中老年人群肌肉减少症与抑郁症状的相关性研究
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军队后勤科研项目保健专项课题(23BJZ45)


Correlation between sarcopenia and depressive symptoms in middle-aged and older adults
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    摘要:

    目的 探讨肌肉减少症与抑郁症状之间的关系。方法 收集 2011 年中国健康与养老追 踪调查(CHARLS)项目中 5 600 名中老年人(年龄≥ 45 岁)的一般资料、血清肌酐和胱抑素 C 比值(serum creatinine to cystatin C ratio,CCR)、相对肌力(RMS)、流行病学研究中心抑郁量表(CESD-10)评分。采用 多因素 Logistic 回归模型分析 CCR 和 RMS 与抑郁症状之间的关系,采用限制性立方样条分析中老年人 群肌肉减少症与抑郁症状的剂量 - 反应关系。结果 5 600 名中老年人的年龄(59.70±9.39)岁;男性占 48.6%(2 721/5 600);抑郁症患者占 26.5%(1 484/5 600)。多因素 Logistic 回归分析结果显示,与 CCR 水平 最低组(Q1)相比,Q4 组患抑郁风险降低 39%(OR=0.61,95%CI=0.51~0.73);RMS 水平最高组(T4)与水平 最低组(T1)相比,患抑郁症状风险降低 58%(OR=0.42,95%CI=0.35~0.51)。限制性立方样条函数分析 结果显示,CCR 水平和 RMS 水平和抑郁症状发生风险呈负相关。结论 中老年人群的肌肉水平会影响 抑郁症状,肌肉减少症和抑郁症患者的抑郁症状密切相关。

    Abstract:

    Objective To explore the relationship between sarcopenia and depressive symptoms in middle-aged and older adults. Methods General data, serum creatinine to cystatin C ratio (CCR), relative muscle strength (RMS), and Center for Epidemiological Studies Depression Scale(CESD-10) scores of 5 600 middle-aged and older adults (aged ≥ 45 years) were collected in the 2011 China Health and Retirement Longitudinal Study (CHARLS). Multivariate Logistic regression was used to analyze the relationship between CCR, RMS, and depressive symptoms. Restricted cubic splines were used to analyze the dose-response relationship between sarcopenia and depressive symptoms in middle-aged and older adults. Results The age of 5 600 middle-aged and older adults was (59.70±9.39) years old, and 48.6% (2 721/5 600) were males, patients with depressive disorder accounted for 26.5% (1 484/5 600). Multivariate Logistic regression analysis showed that compared with the group with the lowest CCR level (Q1), the Q4 group had a 39% lower risk of depressive disorder [OR=0.61, 95%CI (0.51, 0.73)]. The group with the highest RMS level (T4) had a 58% lower risk of depressive symptoms compared to the group with the lowest RMS level (T1) [OR=0.42, 95%CI (0.35, 0.51)]. Restrictive cubic spline analysis showed a negative correlation between CCR and RMS levels and the risk of depressive symptoms. Conclusions The muscle level of middle-aged and older adults affects depressive symptoms, and sarcopenia is closely related to depressive symptoms in patients with depressive disorder.

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邢玉萍,邢辉,李淼,高燕.中老年人群肌肉减少症与抑郁症状的相关性研究[J].神经疾病与精神卫生,2024,24(6):
DOI :10.3969/j. issn.1009-6574.2024.06.005.

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  • 在线发布日期: 2024-07-05