title: Depression and physical functioning among older Americans with diabesity: NHANES 2009-2010.
abstract: BACKGROUND
  Caring for older adults with diabesity can be challenging for primary care nurse practitioners. The purpose of this study was to examine whether there would be an additive effect of diabesity on depressive symptoms and physical functioning of older adults. We hypothesized that there is an additive effect of diabesity on depressive symptoms and physical functioning among older adults with one or neither condition.
  
  
  METHODS
  We performed a cross-sectional analysis of data from National Health and Nutrition Examination Surveys collected from African-American and Caucasian adults aged 65 and over between 2009 and 2010. Multivariate linear regression models were utilized. The sample consisted of 918 participants. In covariate-adjusted models, participants with diabesity reported more depressive symptoms than people with neither condition. Individuals with diabesity and those with obesity alone reported significantly more difficulty with physical function when compared to participants with neither condition.
  
  
  CONCLUSIONS
  Findings suggest that diabesity was more burdensome to older adults than either condition alone. More research is needed to understand the interplay between depression, physical function, and diabesity.
  
  
  CONCLUSIONS
  To disrupt the adverse effects of diabesity burden, increased nurse practitioner awareness of this phenomenon may be beneficial in improving and maintaining physical and mental health among older adults.
authors.affiliation: School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Pamela G
authors.initials: PG
authors.lastname: Bowen
authors.affiliation: School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Loretta T
authors.initials: LT
authors.lastname: Lee
authors.affiliation: Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
authors.forename: Michelle Y
authors.initials: MY
authors.lastname: Martin
authors.affiliation: Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Olivio J
authors.initials: OJ
authors.lastname: Clay
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D001741:Black or African American / Q000208:ethnology / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications* / Q000523:psychology; D015995:Prevalence; D014481:United States / Q000208:ethnology; D044465:White People / Q000208:ethnology / Q000523:psychology
keywords: Depression; diabesity; diabetes; obesity; older adult; outcomes; physical function