PittsburghV1, Main, Exploration, bibRecord, 002368

Low 25-Hydroxyvitamin D Concentrations Predict Incident Depression in Well-Functioning Older Adults: The Health, Aging, and Body Composition Study

Identifieur interne : 002368 ( Main/Exploration ); précédent : 002367; suivant : 002369

Low 25-Hydroxyvitamin D Concentrations Predict Incident Depression in Well-Functioning Older Adults: The Health, Aging, and Body Composition Study

Auteurs : Julie A. Williams ; Kaycee M. Sink ; Janet A. Tooze ; Hal H. Atkinson ; Jane A. Cauley ; Kristine Yaffe ; Frances A. Tylavsky ; Susan M. Rubin ; Eleanor M. Simonsick ; Stephen B. Kritchevsky ; Denise K. Houston

Source :

The Journals of Gerontology Series A: Biological Sciences and Medical Sciences [ 1079-5006 ] ; 2014.

RBID : PMC:4447802

Descripteurs français

KwdFr :
- Antidépresseurs (usage thérapeutique), Dépression (sang), Dépression (traitement médicamenteux), Dépression (épidémiologie), Femelle, Humains, Incidence, Modèles de hasards proportionnels, Mâle, Pennsylvanie (épidémiologie), Population d'origine africaine, Population d'origine européenne, Sujet âgé, Tennessee (épidémiologie), Vieillissement, Vitamine D (analogues et dérivés), Vitamine D (sang), Études de suivi, Études prospectives.
MESH :
- analogues et dérivés : Vitamine D.
- sang : Dépression, Vitamine D.
- traitement médicamenteux : Dépression.
- usage thérapeutique : Antidépresseurs.
- épidémiologie : Dépression, Pennsylvanie, Tennessee.
- Femelle, Humains, Incidence, Modèles de hasards proportionnels, Mâle, Population d'origine africaine, Population d'origine européenne, Sujet âgé, Vieillissement, Études de suivi, Études prospectives.

English descriptors

KwdEn :
- African Continental Ancestry Group, Aged, Aging, Antidepressive Agents (therapeutic use), Depression (blood), Depression (drug therapy), Depression (epidemiology), European Continental Ancestry Group, Female, Follow-Up Studies, Humans, Incidence, Male, Pennsylvania (epidemiology), Proportional Hazards Models, Prospective Studies, Tennessee (epidemiology), Vitamin D (analogs & derivatives), Vitamin D (blood).
MESH :
- chemical , analogs & derivatives : Vitamin D.
- chemical , blood : Vitamin D.
- chemical , therapeutic use : Antidepressive Agents.
- geographic , epidemiology : Pennsylvania, Tennessee.
- blood : Depression.
- drug therapy : Depression.
- epidemiology : Depression.
- African Continental Ancestry Group, Aged, Aging, European Continental Ancestry Group, Female, Follow-Up Studies, Humans, Incidence, Male, Proportional Hazards Models, Prospective Studies.

Abstract

Background.

Cross-sectional studies suggest that low 25-hydroxyvitamin D (25[OH]D) may be a risk factor for depression; however, there are few prospective studies. We examined the association between 25(OH)D and depressive symptoms in community-dwelling persons aged 70–79 years in the Health, Aging, and Body Composition (Health ABC) Study (n = 2598).

Methods.

Depressive symptoms were assessed using the Center for Epidemiologic Studies-Depression Scale (CES-D) at baseline and 2-, 3- and 4-year follow-up. Serum 25(OH)D was measured at 1-year follow-up and categorized as <20, 20–<30, and ≥30 ng/mL. Mixed models were used to examine change in CES-D scores according to 25(OH)D categories. The association between 25(OH)D categories and incident depression (CES-D short score ≥10 or antidepressant medication use) were assessed using Cox proportional hazards models. Analyses were adjusted for socio-demographic and behavioral characteristics, season, and chronic conditions.

Results.

Thirty-three percent of participants had 25(OH)D <20ng/mL. Serum 25(OH)D was not associated with CES-D scores at baseline (p = .51); however, CES-D scores increased over time and were significantly associated with 25(OH)D at 2-year (p = .003) and 4-year follow-up (p < .001). Among 2,156 participants free of depression at the 1-year follow-up, the cumulative incidence of depression was 26.9%. Participants with 25(OH)D <20ng/mL were at greater risk of developing depression (HR [95% CI]: 1.65 [1.23–2.22]) over 4 years of follow-up compared with those with 25(OH)D ≥30ng/mL.

Conclusion.

Low 25(OH)D was independently associated with a greater increase in depressive symptom scores and incident depression in community-dwelling older adults.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4447802

DOI: 10.1093/gerona/glu184
PubMed: 25326643
PubMed Central: 4447802

Affiliations:

Le document en format XML

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.</nlm:aff>
</affiliation>
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<author><name sortKey="Rubin, Susan M" sort="Rubin, Susan M" uniqKey="Rubin S" first="Susan M." last="Rubin">Susan M. Rubin</name>
<affiliation><nlm:aff id="AF0006"><institution>Department of Epidemiology and Biostatistics, University of California, San Francisco.</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Simonsick, Eleanor M" sort="Simonsick, Eleanor M" uniqKey="Simonsick E" first="Eleanor M." last="Simonsick">Eleanor M. Simonsick</name>
<affiliation><nlm:aff id="AF0007"><institution>National Institute of Aging</institution>
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<author><name sortKey="Kritchevsky, Stephen B" sort="Kritchevsky, Stephen B" uniqKey="Kritchevsky S" first="Stephen B." last="Kritchevsky">Stephen B. Kritchevsky</name>
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</nlm:aff>
</affiliation>
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<author><name sortKey="Houston, Denise K" sort="Houston, Denise K" uniqKey="Houston D" first="Denise K." last="Houston">Denise K. Houston</name>
<affiliation><nlm:aff wicri:cut=" and" id="AF0001"><institution>Department of Internal Medicine—Gerontology and Geriatric Medicine</institution>
</nlm:aff>
</affiliation>
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<series><title level="j">The Journals of Gerontology Series A: Biological Sciences and Medical Sciences</title>
<idno type="ISSN">1079-5006</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>African Continental Ancestry Group</term>
<term>Aged</term>
<term>Aging</term>
<term>Antidepressive Agents (therapeutic use)</term>
<term>Depression (blood)</term>
<term>Depression (drug therapy)</term>
<term>Depression (epidemiology)</term>
<term>European Continental Ancestry Group</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Pennsylvania (epidemiology)</term>
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<term>Vitamin D (analogs & derivatives)</term>
<term>Vitamin D (blood)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Antidépresseurs (usage thérapeutique)</term>
<term>Dépression (sang)</term>
<term>Dépression (traitement médicamenteux)</term>
<term>Dépression (épidémiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâle</term>
<term>Pennsylvanie (épidémiologie)</term>
<term>Population d'origine africaine</term>
<term>Population d'origine européenne</term>
<term>Sujet âgé</term>
<term>Tennessee (épidémiologie)</term>
<term>Vieillissement</term>
<term>Vitamine D (analogues et dérivés)</term>
<term>Vitamine D (sang)</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en"><term>Vitamin D</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Vitamin D</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antidepressive Agents</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Pennsylvania</term>
<term>Tennessee</term>
</keywords>
<keywords scheme="MESH" qualifier="analogues et dérivés" xml:lang="fr"><term>Vitamine D</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Depression</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Depression</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Depression</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Dépression</term>
<term>Vitamine D</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Dépression</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antidépresseurs</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Dépression</term>
<term>Pennsylvanie</term>
<term>Tennessee</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>African Continental Ancestry Group</term>
<term>Aged</term>
<term>Aging</term>
<term>European Continental Ancestry Group</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Proportional Hazards Models</term>
<term>Prospective Studies</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâle</term>
<term>Population d'origine africaine</term>
<term>Population d'origine européenne</term>
<term>Sujet âgé</term>
<term>Vieillissement</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background.</title>
<p>Cross-sectional studies suggest that low 25-hydroxyvitamin D (25[OH]D) may be a risk factor for depression; however, there are few prospective studies. We examined the association between 25(OH)D and depressive symptoms in community-dwelling persons aged 70–79 years in the Health, Aging, and Body Composition (Health ABC) Study (<italic>n</italic>
 = 2598).</p>
</sec>
<sec><title>Methods.</title>
<p>Depressive symptoms were assessed using the Center for Epidemiologic Studies-Depression Scale (CES-D) at baseline and 2-, 3- and 4-year follow-up. Serum 25(OH)D was measured at 1-year follow-up and categorized as <20, 20–<30, and ≥30 ng/mL. Mixed models were used to examine change in CES-D scores according to 25(OH)D categories. The association between 25(OH)D categories and incident depression (CES-D short score ≥10 or antidepressant medication use) were assessed using Cox proportional hazards models. Analyses were adjusted for socio-demographic and behavioral characteristics, season, and chronic conditions.</p>
</sec>
<sec><title>Results.</title>
<p>Thirty-three percent of participants had 25(OH)D <20ng/mL. Serum 25(OH)D was not associated with CES-D scores at baseline (<italic>p</italic>
 = .51); however, CES-D scores increased over time and were significantly associated with 25(OH)D at 2-year (<italic>p</italic>
 = .003) and 4-year follow-up (<italic>p</italic>
 < .001). Among 2,156 participants free of depression at the 1-year follow-up, the cumulative incidence of depression was 26.9%. Participants with 25(OH)D <20ng/mL were at greater risk of developing depression (HR [95% CI]: 1.65 [1.23–2.22]) over 4 years of follow-up compared with those with 25(OH)D ≥30ng/mL.</p>
</sec>
<sec><title>Conclusion.</title>
<p>Low 25(OH)D was independently associated with a greater increase in depressive symptom scores and incident depression in community-dwelling older adults.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Atkinson, Hal H" sort="Atkinson, Hal H" uniqKey="Atkinson H" first="Hal H." last="Atkinson">Hal H. Atkinson</name>
<name sortKey="Cauley, Jane A" sort="Cauley, Jane A" uniqKey="Cauley J" first="Jane A." last="Cauley">Jane A. Cauley</name>
<name sortKey="Houston, Denise K" sort="Houston, Denise K" uniqKey="Houston D" first="Denise K." last="Houston">Denise K. Houston</name>
<name sortKey="Kritchevsky, Stephen B" sort="Kritchevsky, Stephen B" uniqKey="Kritchevsky S" first="Stephen B." last="Kritchevsky">Stephen B. Kritchevsky</name>
<name sortKey="Rubin, Susan M" sort="Rubin, Susan M" uniqKey="Rubin S" first="Susan M." last="Rubin">Susan M. Rubin</name>
<name sortKey="Simonsick, Eleanor M" sort="Simonsick, Eleanor M" uniqKey="Simonsick E" first="Eleanor M." last="Simonsick">Eleanor M. Simonsick</name>
<name sortKey="Sink, Kaycee M" sort="Sink, Kaycee M" uniqKey="Sink K" first="Kaycee M." last="Sink">Kaycee M. Sink</name>
<name sortKey="Tooze, Janet A" sort="Tooze, Janet A" uniqKey="Tooze J" first="Janet A." last="Tooze">Janet A. Tooze</name>
<name sortKey="Tylavsky, Frances A" sort="Tylavsky, Frances A" uniqKey="Tylavsky F" first="Frances A." last="Tylavsky">Frances A. Tylavsky</name>
<name sortKey="Williams, Julie A" sort="Williams, Julie A" uniqKey="Williams J" first="Julie A." last="Williams">Julie A. Williams</name>
<name sortKey="Yaffe, Kristine" sort="Yaffe, Kristine" uniqKey="Yaffe K" first="Kristine" last="Yaffe">Kristine Yaffe</name>
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Low 25-Hydroxyvitamin D Concentrations Predict Incident Depression in Well-Functioning Older Adults: The Health, Aging, and Body Composition Study

Low 25-Hydroxyvitamin D Concentrations Predict Incident Depression in Well-Functioning Older Adults: The Health, Aging, and Body Composition Study

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Descripteurs français

English descriptors

Abstract

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