Chewing problems are associated with depression in the elderly: Results from the InCHIANTI study

Alice Laudisio, Yuri Milaneschi, Stefania Bandinelli, Antonella Gemma, Luigi Ferrucci, Raffaele Antonelli Incalzi

Research output: Contribution to journalArticle

Abstract

Objective Depression is increasingly recognized in older populations and associated with undernutrition, disability, and increased mortality. Chewing problems (CPs) share with depression these associations. The aim of the study was to evaluate the association, if any, between CPs and depression in older subjects. Methods We assessed 927 participants aged 65 years and older, derived from the 'InCHIANTI' study. Mood was evaluated using the CES-D scale and defined depressed by a CES-D score ≥20. CPs were self-reported. Logistic regression was performed to assess the adjusted association between depression and CPs. The adjusted model was analyzed after stratifying for use of complete, partial dentures and edentulism. Results Chewing problems were reported by 293/927 (31.6%) participants. Depression was present in 188/927(20.3%) participants. In multivariable logistic regression, CPs were associated with depression (OR = 1.81, 95% CI = 1.26-2.58; p = 0.001). No significant association was found among subjects who used complete dentures (OR = 1.12, 95% CI = 0.80-1.58, p = 0.515). Up to 27.8% of prevalent depression might be attributed to CPs. Conclusions Chewing problems are associated with depression in elderly population. Use of complete dentures hinder this association. Older depressed subjects should be screened for the presence of CPs; further studies are needed to evaluate the impact of early detection and correction of CPs on the development of depression.

Original languageEnglish (US)
Pages (from-to)236-244
Number of pages9
JournalInternational Journal of Geriatric Psychiatry
Volume29
Issue number3
DOIs
StatePublished - Mar 2014
Externally publishedYes

Fingerprint

Mastication
Depression
Complete Denture
Logistic Models
Partial Denture
Malnutrition
Population
Mortality

Keywords

  • chewing problems
  • depression
  • elderly
  • epidemiology

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

Laudisio, A., Milaneschi, Y., Bandinelli, S., Gemma, A., Ferrucci, L., & Incalzi, R. A. (2014). Chewing problems are associated with depression in the elderly: Results from the InCHIANTI study. International Journal of Geriatric Psychiatry, 29(3), 236-244. https://doi.org/10.1002/gps.3995

Chewing problems are associated with depression in the elderly : Results from the InCHIANTI study. / Laudisio, Alice; Milaneschi, Yuri; Bandinelli, Stefania; Gemma, Antonella; Ferrucci, Luigi; Incalzi, Raffaele Antonelli.

In: International Journal of Geriatric Psychiatry, Vol. 29, No. 3, 03.2014, p. 236-244.

Research output: Contribution to journalArticle

Laudisio, A, Milaneschi, Y, Bandinelli, S, Gemma, A, Ferrucci, L & Incalzi, RA 2014, 'Chewing problems are associated with depression in the elderly: Results from the InCHIANTI study', International Journal of Geriatric Psychiatry, vol. 29, no. 3, pp. 236-244. https://doi.org/10.1002/gps.3995
Laudisio, Alice ; Milaneschi, Yuri ; Bandinelli, Stefania ; Gemma, Antonella ; Ferrucci, Luigi ; Incalzi, Raffaele Antonelli. / Chewing problems are associated with depression in the elderly : Results from the InCHIANTI study. In: International Journal of Geriatric Psychiatry. 2014 ; Vol. 29, No. 3. pp. 236-244.
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abstract = "Objective Depression is increasingly recognized in older populations and associated with undernutrition, disability, and increased mortality. Chewing problems (CPs) share with depression these associations. The aim of the study was to evaluate the association, if any, between CPs and depression in older subjects. Methods We assessed 927 participants aged 65 years and older, derived from the 'InCHIANTI' study. Mood was evaluated using the CES-D scale and defined depressed by a CES-D score ≥20. CPs were self-reported. Logistic regression was performed to assess the adjusted association between depression and CPs. The adjusted model was analyzed after stratifying for use of complete, partial dentures and edentulism. Results Chewing problems were reported by 293/927 (31.6{\%}) participants. Depression was present in 188/927(20.3{\%}) participants. In multivariable logistic regression, CPs were associated with depression (OR = 1.81, 95{\%} CI = 1.26-2.58; p = 0.001). No significant association was found among subjects who used complete dentures (OR = 1.12, 95{\%} CI = 0.80-1.58, p = 0.515). Up to 27.8{\%} of prevalent depression might be attributed to CPs. Conclusions Chewing problems are associated with depression in elderly population. Use of complete dentures hinder this association. Older depressed subjects should be screened for the presence of CPs; further studies are needed to evaluate the impact of early detection and correction of CPs on the development of depression.",
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