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Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study

BACKGROUND: Depression is a common mental disorder. Several studies suggest that lifestyle and health status are associated with depression. However, only a few large-scale longitudinal studies have been conducted on this topic. METHODS: The subjects were middle-aged and elderly Japanese adults betw...

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Autores principales: Tanaka, Hisashi, Sasazawa, Yosiaki, Suzuki, Shosuke, Nakazawa, Minato, Koyama, Hiroshi
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041738/
https://www.ncbi.nlm.nih.gov/pubmed/21294921
http://dx.doi.org/10.1186/1471-244X-11-20
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author Tanaka, Hisashi
Sasazawa, Yosiaki
Suzuki, Shosuke
Nakazawa, Minato
Koyama, Hiroshi
author_facet Tanaka, Hisashi
Sasazawa, Yosiaki
Suzuki, Shosuke
Nakazawa, Minato
Koyama, Hiroshi
author_sort Tanaka, Hisashi
collection PubMed
description BACKGROUND: Depression is a common mental disorder. Several studies suggest that lifestyle and health status are associated with depression. However, only a few large-scale longitudinal studies have been conducted on this topic. METHODS: The subjects were middle-aged and elderly Japanese adults between the ages of 40 and 69 years. A total of 9,650 respondents completed questionnaires for the baseline survey and participated in the second wave of the survey, which was conducted 7 years later. We excluded those who complained of depressive symptoms in the baseline survey and analyzed data for the remaining 9,201 individuals. In the second-wave survey, the DSM-12D was used to determine depression. We examined the risks associated with health status and lifestyle factors in the baseline survey using a logistic regression model. RESULTS: An age-adjusted analysis showed an increased risk of depression in those who had poor perceived health and chronic diseases in both sexes. In men, those who were physically inactive also had an increased risk of depression. In women, the analysis also showed an increased risk of depression those with a BMI of 25 or more, in those sleeping 9 hours a day or more and who were current smokers. A multivariate analysis showed that increased risks of depression still existed in men who had chronic diseases and who were physically inactive, and in women who had poor perceived health and who had a BMI of 25 or more. CONCLUSIONS: These results suggest that lifestyle and health status are risk factors for depression. Having a chronic disease and physical inactivity were distinctive risk factors for depression in men. On the other hand, poor perceived health and a BMI of 25 or more were distinctive risk factors for depression in women. Preventive measures for depression must therefore take gender into account.
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spelling pubmed-30417382011-02-19 Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study Tanaka, Hisashi Sasazawa, Yosiaki Suzuki, Shosuke Nakazawa, Minato Koyama, Hiroshi BMC Psychiatry Research Article BACKGROUND: Depression is a common mental disorder. Several studies suggest that lifestyle and health status are associated with depression. However, only a few large-scale longitudinal studies have been conducted on this topic. METHODS: The subjects were middle-aged and elderly Japanese adults between the ages of 40 and 69 years. A total of 9,650 respondents completed questionnaires for the baseline survey and participated in the second wave of the survey, which was conducted 7 years later. We excluded those who complained of depressive symptoms in the baseline survey and analyzed data for the remaining 9,201 individuals. In the second-wave survey, the DSM-12D was used to determine depression. We examined the risks associated with health status and lifestyle factors in the baseline survey using a logistic regression model. RESULTS: An age-adjusted analysis showed an increased risk of depression in those who had poor perceived health and chronic diseases in both sexes. In men, those who were physically inactive also had an increased risk of depression. In women, the analysis also showed an increased risk of depression those with a BMI of 25 or more, in those sleeping 9 hours a day or more and who were current smokers. A multivariate analysis showed that increased risks of depression still existed in men who had chronic diseases and who were physically inactive, and in women who had poor perceived health and who had a BMI of 25 or more. CONCLUSIONS: These results suggest that lifestyle and health status are risk factors for depression. Having a chronic disease and physical inactivity were distinctive risk factors for depression in men. On the other hand, poor perceived health and a BMI of 25 or more were distinctive risk factors for depression in women. Preventive measures for depression must therefore take gender into account. BioMed Central 2011-02-07 /pmc/articles/PMC3041738/ /pubmed/21294921 http://dx.doi.org/10.1186/1471-244X-11-20 Text en Copyright ©2011 Tanaka et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Tanaka, Hisashi
Sasazawa, Yosiaki
Suzuki, Shosuke
Nakazawa, Minato
Koyama, Hiroshi
Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study
title Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study
title_full Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study
title_fullStr Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study
title_full_unstemmed Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study
title_short Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study
title_sort health status and lifestyle factors as predictors of depression in middle-aged and elderly japanese adults: a seven-year follow-up of the komo-ise cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041738/
https://www.ncbi.nlm.nih.gov/pubmed/21294921
http://dx.doi.org/10.1186/1471-244X-11-20
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