Evidence map›Paper›PMID 27514249›Full record

ArticlePreventive medicine2016

Risk factors for late-life depression: A prospective cohort study among older women.

Shun-Chiao Chang, An Pan, Ichiro Kawachi, Olivia I Okereke

Open access · greenAbstract read
In one paragraph

Article in Preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
11.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effects of Vitamin DThe Journal of clinical psychiatry · 2023
    Trial
  4. Article
  5. Prevention of late-life depression: a framework and prospectus for research.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  6. Depression and Multimorbidity among Older Indians Residing in Front-Runner, Achiever and Aspirant States: Insight from Longitudinal Ageing Study in India (LASI) - Wave I.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
    Article
  7. Review
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  9. Article
  10. Article
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  17. Social Isolation, Loneliness, and Depressive Symptoms: A Twelve-Year Population Study of Temporal Dynamics.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
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  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Shun-Chiao ChangBrigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
An PanSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Hubei, China.
Ichiro KawachiHarvard T. H. Chan School of Public Health, Boston, MA, United States.
Olivia I OkerekeBrigham and Women's Hospital, Harvard Medical School, Boston, MA, United States; Harvard T. H. Chan School of Public Health, Boston, MA, United States. Electronic address: ookereke@partners.org.
Harvard University · USHuazhong University of Science and Technology · CN

Funding

Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
VITAL-DEP: Depression Endpoint Prevention in the VITamin D and OmegA-3 TriaLR01MH091448 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI OKEREKE, OLIVIA IFEOMA · 2010 to 2019
$6.5M
NCI NIH HHS UM1 CA186107NIMH NIH HHS R01 MH091448
6 · The paper itself

Abstract

Depression prevention requires identifying key risk contributors. Prior studies have identified several factors related to late-life depression but have seldom addressed factors jointly or in dose-response fashion. This study aimed to examine a wide range of potential predisposing factors and to estimate individual and joint contributions to risk of late-life depression in women. A total of 21,728 women aged ≥65years, without prior depression, in the Nurses' Health Study conducted in the United States were followed from 2000 to 2010. Demographic, social, lifestyle/behavioral and health variables were selected a priori from the literature or previous findings in this cohort. Depression was defined as physician/clinician-diagnosed depression, regular antidepressant use, or the presence of severe depressive symptoms. During 10-year follow-up, 3945 incident cases were identified. After simultaneous multivariable-adjustment, multiple factors in the domains of social stress (lower self-rated societal position and high volume of caregiving to disabled/ill relatives), unfavorable lifestyle (smoking, physical inactivity, heavy or binge drinking), and poor physical health (multiple comorbidity burden, excessive sleep, difficulty falling/staying asleep, bodily pain, and physical/functional limitation or disability) were significantly associated with higher depression risk; many featured dose-response relationships. Sensitivity analyses that excluded outcomes within 2years yielded similar estimates. The total population attributable fraction for all factors was 55.5%. Physical/functional limitation accounted for one-quarter of population attributable fraction, followed by problematic sleep, inadequate exercise, and pain (combining for one-third of population attributable fraction). Efforts to remediate or prevent these factors may contribute to an efficient strategy for late-life depression prevention in women.

Indexed as

Sedentary BehaviorAgedAlcohol DrinkingAntidepressive AgentsComorbidityDepressive DisorderFemaleHumansPainProspective StudiesRisk FactorsSleep Wake DisordersSmokingUnited StatesAntidepressive AgentsCohortDepressive disordersEpidemiologyGeriatricsPreventionRisk factors

Identifiers

PMID27514249
PMCPMC5455056
OpenAlexW2508007161

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.