Relationship between obesity related anthropometric indicators and depression risk in Hainan centenarians
10.3760/cma.j.cn112338-20200425-00644
- VernacularTitle:海南百岁老人中肥胖相关指标与抑郁症状风险的关联研究
- Author:
Shanshan YANG
1
;
Shengshu WANG
;
Wangping JIA
;
Ke HAN
;
Penggang TAI
;
Fuyin KOU
;
Jing LI
;
Wenzhe CAO
;
Yali ZHAO
;
Qiao ZHU
;
Chaoxue NING
;
Miao LIU
;
Yao HE
Author Information
1. 解放军总医院老年医学研究所，衰老与相关疾病研究北京市重点实验室，肾脏疾病国家重点实验室，国家老年疾病临床医学研究中心，北京 100853；中国人民解放军总医院第一医学中心疾病预防控制科，北京 100853
- Keywords:
Centenarian;
Calf circumference;
Waist-calf circumference ratio;
Depression risk;
Anthropometric measuring
- From:
Chinese Journal of Epidemiology
2021;42(1):113-120
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the association of waist circumference, BMI, waist-hip ratio, waist-height ratio, calf circumference and waist-calf circumference ratio (WCR) with depression risk in centenarians in Hainan province.Methods:A total of 1 002 centenarians in Hainan were selected by cluster sampling. GDS-15 was used to investigate the depression. Multivariate linear regression and logistic regression analyses were conducted to evaluate the correlation between anthropometric indicators and depression risk. Restricted cubic spline was used to analyze and visualize the linear relationship.Results:After adjusting demographic characteristics (gender, age, ethnic group, marital status, educational level and type of residence) and lifestyle (smoking and drinking), the standard β of BMI, WC, WHR, WHtR, calf circumference and WCR associated with GDS-15 were -0.069, -0.032,0.009, -0.009, -0.099 and 0.060, respectively, and the P values of BMI and calf circumference were <0.05. With the increase of calf circumference, the risk of depression decreased, OR value was 0.94 (95% CI:0.90-0.98), and after adjustment, the results were still significant. Classified variable analysis indicated with the decrease of calf circumference and the increase of WCR, the risk of depression increased gradually, the trend P values were 0.038 and 0.042, respectively. Conclusion:Central obesity (waist circumference and WCR) and periphery obesity (calf circumference) have differed effects on depression in centenarians, and increased calf circumference is a protective factor for depression in female centenarians, attention should be paid to the mental health of the elderly women with lower calf circumference.
