2011-2014 年美国国家健康调查(NHANES)中美国中青年成年人抑郁与手握力和肌肉质量的关系:一项横断面研究

IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Health Promotion Pub Date : 2024-09-29 DOI:10.1177/08901171241288349
Zhenzhen Jiang, Shunlei Jiang, Xia Ren, Xiaojie Ji, Hengheng Yu, Zhiqiang Zhao
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引用次数: 0

摘要

目的:调查中青年抑郁症与手握力(HGS)和关节瘦体重(ALM)之间的关系:横断面研究:2011-2014年全国健康与营养调查中20-59岁参与者的数据:在对 4927 名美国中年人的研究中,男性 2564 人(52.30%),女性 2363 人(47.7%),平均年龄为 38.57 ± 11.72 岁。其中,716 人(14.53%)患有轻度抑郁症,385 人(7.81%)患有中度至重度抑郁症:通过手握测试和全身双能 X 射线吸收扫描收集 HGS 和 ALM 数据。抑郁情况通过患者健康问卷-9进行评估。采用线性回归、逻辑回归、限制性立方样条回归分析和亚组分析来评估两者之间的关联:多变量逻辑回归分析表明,抑郁评分每增加 1 分,男性(95% CI:1.01-1.07)和女性(95% CI:1.01-1.06)握力下降的概率就会增加 4%。此外,男性肌肉质量下降的可能性增加了 5%(95% CI:1.01-1.09),而女性肌肉质量下降的可能性没有统计学意义。分组分析表明,抑郁与握力之间的反向关系,以及抑郁与男性肌肉质量之间的负相关关系,在 40-59 岁年龄段中保持一致:这项研究揭示了抑郁症与中青年握力之间的反向关系,而抑郁症与肌肉质量之间的负向关系仅存在于男性中。从 40 岁开始进行早期干预可能有益。
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Association of Depression With Handgrip Strength and Muscle Mass in Young and Middle-Aged American Adults From NHANES 2011-2014: A Cross-Sectional Study.

Purpose: To investigate relationship between depression and handgrip strength (HGS) and appendicular lean mass (ALM) in Young and middle-aged adults.

Design: Cross-sectional study.

Setting: Data from participants aged 20-59 from the 2011-2014 National Health and Nutrition Examination Survey.

Sample: In a study of 4927 middle-aged Americans, 2564 (52.30%) were men and 2363 (47.7%) were women, with an average age of 38.57 ± 11.72. Among this group, 716 individuals (14.53%) experienced mild depression, while 385 individuals (7.81%) suffered from moderate to severe depression.

Measures: Data of HGS and ALM were collected by handgrip test, and whole-body dual-energy X-ray absorptiometry scans. Depression was assessed using the Patient Health Questionnaire-9. Linear and logistic regression, restricted cubic spline regression analyses and subgroup analysis were conducted to evaluate the association.

Results: Following multivariate logistic regression analysis, the study showed that a 1-point increase in the depression score was associated with a 4% increase in the probability of reduced grip strength for both males (95% CI: 1.01-1.07) and females (95% CI: 1.01-1.06). Additionally, for males, there was a 5% increase in the likelihood of decreased muscle mass (95% CI: 1.01-1.09), whereas the decline in muscle mass for females did not exhibit statistical significance. Subgroup analysis indicated that the inverse relationship between depression and grip strength, along with the negative association between depression and muscle mass among males, remained consistent in the 40-59 age range.

Conclusion: This research revealed an inverse relationship between depression and grip strength in middle-aged and young individuals, and a negative association between depression and ALM was only noted in males. Early intervention could be beneficial from age 40.

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来源期刊
American Journal of Health Promotion
American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
3.70%
发文量
184
期刊介绍: The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.
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