Malnutrition and Depression among Community-dwelling Elderly People
Objectives
This study had the objective of analyzing the association between nutritional deficit and the presence of depression among community-dwelling elderly people.
Design
Cross-sectional study.
Setting
Population of elderly people living in one district of a city in southern Brazil. Participants: The subjects were 267 individuals aged 60 to 74 years who did not present any significant functional incapacity.
Measures
Nutritional deficit was considered to be present if the individuals were classified as malnourished or at nutritional risk by means of the Mini Nutritional Assessment (MNA). Depression was identified as regular use of antidepressives or scores higher than 5 points on the Geriatric Depression Scale.
Results
A majority of the elderly individuals were female (59.9%). Nutritional deficit was identified in 58 elderly people (21.7%) and depression in 65 (24.3%). Nutritional deficit presented a significant association with depression, even after adjusting for control variables such as low schooling, low socioeconomic level, and smoking (OR = 4.38; 95% CI: 2.23–8.64; P < .001).
Conclusions
The results showed that there was an independent association between nutritional deficit and depression in this population of elderly people, which emphasizes the importance of early identification of depression among individuals with nutritional disorders.
Keywords: Aged, depression, malnutrition
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The authors have no conflicts of interest.
This research was supported in part by Araucária Fundation and Capes.
PII: S1525-8610(07)00347-7
doi:10.1016/j.jamda.2007.07.008
© 2007 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
