title: Association of depressive symptoms and lifestyle behaviors among Latinos at risk of type 2 diabetes.
abstract: Little is known about depression among Latinos at risk for type 2 diabetes. The purpose of this cross-sectional study was to determine the rate of depression in Latinos at risk for type 2 diabetes and to examine the associations between depressive symptoms, diet, physical activity, and body mass index (BMI; calculated as kg/m(2)). Latinos at risk for type 2 diabetes (n=210) were surveyed from July 2007 to August 2008. Depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale (CES-D). Three 24-hour recalls were used to assess diet and physical activity. Linear regression analyses were used to examine the association between depression, BMI, and lifestyle factors. The sample (78% female) was largely of Caribbean origin (83%) and mean age was 52 years (standard deviation [SD]=11 years). Mean BMI was 34.2 (SD=5.9) and 77% were obese. Average CES-D score was 16.3 (SD=11.3; range=0-45) and 50% had CES-D score > or =16, suggesting clinical depression. Higher CES-D scores were associated with lower diet quality (P<0.05), but were not associated with BMI or physical activity. Depression and lower dietary quality can contribute to risk for type 2 diabetes among Latinos.
authors: Division of Preventive and Behavioral Medicine, Universityof Massachusetts Medical School, 55 Lake AveNorth, Worcester, MA 01655, USA. Sherry.Pagoto@umassmed.edu
authors: Sherry L
authors: SL
authors: Pagoto
authors: Yunsheng
authors: Y
authors: Ma
authors: Jamie S
authors: JS
authors: Bodenlos
authors: Barbara
authors: B
authors: Olendzki
authors: Milagros C
authors: MC
authors: Rosal
authors: Trinidad
authors: T
authors: Tellez
authors: Philip
authors: P
authors: Merriam
authors: Ira S
authors: IS
authors: Ockene
mesh_terms: D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D004032:Diet / Q000523:psychology / Q000592:standards*; D015444:Exercise / Q000502:physiology* / Q000523:psychology; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008019:Life Style; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D008404:Massachusetts / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D011594:Psychometrics; D012307:Risk Factors