TY - JOUR
T1 - Relationship between changes in depressive symptoms and unhealthy lifestyles in late middle aged and older persons
T2 - Results from the longitudinal aging study Amsterdam
AU - van Gool, Coen H.
AU - Kempen, Gertrudis I.J.M.
AU - Penninx, Brenda W.J.H.
AU - Deeg, Dorly J.H.
AU - Beekman, Aartjan T.F.
AU - van Eijk, Jacques T.M.
PY - 2003/1/1
Y1 - 2003/1/1
N2 - Background: depressed mood is common in late life, more prevalent among the chronically diseased than in the general population, and has various health-related consequences. So far, the association between depression and unhealthy lifestyles among chronically diseased has not been examined longitudinally in older persons. Primary objective: to determine if depressed mood is associated with unhealthy lifestyles in late middle aged and older people, with or without chronic somatic diseases. Methods: in a sample of 1,280 community-dwelling people from the Netherlands, the associations between depressive symptoms and lifestyle domains were analysed cross-sectionally and longitudinally - using logistic regression analyses and multivariate analyses of variance. Results: after controlling for confounders, depressed people (n = 176 at baseline) were more likely to be smokers (odds ratio 1.71; 95% confidence interval 1.17-2.52). A persistent depression was associated with an increase in cigarette consumption (P = 0.036). Having an emerging depression (n = 155) was most likely to co-occur with a person's change from being physically active to being sedentary (relative risk-ratio 1.62; 95% confidence interval 1.05-2.52), and was associated with the largest decrease in minutes of physical activity (P = 0.038). This effect was not modified or confounded by chronic somatic disease. A persistent depression tended to be associated with incident excessive alcohol use (relative risk-ratio 4.04; 95% confidence interval 0.97-16.09; P = 0.056). Conclusions: depression is associated with smoking behaviour, and with an increase in cigarette consumption. An emerging depression is associated with becoming sedentary, irrespective of a person's disease status at baseline, and is associated with decrease in minutes of physical activity.
AB - Background: depressed mood is common in late life, more prevalent among the chronically diseased than in the general population, and has various health-related consequences. So far, the association between depression and unhealthy lifestyles among chronically diseased has not been examined longitudinally in older persons. Primary objective: to determine if depressed mood is associated with unhealthy lifestyles in late middle aged and older people, with or without chronic somatic diseases. Methods: in a sample of 1,280 community-dwelling people from the Netherlands, the associations between depressive symptoms and lifestyle domains were analysed cross-sectionally and longitudinally - using logistic regression analyses and multivariate analyses of variance. Results: after controlling for confounders, depressed people (n = 176 at baseline) were more likely to be smokers (odds ratio 1.71; 95% confidence interval 1.17-2.52). A persistent depression was associated with an increase in cigarette consumption (P = 0.036). Having an emerging depression (n = 155) was most likely to co-occur with a person's change from being physically active to being sedentary (relative risk-ratio 1.62; 95% confidence interval 1.05-2.52), and was associated with the largest decrease in minutes of physical activity (P = 0.038). This effect was not modified or confounded by chronic somatic disease. A persistent depression tended to be associated with incident excessive alcohol use (relative risk-ratio 4.04; 95% confidence interval 0.97-16.09; P = 0.056). Conclusions: depression is associated with smoking behaviour, and with an increase in cigarette consumption. An emerging depression is associated with becoming sedentary, irrespective of a person's disease status at baseline, and is associated with decrease in minutes of physical activity.
KW - Chronic somatic disease
KW - Depressive symptoms
KW - Longitudinal studies
KW - Lyfestyle
UR - http://www.scopus.com/inward/record.url?scp=0037273175&partnerID=8YFLogxK
U2 - https://doi.org/10.1093/ageing/32.1.81
DO - https://doi.org/10.1093/ageing/32.1.81
M3 - Article
C2 - 12540353
SN - 0002-0729
VL - 32
SP - 81
EP - 87
JO - Age and ageing
JF - Age and ageing
IS - 1
ER -