Lifestyle factors and the course of depression in older adults: A NESDO study
Lifestyle factors and the course of depression in older adults: A NESDO study
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DOI：
10.1002/gps.4889
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发表时间：
2018-07-01
影响因子：
4
通讯作者：
Van den Berg, Julia F.
中科院分区：
文献类型：
--
作者：
Bruin, Myrthe C.;Comijs, Hannie C.;Van den Berg, Julia F.
目的探讨生活方式指标，包括体育锻炼、睡眠时间、饮酒、体重指数、吸烟状况和综合生活方式指数是否与老年抑郁症病程有关。用综合国际诊断访谈评估基线状态下的抑郁障碍。每6个月用抑郁症状量表(0~84分)评定抑郁病程；用国际体力活动问卷进行体育锻炼；用酒精使用障碍鉴定测验评定饮酒情况；用人体测量法评定体重指数；用访谈问题评定睡眠时间和吸烟状况。结果在所有参与者中，61.1%的人患有慢性抑郁症(所有IDS14-84分)，20.1%的人患有间歇性抑郁症(1个IDS14分)，18.7%的人缓解抑郁(最后2个IDS14分)。在调整协变量后，调查的生活方式指标和综合生活方式指数均与抑郁症病程无关。结论生活方式因素不能预测2年随访的老年人的抑郁症病程。
ObjectivesTo investigate whether lifestyle indicators including physical exercise, sleep duration, alcohol use, body mass index, smoking status, and a composite lifestyle index are associated with the depression course in older adults.MethodsData of 283 older adults were used from the Netherlands Study of Depression in Older Persons. Depressive disorders at baseline were assessed with the Composite International Diagnostic Interview. The depression course at 2-year follow-up was assessed with the Inventory of Depressive Symptoms (IDS, score 0-84) every 6months; physical exercise with the International Physical Activity Questionnaire; alcohol use with the Alcohol Use Disorders Identification Test; body mass index by anthropometry; and sleep duration and smoking status by interview questions. A composite lifestyle index was calculated by summing scores assigned to each lifestyle factor, with a higher score indicating healthier behavior.ResultsOf all participants, 61.1% had chronic depression (all IDS scores 14-84), 20.1% had intermittent depression (1 IDS score14), and 18.7% remitted depression (last 2 IDS scores 14). None of the investigated lifestyle indicators, nor the composite lifestyle index was associated with depression course, after adjustment for covariates.ConclusionsLifestyle factors do not predict the course of depression at 2-year follow-up in older adults.