SCIENTIFIC EVOLUTION AND GLOBAL TRENDS IN THE STUDY OF MORBID OBESITY AND MENTAL HEALTH INTERCONNECTIONS
Reviews

SCIENTIFIC EVOLUTION AND GLOBAL TRENDS IN THE STUDY OF MORBID OBESITY AND MENTAL HEALTH INTERCONNECTIONS

Published 2026-02-04

Authors:

L.M. Migenko
Odessa National Medical University image/svg+xml
https://orcid.org/0000-0003-0893-2673
I.I. Kuleshko
Odessa National Medical University image/svg+xml
https://orcid.org/0000-0001-5734-307X
L.S. Kholopov
I.Horbachevsky Ternopil National Medical University image/svg+xml
https://orcid.org/0000-0002-3803-8827
S.S. Riabokon
Odessa National Medical University image/svg+xml
https://orcid.org/0000-0002-4413-0582
B.O. Migenko
Odessa National Medical University image/svg+xml
https://orcid.org/0000-0003-2192-7238
V.H. Dzhyvak
Odessa National Medical University image/svg+xml
https://orcid.org/0000-0002-4885-7586

Abstract:
The purpose of the study was to conduct a bibliometric analysis of the world catalogue of scientific literature, which was indexed in leading scientific databases in order to identify the time dynamics of the issue, its structure, and the most common research vectors of the comorbidity of morbid obesity and affective pathology. The quantitative and structural-analytical method was chosen and a specialised search query used that combined terms relevant to severe obesity and anxiety-depressive disorders. The year of publication, type of document, industry membership, geographic and institutional distribution and funding profiles were reviewed. The findings showed a steady interest increase to this scientific field and that original clinical studies and systematic reviews were the most common. The United States and Chinese research centres were the most productive contributors in terms of the number of publications, which is based on the globalisation of interdisciplinary enquiry in the fields of bariatric medicine and psychiatry. The thematic distribution validates the collaboration of the clinical, neurobiological, and immunometabolic approaches. According to a synthesis of existing research, there is a bidirectional pathophysiological connection between morbid obesity and anxiety-depressive disorders, with the key roles being played by chronic low-grade inflammation, neuroinflammation, hypothalamic-pituitary-adrenal axis dysregulation, insulin resistance, and neuroplasticity losses. The tendency of linking the severity of obesity to psychological distress proves the importance of including psychiatric screening into the management regimes of the severely obese patients. These findings support the development of this field as an independent interdisciplinary area and shed light on the opportunities to create individualized treatment approaches in consideration of immunometabolic phenotype and the impact of chronic stress.
Keywords:
morbid obesity anxiety-depressive disorders neuroinflammation psychological distress immunometabolic dysfunction
References:
  1. Alshahre AH, Alqahtani SA, Alsharif MS, Alyahya AA, Alsmail MA, Almasabi AS. et al. Depression and Anxiety Among Obese and Overweight Individuals in Saudi Arabia: A Systematic Review and Meta-Analysis. Cureus. 2025; 17(6): 85907. doi: 10.7759/cureus.85907.
  2. Autret K, Bekelman TA. Socioeconomic Status and Obesity. J Endocr Soc. 2024; 8(11): bvae176. doi: 10.1210/jendso/bvae176.
  3. Bhatt RR, Todorov S, Sood R, Ravichandran S, Kilpatrick LA, Peng N. et al. Integrated multi-modal brain signatures predict sex-specific obesity status. Brain Commun. 2023; 5(2): fcad098. doi: 10.1093/braincomms/fcad098.
  4. Bhusal A, Rahman MH, Suk K. Hypothalamic inflammation in metabolic disorders and aging. Cell Mol Life Sci. 2021; 79(1): 32. doi: 10.1007/s00018-021-04019-x.
  5. Blüher M. An overview of obesity-related complications: The epidemiological evidence linking body weight and other markers of obesity to adverse health outcomes. Diabetes Obes Metab. 2025: 3-19. doi: 10.1111/dom.16263.
  6. Chan JKY, Vartanian LR. Psychological predictors of adherence to lifestyle changes after bariatric surgery: A systematic review. Obes Sci Pract. 2024; 10(1): 741. doi: 10.1002/osp4.741.
  7. Chávez-Manzanera EA, Vera-Zertuche JM, Kaufer-Horwitz M, Vázquez-Velázquez V, Flores-Lázaro JR, Mireles-Zavala L. et al. Mexican Clinical Practice Guidelines for Adult Overweight and Obesity Management. Curr Obes Rep. 2024; 13(4): 643-666. doi: 10.1007/s13679-024-00585-w.
  8. Crasan IM, Tanase M, Delia CE, Gradisteanu-Pircalabioru G, Cimpean A, Ionica E. Metaflammation's Role in Systemic Dysfunction in Obesity: A Comprehensive Review. Int J Mol Sci. 2025; 26(21): 10445. doi: 10.3390/ijms262110445.
  9. Cyrino LAR, Delwing-de Lima D, Ullmann OM, Maia TP. Concepts of Neuroinflammation and Their Relationship With Impaired Mitochondrial Functions in Bipolar Disorder. Front Behav Neurosci. 2021; 15: 609487. doi: 10.3389/fnbeh.2021.609487.
  10. Diep C, Lee S, Xue Y, Xiao M, Pivetta B, Daza JF, Jung JJ, Wijeysundera DN, Ladha KS. Preoperative depression and outcomes after metabolic and bariatric surgery: A systematic narrative review. Obes Rev. 2024; 25(7): 13743. doi: 10.1111/obr.13743.
  11. Friedman M, Chang R, Amin ZM, Rajan T, Singh R, Yousefzai S. et al. Understanding the bidirectional association between obesity and risk of psychological distress and depression in young adults in the US: available evidence, knowledge gaps, and future directions. Front Psychiatry. 2025; 15: 1422877. doi: 10.3389/fpsyt.2024.1422877.
  12. Fu X, Wang Y, Zhao F, Cui R, Xie W, Liu Q. et al. Shared biological mechanisms of depression and obesity: focus on adipokines and lipokines. Aging (Albany NY). 2023; 15(12): 5917-5950. doi: 10.18632/aging.204847.
  13. Fulton S, Décarie-Spain L, Fioramonti X, Guiard B, Nakajima S. The menace of obesity to depression and anxiety prevalence. Trends Endocrinol Metab. 2022; 33(1): 18-35. doi: 10.1016/j.tem.2021.10.005.
  14. Fulun L, Yanan L, Bing G, Qian L, Aishu L, Xia L. et al. Hypothalamic-pituitary-adrenal axis dysfunction in children with ADHD: A systematic review and meta-analysis. Psychoneuroendocrinology. 2025; 181: 107605. doi: 10.1016/j.psyneuen.2025.107605.
  15. Gkrinia EMM, Belančić A. The Mechanisms of Chronic Inflammation in Obesity and Potential Therapeutic Strategies: A Narrative Review. Curr Issues Mol Biol. 2025; 47(5): 357. doi: 10.3390/cimb47050357.
  16. Hu W, Zhu H, Gong F. Leptin and leptin resistance in obesity: current evidence, mechanisms and future directions. Endocr Connect. 2025; 14(9): 250521. doi: 10.1530/EC-25-0521.
  17. Jalo A, Helin JS, Hentilä J, Nissinen TA, Honkala SM, Heiskanen MA. et al. Mechanisms Leading to Increased Insulin-Stimulated Cerebral Glucose Uptake in Obesity and Insulin Resistance: A High-Fat Diet and Exercise Training Intervention PET Study with Rats (CROSRAT). J Funct Morphol Kinesiol. 2024; 9(2): 58. doi: 10.3390/jfmk9020058.
  18. Jin X, Qiu T, Li L, Yu R, Chen X, Li C. et al. Pathophysiology of obesity and its associated diseases. Acta Pharm Sin B. 2023; 13(6): 2403-2424. doi: 10.1016/j.apsb.2023.01.012.
  19. Khanna D, Khanna S, Khanna P, Kahar P, Patel BM. Obesity: A Chronic Low-Grade Inflammation and Its Markers. Cureus. 2022; 14(2): 22711. doi: 10.7759/cureus.22711.
  20. Kundi H, Amin ZM, Friedman M, Hagan K, Al-Kindi S, Javed Z. et al. Association of Obesity With Psychological Distress in Young Adults: Patterns by Sex and Race or Ethnicity. JACC Adv. 2024; 3(8): 101115. doi: 10.1016/j.jacadv.2024.101115.
  21. Larkina SA, Seletska OV, Makarenko OA, Vastyanov RS, Badiuk NS. Study of osteoplastic and anti-inflammatory efficiency of drugs containing calcium hydroxyapatite and hyaluronic acid. PharmacologyOnLine. 2021; 3: 958-967.
  22. Lengton R, Schoenmakers M, Penninx BWJH, Boon MR, van Rossum EFC. Glucocorticoids and HPA axis regulation in the stress-obesity connection: A comprehensive overview of biological, physiological and behavioural dimensions. Clin Obes. 2025; 15(2): 12725. doi: 10.1111/cob.12725.
  23. Masood B, Moorthy M. Causes of obesity: a review. Clin Med (Lond). 2023; 23(4): 284-291. doi: 10.7861/clinmed.2023-0168.
  24. Młynarska E, Bojdo K, Bulicz A, Frankenstein H, Gąsior M, Kustosik N. et al. Obesity as a Multifactorial Chronic Disease: Molecular Mechanisms, Systemic Impact, and Emerging Digital Interventions. Curr Issues Mol Biol. 2025; 47(10): 787. doi: 10.3390/cimb47100787.
  25. Monsalve FA, Fernández-Tapia B, Arriagada OC, González DR, Delgado-López F. Obesity and Depression: A Pathophysiotoxic Relationship. Int J Mol Sci. 2025; 26(23): 11590. doi: 10.3390/ijms262311590.
  26. Oracz AJ, Zwierz M, Naumowicz M, Suprunowicz M, Waszkiewicz N. Relationship Between Obesity and Depression Considering the Inflammatory Theory. Int J Mol Sci. 2025; 26(11): 4966. doi: 10.3390/ijms26114966.
  27. Rabiee A, Hossain MA, Poojari A. Adipose Tissue Insulin Resistance: A Key Driver of Metabolic Syndrome Pathogenesis. Biomedicines. 2025; 13(10): 2376. doi: 10.3390/biomedicines13102376.
  28. Shah A, Davarci O, Chaftari P, Avenatti E. Obesity as a Disease: A Primer on Clinical and Physiological Insights. Methodist Debakey Cardiovasc J. 2025; 21(2): 4-13. doi: 10.14797/mdcvj.1515.
  29. Sharafi SE, Garmaroudi G, Ghafouri M, Akhoundzadeh Bafghi S, Ghafouri M, Rajabian Tabesh M. et al. Prevalence of anxiety and depression in patients with overweight and obesity. Obes Med. 2020; 17: 100169. doi:10.1016/j.obmed.2019.100169.
  30. Ueda Yamaguchi N, de Almeida L, Carvalho Gomes Corrêa R, Grossi Milani R, Ueda Yamaguchi M. Global Perspectives on Obesity and Being Overweight: A Bibliometric Analysis in Relation to Sustainable Development Goals. Int J Environ Res Public Health. 2025; 22(2): 146. doi: 10.3390/ijerph22020146.
  31. Vastyanov RS, Stoyanov OM, Babienko VV, Hruzevskiy OA, Talalayev KO, Kirchev VV. et al. Plasma rich platelets anti-inflammatory effect in conditions of carrageenan-induced paw edema in rats. World of Medicine and Biology. 2024; 4(90): 170-175. doi 10.26724/2079-8334-2024-4-90-170-175.
  32. Wang M, Yu L, Tong Z, Sun G, Zhang X, Zhang Q. et al. Obesity, metabolic health, and brain health: Insights from a prospective cohort study. J Affect Disord. 2026; 392: 120184. doi: 10.1016/j.jad.2025.120184.
  33. Wang Q, Li H, Huan Y, Zhou T, Zhang J, Fang R. et al. Adipose tissue: an inflammatory organ that can not be ignored in periodontal disease related to obesity. Front Immunol. 2025; 16: 1698207. doi: 10.3389/fimmu.2025.1698207.
  34. Wu H, Ballantyne CM. Metabolic Inflammation and Insulin Resistance in Obesity. Circ Res. 2020; 126(11): 1549-1564. doi: 10.1161/circresaha.119.315896.
  35. Xiao G, Lin C, Lan Q, Huang Z, Zhou C, Hu J. et al. Association among obesity, insulin resistance, and depressive symptoms: a mediation analysis. BMC Psychiatry. 2025; 25(1): 363. doi: 10.1186/s12888-025-06765-9.
Publication:
«World of Medicine and Biology» Vol. 22 No. 1 (2026) , с. 247-254
УДК 616-056.257:616.895