Child Psychiatry and Human Development

, Volume 40, Issue 4, pp 517–526 | Cite as

A Longitudinal Study of Childhood Depression and Anxiety in Relation to Weight Gain

  • Dana L. RofeyEmail author
  • Rachel P. Kolko
  • Ana-Maria Iosif
  • Jennifer S. Silk
  • James E. Bost
  • Wentao Feng
  • Eva M. Szigethy
  • Robert B. Noll
  • Neal D. Ryan
  • Ronald E. Dahl
Original Article


Adult mood disturbances are highly correlated with obesity, although little is known about the developmental relationship between mood disorders and weight. This study investigated the relationship between childhood psychopathology and weight over the course of 3 years. Body Mass Index (BMI) percentiles and demographic data of children (ages 8–18) with depression (n = 143) or anxiety (n = 43) were compared to healthy controls (n = 99). Both childhood depression (χ 2 = 4.6, p = 0.03) and anxiety (χ 2 = 6.0, p = 0.01) were associated with increased BMI percentiles. Compared to controls, BMI percentiles of depressed females over the course of the study differed profoundly (χ 2 = 7.0, p = 0.01) and BMI percentiles of anxious females approached significance (χ 2 = 3.7, p = 0.06). Males with anxiety showed a greater trend towards overweight (χ 2 = 3.3, p = 0.07) in comparison to controls. The major finding that depression and anxiety are associated with increased BMI percentiles in a non-obese sample suggests that childhood psychopathology is an important factor that should be carefully monitored.


Weight Depression Anxiety Adolescent Body mass index 



The author would like to acknowledge the dedicated assistance of Stefanie Weiss, Psychology Research Fellow, University of Michigan, and Megan Barna, Guided Research Assistant, University of Pittsburgh. This research was supported by grant P01-MH41712 (Dr. Ryan) from the National Institute of Mental Health.


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Dana L. Rofey
    • 1
    • 2
    Email author
  • Rachel P. Kolko
    • 2
  • Ana-Maria Iosif
    • 3
  • Jennifer S. Silk
    • 2
  • James E. Bost
    • 4
  • Wentao Feng
    • 4
  • Eva M. Szigethy
    • 1
    • 2
  • Robert B. Noll
    • 1
    • 2
  • Neal D. Ryan
    • 2
  • Ronald E. Dahl
    • 1
    • 2
  1. 1.Children’s Hospital of Pittsburgh, Weight Management & Wellness CenterUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Western Psychiatric Institute and ClinicUniversity of Pittsburgh Medical CenterPittsburghUSA
  3. 3.Department of Public Health Sciences, Division of BiostatisticsUniversity of California DavisDavisUSA
  4. 4.Center for Research on Healthcare—Data CenterUniversity of Pittsburgh Medical CenterPittsburghUSA

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