Associations between constipation, overeating, and depression: A survey of Chinese oldest-old and centenarians

Objectives: Depression is a common disease of elderly population, with a global prevalence of more than 20%. Few studies have involved the associations of constipation and overeating with depression, especially in the elderly population. We aimed to address these associations in Chinese oldest-old a...

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Main Authors: Zhigao Sun, Xin Su, Xiaoqian Zhao, Yao Yao, Yali Zhao, Pei Zhang, Zhirui Li, Shihui Fu
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844022037203
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author Zhigao Sun
Xin Su
Xiaoqian Zhao
Yao Yao
Yali Zhao
Pei Zhang
Zhirui Li
Shihui Fu
author_facet Zhigao Sun
Xin Su
Xiaoqian Zhao
Yao Yao
Yali Zhao
Pei Zhang
Zhirui Li
Shihui Fu
author_sort Zhigao Sun
collection DOAJ
description Objectives: Depression is a common disease of elderly population, with a global prevalence of more than 20%. Few studies have involved the associations of constipation and overeating with depression, especially in the elderly population. We aimed to address these associations in Chinese oldest-old and centenarians. Methods: A total of 1863 elderly individuals from 18 regions of Hainan, China, were investigated from July 2014 to December 2016. Health survey, physical examination, and blood analyses were performed through structured questionnaires and standard procedures. The Geriatric Depression Scale (GDS-15) was used to measure depression. Results: The proportions of elderly individuals with depression, constipation, and overeating were 20.80% (349), 15.14% (254), and 26.52% (445), respectively. The prevalence of constipation and overeating was significantly higher in the elderly group with depression than in those without depression (P < 0.05, all). In the multiple linear regression analyses, higher prevalence of constipation and overeating had positive and significant associations with the GDS-15 (P < 0.05, all). In the multiple logistic regression analyses, constipation (odds ratio [OR]: 2.328; 95% confidence interval [CI]: 1.540–3.521) and overeating (OR: 2.735; 95% CI: 1.920–3.898) had positive and significant associations with depression (P < 0.05, in all). Conclusions and Implications: This study provides epidemiological evidence that constipation and overeating have positive associations with depression in Chinese oldest-old and centenarians. The interventions for constipation and overeating should be improved to promote prevention and treatment for depression and achieve successful aging and healthy longevity.
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spelling doaj.art-11a59a0057f84d518c2861187f57c91e2023-01-05T08:40:26ZengElsevierHeliyon2405-84402022-12-01812e12432Associations between constipation, overeating, and depression: A survey of Chinese oldest-old and centenariansZhigao Sun0Xin Su1Xiaoqian Zhao2Yao Yao3Yali Zhao4Pei Zhang5Zhirui Li6Shihui Fu7Traditional Chinese Medicine Department, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, ChinaDepartment of Respiratory and Critical Care Medicine, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, ChinaDepartment of Cardiology, Chinese People's Liberation Army 305 Hospital, Beijing, ChinaCenter for the Study of Aging and Human Development and Geriatrics Division, Medical School of Duke University, North Carolina, USA; Center for Healthy Aging and Development Studies, National School of Development, Peking University, Beijing, ChinaCentral Laboratory, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, China; Corresponding author.School of Life Science, Beijing Institute of Technology, Beijing, China; Corresponding author.Department of Orthopedics, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, China; Corresponding author.Department of Cardiology, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, China; Department of Geriatric Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China; Corresponding author.Objectives: Depression is a common disease of elderly population, with a global prevalence of more than 20%. Few studies have involved the associations of constipation and overeating with depression, especially in the elderly population. We aimed to address these associations in Chinese oldest-old and centenarians. Methods: A total of 1863 elderly individuals from 18 regions of Hainan, China, were investigated from July 2014 to December 2016. Health survey, physical examination, and blood analyses were performed through structured questionnaires and standard procedures. The Geriatric Depression Scale (GDS-15) was used to measure depression. Results: The proportions of elderly individuals with depression, constipation, and overeating were 20.80% (349), 15.14% (254), and 26.52% (445), respectively. The prevalence of constipation and overeating was significantly higher in the elderly group with depression than in those without depression (P < 0.05, all). In the multiple linear regression analyses, higher prevalence of constipation and overeating had positive and significant associations with the GDS-15 (P < 0.05, all). In the multiple logistic regression analyses, constipation (odds ratio [OR]: 2.328; 95% confidence interval [CI]: 1.540–3.521) and overeating (OR: 2.735; 95% CI: 1.920–3.898) had positive and significant associations with depression (P < 0.05, in all). Conclusions and Implications: This study provides epidemiological evidence that constipation and overeating have positive associations with depression in Chinese oldest-old and centenarians. The interventions for constipation and overeating should be improved to promote prevention and treatment for depression and achieve successful aging and healthy longevity.http://www.sciencedirect.com/science/article/pii/S2405844022037203CentenariansConstipationDepressionOldest-oldOvereating
spellingShingle Zhigao Sun
Xin Su
Xiaoqian Zhao
Yao Yao
Yali Zhao
Pei Zhang
Zhirui Li
Shihui Fu
Associations between constipation, overeating, and depression: A survey of Chinese oldest-old and centenarians
Heliyon
Centenarians
Constipation
Depression
Oldest-old
Overeating
title Associations between constipation, overeating, and depression: A survey of Chinese oldest-old and centenarians
title_full Associations between constipation, overeating, and depression: A survey of Chinese oldest-old and centenarians
title_fullStr Associations between constipation, overeating, and depression: A survey of Chinese oldest-old and centenarians
title_full_unstemmed Associations between constipation, overeating, and depression: A survey of Chinese oldest-old and centenarians
title_short Associations between constipation, overeating, and depression: A survey of Chinese oldest-old and centenarians
title_sort associations between constipation overeating and depression a survey of chinese oldest old and centenarians
topic Centenarians
Constipation
Depression
Oldest-old
Overeating
url http://www.sciencedirect.com/science/article/pii/S2405844022037203
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