The Association Between Oxidative Stress and Depressive Symptom Scores in Elderly Population: A Repeated Panel Study

Objectives Previous epidemiological studies about oxidative stress and depression are limited by hospital-based case-control design, single-time measurements of oxidative stress biomarkers, and the small number of study participants. Therefore, in this study, we analyzed the association between biom...

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Main Authors: Changwoo Han, Youn-Hee Lim, Yun-Chul Hong
Format: Article
Language:English
Published: Korean Society for Preventive Medicine 2016-09-01
Series:Journal of Preventive Medicine and Public Health
Subjects:
Online Access:http://www.jpmph.org/upload/pdf/jpmph-49-5-260.pdf
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author Changwoo Han
Youn-Hee Lim
Yun-Chul Hong
author_facet Changwoo Han
Youn-Hee Lim
Yun-Chul Hong
author_sort Changwoo Han
collection DOAJ
description Objectives Previous epidemiological studies about oxidative stress and depression are limited by hospital-based case-control design, single-time measurements of oxidative stress biomarkers, and the small number of study participants. Therefore, in this study, we analyzed the association between biomarker of oxidative stress and depressive symptom scores using repeatedly measured panel data from a community-dwelling elderly population. Methods From 2008 to 2010, a total of 478 elderly participants residing in Seoul, Korea, were evaluated three times. Participants underwent the Korean version of the Short Form Generic Depression Scale (SGDS-K) test for screening depression, and urinary malondialdehyde (MDA) levels were measured as an oxidative stress biomarker. We used a generalized estimating equation with a compound symmetry covariance structure to estimate the effects of oxidative stress on depressive symptom scores. Results A two-fold increase in urinary MDA concentration was significantly associated with a 33.88% (95% confidence interval [CI], 21.59% to 47.42%) increase in total SGDS-K scores. In subgroup analyses by gender, a two-fold increase in urinary MDA concentration was significantly associated with increased SGDS-K scores in both men and women (men: 30.88%; 95% CI, 10.24% to 55.37%; women: 34.77%; 95% CI, 20.09% to 51.25%). In bivariate analysis after an SGDS-K score ≥8 was defined as depression, the third and the fourth urinary MDA quartiles showed a significantly increased odds ratio(OR) of depression compared to the lowest urinary MDA quartile (third quartile OR, 6.51; 95% CI, 1.77 to 24.00; fourth quartile OR, 7.11; 95% CI, 1.99 to 25.42). Conclusions Our study suggests a significant association between oxidative stress and depressive symptoms in the elderly population.
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spelling doaj.art-bd5f5f70c5464461a958d852fa92ebb32022-12-22T02:43:57ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212016-09-0149526027410.3961/jpmph.16.0291883The Association Between Oxidative Stress and Depressive Symptom Scores in Elderly Population: A Repeated Panel StudyChangwoo Han0Youn-Hee Lim1Yun-Chul Hong2 Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, KoreaObjectives Previous epidemiological studies about oxidative stress and depression are limited by hospital-based case-control design, single-time measurements of oxidative stress biomarkers, and the small number of study participants. Therefore, in this study, we analyzed the association between biomarker of oxidative stress and depressive symptom scores using repeatedly measured panel data from a community-dwelling elderly population. Methods From 2008 to 2010, a total of 478 elderly participants residing in Seoul, Korea, were evaluated three times. Participants underwent the Korean version of the Short Form Generic Depression Scale (SGDS-K) test for screening depression, and urinary malondialdehyde (MDA) levels were measured as an oxidative stress biomarker. We used a generalized estimating equation with a compound symmetry covariance structure to estimate the effects of oxidative stress on depressive symptom scores. Results A two-fold increase in urinary MDA concentration was significantly associated with a 33.88% (95% confidence interval [CI], 21.59% to 47.42%) increase in total SGDS-K scores. In subgroup analyses by gender, a two-fold increase in urinary MDA concentration was significantly associated with increased SGDS-K scores in both men and women (men: 30.88%; 95% CI, 10.24% to 55.37%; women: 34.77%; 95% CI, 20.09% to 51.25%). In bivariate analysis after an SGDS-K score ≥8 was defined as depression, the third and the fourth urinary MDA quartiles showed a significantly increased odds ratio(OR) of depression compared to the lowest urinary MDA quartile (third quartile OR, 6.51; 95% CI, 1.77 to 24.00; fourth quartile OR, 7.11; 95% CI, 1.99 to 25.42). Conclusions Our study suggests a significant association between oxidative stress and depressive symptoms in the elderly population.http://www.jpmph.org/upload/pdf/jpmph-49-5-260.pdfDepressionDepressive disorderOxidative stressMalondialdehydeAged
spellingShingle Changwoo Han
Youn-Hee Lim
Yun-Chul Hong
The Association Between Oxidative Stress and Depressive Symptom Scores in Elderly Population: A Repeated Panel Study
Journal of Preventive Medicine and Public Health
Depression
Depressive disorder
Oxidative stress
Malondialdehyde
Aged
title The Association Between Oxidative Stress and Depressive Symptom Scores in Elderly Population: A Repeated Panel Study
title_full The Association Between Oxidative Stress and Depressive Symptom Scores in Elderly Population: A Repeated Panel Study
title_fullStr The Association Between Oxidative Stress and Depressive Symptom Scores in Elderly Population: A Repeated Panel Study
title_full_unstemmed The Association Between Oxidative Stress and Depressive Symptom Scores in Elderly Population: A Repeated Panel Study
title_short The Association Between Oxidative Stress and Depressive Symptom Scores in Elderly Population: A Repeated Panel Study
title_sort association between oxidative stress and depressive symptom scores in elderly population a repeated panel study
topic Depression
Depressive disorder
Oxidative stress
Malondialdehyde
Aged
url http://www.jpmph.org/upload/pdf/jpmph-49-5-260.pdf
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