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Osteoporosis is associated with depression among older adults: a nationwide population-based study in the USA from 2005 to 2020.
- Source :
-
Public Health (Elsevier) . Jan2024, Vol. 226, p27-31. 5p. - Publication Year :
- 2024
-
Abstract
- The global prevalence of osteoporosis is rising, yet it is unclear whether people with osteoporosis have a higher risk of depression than those without osteoporosis. A cross-sectional study. We used nationally representative data from the US National Health and Nutrition Examination Survey (NHANES) in 2005–2006, 2007-2008, 2009-2010, 2013-2014, and 2017-2020. The diagnosis of osteoporosis was based on the bone mineral density of the femoral neck measured by dual-energy X-ray absorptiometry. Depression was assessed by the Patient Health Questionnaire-9 (PHQ-9), with a score ≥5 as depressive symptoms and a score ≥10 as probable depression. We used logistic regression models to evaluate the association between osteoporosis and depressive symptoms and probable depression. We included 11,603 adults (aged 50 years and older, 52.3% male) and observed 5.2% of them had osteoporosis. 31.9% of these osteoporotic people had depressive symptoms, and 10.0% had probable depression. Compared to participants without osteoporosis, those with osteoporosis were 1.73 times more likely to experience depressive symptoms (odds ratio [OR] = 1.73, 95% confidence interval [CI] 1.20–2.50) and 1.91 times more likely to experience probable depression (OR = 1.91, 95% CI 1.02–3.59), after adjusting for sex, age, race/ethnicity, education, marital status, family income, body mass index, smoking, physical activity, and alcohol abuse. Moderate-to-vigorous activities mediated the associations between osteoporosis and depression and depressive symptoms. Osteoporosis is an independent risk factor for depression. This study highlights the need to evaluate the mental well-being of patients with osteoporosis in clinical and primary health care. [ABSTRACT FROM AUTHOR]
- Subjects :
- *OSTEOPOROSIS diagnosis
*MENTAL depression risk factors
*PHOTON absorptiometry
*CONFIDENCE intervals
*ALCOHOLISM
*CROSS-sectional method
*AGE distribution
*FEMUR neck
*RACE
*OSTEOPOROSIS
*RISK assessment
*SEX distribution
*INCOME
*PHYSICAL activity
*QUESTIONNAIRES
*MENTAL depression
*DESCRIPTIVE statistics
*BONE density
*LOGISTIC regression analysis
*ODDS ratio
*MARITAL status
*BODY mass index
*SMOKING
*EDUCATIONAL attainment
*DISEASE complications
*OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 00333506
- Volume :
- 226
- Database :
- Academic Search Index
- Journal :
- Public Health (Elsevier)
- Publication Type :
- Academic Journal
- Accession number :
- 174758094
- Full Text :
- https://doi.org/10.1016/j.puhe.2023.10.022