BMC Public Health

Accumulated frailty linked to new depression in adults

Greater accumulated frailty was linked to higher odds of developing depression across four cohorts, with odds ratios ranging from 3.46 to 6.09.

Paper by Guojun Li, Jun Xiong
Figure 1 from BMC Public Health
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Figure 1. Li et al., CC BY-NC-ND

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Adults aged 45 and older—12,042 in total—were included in a prospective analysis of four aging cohorts. Researchers measured accumulated frailty using a 29-item score across the first three assessments. Separate analyses excluded people with depression at the first or third assessment. Each cohort classified depression using validated symptom scales.

Greater accumulated frailty was associated with new depression in all four cohorts. The main models suggested a small indirect link through cognitive function—memory and other thinking skills. This estimated component accounted for 2.05%–5.97% of the modeled association. However, support for this possible indirect link did not hold consistently in additional analyses.

Why it matters

For late-life depression, the authors suggest that frailty assessment may help identify people at higher risk.

Caveats

Depression classifications relied on symptom scales, and stable differences between people may partly explain the association. The findings do not address adults younger than 45.

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