Chewing problems are associated with depression in the elderly: results from the InCHIANTI study
Identifieur interne : 002078 ( Main/Merge ); précédent : 002077; suivant : 002079Chewing 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 :
- International journal of geriatric psychiatry [ 0885-6230 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Association, Personne âgée, Santé publique, Gérontologie, Psychiatrie, Psychologie.
English descriptors
- KwdEn :
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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aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Center/GGZ inGeest</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Bandinelli, Stefania" sort="Bandinelli, Stefania" uniqKey="Bandinelli S" first="Stefania" last="Bandinelli">Stefania Bandinelli</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Geriatric Rehabilitation Unit, Azienda Sanitaria di Firenze</s1><s2>Florence</s2><s3>ITA</s3><sZ>3 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Florence</wicri:noRegion></affiliation></author><author><name sortKey="Gemma, Antonella" 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i1="02"><s1>Longitudinal Studies Section, Clinical Research Branch, National Institute on Aging</s1><s2>Baltimore, MD</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Center/GGZ inGeest</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Bandinelli, Stefania" sort="Bandinelli, Stefania" uniqKey="Bandinelli S" first="Stefania" last="Bandinelli">Stefania Bandinelli</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Geriatric Rehabilitation Unit, Azienda Sanitaria di Firenze</s1><s2>Florence</s2><s3>ITA</s3><sZ>3 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Florence</wicri:noRegion></affiliation></author><author><name sortKey="Gemma, Antonella" sort="Gemma, Antonella" uniqKey="Gemma A" first="Antonella" last="Gemma">Antonella Gemma</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>UOS Accesso e Presa in Carico Assistenziale, Azienda Sanitaria Locale Roma E</s1><s2>Rome</s2><s3>ITA</s3><sZ>4 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Ferrucci, Luigi" sort="Ferrucci, Luigi" uniqKey="Ferrucci L" first="Luigi" last="Ferrucci">Luigi Ferrucci</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Longitudinal Studies Section, Clinical Research Branch, National Institute on Aging</s1><s2>Baltimore, MD</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Incalzi, Raffaele Antonelli" sort="Incalzi, Raffaele Antonelli" uniqKey="Incalzi R" first="Raffaele Antonelli" last="Incalzi">Raffaele Antonelli Incalzi</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Area di Geriatria, Campus Bio-Medico University</s1><s2>Rome</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author></analytic><series><title level="j" type="main">International journal of geriatric psychiatry</title><title level="j" type="abbreviated">Int. j. geriatr. psychiatry</title><idno type="ISSN">0885-6230</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of geriatric psychiatry</title><title level="j" type="abbreviated">Int. j. geriatr. psychiatry</title><idno type="ISSN">0885-6230</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ageing</term><term>Association</term><term>Chewing</term><term>Depression</term><term>Elderly</term><term>Epidemiology</term><term>Geriatric depression</term><term>Geriatrics</term><term>Gerontology</term><term>Male</term><term>Psychiatry</term><term>Psychology</term><term>Public health</term><term>Result</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Mastication</term><term>Association</term><term>Personne âgée</term><term>Résultat</term><term>Vieillissement</term><term>Mâle</term><term>Etat dépressif</term><term>Epidémiologie</term><term>Santé publique</term><term>Gériatrie</term><term>Gérontologie</term><term>Psychiatrie</term><term>Psychologie</term><term>Dépression gériatrique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Association</term><term>Personne âgée</term><term>Santé publique</term><term>Gérontologie</term><term>Psychiatrie</term><term>Psychologie</term></keywords></textClass></profileDesc></teiHeader><front><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></front></TEI><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>Pour manipuler ce document sous Unix (Dilib)
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