title: Depression and body composition among older adults.
abstract: OBJECTIVE
  Recent investigations have reported an association between depression and geriatric syndromes associated with low body mass, including frailty and osteoporosis. The objective of this study was to explore the relationship between depression and body composition among older adults.
  
  
  METHODS
  Data were from a case-cohort study (n = 98) of adults aged 60 and older nested within the Baltimore Epidemiologic Catchment Area (ECA) Study. Lifetime depression syndrome was assessed using the Diagnostic Interview Schedule (DIS). Body composition (total and central lean and fat mass) was assessed by dual-energy x-ray absorptiometry (DEXA). The association between depression and body composition was evaluated using linear regression with bootstrap standard errors.
  
  
  RESULTS
  Overall, there was no association between depression and total fat or total lean body mass. Among women, depression was associated with reduced central fat (B = -3.6 kg, p < 0.06) and lean (B = -3.3 kg, p < 0.04) mass adjusting for age, race, smoking status, and physical activity. Depression was unrelated to total or central fat or lean mass among men.
  
  
  CONCLUSIONS
  Depression is associated with significantly lower central fat and lean mass among older women. These findings are consistent with the hypothesis that depression and frailty are interrelated in later life, particularly among women.
authors.affiliation: Department of Epidemiology and Community Health, Virginia Commonwealth University School of Medicine, Richmond, VA, USA. bmezuk@vcu.edu
authors.forename: Briana
authors.initials: B
authors.lastname: Mezuk
authors.forename: Sherita Hill
authors.initials: SH
authors.lastname: Golden
authors.forename: William W
authors.initials: WW
authors.lastname: Eaton
authors.forename: Hochang Ben
authors.initials: HB
authors.lastname: Lee
mesh_terms: D015502:Absorptiometry, Photon; D000368:Aged; D015142:Baltimore; D001823:Body Composition; D015331:Cohort Studies; D003863:Depression / Q000523:psychology*; D005260:Female; D016330:Frail Elderly / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged