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

A. Laudisio, Y. Milaneschi, S. Bandinelli, A. Gemma, L. Ferrucci, R.A. Incalzi

    Research output: Contribution to JournalArticleAcademicpeer-review

    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. Copyright © 2013 John Wiley & Sons, Ltd. Copyright © 2013 John Wiley & Sons, Ltd.
    Original languageEnglish
    Pages (from-to)236-244
    JournalInternational Journal of Geriatric Psychiatry
    Volume29
    Issue number3
    DOIs
    Publication statusPublished - 2014

    Fingerprint Dive into the research topics of 'Chewing problems are associated with depression in the elderly: results from the InCHIANTI study'. Together they form a unique fingerprint.

    Cite this