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April 10, 2026DiseasesOpen Access

The Relationship Between Obesity, Overweight, and the Prevalence of Depression and Anxiety Among University Students: Evidence from a Nationally Representative Cross-Sectional Study in Greece

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Key result

Depressive and anxious symptoms linked to ~2-fold higher odds of excess body weight in university students.

  • OR >2.0
  • P=0.0015 and 0.0012
  • n=5,298

Why the study?

Obesity rates are rising among young people, and the transition to university involves pressures that may affect body weight control and mental health, warranting investigation into associations between excess weight and depressive or anxiety symptoms.

Is there an association between overweight/obesity and depression/anxiety symptoms among university students?

Population

5298 students enrolled at universities across ten geographic areas of Greece

Comparison

Excess weight (overweight or obesity) vs normal weight

Design

Nationally representative cross-sectional study

Authors

OAOlga AlexatouKPKonstantinos PapadimitriouEAExakousti-Petroula Angelakou

Discussion

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Overview

May warrant mental health screening in overweight students; hypothesis-generating and should not yet change practice pending longitudinal data.

Key Points

  • This investigation aims to explore the associations between obesity, depression, and anxiety among university students in Greece.
  • Conducted a cross-sectional analysis involving 5298 university students in Greece.
  • Collected demographic information and lifestyle behaviors through questionnaires.
  • Assessed depression using the Beck Depression Inventory (BDI-II) and anxiety with the State Anxiety Inventory (STAI-6).
  • Calculated Body Mass Index (BMI) from measured height and weight.
  • Overweight and obesity were linked to female sex, urban living, independent living, tobacco use, and lower academic performance.
  • Insufficient physical activity increased odds of being overweight or obese by 85%.
  • Students with depressive symptoms had over double the odds of excess weight; those with anxiety showed similar trends.
  • Poor adherence to a Mediterranean diet was associated with more than twofold odds of overweight or obesity.

Study Design

Type

Cross-Sectional (n=5,298)

Multicenter

Yes

Structured PICO

Is there an association between overweight/obesity and depression/anxiety symptoms among university students?

P
Population
5,298 university students enrolled across ten geographic areas of Greece.
O
Outcome
Association between excess weight (overweight or obesity) and the presence of depressive and anxiety symptomspatient reported

Main Result

Effect estimate: OR >2.0

p-value: p=0.0015 and 0.0012

Depressive and anxious symptoms are significantly associated with more than double the odds of overweight or obesity among university students in Greece.

Limitations

  • Lack of longitudinal data to substantiate causal observations
  • Cross-sectional design cannot establish causality

Cite This Study

Alexatou et al. (2026) conducted a cross-sectional in Overweight, obesity, depression, and anxiety (n=5,298). Depressive or anxious symptomatology vs. No depressive or anxious symptomatology was evaluated on Presence of overweight or obesity (OR >2.0, p=0.0015 and 0.0012). Depressive and anxious symptoms were associated with more than double the odds of excess body weight among university students compared to those without such symptoms (p=0.0015 and p=0.0012).

synapsesocial.com/papers/69d895796c1944d70ce066cfhttps://doi.org/10.3390/diseases14040136
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence of depression among university students in China: a systematic review and meta-analysis2025 · 54 citations
  2. 2The Importance of Gender in Body Mass Index, Age, and Body Self-Perception of University Students in Spain2023 · 8 citations
  3. 3Physical Activity and Depression and Anxiety Disorders: A Systematic Review of Reviews and Assessment of Causality2023 · 110 citations
  4. 4Depression, anxiety, stress symptoms among overweight and obesity in medical students, with mediating effects of academic burnout and internet addiction2025 · 10 citations
  5. 5Economic impacts of overweight and obesity: current and future estimates for 161 countries2022 · 717 citations