Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/127031
Title: Coronavirus disease 2019 is associated with long-term depressive symptoms in Spanish older adults with overweight/obesity and metabolic syndrome
Authors: Shyam, Sangeetha
Gómez-Martínez, Carlos
Paz-Graniel, Indira
Gaforio, José J.
Martínez-González, Miguel Ángel
Corella, Dolores
Fitó, Montserrat
Martínez, J. Alfredo
Alonso-Gómez, Ángel M.
Wärnberg, Julia
Vioque, Jesús
Romaguera, Dora
López-Miranda, José
Estruch, Ramon
Tinahones, Francisco J.
Santos-Lozano, José Manuel
Serra Majem, Luis 
Bueno-Cavanillas, Aurora
Tur, Josep A.
Martín Sánchez, Vicente
Pintó, Xavier
Ortiz Ramos, María
Vidal, Josep
Mar Alcarria, Maria
Daimiel, Lidia
Ros, Emilio
Fernandez-Aranda, Fernando
Nishi, Stephanie K.
García Regata, Oscar
Toledo, Estefania
Sorli, Jose V.
Castañer, Olga
Garcia-Rios, Antonio
Valls-Enguix, Rafael
Perez-Farinos, Napoleon
Zulet, M. Angeles
Rayó-Gago, Elena
Casas, Rosa
Rivera-Izquierdo, Mario
Tojal-Sierra, Lucas
Damas-Fuentes, Miguel
Buil-Cosiales, Pilar
Fernández-Carrion, Rebeca
Goday, Albert
Peña-Orihuela, Patricia J.
Compañ-Gabucio, Laura
Diez-Espino, Javier
Tello, Susanna
González-Pinto, Ana
De La O, Víctor
Delgado-Rodríguez, Miguel
Babio, Nancy
Salas-Salvadó, Jordi
UNESCO Clasification: 32 Ciencias médicas
320505 Enfermedades infecciosas
3206 Ciencias de la nutrición
3212 Salud pública
61 Psicología
Keywords: Covid-19
Depression
Older Adults
Predimed-Plus
Sars-Cov-2
Issue Date: 2023
Project: Efecto de la dieta mediterránea hopocalórica y promoción de la actividad física en prevención primaria cardiovascular.Estudio piloto sobre marcadores intermedios. 
Efecto de Una Pérdida de Peso Con Dieta Mediterránea Hipocalóricay Promoción de la Actividad Física en la Prevención Primaria Cardiovascular 
Efecto de una intervención intensiva de pérdida de peso con dieta Mediterránea hipocalórica, actividad física y tratamiento conductual sobre la prevención primaria cardiovascular: ensayo PREDIMED-Plus 
Journal: Psychological Medicine 
Abstract: Background The coronavirus disease 2019 (COVID-19) has serious physiological and psychological consequences. The long-term (>12 weeks post-infection) impact of COVID-19 on mental health, specifically in older adults, is unclear. We longitudinally assessed the association of COVID-19 with depression symptomatology in community-dwelling older adults with metabolic syndrome within the framework of the PREDIMED-Plus cohort. Methods Participants (n = 5486) aged 55-75 years were included in this longitudinal cohort. COVID-19 status (positive/negative) determined by tests (e.g. polymerase chain reaction severe acute respiratory syndrome coronavirus 2, IgG) was confirmed via event adjudication (410 cases). Pre- and post-COVID-19 depressive symptomatology was ascertained from annual assessments conducted using a validated 21-item Spanish Beck Depression Inventory-II (BDI-II). Multivariable linear and logistic regression models assessed the association between COVID-19 and depression symptomatology. Results COVID-19 in older adults was associated with higher post-COVID-19 BDI-II scores measured at a median (interquartile range) of 29 (15-40) weeks post-infection [fully adjusted β = 0.65 points, 95% confidence interval (CI) 0.15-1.15; p = 0.011]. This association was particularly prominent in women (β = 1.38 points, 95% CI 0.44-2.33, p = 0.004). COVID-19 was associated with 62% increased odds of elevated depression risk (BDI-II ≥ 14) post-COVID-19 when adjusted for confounders (odds ratio; 95% CI 1.13-2.30, p = 0.008). Conclusions COVID-19 was associated with long-term depression risk in older adults with overweight/obesity and metabolic syndrome, particularly in women. Thus, long-term evaluations of the impact of COVID-19 on mental health and preventive public health initiatives are warranted in older adults.
URI: http://hdl.handle.net/10553/127031
ISSN: 0033-2917
DOI: 10.1017/S0033291723002313
Source: Psychological Medicine[ISSN 0033-2917], (Septiembre 2023)
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