Clarifying the relationship between sarcopenia and depression in geriatric outpatients.

IF 2.7 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Aging Male Pub Date : 2021-12-01 DOI:10.1080/13685538.2021.1936482

Dursun Hakan Delibaş, Neslihan Eşkut, Birkan İlhan, Esin Erdoğan, Dilek Top Kartı, Özge Yılmaz Küsbeci, Gülistan Bahat

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引用次数: 15

Abstract

Objective: We investigate the relationship between sarcopenia components and depression in geriatric outpatients, considering the effects of potential confounding factors.

Methods: Adults ≥60 years of age were selected from outpatient clinics. Muscle strength was assessed using handgrip strength (HGS) measured using a hydraulic hand dynamometer and chair stand test (CSST). Physical performance was evaluated by usual gait speed (UGS), nutritional status, and frailty were screened by mini-nutritional assessment (MNA) questionnaire and FRAIL scale. Depression was diagnosed through a psychiatric interview and the administration of the Geriatric Depression Scale (GDS).

Results: Participants with depression were similar to participants without depression regarding age (p = .055), education (p = .095), frailty (p = .857), and HGS scores (p = .053). The group with depression had longer CSST duration (p = .023), slower UGS (p = .027), and more malnutrition (p = .001). Multivariate regression analysis revealed that only the malnutrition was independently associated factor with depression after adjusting for confounding factors.

Conclusions: Depression is associated with malnutrition and some components of sarcopenia in geriatric outpatients. Our results revealed that sarcopenia might be associated with depression through malnutrition. If malnutrition lasts for a long time, sarcopenia may become evident in the later stages of depression.

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阐明老年门诊患者肌肉减少症与抑郁症的关系。

目的:考虑潜在混杂因素的影响，探讨老年门诊患者肌肉减少症组成与抑郁的关系。方法:从门诊选取年龄≥60岁的成年人。肌肉力量的评估采用手握力(HGS)测量，采用液压手测力仪和椅子站立测试(CSST)。采用常规步速(UGS)评估身体机能，采用微量营养评估(MNA)问卷和虚弱量表筛选营养状况和虚弱程度。通过精神病学访谈和老年抑郁症量表(GDS)的管理来诊断抑郁症。结果:抑郁症患者与无抑郁症患者在年龄(p = 0.055)、教育程度(p = 0.095)、虚弱程度(p = 0.857)和HGS评分(p = 0.053)方面相似。抑郁组CSST持续时间较长(p = 0.023)， UGS较慢(p = 0.027)，营养不良较多(p = 0.001)。多因素回归分析显示，剔除混杂因素后，只有营养不良是与抑郁独立相关的因素。结论:抑郁症与老年门诊患者营养不良及部分肌肉减少症相关。我们的研究结果表明，肌肉减少症可能通过营养不良与抑郁症有关。如果营养不良持续很长时间，肌肉减少症可能在抑郁症的后期变得明显。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging Male 医学-泌尿学与肾脏学

CiteScore

6.40

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year. The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to: Diagnosis and treatment of late-onset hypogonadism Metabolic syndrome and related conditions Treatment of erectile dysfunction and related disorders Prostate cancer and benign prostate hyperplasia.