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Association between depressive symptoms and sarcopenia in older Chinese community-dwelling individuals

Authors Wang H, Hai S, Liu YX, Cao L, Liu Y, Liu P, Zhou JH, Yang Y, Dong BR

Received 5 May 2018

Accepted for publication 25 June 2018

Published 5 September 2018 Volume 2018:13 Pages 1605—1611

DOI https://doi.org/10.2147/CIA.S173146

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Andrew Yee

Peer reviewer comments 3

Editor who approved publication: Dr Wu


Hui Wang,1,2 Shan Hai,1 Yixin Liu,1 Li Cao,1 Ying Liu,1 Ping Liu,2 Jianghua Zhou,3 Ying Yang,3 Birong Dong1,2

1Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, People’s Republic of China; 2National Clinical Research Center for Geriatrics, West China Hospital, Chengdu 610041, People’s Republic of China; 3Chengdu Fifth People’s Hospital, Chengdu 611130, People’s Republic of China

Purpose: The aim of this study was to assess the prevalence of sarcopenia and depressive symptoms and estimate the association between them in elderly Chinese community-dwelling individuals.
Patients and methods: A total of 948 elderly Chinese community-dwelling individuals were recruited through leaflets and posters from three communities in Chengdu, and 865 participants were analyzed in this cross-sectional study. Muscle mass was measured using the bioimpedance analysis, handgrip strength was measured with a handheld dynamometer, and physical performance was assessed via usual gait speed on a 6 m course. Sarcopenia was defined according to the recommended diagnostic algorithm of the Asia Working Group for Sarcopenia (AWGS). Depressive symptoms were assessed using the Chinese version of 15-item Geriatric Depression Scale (GDS-15) with a score of ≥5 indicative of the presence of depressive symptoms.
Results: A total of 865 participants were included in the analysis. The participants had a mean age of 68.68±6.46 years. Sixty-one (7.1%) participants and 71 (8.2%) participants were identified as having sarcopenia and depressive symptoms, respectively. After adjusting for age, sex, and other potential confounders, sarcopenia was found to be significantly associated with depressive symptoms (odds ratio [OR]: 2.23, 95% CI 1.06–4.92).
Conclusion: The prevalence rates of sarcopenia and depressive symptoms were 7.1 and 8.2%, respectively, in elderly Chinese community-dwelling individuals, and sarcopenia was significantly associated with depressive symptoms.

Keywords: community-dwelling, depressive symptoms, elderly, Geriatric Depression Scale, sarcopenia

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