Gutiérrez-Bedmar, MarioVillalobos Martínez, ElenaGarcía-Rodríguez, AntonioMuñoz-Bravo, CarlosMariscal, Alberto2016-03-312016-03-312015-12-18Gutiérrez-Bedmar M, Villalobos Martínez E, García-Rodríguez A, Muñoz-Bravo C, Mariscal A. Psychiatric Status across Body Mass Index in a Mediterranean Spanish Population. PLoS ONE. 2015; 10(12):e0145414http://hdl.handle.net/10668/2167Journal Article;BACKGROUND Mental and body weight disorders are among the major global health challenges, and their comorbidity may play an important role in treatment and prevention of both pathologies. A growing number of studies have examined the relationship between psychiatric status and body weight, but our knowledge is still limited. OBJECTIVE The present study aims to investigate the cross-sectional relationships of psychiatric status and body mass index (BMI) in Málaga, a Mediterranean city in the South of Spain. MATERIALS AND METHODS A total of 563 participants were recruited from those who came to his primary care physician, using a systematic random sampling, non-proportional stratified by BMI categories. Structured clinical interviews were used to assess current Axes-I and II mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). BMI was calculated as weight (Kg) divided by square of height in meters (m2). Logistic regression was used to investigate the association between BMI and the presence of any mental disorder. BMI was introduced in the models using restricted cubic splines. RESULTS We found that high BMI values were directly associated with mood and adjustment disorders, and low BMI values were directly associated with avoidant and dependent personality disorders (PDs). We observed an inverse relationship between low BMI values and cluster A PDs. There were not significant relationships between anxiety or substance-related disorders and BMI. CONCLUSION Psychiatric status and BMI are related in a Mediterranean Spanish population. A multidisciplinary approach to both pathologies becomes increasingly more necessary.enTrastornos de adaptaciónAnsiedadÍndice de masa corporalPeso corporalComorbilidadManual diagnóstico y estadístico de los trastornos mentalesModelos logísticosEspañaMedical Subject Headings::Psychiatry and Psychology::Mental Disorders::Adjustment DisordersMedical Subject Headings::Psychiatry and Psychology::Mental Disorders::Anxiety DisordersMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Body Constitution::Body Weights and Measures::Body Mass IndexMedical Subject Headings::Phenomena and Processes::Physiological Phenomena::Body Constitution::Body Weights and Measures::Body Size::Body WeightMedical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Epidemiologic Factors::ComorbidityMedical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Statistics as Topic::Models, Statistical::Logistic ModelsMedical Subject Headings::Information Science::Information Science::Information Services::Documentation::Vocabulary, Controlled::Diagnostic and Statistical Manual of Mental DisordersMedical Subject Headings::Geographicals::Geographic Locations::Europe::Spainresearch article26684876open access10.1371/journal.pone.01454141932-6203PMC4686170