國家衛生研究院 NHRI:Item 3990099045/5863
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    題名: Depression trajectories and obesity among the elderly in Taiwan
    作者: Kuo, SY;Lin, KM;Chen, CY;Chuang, YL;Chen, WJ
    貢獻者: Division of Mental Health and Addiction Medicine
    摘要: Background. The present study aimed to (a) characterize 10-year trajectory patterns of depressive symptoms and (b) investigate the association between depressive trajectory and subsequent obesity, metabolic function and cortisol level. Method. In a prospective study of Taiwanese adults aged >= 60 years (n=3922) between 1989 and 1999, depression was assessed using a 10-item short-form of the Center for Epidemiologic Studies Depression Scale and information on body mass index (BMI) was collected by self-report. A subsample (n=445) of the original cohort in 1989 was drawn to assess metabolic variables and cortisol levels in a 2000 follow-up. After trajectory analyses were performed, multinomial logistic regression analyses were used to estimate the association estimates. Results. We identified four distinctive trajectories of depressive symptoms: class 1 (persistent low, 41.8%); class 2 (persistent mild, 46.8%); class 3 (late peak, 4.2%); and class 4 (high-chronic, 7.2 %). The results from both complete cases and multiple imputation analyses indicated that the odds of obesity were lower in the class 2, 3 or 4 elderly, as compared with those in class 1, while the odds of underweight were higher. The classes of older adults with more and persistent depressive symptoms showed a trend toward having both a lower BMI (p=0.01) and a higher cortisol level (p=0.04) compared with those with low depressive symptoms. Conclusions. Incremental increases in depressive symptoms over time were associated with reduced risk of obesity and higher cortisol levels.
    日期: 2011-08
    關聯: Psychological Medicine. 2011 Aug;41(8):1665-1676.
    Link to: http://dx.doi.org/10.1017/s0033291710002473
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0033-2917&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000292704400009
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=80054990451
    顯示於類別:[林克明(2004-2009)] 期刊論文
    [陳娟瑜(2004-2010)] 期刊論文

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