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IF 3.4 3区医学 Q2 GERIATRICS & GERONTOLOGY

Aging Clinical and Experimental Research Pub Date : 2024-12-21 DOI:10.1007/s40520-024-02904-6

Faezeh Abbasloo, Pouya Ebrahimi, Delaram Ghadimi, Farshad Sharifi, Arian Ayati, Mitra Moodi, Masoumeh Khorashadizadeh, Hosein Fakhrzadeh, Amin Zaki Zadeh, Pedram Ramezani, Reza Pirdehghan, Sara Nooraeen, Ali Moradi, Moloud Payab, Mahbube Ebrahimpur

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引用次数: 0

摘要

背景抑郁症是最容易使人衰弱的精神疾病之一，也是许多其他慢性疾病的风险因素，常见于老年人群。本研究旨在评估伊朗东部社区老年人抑郁代谢综合征与肥胖表型之间的关系。方法和材料作为比尔詹德纵向老龄化研究的一部分，本回顾性横断面研究针对 60 岁以上的参与者。根据体重指数和代谢综合征的成分，将他们分为四种表型：代谢性非健康肥胖（MNHO）、代谢性健康肥胖（MHO）、代谢性健康非肥胖（MHNO）和代谢性非健康非肥胖（MNHNO）。结果在 1344 名符合条件的参与者中，268 人（19.94%）患有抑郁症。中度、中重度和重度抑郁症患者分别为 179 人（13.32%）、67 人（4.99%）和 22 人（1.64%）。我们的研究结果表明，MNHO 女性轻度抑郁症状（RRR:1.22，95% CI 0.56-2.66）和 MNHNO 女性重度抑郁症状（RRR:1.20，95% CI 0.02-63.17）的 RRR 增加并不显著。结论我们没有观察到抑郁症状与肥胖表型之间存在有意义的关联。此外，除营养不良或其风险外，不同严重程度的抑郁症状还与男性和女性老年人的不同社会人口和医疗风险因素相关。

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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The evaluation of depression prevalence and its association with obesity phenotypes in a community-dwelling aged population

Background

Depression is one of the most debilitating mental disorders and a risk factor for many other chronic diseases that are commonly seen in the geriatric population. It has been claimed in previous studies that depression can be associated with obesity in this age group, but there is no common consensus between their results.

Aim

This study aims to evaluate the association between depression metabolic syndrome and obesity phenotypes in community-dwelling older adults living in the East of Iran.

Method and materials

As a part of the Birjand Longitudinal Aging Study, this retrospective cross-sectional study was conducted on participants older than 60. They were categorized based on their body mass index and components of metabolic syndrome into four phenotypes: metabolic non-healthy obese (MNHO), metabolic healthy obese (MHO), metabolic healthy non-obese (MHNO), and metabolic non-healthy non-obese (MNHNO). The relative risk ratio (RRR) of the obesity phenotypes, the severity of depressive symptoms, and the 95% confidence intervals (95% CI) were evaluated by univariate and multinomial logistic regression.

Results

Of 1344 eligible participants, 268 (19.94%) had depression. Moderate, moderate-severe, and severe depression were observed in 179 (13.32%), 67 (4.99%), and 22 (1.64%) participants, respectively. Our findings showed a non-significant increase in the RRR of mild depressive symptoms in MNHO (RRR:1.22, 95% CI 0.56–2.66) and severe symptoms in MNHNO (RRR:1.20, 95% CI 0.02–63.17) females. However, in male participants, the RRR of moderate-severe depressive symptoms only increased non-significantly for the MNHO category (RRR:1.34, 95% CI 0.45–3.98).

Conclusion

We did not observe a meaningful association between depressive symptoms and obesity phenotypes. Also, other than malnutrition or its risk, various severities of depressive symptoms correlate with different sociodemographic and medical risk factors among male and female senior citizens.

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来源期刊

Aging Clinical and Experimental Research 医学-老年医学

CiteScore

7.90

自引率

5.00%

发文量

283

审稿时长

1 months

期刊介绍： Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.