class two and three .and that might be interpreted high effectiveness of them within anxiety profile, About Fifty percent of the studied sample are recorded Waist class two and three. And that might be interpreted high effectiveness of them within anxiety profile, More than ninety percent of the studied sample are classified with low .and moderate physical activity .and that might be interpreted  high effectiveness of them toward anxiety profile, The suggested results evaluation for assess impact level of mental disorders by ordered numbers of BAI domains system among studied of obese adults sample in the light of anxiety cases as a result of obesity that most of the scales recorded existence of the problem. This reflects and beyond any doubted the impact of obesity on causality of anxiety and mental disorders,Relative to subjects (waist circumferences) parameter. Sequential augmentation are seems clearly occurred at the second and third obese index and it could be indicating that (waist circumference) parameter had more reliable for studying problems of mental disorders (anxiety)  better than (BMI)parameter .rather than both of them had recorded significant relationships concerning with different scaling of BAI system.

Keywords: Body mass index, Waist Circumference, Beck anxiety inventory.