Lee Smith1, Stephanie White2, Brendon Stubbs3, Liang Hu4, Nicola Veronese5, Davy Vancampfort6, Mark Hamer7, Benjamin Gardner8, Lin Yang9. 1. The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom. Electronic address: lee.smith@anglia.ac.uk. 2. The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom. 3. Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London SE5 8AZ, United Kingdom; Health Service and Population Research Department Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London Box SE5 8AF, United Kingdom; Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, United Kingdom. 4. Department of Sport Science, Zhejiang University, Hangzhou, China. 5. National Research Council, Neuroscience Institute, Aging Branch, Padova, Italy. 6. KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium; KU Leuven, University Psychiatric Centre KU Leuven, Leuven-Kortenberg, Belgium. 7. National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, United Kingdom; National Institute for Health Research Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, Leicester, United Kingdom. 8. Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Addison House, Guy's Campus, London, SE1 1UL, United Kingdom. 9. Department of Epidemiology, Medical University of Vienna, Austria. Electronic address: lin.yang@muv.ac.at.
Abstract
BACKGROUND: Handgrip strength is a valid indicator of broader physical functioning. Handgrip strength and weight status have been independently associated with depressive symptoms in older adults, but no study has yet investigated the relationships between all three in older US adults. This study investigated the relationship between physical function and depressive symptoms by weight status in older US adults. METHODS: Cross-sectional data were analysed from the National Health and Nutrition Examination Survey waves 2011 to 2012 and 2013 to 2014. Physical function was assessed using a grip strength dynamometer. Depressive symptoms were assessed using the self-reported Patient Health Questionnaire-9. Weight status was assessed using Body Mass Index (BMI) and participants were categorised as normal weight (< 25 kg/m2), overweight (25 to < 30 kg/m2), and obese (≥ 30.0 kg/m2). Associations between depressive symptoms and hand grip strength were estimated by gender-specific multiple linear regressions and BMI stratified multivariable linear regression. RESULTS: A total of 2,812 adults (54% female, mean age 69.2 years, mean BMI 29.2 kg/m2) were included. Women with moderate to severe depressive symptoms had 1.60 kg (95% CI: 0.91 to 2.30) lower hand grip strength compared to women with minimal or no depressive symptoms. No such association was observed in men. Among those with obesity, men (-3.72 kg, 95% CI: -7.00 to -0.43) and women (-1.83 kg, 95% CI: -2.87 to -0.78) with moderate to severe depressive symptoms both had lower handgrip strength. CONCLUSION: Among older US adults, women and people who are obese and depressed are at the greatest risk of decline in physical function.
BACKGROUND: Handgrip strength is a valid indicator of broader physical functioning. Handgrip strength and weight status have been independently associated with depressive symptoms in older adults, but no study has yet investigated the relationships between all three in older US adults. This study investigated the relationship between physical function and depressive symptoms by weight status in older US adults. METHODS: Cross-sectional data were analysed from the National Health and Nutrition Examination Survey waves 2011 to 2012 and 2013 to 2014. Physical function was assessed using a grip strength dynamometer. Depressive symptoms were assessed using the self-reported Patient Health Questionnaire-9. Weight status was assessed using Body Mass Index (BMI) and participants were categorised as normal weight (< 25 kg/m2), overweight (25 to < 30 kg/m2), and obese (≥ 30.0 kg/m2). Associations between depressive symptoms and hand grip strength were estimated by gender-specific multiple linear regressions and BMI stratified multivariable linear regression. RESULTS: A total of 2,812 adults (54% female, mean age 69.2 years, mean BMI 29.2 kg/m2) were included. Women with moderate to severe depressive symptoms had 1.60 kg (95% CI: 0.91 to 2.30) lower hand grip strength compared to women with minimal or no depressive symptoms. No such association was observed in men. Among those with obesity, men (-3.72 kg, 95% CI: -7.00 to -0.43) and women (-1.83 kg, 95% CI: -2.87 to -0.78) with moderate to severe depressive symptoms both had lower handgrip strength. CONCLUSION: Among older US adults, women and people who are obese and depressed are at the greatest risk of decline in physical function.
Authors: Lee Smith; Peter Allen; Shahina Pardhan; Trish Gorely; Igor Grabovac; Annetta Smith; Guillermo F López-Sánchez; Lin Yang; Sarah E Jackson Journal: Wien Klin Wochenschr Date: 2020-01-07 Impact factor: 1.704
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Authors: María Aliño-Dies; Joan Vicent Sánchez-Ortí; Patricia Correa-Ghisays; Vicent Balanzá-Martínez; Joan Vila-Francés; Gabriel Selva-Vera; Paulina Correa-Estrada; Jaume Forés-Martos; Constanza San-Martín Valenzuela; Manuel Monfort-Pañego; Rosa Ayesa-Arriola; Miguel Ruiz-Veguilla; Benedicto Crespo-Facorro; Rafael Tabarés-Seisdedos Journal: Front Psychol Date: 2020-11-25
Authors: Priscila Marconcin; Miguel Peralta; Gerson Ferrari; Margarida Gaspar de Matos; Margarida Espanha; Eugenia Murawska-Ciałowicz; Adilson Marques Journal: Int J Environ Res Public Health Date: 2020-09-23 Impact factor: 3.390