Weight and depressive symptoms in older adults: Direction of influence?

Valerie L. Forman-Hoffman; Jon W. Yankey; Stephen L. Hillis; Robert B. Wallace; Fredric D. Wolinsky

doi:10.1093/geronb/62.1.S43

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Weight and depressive symptoms in older adults: Direction of influence?

Journal article

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Peer reviewed

Weight and depressive symptoms in older adults: Direction of influence?

Valerie L. Forman-Hoffman, Jon W. Yankey, Stephen L. Hillis, Robert B. Wallace and Fredric D. Wolinsky

The journals of gerontology. Series B, Psychological sciences and social sciences, Vol.62(1), pp.S43-S51

01/01/2007

DOI: 10.1093/geronb/62.1.S43

PMID: 17284566

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Abstract

Objectives. The purpose of this study was to clarify the direction of the relationship between changes in depressive symptoms and changes in weight in older adults. Methods. The sample included a prospective cohort of individuals aged 53-63 (n = 9,130) enrolled in the Health and Retirement Study. We used separate cross-lagged models for men and women in order to study the impact of weight change on subsequent increases in depressive symptoms 2 years later and vice versa. Results. Weight gain did not lead to increased depressive symptoms, and weight loss preceded increased depressive symptoms only in unadjusted models among men (odds ratio [OR] = 1.26, 95% confidence interval [CI] = 1.04-1.53). Increased depressive symptoms were not predictive of subsequent weight loss, but they were predictive of subsequent weight gain in unadjusted models only (men: OR = 1.24, 95% Cl = 1.00-1.54; women: OR= 1.12,95% CI = 1.00-1.26). In adjusted models, baseline depressive symptoms predicted both weight loss and weight gain among both men and women. Increase in functional limitations and medical conditions were significant predictors of both weight loss and weight gain. Baseline functional limitations also predicted increased depressive symptoms. Discussion. Based on our findings, it is apparent that researchers need to examine the pathways between changes in weight and increases in depressive symptoms in the context of functional limitations and medical comorbidity.

Geriatrics & Gerontology

Gerontology

Life Sciences & Biomedicine

Psychology

Psychology, Multidisciplinary

Science & Technology

Social Sciences

Details

Title: Subtitle: Weight and depressive symptoms in older adults: Direction of influence?
Creators: Valerie L. Forman-Hoffman - Center for Research in the Implementation of Innovative Stategies in Practice, Iowa City Veteran's Affairs Medical Center, Iowa, USA.
Jon W. Yankey - Iowa City Vet Affairs Med Ctr, CRIISP, Iowa City, IA USA
Stephen L. Hillis - Iowa City Vet Affairs Med Ctr, CRIISP, Iowa City, IA USA
Robert B. Wallace - University of Iowa
Fredric D. Wolinsky - University of Iowa
Resource Type: Journal article
Publication Details: The journals of gerontology. Series B, Psychological sciences and social sciences, Vol.62(1), pp.S43-S51
DOI: 10.1093/geronb/62.1.S43
PMID: 17284566
NLM abbreviation: J Gerontol B Psychol Sci Soc Sci
ISSN: 1079-5014
eISSN: 1758-5368
Publisher: Oxford Univ Press
Number of pages: 9
Grant note: R03 AG026585; U01 AG009740 / NIA NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) R03AG026585 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
Language: English
Date published: 01/01/2007
Academic Unit: Radiology; Health Management and Policy; Epidemiology; Biostatistics; Injury Prevention Research Center; Internal Medicine
Record Identifier: 9984318790502771

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