TY - JOUR
T1 - Association between depression and bone mineral density in community-dwelling older men and women in Korea
AU - Oh, Sun Min
AU - Kim, Hyeon Chang
AU - Ahn, Song Vogue
AU - Rhee, Yumie
AU - Suh, Il
N1 - Funding Information:
This study was supported by grants from the Korea Centers for Disease Control and Prevention ( 2008-E71004-00 and 2009-E71006-00 ) and the Korea Healthcare technology R&D Project of the Ministry of Health and Welfare, Republic of Korea ( A102065 ).
PY - 2012/2
Y1 - 2012/2
N2 - Objectives: Previous research suggested a significant correlation between depression and osteoporosis, but little is known for the elderly Asian population. We investigated an association between depression and bone mineral density (BMD) in the Korean elderly. Study design: Cross-sectional data analysis of a community-based study, Kangwha Island, South Korea. Main outcome measures: BMD, measured at the os calcis using a quantitative ultrasound device, was expressed as stiffness index and T-score. Depressive symptoms were evaluated by the Korean version of Beck Depression Inventory (K-BDI). Depression was defined as a K-BDI score of 16 or higher. Participants also completed a questionnaire, including demographic factors, metabolic abnormalities, and health-related lifestyle factors. Results: A total of 932 local residents (422 men and 510 women) aged 60-80 years completed the questionnaires and baseline BMD evaluation. Men with depression had a significantly lower stiffness index compared to those without depression in an age-adjusted (77.2 ± 5.2 vs. 86.0 ± 1.5, p = 0.002) and a multivariate-adjusted model (78.5 ± 5.2 vs. 85. 9 ± 1.5, p = 0.007). Correspondingly, men with depression had an increased probability of having an osteoporosis (T-score ≤ -2.5) compared to those without depression; the age-adjusted odds ratio was 2.86 (95% CI, 1.36-6.01) and the multivariate-adjusted odds ratio was 2.69 (95% CI, 1.26-5.76). However, no significant association was observed in older women. Conclusions: Depression was significantly associated with lower BMD in Korean older men, but not in women.
AB - Objectives: Previous research suggested a significant correlation between depression and osteoporosis, but little is known for the elderly Asian population. We investigated an association between depression and bone mineral density (BMD) in the Korean elderly. Study design: Cross-sectional data analysis of a community-based study, Kangwha Island, South Korea. Main outcome measures: BMD, measured at the os calcis using a quantitative ultrasound device, was expressed as stiffness index and T-score. Depressive symptoms were evaluated by the Korean version of Beck Depression Inventory (K-BDI). Depression was defined as a K-BDI score of 16 or higher. Participants also completed a questionnaire, including demographic factors, metabolic abnormalities, and health-related lifestyle factors. Results: A total of 932 local residents (422 men and 510 women) aged 60-80 years completed the questionnaires and baseline BMD evaluation. Men with depression had a significantly lower stiffness index compared to those without depression in an age-adjusted (77.2 ± 5.2 vs. 86.0 ± 1.5, p = 0.002) and a multivariate-adjusted model (78.5 ± 5.2 vs. 85. 9 ± 1.5, p = 0.007). Correspondingly, men with depression had an increased probability of having an osteoporosis (T-score ≤ -2.5) compared to those without depression; the age-adjusted odds ratio was 2.86 (95% CI, 1.36-6.01) and the multivariate-adjusted odds ratio was 2.69 (95% CI, 1.26-5.76). However, no significant association was observed in older women. Conclusions: Depression was significantly associated with lower BMD in Korean older men, but not in women.
KW - Bone density
KW - Depression
KW - Osteoporosis
UR - http://www.scopus.com/inward/record.url?scp=84855802427&partnerID=8YFLogxK
U2 - 10.1016/j.maturitas.2011.11.007
DO - 10.1016/j.maturitas.2011.11.007
M3 - Article
C2 - 22153349
AN - SCOPUS:84855802427
SN - 0378-5122
VL - 71
SP - 142
EP - 146
JO - Maturitas
JF - Maturitas
IS - 2
ER -