The association between depression and bone metabolism: a US nationally representative cross-sectional study

医学 骨质疏松症 全国健康与营养检查调查 萧条(经济学) 股骨颈 逻辑回归 骨密度 骨矿物 横断面研究 体质指数 人口 髋部骨折 物理疗法 内科学 人口学 环境卫生 病理 社会学 经济 宏观经济学
作者
Ming Ma,Xiaolong Liu,Gengxin Jia,Zhongcheng Liu,Kun Zhang,Liangzhi He,Bin Geng,Yayi Xia
出处
期刊:Archives of Osteoporosis [Springer Science+Business Media]
卷期号:17 (1) 被引量:16
标识
DOI:10.1007/s11657-022-01154-1
摘要

This population-based study investigated the association between depression and bone mineral density (BMD), fractures, and osteoporosis in the US population. We found that participants with depression had lower BMD and were more likely to have fractures and osteoporosis.Depression, fractures, and osteoporosis are common in middle-aged and elderly, but their associations remained unclear.To investigate the association between depression and bone mineral density (BMD), osteoporosis, and fracture in a middle-aged and elderly US population.A nationally representative cross-sectional study used the National Health and Nutrition Examination Survey (NHANES) datasets. Depression was assessed and stratified using the Patient Health Questionnaire (PHQ-9). The multiple logistic regression models and the logistic binary regression models were used to analyze the association between depression and BMD, fractures, and osteoporosis. Gender, age, race, educational level, poverty ratio, body mass index (BMI), smoke, alcohol use, physical activity, and diabetes were included as covariates. Subgroup analysis was also conducted on gender, age, race, and education level.In total, 9766 participants were included after a series of exclusions, and 4179 (42.79%) had at least mild depressive symptoms. Compared to the participants without depression, those with depression had a lower total femur, femoral neck, and total spine BMD after adjusting multiple covariates. The multivariable-adjusted logistic binary regression models demonstrated that participants with depression more likely have hip fractures (OR = 1.518, 95% CI: 1.377-2.703, P = 0.000), spine fractures (OR = 1.311, 95% CI: 1.022-1.678, P = 0.030), and osteoporosis (OR = 1.621, 95% CI: 1.388-1.890, P = 0.000). Subgroup analysis revealed that depressed participants who were males, non-Hispanic White, ≤ 70 years, and not highly educated had a lower BMD and easily had osteoporosis.Depression was associated with lower BMD, particularly in the spine, males, Hispanic-White, and not highly educated populations. Moreover, people with depression were more likely to have fractures and osteoporosis.
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