Literature DB >> 25553601

Obesity and onset of depression among U.S. middle-aged and older adults.

Xiaoling Xiang1, Ruopeng An2.   

Abstract

OBJECTIVES: This paper aims to examine the relationship between obesity and onset of depression among U.S. middle-aged and older adults.
METHODS: Data came from 1994 to 2010 waves of the Health and Retirement Study. Study sample consisted of 6514 community-dwelling adults born between 1931 and 1941 who were free of clinically relevant depressive symptoms in 1994. Body mass index (BMI) was calculated from self-reported height/weight. Body weight status was classified into normal weight (18.5kg/m(2)≤BMI<25kg/m(2)), overweight (25kg/m(2)≤BMI<30kg/m(2)), and obesity (BMI≥30kg/m(2)). A score of ≥3 on the 8-item Center for Epidemiologic Studies Depression Scale was used to define clinically relevant depressive symptoms. Kaplan-Meier estimator and time-dependent Cox proportional hazards model were performed to examine the association between body weight status and onset of clinically relevant depressive symptoms.
RESULTS: Unhealthy body weight was associated future onset of depression. Compared with their normal weight counterparts, overweight and obese participants were 13% (hazard ratio [HR]=1.13, 95% confidence interval [CI]=1.04-1.23) and 9% (HR=1.09, 95% CI=1.01-1.18) more likely to have onset of clinically relevant depressive symptoms during the 16years of follow-up, respectively. The relationship between obesity and depression onset appeared stronger among females and non-Hispanic whites than their male and racial/ethnic minority counterparts.
CONCLUSIONS: Health care providers should be aware of the potential risk for depression among obese older adults.
Copyright © 2014 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Depression; Health and Retirement Study; Obesity; Older adults; Survival analysis

Mesh:

Year:  2014        PMID: 25553601     DOI: 10.1016/j.jpsychores.2014.12.008

Source DB:  PubMed          Journal:  J Psychosom Res        ISSN: 0022-3999            Impact factor:   3.006


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