CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal; ISAMB, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal; University of Huelva, Huelva, Spain.
ISAMB, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal; Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon.
Mayo Clin Proc. 2020 Oct;95(10):2134-2143. doi: 10.1016/j.mayocp.2020.02.035.
To analyze the relationship between grip strength and symptoms of depression, considering sex and age, in adults from 18 countries.
Cross-sectional data for adults 50 years and older from the Survey of Health, Aging, and Retirement in Europe wave 6 (collected in 2015) were analyzed. Grip strength was measured twice on each hand using a handgrip dynamometer. The EURO-D 12-item scale was used to measure depression symptoms. Multivariable logistic regression analysis was conducted. Data analyses were conducted between November 5, 2019, and February 7, 2020.
Men and women who were in quartiles 2, 3, and 4 of grip strength were less likely to have depression symptoms than those in the first quartile of grip strength. Having more grip strength decreased the odds of depression symptoms by 30% (odds ratio 0.70; 95% CI, 0.65 to 0.77) and 47% (odds ratio, 0.53; 95% CI, 0.49 to 0.57) for adults aged 50 to 64 years and 65 years and older, respectively, when compared with those with the lowest grip strength. The negative relationship between strong grip strength and depression symptoms was observed among men and women younger and older than 65 years.
There was an association between grip strength and depression symptoms. For clinical practice and geriatric health professionals, assessing adults' grip strength can be used as a signal to screen for physical and mental health.
分析 18 个国家 50 岁及以上成年人中握力与抑郁症状之间的关系，并考虑到性别和年龄因素。
对来自欧洲健康、老龄化和退休调查第六波（于 2015 年收集）的 50 岁及以上成年人的横断面数据进行分析。使用握力计对手的双侧进行两次握力测量。采用 EURO-D 12 项量表来测量抑郁症状。采用多变量逻辑回归分析。数据分析于 2019 年 11 月 5 日至 2020 年 2 月 7 日之间进行。
握力处于第 2、3 和 4 四分位的男性和女性发生抑郁症状的可能性均低于握力处于第 1 四分位的人群。握力越强，患抑郁症状的可能性越低，50 岁至 64 岁成年人的比值比为 0.70（95%CI，0.65 至 0.77），65 岁及以上成年人的比值比为 0.53（95%CI，0.49 至 0.57）。与握力最低的成年人相比，分别降低了 30%和 47%。无论年龄大小，握力强与抑郁症状之间均呈负相关。
握力与抑郁症状之间存在关联。对于临床实践和老年保健专业人员而言，评估成年人的握力可以作为一种信号，用于筛查身体和心理健康。
