ArticleBMC geriatrics2022
The relationship between lifestyle risk factors and depression in Korean older adults: a moderating effect of gender.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.
- Unhealthy behaviors associated with mental health disorders: a systematic comparative review of diet quality, sedentary behavior, and cannabis and tobacco use.Frontiers in public health · 2023Pooled it
- Association between Daily Pattern of Physical Activity and Depression: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Structured assessment of modifiable lifestyle habits among patients with mental illnesses in primary care.Scientific reports · 2022Trial
- Health risky behaviors among rural-to-urban migrant workers in China: prevalence, patterns, and association with distal and proximal factors.Frontiers in public health · 2025Article
- Systematic Review and Meta-analysis of the Association Between Malnutrition and Risk of Depression in the Elderly.Alpha psychiatry · 2024Review
- Relationship between physical activity and depressive symptoms in older Korean adults: moderation analysis of muscular strength.BMC geriatrics · 2022Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known regarding the role of gender as a possible modulator in determining the associations between lifestyle risk factors and depression in older adults.
objectivesThis study examined whether gender modulates the relationship between depression and lifestyle risk factors in Korean adults aged 65 years and older (n = 3700).
methodsData were obtained from the 2016 and 2018 Korea National Health and Examination Survey. The primary outcome was depression, assessed with the patient health questionnaire-9. As exposures, smoking habits, at-risk alcohol consumption, and physical inactivity were assessed with a standardized questionnaire. In addition, mean adequacy ratio (MAR) as an indicator of overall nutritional inadequacy was assessed with dietary intakes of macro- and micronutrients.
resultsIn men only, either two or three and more risk factors were significantly associated with higher depression risk (OR (95% confidence interval, CI) = 2.886 (1.003-8.299) and OR (95% CI) = 3.109 (1.064-9.097), respectively). In women only, either two or three and more risk factors were also significantly associated with higher depression risk (OR (95% CI) = 1.505 (1.067-2.124) and OR (95% CI) = 2.828 (1.527-5.239), respectively). In particular, the presence of smoking habits and MAR were the major determinants of depression (OR (95% CI) = 1.835 (1.09-3.10) and OR (95% CI) = 1.585 (1.125-2.233), respectively) in women only. Finally, a moderation analysis with the Hayes PROCESS Macro showed a significant moderating effect of gender (β (95% CI) = 0.633 (0.206 ~ 1.060)) on the relationship between risk factors and depression. In addition, the slope of the relationship was much steeper in women than in men.
conclusionCurrent findings suggest that lifestyle risk factors are more closely associated with depression risk in women than in men.
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