Depressive Symptoms and Change in Abdominal Obesity in the Elderly: Positive or Negative Association?

Wong, Samuel Yeung Shan; Leung, Jason; Leung, Ping Chung; Woo, Jean

doi:10.1097/jgp.0b013e3181ff63be

Cited by 12 publications

(6 citation statements)

References 55 publications

(43 reference statements)

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“…In particular, Toker et al [ 18 ] proposed that depression may be positively associated with higher waist circumference and TG level among women. Similarly, depressive symptoms are associated with higher risk for abdominal obesity among women, but not among men, after controlling the covariates [ 19 , 26 ]. Among German population, depressive symptoms are significantly associated with higher waist circumference and dyslipidemia (lower HDL cholesterol) among women, but not among men, after covariate adjustment [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Sex-based Association between Depression and Metabolic Syndrome in Korean Middle-aged and Older Adults

Suk

Kim

2017

Osong Public Health Res Perspect

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ObjectivesThis study aimed to identify the sex-based association between depression and the development of metabolic syndrome (Mets) among middle-aged and older Korean adults.MethodsA cross-sectional design was used for the secondary analysis of the 2010–2014 Korean National Health and Nutrition Examination Survey. Data from 1,938 men and 2,404 women were analyzed. Mets was defined in accordance with the criteria used for clinical diagnosis. Depression was assessed with a question about having clinical depression. The association between depression and the development of Mets with or without adjustment for covariates was identified by conducting logistic regression analysis on weighted data using a complex sample procedure.ResultsMore women than men had depression. Before covariate adjustment, depression was significantly associated with the development of Mets among women (odds ratio [OR], 1.586; 95% confidence interval [CI], 1.152–2.183) and with a higher triglyceride level among men (OR, 1.679; 95% CI, 1.001–2.818). After covariate adjustment; depression was significantly associated with higher waist circumference among women (adjusted OR [AOR], 1.532; 95% CI, 1.046–2.245) and higher triglyceride level (AOR, 1.511; 95% CI, 1.029–2.219) than was Mets. Conversely, depression did not have significant effects on the development of Mets among men.ConclusionDepression was associated with the development of Mets among middle-aged and older Korean women. Healthcare providers in communities should assess women with depression for the presence of Mets components. Interventions for relieving depressive symptoms should also be provided to women at risk for Mets.

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Section: Discussionmentioning

confidence: 99%

Sex-based Association between Depression and Metabolic Syndrome in Korean Middle-aged and Older Adults

Suk

Kim

2017

Osong Public Health Res Perspect

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“…This elevation in serum cortisol can increase abdominal fat deposition, promoting glucose intolerance and hypertension [ 16 , 17 ]. However, the lack of correlation between depression and visceral fat has been demonstrated in the elderly [ 18 ]. In contrast, we could demonstrate that the total amount of body fat may be more related to psychiatric symptoms than central fat per se .…”

Section: Discussionmentioning

confidence: 99%

Body composition and depressive/anxiety symptoms in overweight and obese individuals with metabolic syndrome

Guedes

Madeira

Mafort

et al. 2013

Diabetol Metab Syndr

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Background: Several studies point to a correlation between obesity and the severity of depressive and anxiety symptoms in children and adults, but there are still some controversial points about this association. The aim of this study is to investigate the relationship between body composition and the severity of anxiety/depressive symptoms in overweight and obese individuals with Metabolic Syndrome (MS). Methods: Fifty patients, 18-50 years old, overweight or obese and with the diagnosis of MS based on the International Diabetes Federation (IDF) criteria were selected for this study. Body composition was evaluated using Dual Energy X-ray Absorptiometry (DXA). Depressive symptoms were evaluated using the Hospital Anxiety and Depression Scale (HADS-Depression) and the Beck Depression Inventory (BDI). Anxiety symptoms were evaluated using HADS-Anxiety. Results: No correlation was found between depressive symptoms (HADS-Depression or BDI) and Body Mass Index (BMI) (r = 0.01; p = 0.94 and r = −0.12, p = 0.38; respectively), Waist Circumference (WC) (r = −0.06, p = 0.67 and r = −0.22, p = 0.12; respectively), and Waist-to-Hip Ratio (WHR) (r = −0.12, p = 0.40 and r = −0.17, p = 0.23; respectively). Additionally, no correlation was found among anxiety symptoms (HADS-Anxiety) and BMI (r = −0.15, p = 0.27), and WHR (r = −0.17, p = 0.24). In contrast, a significant correlation was found between percentage of total fat (DXA) and HADS-Depression (r = 0.34, p = 0.019) and HADS-Anxiety (r = 0.30, p = 0.039). Additionally, an inverse and strong correlation was found between lean mass (in grams) and HADS-Depression (r = −0.42, p = 0.004), HADS anxiety (r = −0.57, p < 0.0001), and BDI (r = −0.44, p = 0.026). Conclusions: In individuals with MS, the percentage of body fat, and not central fat, BMI, WC, or WHR, was associated with an increased severity of anxiety and depressive symptoms. In contrast, total lean mass was strongly associated with fewer anxiety/depressive symptoms, suggesting that body composition might be related to psychiatric comorbidity in overweight individuals with MS.

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“…However, a smaller study of African American adults ( n = 253; (ages 18 to 60 years old) reported a positive association between CES-D scores and WHR levels after controlling for socioeconomic confounders [10]. The more general literature on sex differences in the relations between depressed mood and WHR [14, 15, 22–24] ranges from studies reporting unadjusted or modestly adjusted positive results in both men and women to studies reporting no association in either sex after accounting for confounders similar to the current study. However, the latter studies finding no associations in either sex were conducted in the Netherlands [24] and China [14] with samples of older adults.…”

Section: Discussionmentioning

confidence: 99%

“…While research on these sex differences is largely based on predominantly white samples in the USA [7, 8, 16–20] and on samples in other countries [14, 15, 21–33], several investigations in the USA have examined racially diverse samples that included substantial representation by African Americans [8, 34–38]. However, this literature is limited by its dearth of research specifically investigating sex differences in African Americans, with the exception of two studies that found that depressive symptoms were not associated with blood pressure [8] or high-sensitivity C-reactive protein (hsCRP) [38] in either African American women or African American men.…”

Section: Introductionmentioning

confidence: 99%

Sex Differences in Associations of Depressive Symptoms with Cardiovascular Risk Factors and Metabolic Syndrome among African Americans

Cooper

Trivedi

Nelson

et al. 2013

Cardiovascular Psychiatry and Neurology

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Young to middle-aged women usually have notably lower rates of cardiovascular disease (CVD) than their male counterparts, but African American women lack this advantage. Their elevated CVD may be influenced by sex differences in associations between depressed mood and CVD risk factors. This cross-sectional study examined whether relations between scores on the Center for Epidemiologic Studies-Depression (CES-D) scale and a spectrum of CVD risk factors varied by sex among African Americans (n = 1076; ages 30–64) from the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study. Sex-stratified multiple regressions and logistic regressions were conducted. Among women, CES-D scores correlated positively with systolic blood pressure and waist-to-hip ratio (P's < .05), but inversely with high-density lipoprotein cholesterol (HDL-C) (P < .01). Women had twice the odds for metabolic syndrome if CES-D scores ≥16 and had a ≥14% increase in odds of hypertension, abdominal obesity, and low HDL-C with each 5-unit increase in CES-D scores. Among men, CES-D scores correlated positively with high-sensitivity C-reactive protein (P < .05), and odds of hypertension increased by 21% with each 5-unit increase in CES-D scores. Depressive symptoms may promote premature CVD risk in African Americans, at least in part, via CVD risk factors and prevalent metabolic syndrome, particularly in African American women.

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Depressive Symptoms and Change in Abdominal Obesity in the Elderly: Positive or Negative Association?

Cited by 12 publications

References 55 publications

Sex-based Association between Depression and Metabolic Syndrome in Korean Middle-aged and Older Adults

Sex-based Association between Depression and Metabolic Syndrome in Korean Middle-aged and Older Adults

Body composition and depressive/anxiety symptoms in overweight and obese individuals with metabolic syndrome

Sex Differences in Associations of Depressive Symptoms with Cardiovascular Risk Factors and Metabolic Syndrome among African Americans

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