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Body mass index and depressive symptoms in older adults: the moderating roles of race, sex, and socioeconomic status.
Am J Geriatr Psychiatry. 2007 Sep; 15(9):815-25.AJ

Abstract

OBJECTIVE

Although the long-term health risks associated with obesity in older adults have been well documented, less is known about the psychological consequences. The current study examined the relationship between body mass index (BMI) and subsequent depressive symptoms. The authors anticipated that BMI would predict depressive symptoms, and that this relationship would be greater among women, individuals of higher socioeconomic status (SES), and white subjects.

METHODS

A three-year longitudinal epidemiological design was employed. Participants were obtained from a biracial sample of community-dwelling older adults (N = 2,406) and were interviewed in their home by trained interviewers. A comprehensive survey assessed age, gender, race, SES (education and income), and health functioning variables. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale. BMI was derived from self-reported weight and height.

RESULTS

BMI was found to predict depressive symptoms. Contrary to predictions, the influence of BMI on depressive symptoms was greater for African Americans than whites and, in particular, African Americans with less education. There were no sex differences.

CONCLUSION

Among older adults, BMI was associated with depressive symptoms although the effect size was small. Factors contributing to this relationship may differ from those observed in younger populations, for example, health functioning may play a larger role. Obesity appears to have the most adverse impact on those who are most likely to be overweight, lower SES African Americans.

Authors+Show Affiliations

Department of Psychology, Florida State University, Tallahassee, FL 32306, USA. sachs @psy.fsu.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

17804833

Citation

Sachs-Ericsson, Natalie, et al. "Body Mass Index and Depressive Symptoms in Older Adults: the Moderating Roles of Race, Sex, and Socioeconomic Status." The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, vol. 15, no. 9, 2007, pp. 815-25.
Sachs-Ericsson N, Burns AB, Gordon KH, et al. Body mass index and depressive symptoms in older adults: the moderating roles of race, sex, and socioeconomic status. Am J Geriatr Psychiatry. 2007;15(9):815-25.
Sachs-Ericsson, N., Burns, A. B., Gordon, K. H., Eckel, L. A., Wonderlich, S. A., Crosby, R. D., & Blazer, D. G. (2007). Body mass index and depressive symptoms in older adults: the moderating roles of race, sex, and socioeconomic status. The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, 15(9), 815-25.
Sachs-Ericsson N, et al. Body Mass Index and Depressive Symptoms in Older Adults: the Moderating Roles of Race, Sex, and Socioeconomic Status. Am J Geriatr Psychiatry. 2007;15(9):815-25. PubMed PMID: 17804833.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Body mass index and depressive symptoms in older adults: the moderating roles of race, sex, and socioeconomic status. AU - Sachs-Ericsson,Natalie, AU - Burns,Andrea B, AU - Gordon,Kathryn H, AU - Eckel,Lisa A, AU - Wonderlich,Steven A, AU - Crosby,Ross D, AU - Blazer,Dan G, PY - 2007/9/7/pubmed PY - 2007/12/6/medline PY - 2007/9/7/entrez SP - 815 EP - 25 JF - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry JO - Am J Geriatr Psychiatry VL - 15 IS - 9 N2 - OBJECTIVE: Although the long-term health risks associated with obesity in older adults have been well documented, less is known about the psychological consequences. The current study examined the relationship between body mass index (BMI) and subsequent depressive symptoms. The authors anticipated that BMI would predict depressive symptoms, and that this relationship would be greater among women, individuals of higher socioeconomic status (SES), and white subjects. METHODS: A three-year longitudinal epidemiological design was employed. Participants were obtained from a biracial sample of community-dwelling older adults (N = 2,406) and were interviewed in their home by trained interviewers. A comprehensive survey assessed age, gender, race, SES (education and income), and health functioning variables. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale. BMI was derived from self-reported weight and height. RESULTS: BMI was found to predict depressive symptoms. Contrary to predictions, the influence of BMI on depressive symptoms was greater for African Americans than whites and, in particular, African Americans with less education. There were no sex differences. CONCLUSION: Among older adults, BMI was associated with depressive symptoms although the effect size was small. Factors contributing to this relationship may differ from those observed in younger populations, for example, health functioning may play a larger role. Obesity appears to have the most adverse impact on those who are most likely to be overweight, lower SES African Americans. SN - 1064-7481 UR - https://www.unboundmedicine.com/medline/citation/17804833/Body_mass_index_and_depressive_symptoms_in_older_adults:_the_moderating_roles_of_race_sex_and_socioeconomic_status_ L2 - https://linkinghub.elsevier.com/retrieve/pii/15/9/815 DB - PRIME DP - Unbound Medicine ER -