Depression is Associated With Sarcopenia Due to Low Muscle Strength: Results From the ELSA-Brasil Study

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSZLEJF, Claudia
dc.contributor.authorSUEMOTO, Claudia K.
dc.contributor.authorBRUNONI, Andre R.
dc.contributor.authorVIANA, Maria Carmen
dc.contributor.authorMORENO, Arlinda B.
dc.contributor.authorMATOS, Sheila M. A.
dc.contributor.authorLOTUFO, Paulo A.
dc.contributor.authorBENSENOR, Isabela M.
dc.date.accessioned2020-01-21T14:53:53Z
dc.date.available2020-01-21T14:53:53Z
dc.date.issued2019
dc.description.abstractObjectives: To investigate the association of sarcopenia and its defining components with depression in Brazilian middle-aged and older adults. Design: Cross-sectional study. Setting and Participants: This analysis included 5927 participants from the ELSA-Brasil Study second data collection, aged 55 years and older, with complete data for exposure, outcome, and covariates. Measures: Muscle mass was evaluated by bioelectrical impedance analysis and muscle strength by hand-grip strength. Sarcopenia was defined according to the Foundation for the National Institutes of Health (FNIH) criteria. Depression was assessed using the Clinical Interview Scheduled Revised (CIS-R). Information on sociodemographic characteristics, lifestyle, and clinical comorbidities were also obtained. Results: The frequencies of sarcopenia, presarcopenia, low muscle mass, low muscle strength, and low muscle strength without loss of muscle mass was 1.9%, 18.8%, 20.7%, 4.8%, and 2.9%, respectively. After adjustment for sociodemographic characteristics, clinical conditions, and lifestyle factors, depression was associated with sarcopenia (odds ratio [OR] = 2.23, 95% confidence interval [CI] = 1.11-4.48, P = .024) and low muscle strength (OR = 1.94, 95% CI = 1.20-3.15, P = .007), but it was not associated with presarcopenia, low muscle mass, and low muscle strength without loss of muscle mass. Conclusions: Depression is associated with sarcopenia defined by the FNIH criteria mainly because of its association with weakness. Future studies are needed to clarify the temporal relationship between both conditions. (C) 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipCAPES/Alexander von Humboldt fellowship
dc.description.sponsorshipBrazilian Ministry of Health
dc.description.sponsorshipCNPqNational Council for Scientific and Technological Development (CNPq) [01060010.00RS, 01060212.00BA, 01060300.00ES, 01060278.00MG, 01060115.00SP, 01060071.00RJ]
dc.identifier.citationJOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, v.20, n.12, p.1641-1646, 2019
dc.identifier.doi10.1016/j.jamda.2018.09.020
dc.identifier.eissn1538-9375
dc.identifier.issn1525-8610
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/34264
dc.language.isoeng
dc.publisherELSEVIER SCIENCE INCeng
dc.relation.ispartofJournal of the American Medical Directors Association
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ELSEVIER SCIENCE INCeng
dc.subjectSarcopeniaeng
dc.subjectmuscle strengtheng
dc.subjectdepressioneng
dc.subjectolder adulteng
dc.subject.otherbioelectrical-impedance analysiseng
dc.subject.otherquality-of-lifeeng
dc.subject.othercognitive impairmenteng
dc.subject.otherskeletal-muscleeng
dc.subject.otherhealtheng
dc.subject.othermetaanalysiseng
dc.subject.otherprevalenceeng
dc.subject.othersymptomseng
dc.subject.othercommunityeng
dc.subject.otherobesityeng
dc.subject.wosGeriatrics & Gerontologyeng
dc.titleDepression is Associated With Sarcopenia Due to Low Muscle Strength: Results From the ELSA-Brasil Studyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalVIANA, Maria Carmen:Univ Fed Espirito Santo, Ctr Psychiat Epidemiol CEPEP, Dept Social Med, Postgrad Program Publ Hlth, Vitoria, ES, Brazil
hcfmusp.author.externalMORENO, Arlinda B.:Fundacao Oswaldo Cruz, Natl Sch Publ Hlth Sergio Arouca, Dept Epidemiol & Quantitat Methods Hlth, Rio De Janeiro, Brazil
hcfmusp.author.externalMATOS, Sheila M. A.:Univ Fed Bahia, Collect Hlth Inst, Salvador, BA, Brazil
hcfmusp.citation.scopus44
hcfmusp.contributor.author-fmusphcCLAUDIA SZLEJF JERUSSALMY
hcfmusp.contributor.author-fmusphcCLAUDIA KIMIE SUEMOTO
hcfmusp.contributor.author-fmusphcANDRE RUSSOWSKY BRUNONI
hcfmusp.contributor.author-fmusphcPAULO ANDRADE LOTUFO
hcfmusp.contributor.author-fmusphcISABELA JUDITH MARTINS BENSEñOR
hcfmusp.description.beginpage1641
hcfmusp.description.endpage1646
hcfmusp.description.issue12
hcfmusp.description.volume20
hcfmusp.origemWOS
hcfmusp.origem.pubmed30409492
hcfmusp.origem.scopus2-s2.0-85055979947
hcfmusp.origem.wosWOS:000499073900027
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
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