关键词: Depression Gait speed Handgrip strength Older adults Physical function

Mesh : Humans Male Aged Female Depression / epidemiology psychology physiopathology diagnosis Walking Speed / physiology Hand Strength / physiology Longitudinal Studies Independent Living Cross-Sectional Studies Middle Aged Iran / epidemiology Aged, 80 and over Aging / physiology psychology

来  源:   DOI:10.1186/s12877-024-04944-z   PDF(Pubmed)

Abstract:
BACKGROUND: Depression is a multifaceted condition with a high prevalence and burden to society. Handgrip strength (HGS) and gait speed (GS) are indices of physical health, which is linked to mental health. Previous studies have shown heterogeneity among countries in the association of physical parameters and depression. In this study, we aimed to investigate the association of HGS and GS with depressive symptoms in older adults.
METHODS: This is a cross-sectional study analyzing data from the Birjand Longitudinal Aging Study, a cohort of community-dwelling older adults (≥ 60 years old). Depressive symptoms were assessed by the nine-item Patient Health Questionnaire. HGS was measured with a hand dynamometer in a sitting position, and GS was estimated by a 15-foot walk test at usual pace.
RESULTS: Compared to participants in the first quartile, those in the second quartile of HGS had significantly lower odds of suffering from depressive symptoms, while GS was not significantly associated with depressive symptoms. A higher HGS was associated with a lower risk of moderate depressive symptoms, while a higher GS was related to a lower risk of moderately severe and severe symptoms.
CONCLUSIONS: Our findings suggest that older people residing in Birjand, Iran with a moderate HGS are less likely to suffer from depressive symptoms than those with lower HGS.
摘要:
背景:抑郁症是一种多面性疾病,患病率高,给社会带来负担。握力(HGS)和步态速度(GS)是身体健康的指标,这与心理健康有关。先前的研究表明,各国之间在物理参数和抑郁症之间存在异质性。在这项研究中,我们旨在调查HGS和GS与老年人抑郁症状的相关性.
方法:这是一项横断面研究,分析来自Birjand纵向衰老研究的数据,一组社区居住的老年人(≥60岁)。抑郁症状通过9项患者健康问卷进行评估。HGS是用坐姿的手动测力计测量的,GS是通过以通常的速度进行15英尺步行测试来估计的。
结果:与第一个四分位数的参与者相比,那些处于第二四分位数的人患抑郁症状的几率明显降低,而GS与抑郁症状无显著相关性。较高的HGS与中度抑郁症状的风险较低相关,而较高的GS与中度和重度症状的风险较低有关。
结论:我们的研究结果表明,居住在比尔扬德的老年人,与HGS较低的人相比,HGS中等的伊朗患抑郁症状的可能性较小。
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