| Objective(s):Through the analysis of the depression status,body mass index and blood lipid levels in the elderly,the understanding of the relationship between depression status of the elderly and body mass index and blood lipid levels in the elderly will be improved,and guidance and coping strategies will be provided for the early detection and improvement of depression in the elderly.Methods:In March 2018,a community was selected as a research object in the community service center of Palm Tree Camp(North)in Xishan District of Kunming City through random sampling.For elderly people aged 65 years and over,a simple depression scale was assessed.At the same time,general information(gender,age,marital status,education level,religion,monthly income,etc.)and physical examination(height and weight)were collected.),laboratory indicators(cholesterol,triglycerides,high-density lipoprotein cholesterol,low-density lipoprotein cholesterol).They were divided into depression group and non-depression group according to the simplified version of the elderly depression scale,and the correlations between depression,body mass index and blood lipid levels were analyzed statistically.Results:1.Among the 171 participants,there were 46 patients with depressive symptoms,accounting for 26.90%;125 patients without depressive symptoms accounted for 73.10%.2.In terms of gender,there were 74 males,13 depression patients(17.57%),97 females and 33 depression patients(34.02%).The incidence of female depression was significantly higher than that of males.The difference was statistically significant(P<0.05).3.Age:A total of 99 patients aged 65-74 years were included in the study.Depression group included 27 cases(accounting for 27.27%);75-84 years old totaled 62 cases;Depression group included 14 cases(22.58%);there were 10 cases aged 85 and over.There were 5 cases(50.00%)in the depression group.There was no significant difference in depression between different ages(P>0.05).4.Marital Status:There were 131 spouses,30 depression cases(22.9%),40 spouses,16 depression cases(40.00%),and the incidence of depression was significantly higher in those without spouses.With spouses,the difference was statistically significant(P<0.05).5.In terms of educational level,there were 64 primary and junior cultural students,25 depression patients(39.06%),70 junior high school students,15 depression patients(21.43%),37 high school students and above.In depression group,6 cases(16.22%),the incidence of depression in primary school and the following cultures was significantly higher than those in high school and above.The difference was statistically significant(P<0.05).However,there was no statistically significant difference in the incidence of depression between primary school and junior high school and junior high school,junior middle school and high school and above(P>0.05).6.Religious respects:There are 102 religious beliefs,33 depression cases(32.35%),69 non-religious persons,and 13 depression cases(accounting for 18.84%).Differences in depression among different religious beliefs No statistical significance(P>0.05).7.Monthly economic income:77 cases with monthly economic income below 500 yuan,29 cases with depression group(accounting for 37.66%),47 cases with monthly economic income between 500-1000 yuan and 10 cases with depression group(accounting for 21.28%);monthly economic income of more than 1,000 yuan in 47 cases,7 cases of depression group(accounting for 14.89%),monthly economic income below 500 yuan,the incidence of depression was significantly higher than 1,000 yuan,the difference was statistically significant.There was no significant difference in the incidence of depression between monthly income of 500 yuan and 500-1000 yuan,500-1000 yuan,and 1,000 yuan or more(P>0.05).8.Chronic diseases:126 cases with chronic diseases,40 cases with depression(32.56%),45 cases without chronic diseases,and 6 cases with depression(accounting for 12.77%).The incidence of depression was significantly higher in those with chronic diseases than in none In chronic patients,the difference was statistically significant(P<0.05).9.Occupation:21 cases of cadres,9 cases of depression(42.86%),117 cases of workers,27 cases of depression(22.69%),33 cases of other occupations,and 10 cases of depression(accounting for 30.30%)),There was no significant difference in depression in different occupations(P>0.05).10.The difference in BMI distribution between the depression group and the non-depression group was statistically significant(P<0.05).The incidence of underweight and obesity in the elderly was significantly higher in the depressed group than in the non-depressed group.There was no correlation between GDS-15 scores and BMI values in the depressed group(p>0.05).11.The levels of cholesterol(TC)and low-density lipoprotein cholesterol(LDL-C)in the elderly were significantly higher than those in the non-depressed group.The difference was statistically significant.There was no significant difference in triglyceride(TG)and high-density lipoprotein cholesterol(HDL-C)levels between the two groups(p>0.05).In the depression group,the GDS-15 score was negatively correlated with TC and HDL-C,and there was no significant correlation between TG and LDL-C levels.Conclusions:1.Depression is a common psychological state of the elderly in the conmunity.Gender,marital status,education level,economic income,and chronic diseases all can affect the occurrence of depression in the elderly.Among them,women,unaccompanied couples,low education levels,poor economic income,and people with chronic diseases are more likely to suffer depression.Prone to depression.2.Depressed older people are prone to having low body weight or obesity.Therefore,elderly people with depression and low weight risk should strengthen nutrition support.The elderly with depression risk of obesity should control diet and exercise.3.Depressed elderly TC,LDL-C levels were significantly higher than the non-depressed elderly.In addition,depression in the elderly GDS-15 score and serum TC,HDL-C levels are negatively correlated.For this reason,it is recommended to pay attention to the blood lipid levels and psychological status of the elderly,and to comprehensively assess and individualize the elderly with depression and dyslipidemia. |
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