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Evidence of bi-directional associations between depressive symptoms and body mass among older adults
Department of Psychology, Ohio State University, Columbus, USA.
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Psychology, Indiana University Southeast, New Albany, USA.ORCID iD: 0000-0003-2346-2470
Department of Psychology, University of Southern California, Los Angeles, USA.
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0002-6305-8993
2020 (English)In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368, Vol. 75, no 8, p. 1689-1698Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Body fat, measured with body mass index (BMI), and obesity are associated with depressive symptoms. Among younger adults there is stronger evidence of obesity leading to depressive symptoms than of depressive symptoms leading to obesity, but the temporal relationship is unknown among older adults. This study utilized dual-change-score models (DCSMs) to determine the directional relationship between body mass and depressive symptoms among older adults.

METHOD: Participants (n=1743) from the Swedish Twin Registry (baseline age range 50-96 years) completed at least one assessment of BMI (nurse measurement of height and weight) and the Center for Epidemiologic Studies-Depression scale (CESD). More than half the sample completed three or more assessments, scheduled at intervals of 2-4 years. DCSMs modeled the relationship of BMI and CESD across age, both independently and as part of bivariate relationships.

RESULTS: Depressive symptoms contributed to subsequent changes in BMI after age 70, while BMI contributed to subsequent changes in depressive symptoms after age 82. Thus, there is a reciprocal relationship that may change with age. The effect was more pronounced for women.

DISCUSSION: The association of BMI and depressive symptoms is bi-directional among older adults, and it appears to be affected by both age and sex.

Place, publisher, year, edition, pages
Oxford University Press, 2020. Vol. 75, no 8, p. 1689-1698
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-43457DOI: 10.1093/geronb/gbz022ISI: 000593214100011PubMedID: 30843043Scopus ID: 2-s2.0-85090968479Local ID: ;HHJARNISOAI: oai:DiVA.org:hj-43457DiVA, id: diva2:1304138
Funder
Swedish Research Council, 97:0147:1B 2009-0795 825-2007-7460 825-2009-6141Vårdal FoundationAvailable from: 2019-04-11 Created: 2019-04-11 Last updated: 2021-01-11Bibliographically approved

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Finkel, DeborahDahl Aslan, Anna K.

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