A Study on the Relationship Between Obesity and Depression in the Elderly of China

GUO He-jun; ZHANG Chi

Volume 50 Issue 5

Sep. 2019

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JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES) > 2019 > 50(5): 725-730.

GUO He-jun, ZHANG Chi. A Study on the Relationship Between Obesity and Depression in the Elderly of China[J]. Journal of Sichuan University (Medical Sciences), 2019, 50(5): 725-730.

Citation:

GUO He-jun, ZHANG Chi. A Study on the Relationship Between Obesity and Depression in the Elderly of China[J]. Journal of Sichuan University (Medical Sciences), 2019, 50(5): 725-730.

Citation:

GUO He-jun, ZHANG Chi. A Study on the Relationship Between Obesity and Depression in the Elderly of China[J]. Journal of Sichuan University (Medical Sciences), 2019, 50(5): 725-730.

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A Study on the Relationship Between Obesity and Depression in the Elderly of China

GUO He-jun,
ZHANG Chi^,

Chengdu Medical College, Chengdu 610500, China

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Corresponding author:
ZHANG Chi,E-mail:241187741@qq.com
Received Date: February 26, 2019
Revised Date: June 19, 2019
Available Online: March 16, 2021
Published Date: September 19, 2019

Abstract

Abstract

Objective To understand the relationship between obesity and depression in the elderly in China, and to explore whether there are differences between the genders.
Methods The data were collected from the 2015 China Health and Retirement National Investigation (China Health and Retirement Longitudinal Study, CHARLS). The respondents were grouped according to depressive status. The difference of depressive status between the elderly male and female groups was examined by Chi-square test. The relationship between depression, obesity and the other sociological factors was analyzed by binary logistic regression.
Results There were 4 019 valid cases, including 2 109 males (52.48%) and 1 910 females (47.52%). All the respondents were aged 60 years and over. There were 474 cases of central obesity (11.79%) and 2 418 cases of abdominal obesity (60.16%). There were significant differences in central obesity and abdominal obesity between the elderly male and female groups (P < 0.001). 1 304 cases suffered from depression, accounting for 32.45%, of which 539 cases were male (41.33%) and 765 cases were female (58.67%). Different groups of gender, central obesity and abdominal obesity had significant differences in depressive status (P < 0.001). The results of univariate analysis indicated that the characteristics of female, divorced/widowed/unmarried, in rural areas, having chronic diseases and functional loss were the risk factors for depression. The results of multivariate logistic regression analysis indicated that, in terms of the total sample, after adjustment for the confounding factors, both central obesity and abdominal obesity groups were less likely to suffer from depression. After stratified by gender, both central obesity and abdominal obesity were negatively correlated with depression.
Conclusion The elderly with central obesity or abdominal obesity are less likely to suffer from depression, regardless of gender.
- Obesity,
- The elderly,
- CHARLS,
- Depressive symptoms

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[1]	LEVIS B, BENEDETTI A, THOMBS B D.Accuracy of Patient Health Questionnaire-9(PHQ-9) for screening to detect major depression: individual participant data meta-analysis. BMJ, 2019, 365: l147[2019-06-07]. https://doi.org/10.1136/bmj.l1476.
[2]	LEMOULT J, GOTLIB I H.Depression: a cognitive perspective. Clin Psychol Rev, 2019, 69:51-66. DOI: 10.1016/j.cpr.2018.06.008
[3]	SIMON G E.Social and economic burden of mood disorders.Biol Psychiatry, 2003, 54(3):208-215. DOI: 10.1016/S0006-3223(03)00420-7
[4]	MICHAUD C M, MURRAY C J, BLOOM B R.Burden of disease-implications for future research.JAMA, 2001, 285(5):535-539. DOI: 10.1001/jama.285.5.535
[5]	ZHOU X, LI J, GU W, et al.Prevalence and associated factors of anxiety and depression among patients with chronic respiratory diseases in eight general hospitals in Jiangsu Province of China: a cross-sectional study. Psychiatry Res, 2017, 251:48-53. DOI: 10.1016/j.psychres.2017.01.070
[6]	SWINBURN B A, KRAAK V I, ALLENDER S, et al.The global syndemic of obesity, undernutrition, and climate change: the lancet commission report. Lancet, 2019, 393(10173):791-846. DOI: 10.1016/S0140-6736(18)32822-8
[7]	PAGAN R, DE HARO C O, SANCHEZ C R.Obesity, job satisfaction and disability at older ages in Europe. Econ Hum Biol, 2016, 20:42-54. DOI: 10.1016/j.ehb.2015.10.001
[8]	DAHANY M M, DRAME M, MAHMOUDI R, et al.Factors associated with successful aging in persons aged 65 to 75 years. European Geriatric Med, 2014, 5(6):365-370. DOI: 10.1016/j.eurger.2014.09.005
[9]	LAZAREVICH I, IRIGOYEN C M, VELAZQUEZ-ALVA M, et al.Relationship among obesity, depression, and emotional eating in young adults. Appetite, 2016, 107:639-644. DOI: 10.1016/j.appet.2016.09.011
[10]	LUPPINO F S, DE WIT L M, BOUVY P F, et al.Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies.Arch Gen Psychiatry, 2010, 67(3):220-229. DOI: 10.1001/archgenpsychiatry.2010.2
[11]	XIANG X, AN R.Obesity and onset of depression among U.S. middle-aged and older adults. J Psychosom Res, 2015, 78(3):242-248. DOI: 10.1016/j.jpsychores.2014.12.008
[12]	KIM J, NOH J W, PARK J, et al.Body mass index and depressive symptoms in older adults: a cross-lagged panel analysis.PLoS One, 2014, 9(12): e114891[2019-01-13]. https://doi.org/10.1371/journal.pone.0114891.
[13]	DE WIT L M, VAN STRATEN A, VAN HERTEN M, et al.Depression and body mass index, a u-shaped association. BMC Public Health, 2009, 9: 14[2019-01-13]. https://doi.org/10.1186/1471-2458-9-14.
[14]	ZHAO Y, HU Y, SMITH J P, et al.Cohort profile: the China Health and Retirement Longitudinal Study (CHARLS).Int J Epidemiol, 2014, 43(1):61-68. DOI: 10.1093/ije/dys203
[15]	ANDRESEN E M, MALMGREN J A, CARTER W B, et al.Screening for depression in well older adults: evaluation of a short form of the CES-D(Center for Epidemiologic Studies Depression Scale). Am J Prev Med, 1994, 10(2):77-84. DOI: 10.1016/S0749-3797(18)30622-6
[16]	BOEY K W.Cross-validation of a short form of the CES-D in Chinese elderly.Int J Geriatr Psychiatry, 1999, 14(8):608-617. DOI: 10.1002/(SICI)1099-1166(199908)14:8<608::AID-GPS991>3.0.CO;2-Z
[17]	罗会强, 曹裴娅, 左宗力, 等.我国老年人腹型肥胖和睡眠时长关系研究.四川大学学报(医学版), 2017, 48(4):584-588. http://ykxb.scu.edu.cn/article/id/8042bcd4-047b-4fe5-aca6-fdf555667391
[18]	中国肥胖问题工作组.中国成人超重与肥胖症预防与控制指南(节录).营养学报, 2004, 26(1):1-4. http://d.old.wanfangdata.com.cn/Periodical/yingyxb200401001
[19]	仲亚琴, 高月霞, 王健.中国农村老年人自评健康和日常活动能力的性别差异.医学与哲学, 2014, 35(3):37-39. http://d.old.wanfangdata.com.cn/Periodical/yxyzx201403012
[20]	KIM E, SONG J H, HWANG J Y, et al.Obesity and depressive symptoms in elderly Koreans: evidence for the "jolly fat" hypothesis from the Ansan Geriatric(AGE) Study. Arch Gerontol Geriatr, 2010, 51(2):231-234. DOI: 10.1016/j.archger.2009.10.014
[21]	PALINKAS L A, WINGARD D L, BARRETT-CONNOR E.Depressive symptoms in overweight and obese older adults: a test of the "jolly fat" hypothesis. J Psychosom Res, 1996, 40(1):59-66. DOI: 10.1016/0022-3999(95)00542-0
[22]	STOGNER K A, HOLMES P V.Neuropeptide-Y exerts antidepressant-like effects in the forced swim test in rats. Eur J Pharmacol, 2000, 387(2):R9-R10. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_PM10650166

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