Depression is associated with sarcopenia, not central obesity, in elderly korean men.
J Am Geriatr Soc
; 59(11): 2062-8, 2011 Nov.
Article
in En
| MEDLINE
| ID: mdl-22092258
ABSTRACT
OBJECTIVES:
To examine the relationship between depression and various components of body composition, including fat and muscle, in elderly Koreans.DESIGN:
A cross-sectional sample of a longitudinal cohort from the Ansan Geriatric (AGE) Study.SETTING:
Elderly people living in urban area (Ansan City, South Korea).PARTICIPANTS:
Eight hundred thirty-six participants (378 male, 458 female) aged 60 and older were recruited from April 2006 to January 2008. MEASUREMENTS Depressive symptoms were examined using the Korean version of the 30-item Geriatric Depression Scale (KGDS). Participants taking antidepressant medications or with a KGDS score of 14 or greater were classified as having depression. Abdominal visceral fat area (VFA) and subcutaneous fat area were assessed using single-slice computed tomography, and appendicular skeletal muscle mass (ASM) and percentage body fat (%BF) were determined using whole-body dual-energy X-ray absorptiometry.RESULTS:
Elderly men with depression had a lower ASM than those without depression (P = .01) after adjusting for age, body weight, and height. In men, the risk of depression was lower with higher body mass index (BMI) (odds ratio (OR) per 1-standard deviation (SD) increase = 0.70, 95% confidence interval (CI) = 0.51-0.96) after adjusting for all confounding variables and higher ASM (OR per 1-SD increase = 0.49; 95% CI = 0.29-0.85) after controlling for age, height, and weight. Similarly, depression was negatively associated with BMI in women (OR per 1-SD increase = 0.73; 95% CI = 0.56-0.95). Waist circumference, %BF, and VFA were not consistently associated with depression in men or women.CONCLUSION:
Depression in elderly Koreans is associated with low body mass and sarcopenia, especially in men.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Health Status
/
Depression
/
Sarcopenia
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
/
Patient_preference
Limits:
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
En
Journal:
J Am Geriatr Soc
Year:
2011
Document type:
Article