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. 2025 May;30(2):e12798.
doi: 10.1111/bjhp.12798.

Risk of severe obesity development: Examining the role of psychological well-being related measures and sociodemographic factors in two longitudinal UK cohort studies

I Gusti Ngurah Edi Putra  1 , Sam Wilkinson  2 , Michael Daly  3 , Eric Robinson  2
Affiliations

Risk of severe obesity development: Examining the role of psychological well-being related measures and sociodemographic factors in two longitudinal UK cohort studies

I Gusti Ngurah Edi Putra et al. Br J Health Psychol. 2025 May.

Abstract

Objective: To examine the prospective association between psychological well-being related measures and severe obesity development in young and middle-aged UK adults.

Design: A longitudinal analysis of two cohort studies.

Methods: We used data from the 1958 National Child Development Study (NCDS) and the 1970 British Cohort Study (BCS) to examine the association between baseline psychological well-being related measures (depressive symptoms, life satisfaction and self-efficacy) and severe obesity development (defined as body mass index - BMI ≥35 kg/m2) and residualized BMI change scores at follow-up. We analysed repeated measures of baseline and follow-up pairs with 6- to 7-year follow-up on average (n = 22,390 and 23,811 observations in NCDS and BCS, respectively) using panel data logistic and linear models controlling for sociodemographic factors. We conducted additional analyses using analytical sample sizes with longer follow-up (16-17 years).

Results: Although a range of sociodemographic factors (e.g., being female, non-married) were associated with increased risk of severe obesity development, we found limited evidence that psychological well-being related measures were associated with severe obesity development across cohorts and pooled analyses. Depressive symptoms, life satisfaction and self-efficacy were, however, associated with relatively small changes in continuous BMI change across analyses, and this tended to be limited to participants without obesity (BMI 18.5 to <30 kg/m2) and not those already living with obesity (BMI 30 to <35 kg/m2) at baseline.

Conclusions: There is limited evidence that psychological well-being related measures prospectively predict the development of severe obesity. Poorer psychological well-being is associated with modest changes in body weight in individuals without obesity.

Keywords: longitudinal study; mental health; psychological well‐being; severe obesity; weight change.

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Conflict of interest statement

The authors declared no conflict of interest.

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References

    1. Anagnostis, P. , Athyros, V. G. , Tziomalos, K. , Karagiannis, A. , & Mikhailidis, D. P. (2009). Clinical review: The pathogenetic role of cortisol in the metabolic syndrome: A hypothesis. The Journal of Clinical Endocrinology and Metabolism, 94(8), 2692–2701. 10.1210/jc.2009-0370 - DOI - PubMed
    1. Angel, S. , & Gregory, J. (2023). Does housing tenure matter? Owner‐occupation and wellbeing in Britain and Austria. Housing Studies, 38(5), 860–880. 10.1080/02673037.2021.1912714 - DOI
    1. Arias‐de la Torre, J. , Ronaldson, A. , Prina, M. , Matcham, F. , Pinto Pereira, S. M. , Hatch, S. L. , Armstrong, D. , Pickles, A. , Hotopf, M. , & Dregan, A. (2021). Depressive symptoms during early adulthood and the development of physical multimorbidity in the UK: An observational cohort study. The Lancet Healthy Longevity, 2(12), e801–e810. 10.1016/S2666-7568(21)00259-2 - DOI - PMC - PubMed
    1. Azur, M. J. , Stuart, E. A. , Frangakis, C. , & Leaf, P. J. (2011). Multiple imputation by chained equations: What is it and how does it work? International Journal of Methods in Psychiatric Research, 20(1), 40–49. 10.1002/mpr.329 - DOI - PMC - PubMed
    1. Benjamini, Y. , & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society: Series B: Methodological, 57(1), 289–300.