Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: The MEDIS (MEDiterranean ISlands elderly) study

Aims To evaluate factors associated with depression in elderly. Methods During 2005–2007, 553 men and 637 women (aged 65 to 100 yrs) living in various Greek islands and in Cyprus participated in the study. The sampling was random and multistage (according to age-sex distribution of the referent popu...

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Veröffentlicht in:The Journal of nutrition, health & aging health & aging, 2010-06, Vol.14 (6), p.449-455
Hauptverfasser: Mamplekou, E., Bountziouka, V., Psaltopoulou, T., Zeimbekis, A., Tsakoundakis, N., Papaerakleous, N., Gotsis, E., Metallinos, G., Pounis, G., Polychronopoulos, E., Lionis, C., Panagiotakos, Demosthenes
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container_title The Journal of nutrition, health & aging
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creator Mamplekou, E.
Bountziouka, V.
Psaltopoulou, T.
Zeimbekis, A.
Tsakoundakis, N.
Papaerakleous, N.
Gotsis, E.
Metallinos, G.
Pounis, G.
Polychronopoulos, E.
Lionis, C.
Panagiotakos, Demosthenes
description Aims To evaluate factors associated with depression in elderly. Methods During 2005–2007, 553 men and 637 women (aged 65 to 100 yrs) living in various Greek islands and in Cyprus participated in the study. The sampling was random and multistage (according to age-sex distribution of the referent population). Depressive symptoms were evaluated using the Geriatric Depression Scale (GDS). Results Twenty five per cent of men and 35% of women were classified in the highest GDS category (i.e. GDS score > 10), indicating intense depressive symptoms, while 54% of men and 70% of women scored above the depression cut-off (i.e. GDS score > 5) indicating mild-to-severe depressive symptoms. Among the investigated characteristics, living in urban environment, physical inactivity and history of hypertension were correlated with the presence of depressive symptoms (p
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Methods During 2005–2007, 553 men and 637 women (aged 65 to 100 yrs) living in various Greek islands and in Cyprus participated in the study. The sampling was random and multistage (according to age-sex distribution of the referent population). Depressive symptoms were evaluated using the Geriatric Depression Scale (GDS). Results Twenty five per cent of men and 35% of women were classified in the highest GDS category (i.e. GDS score &gt; 10), indicating intense depressive symptoms, while 54% of men and 70% of women scored above the depression cut-off (i.e. GDS score &gt; 5) indicating mild-to-severe depressive symptoms. Among the investigated characteristics, living in urban environment, physical inactivity and history of hypertension were correlated with the presence of depressive symptoms (p&lt;0.05), after adjusting for various confounders. Moreover, the consumption of fish, vegetables and cereals is more prevalent among people with low or moderate depression (p&lt;0.05). Conclusions The prevalence of depression is quite high between elderly people living in Greek islands and Cyprus. Urban environment that may also interact with sedentarism and unhealthy dietary habits seems to promote depression in the studied population. Efforts to lower the prevalence of depression in the elderly should target on the aforementioned factors that employ functional impairment, social environment and dietary habits.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-010-0091-0</identifier><identifier>PMID: 20617287</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Aging ; Aging - psychology ; Biological and medical sciences ; Depression ; Depression - epidemiology ; Depression - etiology ; Diet, Mediterranean ; Environment ; Feeding Behavior ; Feeding. 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Methods During 2005–2007, 553 men and 637 women (aged 65 to 100 yrs) living in various Greek islands and in Cyprus participated in the study. The sampling was random and multistage (according to age-sex distribution of the referent population). Depressive symptoms were evaluated using the Geriatric Depression Scale (GDS). Results Twenty five per cent of men and 35% of women were classified in the highest GDS category (i.e. GDS score &gt; 10), indicating intense depressive symptoms, while 54% of men and 70% of women scored above the depression cut-off (i.e. GDS score &gt; 5) indicating mild-to-severe depressive symptoms. Among the investigated characteristics, living in urban environment, physical inactivity and history of hypertension were correlated with the presence of depressive symptoms (p&lt;0.05), after adjusting for various confounders. Moreover, the consumption of fish, vegetables and cereals is more prevalent among people with low or moderate depression (p&lt;0.05). Conclusions The prevalence of depression is quite high between elderly people living in Greek islands and Cyprus. Urban environment that may also interact with sedentarism and unhealthy dietary habits seems to promote depression in the studied population. Efforts to lower the prevalence of depression in the elderly should target on the aforementioned factors that employ functional impairment, social environment and dietary habits.</description><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Aging - psychology</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Diet, Mediterranean</subject><subject>Environment</subject><subject>Feeding Behavior</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Geriatrics/Gerontology</subject><subject>Greece - epidemiology</subject><subject>Humans</subject><subject>JNHA: Clinical Neurosciences</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mediterranean Islands - epidemiology</subject><subject>Miscellaneous</subject><subject>Mood disorders</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Prevalence</subject><subject>Primary Care Medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life Research</subject><subject>Risk Factors</subject><subject>Sedentary Behavior</subject><subject>Urban Population - statistics &amp; numerical data</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kcFu1DAQhiMEoqXwAFyQhYQAicA49sYxN1QKrNSKQ9tz5NiTxlXWWWynUl6PJ2PKbilC4jRj-Zt_fs1fFM85vOcA6kPiVQ2iBA4lgOYlPCgOuaqhlKppHlJfKV0qBeqgeJLSNYBc6aZ-XBxUUHNVNeqw-HkZOxMYhhsfp7DBkN-x7bAkb83IfDA2-xufF2aCY3MY0Ix5WJjzmE1c2GA6nxOzU4w4mowsT8zhNmJKfgrMbKZwxXB0GMeFjaRET0_bTMoYAztD56mJJiB58GmkLekjuxiQnZ18Xp-zN1T-Itbnv4k7xbcs5dktT4tHvRkTPtvXo-Lyy8nF8bfy9PvX9fGn09JKgFzWondcKuPASK16K7uqt02nDTbOcdTcGms7KbWrqo7XtuZWCK5UbUF3UvTiqHi9093G6ceMKbcbnyyO5AmnObVKiHq14sCJfPkPeT3NMZC5VkmlKSGhCOI7yMYppYh9u41-Q1dtObS38ba7eFuKt72NtwWaebEXnrsNuj8Td3kS8GoPmEQJ9nQ469M9V2kphGiIq3Zcoq9whfHe4f-3_wLaccEP</recordid><startdate>201006</startdate><enddate>201006</enddate><creator>Mamplekou, E.</creator><creator>Bountziouka, V.</creator><creator>Psaltopoulou, T.</creator><creator>Zeimbekis, A.</creator><creator>Tsakoundakis, N.</creator><creator>Papaerakleous, N.</creator><creator>Gotsis, E.</creator><creator>Metallinos, G.</creator><creator>Pounis, G.</creator><creator>Polychronopoulos, E.</creator><creator>Lionis, C.</creator><creator>Panagiotakos, Demosthenes</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201006</creationdate><title>Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: The MEDIS (MEDiterranean ISlands elderly) study</title><author>Mamplekou, E. ; Bountziouka, V. ; Psaltopoulou, T. ; Zeimbekis, A. ; Tsakoundakis, N. ; Papaerakleous, N. ; Gotsis, E. ; Metallinos, G. ; Pounis, G. ; Polychronopoulos, E. ; Lionis, C. ; Panagiotakos, Demosthenes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-63fd147ad0a497fc4b2fc8b9ae8dd1e91caccb449d22b16c61c331776c09b43f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Aging - psychology</topic><topic>Biological and medical sciences</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>Diet, Mediterranean</topic><topic>Environment</topic><topic>Feeding Behavior</topic><topic>Feeding. 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Psychiatry</topic><topic>Quality of Life Research</topic><topic>Risk Factors</topic><topic>Sedentary Behavior</topic><topic>Urban Population - statistics &amp; numerical data</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mamplekou, E.</creatorcontrib><creatorcontrib>Bountziouka, V.</creatorcontrib><creatorcontrib>Psaltopoulou, T.</creatorcontrib><creatorcontrib>Zeimbekis, A.</creatorcontrib><creatorcontrib>Tsakoundakis, N.</creatorcontrib><creatorcontrib>Papaerakleous, N.</creatorcontrib><creatorcontrib>Gotsis, E.</creatorcontrib><creatorcontrib>Metallinos, G.</creatorcontrib><creatorcontrib>Pounis, G.</creatorcontrib><creatorcontrib>Polychronopoulos, E.</creatorcontrib><creatorcontrib>Lionis, C.</creatorcontrib><creatorcontrib>Panagiotakos, Demosthenes</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health &amp; aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mamplekou, E.</au><au>Bountziouka, V.</au><au>Psaltopoulou, T.</au><au>Zeimbekis, A.</au><au>Tsakoundakis, N.</au><au>Papaerakleous, N.</au><au>Gotsis, E.</au><au>Metallinos, G.</au><au>Pounis, G.</au><au>Polychronopoulos, E.</au><au>Lionis, C.</au><au>Panagiotakos, Demosthenes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: The MEDIS (MEDiterranean ISlands elderly) study</atitle><jtitle>The Journal of nutrition, health &amp; aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2010-06</date><risdate>2010</risdate><volume>14</volume><issue>6</issue><spage>449</spage><epage>455</epage><pages>449-455</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Aims To evaluate factors associated with depression in elderly. Methods During 2005–2007, 553 men and 637 women (aged 65 to 100 yrs) living in various Greek islands and in Cyprus participated in the study. The sampling was random and multistage (according to age-sex distribution of the referent population). Depressive symptoms were evaluated using the Geriatric Depression Scale (GDS). Results Twenty five per cent of men and 35% of women were classified in the highest GDS category (i.e. GDS score &gt; 10), indicating intense depressive symptoms, while 54% of men and 70% of women scored above the depression cut-off (i.e. GDS score &gt; 5) indicating mild-to-severe depressive symptoms. Among the investigated characteristics, living in urban environment, physical inactivity and history of hypertension were correlated with the presence of depressive symptoms (p&lt;0.05), after adjusting for various confounders. Moreover, the consumption of fish, vegetables and cereals is more prevalent among people with low or moderate depression (p&lt;0.05). Conclusions The prevalence of depression is quite high between elderly people living in Greek islands and Cyprus. Urban environment that may also interact with sedentarism and unhealthy dietary habits seems to promote depression in the studied population. Efforts to lower the prevalence of depression in the elderly should target on the aforementioned factors that employ functional impairment, social environment and dietary habits.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><pmid>20617287</pmid><doi>10.1007/s12603-010-0091-0</doi><tpages>7</tpages></addata></record>
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subjects Adult and adolescent clinical studies
Aged
Aged, 80 and over
Aging
Aging - psychology
Biological and medical sciences
Depression
Depression - epidemiology
Depression - etiology
Diet, Mediterranean
Environment
Feeding Behavior
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Geriatrics/Gerontology
Greece - epidemiology
Humans
JNHA: Clinical Neurosciences
Male
Medical sciences
Medicine
Medicine & Public Health
Mediterranean Islands - epidemiology
Miscellaneous
Mood disorders
Neurosciences
Nutrition
Prevalence
Primary Care Medicine
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Quality of Life Research
Risk Factors
Sedentary Behavior
Urban Population - statistics & numerical data
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: The MEDIS (MEDiterranean ISlands elderly) study
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