PhD. Nurse and Professor, Faculty of Health Sciences, University of Pécs (UP), Pécs, Hungary.
PhD. Nurse and Full Professor, Department of Health II, Universidade Estadual de Santa Cruz (UESC), Ilhéus (BA), Brazil.
Sao Paulo Med J. 2022 Oct 3;141(4):e2021771. doi: 10.1590/1516-3180.2021.0771.R5.09082022. eCollection 2022.
Diabetes mellitus is a chronic disease with long-term consequences that is often associated with depressive symptoms. This relationship predicts increased morbidity and mortality rates, leading to serious health consequences.
To identify the prevalence and health factors associated with depressive symptoms among older adults with diabetes mellitus.
An observational cross-sectional study was conducted among 236 older adults in the Basic Healthcare Units of Jequié, Brazil.
A survey containing sociodemographic, behavioral, and health conditions was used as a data collection instrument, in addition to the Geriatric Depression Scale. The main inclusion criterion was older adults diagnosed with diabetes mellitus. To identify the risk factors associated with depressive symptoms among older adults with diabetes mellitus, logistic regression analysis was conducted for calculating the odds ratio (OR), and a 95% confidence interval (CI) was considered statistically significant.
The prevalence of depressive symptoms was 24.2% among older adults with diabetes, corroborating the Brazilian average of 30%. The final multivariate analysis model for the risk of depressive symptoms showed a significant association with diabetes complications [OR = 2.50, 95% CI 1.318-4.74)] and osteoporosis [OR = 2.75, 95% CI 1.285-5.891)].
A high prevalence of depressive symptoms was observed among older adults with diabetes. Critically examining older adults with diabetes mellitus is necessary, and screening for depressive symptoms is highly recommended, especially for those with complications resulting from diabetes mellitus and musculoskeletal comorbidities, such as osteoporosis, as it seems to be associated with depressive symptoms.
糖尿病是一种具有长期后果的慢性疾病，常伴有抑郁症状。这种关系预测发病率和死亡率的增加，导致严重的健康后果。
确定老年糖尿病患者中抑郁症状的流行情况和与健康相关的因素。
在巴西若基埃的基础医疗单位对 236 名老年人进行了一项观察性横断面研究。
使用问卷调查了社会人口统计学、行为和健康状况，以及老年抑郁量表。主要纳入标准是诊断为糖尿病的老年人。为了确定老年糖尿病患者抑郁症状的相关风险因素，我们进行了逻辑回归分析来计算比值比（OR），并认为 95%置信区间（CI）具有统计学意义。
糖尿病老年患者中抑郁症状的患病率为 24.2%，与巴西的平均水平 30%相符。糖尿病并发症[OR=2.50，95%CI 1.318-4.74]和骨质疏松症[OR=2.75，95%CI 1.285-5.891]与抑郁症状的发生风险有显著相关性。
老年糖尿病患者中抑郁症状的患病率较高。对老年糖尿病患者进行批判性评估是必要的，强烈建议筛查抑郁症状，尤其是对那些有糖尿病并发症和骨骼肌肉合并症（如骨质疏松症）的患者，因为它似乎与抑郁症状有关。
