Correlation between Handgrip Strength and Depression in Older Adults-A Systematic Review and a Meta-Analysis.

Correlation between Handgrip Strength and Depression in Older Adults-A Systematic Review and a Meta-Analysis.
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DOI:
10.3390/ijerph18094823
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发表时间:
2021-04-30
影响因子:
--
通讯作者:
Pawlaczyk M
Pawlaczyk M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Zasadzka E;Pieczyńska A;Trzmiel T;Kleka P;Pawlaczyk M

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背景:抑郁症仍然是老年人的一个重要健康问题,它可能与身体素质的恶化有关,其主要指标是握力(HGS)。这项研究的目的是利用现有文献调查老年人群中抑郁和HGS之间的关系。方法:检索PubMed、Web of Science和Science Direct数据库。纳入标准如下:以英语编写,2009年后出版,受试者年龄:≥60岁,使用手部测力计测量血糖,使用有效工具评估抑郁症状。以下文章被排除在外:在住院受试者和/或患有特定疾病的人群中进行的研究。结果:纳入Meta分析的16项研究的33个结果的综合效应为OER=−0.148(SE=0.030,95%CI:−0.206-−0.091),表明HGS与抑郁症状之间存在弱的负相关。结论:文献综述和荟萃分析表明,在老年人群中,肌肉力量不足与抑郁症状加重之间存在关系。考虑到抑郁症在老年患者中往往没有被发现或被低估,肌肉力量下降应该是医生的一个重要迹象,也是对他们进行抑郁症筛查的一种激励。
Background: Depression remains an important health problem among older adults and it may be correlated with the deterioration of physical fitness, whose chief indicator is hand grip strength (HGS). The aim of the study was to investigate the relationship between depression and HGS among older populations using the available literature. Methods: PubMed, Web of Science and Science Direct databases were searched. The inclusion criteria were as follows: written in English and published after 2009, subject age: ≥60 years, HGS measured using a hand dynamometer, assessment of the depressive symptoms using a validated tool. The following articles were excluded: studies conducted among institutionalized subjects and/or populations with a specific disease. Results: The total combined effect of 33 results presented in 16 studies included in the meta-analysis, converted to the correlation coefficient, was OEr = −0.148 (SE = 0.030, 95%CI: −0.206–−0.091), indicating a weak, negative correlation between HGS and depressive symptoms. Conclusions: The review of the literature and the meta-analysis demonstrated a relationship between low muscle strength and intensified depressive symptoms in older populations. Bearing in mind that depression is often unrecognized or underdiagnosed among older patients, lowered muscle strength should be an important sign for physicians and an incentive to screen them for depression.
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