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Chewing problems are associated with depression in the elderly: results from the InCHIANTI study

Identifieur interne : 000004 ( PascalFrancis/Checkpoint ); précédent : 000003; suivant : 000005

Chewing problems are associated with depression in the elderly: results from the InCHIANTI study

Auteurs : Alice Laudisio [Italie] ; Yuri Milaneschi [États-Unis, Pays-Bas] ; Stefania Bandinelli [Italie] ; Antonella Gemma [Italie] ; Luigi Ferrucci [États-Unis] ; Raffaele Antonelli Incalzi [Italie]

Source :

RBID : Pascal:14-0052462

Descripteurs français

English descriptors

Abstract

Objective: Depression is increasingly recognized in older populations and associated with undernutrition, disability, and increased mortality. Chewing problems (CPs) share with depression these associations. The aim of the study was to evaluate the association, if any, between CPs and depression in older subjects. Methods: We assessed 927 participants aged 65 years and older, derived from the 'InCHIANTI' study. Mood was evaluated using the CES-D scale and defined depressed by a CES-D score ≥20. CPs were self-reported. Logistic regression was performed to assess the adjusted association between depression and CPs. The adjusted model was analyzed after stratifying for use of complete, partial dentures and edentulism. Results: Chewing problems were reported by 293/927 (31.6%) participants. Depression was present in 188/ 927(20.3%) participants. In multivariable logistic regression, CPs were associated with depression (OR= 1.81, 95% CI = 1.26-2.58; p = 0.001). No significant association was found among subjects who used complete dentures (OR = 1.12, 95% CI = 0.80-1.58, p = 0.515). Up to 27.8% of prevalent depression might be attributed to CPs. Conclusions: Chewing problems are associated with depression in elderly population. Use of complete dentures hinder this association. Older depressed subjects should be screened for the presence of CPs; further studies are needed to evaluate the impact of early detection and correction of CPs on the development of depression.


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Pascal:14-0052462

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<term>Epidemiology</term>
<term>Geriatric depression</term>
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<div type="abstract" xml:lang="en">Objective: Depression is increasingly recognized in older populations and associated with undernutrition, disability, and increased mortality. Chewing problems (CPs) share with depression these associations. The aim of the study was to evaluate the association, if any, between CPs and depression in older subjects. Methods: We assessed 927 participants aged 65 years and older, derived from the 'InCHIANTI' study. Mood was evaluated using the CES-D scale and defined depressed by a CES-D score ≥20. CPs were self-reported. Logistic regression was performed to assess the adjusted association between depression and CPs. The adjusted model was analyzed after stratifying for use of complete, partial dentures and edentulism. Results: Chewing problems were reported by 293/927 (31.6%) participants. Depression was present in 188/ 927(20.3%) participants. In multivariable logistic regression, CPs were associated with depression (OR= 1.81, 95% CI = 1.26-2.58; p = 0.001). No significant association was found among subjects who used complete dentures (OR = 1.12, 95% CI = 0.80-1.58, p = 0.515). Up to 27.8% of prevalent depression might be attributed to CPs. Conclusions: Chewing problems are associated with depression in elderly population. Use of complete dentures hinder this association. Older depressed subjects should be screened for the presence of CPs; further studies are needed to evaluate the impact of early detection and correction of CPs on the development of depression.</div>
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<fC03 i1="09" i2="X" l="SPA">
<s0>Salud pública</s0>
<s5>18</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Gériatrie</s0>
<s5>19</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Geriatrics</s0>
<s5>19</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Geriatría</s0>
<s5>19</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Gérontologie</s0>
<s5>20</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Gerontology</s0>
<s5>20</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Gerontología</s0>
<s5>20</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Psychiatrie</s0>
<s5>21</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Psychiatry</s0>
<s5>21</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Psiquiatría</s0>
<s5>21</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Psychologie</s0>
<s5>22</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Psychology</s0>
<s5>22</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Psicología</s0>
<s5>22</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Dépression gériatrique</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Geriatric depression</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Depresión geriátrica</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Homme</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Human</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Trouble de l'humeur</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Mood disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Trastorno humor</s0>
<s5>37</s5>
</fC07>
<fN21>
<s1>062</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations>
<list>
<country>
<li>Italie</li>
<li>Pays-Bas</li>
<li>États-Unis</li>
</country>
<region>
<li>Hollande-Septentrionale</li>
<li>Latium</li>
<li>Maryland</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Rome</li>
</settlement>
</list>
<tree>
<country name="Italie">
<region name="Latium">
<name sortKey="Laudisio, Alice" sort="Laudisio, Alice" uniqKey="Laudisio A" first="Alice" last="Laudisio">Alice Laudisio</name>
</region>
<name sortKey="Bandinelli, Stefania" sort="Bandinelli, Stefania" uniqKey="Bandinelli S" first="Stefania" last="Bandinelli">Stefania Bandinelli</name>
<name sortKey="Gemma, Antonella" sort="Gemma, Antonella" uniqKey="Gemma A" first="Antonella" last="Gemma">Antonella Gemma</name>
<name sortKey="Incalzi, Raffaele Antonelli" sort="Incalzi, Raffaele Antonelli" uniqKey="Incalzi R" first="Raffaele Antonelli" last="Incalzi">Raffaele Antonelli Incalzi</name>
</country>
<country name="États-Unis">
<region name="Maryland">
<name sortKey="Milaneschi, Yuri" sort="Milaneschi, Yuri" uniqKey="Milaneschi Y" first="Yuri" last="Milaneschi">Yuri Milaneschi</name>
</region>
<name sortKey="Ferrucci, Luigi" sort="Ferrucci, Luigi" uniqKey="Ferrucci L" first="Luigi" last="Ferrucci">Luigi Ferrucci</name>
</country>
<country name="Pays-Bas">
<region name="Hollande-Septentrionale">
<name sortKey="Milaneschi, Yuri" sort="Milaneschi, Yuri" uniqKey="Milaneschi Y" first="Yuri" last="Milaneschi">Yuri Milaneschi</name>
</region>
</country>
</tree>
</affiliations>
</record>

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