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Association between depression and bone mineral density in community-dwelling older men and women in Korea.

 Sun Min Oh  ;  Hyeon Chang Kim  ;  Song Vogue Ahn  ;  Yumie Rhee  ;  Il Suh 
 MATURITAS, Vol.71(2) : 142-146, 2012 
Journal Title
Issue Date
Aged ; Aged, 80 and over ; Bone Density* ; Cross-Sectional Studies ; Depression/complications* ; Depressive Disorder/complications* ; Female ; Humans ; Male ; Middle Aged ; Odds Ratio ; Osteoporosis/complications* ; Osteoporosis/epidemiology ; Prevalence ; Republic of Korea/epidemiology ; Risk Factors ; Sex Factors ; Surveys and Questionnaires
Bone density ; Depression ; Osteoporosis
OBJECTIVES: Previous research suggested a significant correlation between depression and osteoporosis, but little is known for the elderly Asian population. We investigated an association between depression and bone mineral density (BMD) in the Korean elderly. STUDY DESIGN: Cross-sectional data analysis of a community-based study, Kangwha Island, South Korea. MAIN OUTCOME MEASURES: BMD, measured at the os calcis using a quantitative ultrasound device, was expressed as stiffness index and T-score. Depressive symptoms were evaluated by the Korean version of Beck Depression Inventory (K-BDI). Depression was defined as a K-BDI score of 16 or higher. Participants also completed a questionnaire, including demographic factors, metabolic abnormalities, and health-related lifestyle factors. RESULTS: A total of 932 local residents (422 men and 510 women) aged 60-80 years completed the questionnaires and baseline BMD evaluation. Men with depression had a significantly lower stiffness index compared to those without depression in an age-adjusted (77.2±5.2 vs. 86.0±1.5, p=0.002) and a multivariate-adjusted model (78.5±5.2 vs. 85. 9±1.5, p=0.007). Correspondingly, men with depression had an increased probability of having an osteoporosis (T-score≤-2.5) compared to those without depression; the age-adjusted odds ratio was 2.86 (95% CI, 1.36-6.01) and the multivariate-adjusted odds ratio was 2.69 (95% CI, 1.26-5.76). However, no significant association was observed in older women. CONCLUSIONS: Depression was significantly associated with lower BMD in Korean older men, but not in women.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyeon Chang(김현창) ORCID logo https://orcid.org/0000-0001-7867-1240
Suh, Il(서일) ORCID logo https://orcid.org/0000-0002-9689-7849
Ahn, Song Vogue(안성복)
Oh, Sun Min(오선민)
Rhee, Yumie(이유미) ORCID logo https://orcid.org/0000-0003-4227-5638
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