The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults

The effects of sarcopenic obesity, the co-existence of sarcopenia and obesity, on mood disorders have not been studies extensively. Our objective was to examine the association of depressive symptoms with sarcopenia and obesity status in older Japanese adults. We analyzed data from 1731 functionally...

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Main Authors:	Ishii, Shinya, Chang, Chang, Tanaka, Tomoki, Kuroda, Aki, Tsuji, Tetsuo, Akishita, Masahiro, Iijima, Katsuya
Format:	Online
Language:	English
Published:	Public Library of Science 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023182/

id	pubmed-5023182
recordtype	oai_dc
spelling	pubmed-50231822016-09-27 The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults Ishii, Shinya Chang, Chang Tanaka, Tomoki Kuroda, Aki Tsuji, Tetsuo Akishita, Masahiro Iijima, Katsuya Research Article The effects of sarcopenic obesity, the co-existence of sarcopenia and obesity, on mood disorders have not been studies extensively. Our objective was to examine the association of depressive symptoms with sarcopenia and obesity status in older Japanese adults. We analyzed data from 1731 functionally-independent, community-dwelling Japanese adults aged 65 years or older (875 men, 856 women) randomly selected from the resident register of Kashiwa city, Chiba, Japan in 2012. Sarcopenia was defined based on appendicular skeletal muscle mass, grip strength and usual gait speed. Obesity was defined as the highest sex-specific quintile of the percentage body fat. Depressive symptoms were defined as a Geriatric Depression Scale 15-item score ≥ 6. Multiple logistic regression was employed to examine the association of depressive symptoms with four groups defined by the presence/absence of sarcopenia and obesity. The prevalence of depressive symptoms was 10.1% and the proportions of sarcopenia/obesity, sarcopenia/non-obesity, non-sarcopenia/obesity, non-sarcopenia/non-obesity were 3.7%, 13.6%, 16.9% and 65.8%, respectively. After adjustment for potential confounders, sarcopenia/obesity was positively associated with depressive symptoms compared with non-sarcopenia/non-obesity, whereas either sarcopenia or obesity alone was not associated with depressive symptoms. The association was particularly pronounced in those aged 65 to 74 years in age-stratified analysis. We conclude that our findings suggest a synergistic impact exerted by sarcopenic obesity on the risk of depressive symptoms, particularly in those aged 65 to 74 years. Public Library of Science 2016-09-14 /pmc/articles/PMC5023182/ /pubmed/27627756 http://dx.doi.org/10.1371/journal.pone.0162898 Text en © 2016 Ishii et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Ishii, Shinya Chang, Chang Tanaka, Tomoki Kuroda, Aki Tsuji, Tetsuo Akishita, Masahiro Iijima, Katsuya
spellingShingle	Ishii, Shinya Chang, Chang Tanaka, Tomoki Kuroda, Aki Tsuji, Tetsuo Akishita, Masahiro Iijima, Katsuya The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults
author_facet	Ishii, Shinya Chang, Chang Tanaka, Tomoki Kuroda, Aki Tsuji, Tetsuo Akishita, Masahiro Iijima, Katsuya
author_sort	Ishii, Shinya
title	The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults
title_short	The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults
title_full	The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults
title_fullStr	The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults
title_full_unstemmed	The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults
title_sort	association between sarcopenic obesity and depressive symptoms in older japanese adults
description	The effects of sarcopenic obesity, the co-existence of sarcopenia and obesity, on mood disorders have not been studies extensively. Our objective was to examine the association of depressive symptoms with sarcopenia and obesity status in older Japanese adults. We analyzed data from 1731 functionally-independent, community-dwelling Japanese adults aged 65 years or older (875 men, 856 women) randomly selected from the resident register of Kashiwa city, Chiba, Japan in 2012. Sarcopenia was defined based on appendicular skeletal muscle mass, grip strength and usual gait speed. Obesity was defined as the highest sex-specific quintile of the percentage body fat. Depressive symptoms were defined as a Geriatric Depression Scale 15-item score ≥ 6. Multiple logistic regression was employed to examine the association of depressive symptoms with four groups defined by the presence/absence of sarcopenia and obesity. The prevalence of depressive symptoms was 10.1% and the proportions of sarcopenia/obesity, sarcopenia/non-obesity, non-sarcopenia/obesity, non-sarcopenia/non-obesity were 3.7%, 13.6%, 16.9% and 65.8%, respectively. After adjustment for potential confounders, sarcopenia/obesity was positively associated with depressive symptoms compared with non-sarcopenia/non-obesity, whereas either sarcopenia or obesity alone was not associated with depressive symptoms. The association was particularly pronounced in those aged 65 to 74 years in age-stratified analysis. We conclude that our findings suggest a synergistic impact exerted by sarcopenic obesity on the risk of depressive symptoms, particularly in those aged 65 to 74 years.
publisher	Public Library of Science
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023182/
_version_	1613651715963224064

The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults

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