ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 289
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Malnutrition is a risk factor of depression among middleaged and elderly adults in Taiwan
Dr Tzu Cheng Huang1, Yu Lin Shih1, Chin Chuan Shih2, Jau-Yuan Chen1,3
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Department of Family Medicine, Chang-gung Memorial Hospital, Linkou Branch, Taoyuan City 333,
General Administrative Department, United Safety Medical Group 2F, No. 302, Zhongzheng Rd,
Xinzhuang District, New Taipei City 242, 3College of Medicine Chang Gung University, Taoyuan
City 333
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Background
Malnutrition and depression are highly prevalent in the elderly and can lead to disability and poor
outcomes. The aim of this study was to investigate the relationship between nutritional status and
depression in middle-aged and elderly adults in Taiwan.
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Methods
In our study, 396 participants were enrolled during a 2019 Taiwanese community health exam. The
participants were divided into two groups, a depression group and a non-depression group, by
using the Center for Epidemiological Studies Depression Scale (CES-D). The nutritional status was
classified by the Mini Nutritional Assessment (MNA). The relationship between CES-D scores, MNA
scores and other risk factors was examined using Pearson’s correlation and adjusted for age. The
histogram demonstrated the relationship between nutritional status and depression prevalence. By
using multivariate logistic regression analysis, the odds ratio between nutritional status and depression
was assessed, with adjustment for age, gender, chronic pain, use of hypnotics, smoking, drinking,
hypertension, diabetes mellitus, dyslipidaemia, living condition, economic status, marital status and
self-reported health status.
Results
In all, 396 participants were induced for analysis; 41.4% male and the average age was 64.91 ± 8.80.
This study showed that the depression group was more likely to have lower MNA scores. The MNA
score was negatively correlated with CES-D score (r = –0.221, P < 0.001). In multivariate logistic
regression analysis, malnutrition was an independent risk factor for depression, even after adjustment
for age, gender, chronic pain, use of hypnotics, smoking, drinking, hypertension, diabetes mellitus,
dyslipidaemia, living condition, economic status, marital status and self-reported health status.
Conclusion
Malnutrition was associated with the risk of depression in middle-aged and elderly population
in Taiwan.
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