Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: The MEDIS (MEDiterranean ISlands elderly) study
Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: The MEDIS (MEDiterranean ISlands elderly) study
复制标题
城市环境、缺乏身体活动和不健康的饮食习惯与地中海东部岛屿老年人的抑郁症相关：MEDIS（地中海岛屿老年人）研究
DOI：
10.1007/s12603-010-0091-0
复制
发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Demosthenes Panagiotakos
中科院分区：
文献类型：
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作者：
E. Mamplekou;V. Bountziouka;T. Psaltopoulou;A. Zeimbekis;N. Tsakoundakis;N. Papaerakleous;Efthimios Gotsis;G. Metallinos;G. Pounis;E. Polychronopoulos;Christos Lionis;Demosthenes Panagiotakos
目的评估与老年抑郁症相关的因素。方法2005-2007年间，居住在希腊各岛屿和塞浦路斯的553名男性和637名女性(年龄在65岁到100岁之间)参与了这项研究。抽样调查为随机多阶段抽样(根据参考人群的年龄-性别分布)。结果25%的男性和35%的女性被评为最高的GDS类别(即GDS评分和10分)，表明有严重的抑郁症状，而54%的男性和70%的女性得分高于抑郁临界点(即GDS评分和5分)，表明有轻度到重度的抑郁症状。在调查的特征中，居住在城市环境、缺乏体育活动和高血压病史与抑郁症状的出现相关(p<；0.05)，在调整了各种混杂因素后。此外，鱼、蔬菜和谷物的消费在轻度或中度抑郁的人群中更为普遍(p<；0.05)。结论居住在希腊群岛和塞浦路斯的老年人抑郁的患病率相当高。城市环境也可能与久坐不动和不健康的饮食习惯相互作用，似乎会在研究人群中促进抑郁。降低老年人抑郁症患病率的努力应以上述利用功能障碍、社会环境和饮食习惯的因素为目标。
AimsTo evaluate factors associated with depression in elderly.MethodsDuring 2005–2007, 553 men and 637 women (aged 65 to 100 yrs) living in various Greek islands and in Cyprus participated in the study. The sampling was random and multistage (according to age-sex distribution of the referent population). Depressive symptoms were evaluated using the Geriatric Depression Scale (GDS).ResultsTwenty five per cent of men and 35% of women were classified in the highest GDS category (i.e. GDS score > 10), indicating intense depressive symptoms, while 54% of men and 70% of women scored above the depression cut-off (i.e. GDS score > 5) indicating mild-to-severe depressive symptoms. Among the investigated characteristics, living in urban environment, physical inactivity and history of hypertension were correlated with the presence of depressive symptoms (p<0.05), after adjusting for various confounders. Moreover, the consumption of fish, vegetables and cereals is more prevalent among people with low or moderate depression (p<0.05).ConclusionsThe prevalence of depression is quite high between elderly people living in Greek islands and Cyprus. Urban environment that may also interact with sedentarism and unhealthy dietary habits seems to promote depression in the studied population. Efforts to lower the prevalence of depression in the elderly should target on the aforementioned factors that employ functional impairment, social environment and dietary habits.
老年精神病学正在走向成熟。
DOI：
10.1176/ajp.154.10.1356
发表时间：
1997
期刊：
The American journal of psychiatry
影响因子：
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作者：
Jeste,DV
通讯作者：
Jeste,DV
老年精神病学知识评估测试。
DOI：
10.1176/ps.36.11.1160
发表时间：
1985
期刊：
Hospital & community psychiatry
影响因子：
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作者：
Sheikh,JI;Yesavage,JA
通讯作者：
Yesavage,JA