Yaşlı Bireylerde Ağırlıkla Düzeltilmiş Bel Çevresi İndeksi ile Depresif Semptomlar Arasındaki İlişki

Öz

Amaç: Depresyon, yaşlı bireylerde yaygın ve işlevselliği bozan bir durumdur. Depresyon riskini öngörebilecek basit ve invaziv olmayan belirteçlerin tanımlanması, erken müdahale açısından büyük önem taşır. Ağırlıkla Düzeltilmiş Bel Çevresi İndeksi (WWI), santral obezitenin yeni bir antropometrik göstergesi olup yaşlı bireylerde depresif semptomlarla ilişkili olabilir. Bu çalışmanın amacı, WWI ile depresif semptomlar arasındaki ilişkiyi 65 yaş ve üzeri bireylerde incelemektir. Gereç ve Yöntem: Bu retrospektif kesitsel çalışmaya, geriatri polikliniğine başvuran 65 yaş ve üzeri 150 hasta dâhil edilmiştir. Sosyodemografik, fonksiyonel, bilişsel, beslenme durumu ve antropometrik veriler toplanmıştır. Depresif semptomlar, Yesevage Geriatrik Depresyon Ölçeği (GDÖ) kullanılarak değerlendirilmiş; GDÖ skoru ≥5 olanlar depresyon olarak kabul edilmiştir. WWI, bel çevresinin (cm) vücut ağırlığının (kg) kareköküne bölünmesiyle hesaplanmıştır. Depresif semptomlarla bağımsız olarak ilişkili faktörleri belirlemek için ikili lojistik regresyon analizi uygulanmıştır. Bulgular: Katılımcıların 53’ünde (%35,3) depresif semptomlar tespit edilmiştir. Depresif semptomları olan hastaların WWI değerleri anlamlı olarak daha yüksekti (11,68 ± 0,73 vs. 11,28 ± 0,66, p<0,001). Nihai regresyon modelinde; kadın olmak (OR: 3,17; %95 GA: 1,21–8,32; p=0,019), daha düşük SMMSE skoru (OR: 0,84; %95 GA: 0,75–0,95; p=0,005), daha yüksek WWI (OR: 1,66; %95 GA: 0,91–3,02; p=0,097) ve daha düşük MNA-SF skoru (OR: 0,76; %95 GA: 0,60–0,97; p=0,027) depresif semptomlarla ilişkili bulundu. Sonuç: Yüksek WWI, yaşlı bireylerde depresif semptomlarla ilişkili olabilir. WWI, depresyon riski yüksek bireyleri belirlemek için kullanılabilecek basit ve invaziv olmayan bir araç olabilir. Bu bulguların doğrulanması için ileriye dönük çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Ağırlıkla Düzeltilmiş Bel Çevresi İndeksi
• Depresyon
• Yaşlı bireyler

Association Between Weight-Adjusted Waist Index and Depressive Symptoms in Older Adults

Öz

Objective: Depression is a common and disabling condition in older adults. Identifying simple, non-invasive predictors of depression risk is essential for early intervention. The Weight-Adjusted Waist Index (WWI), a novel anthropometric marker of central adiposity, may be associated with depressive symptoms in older populations. This study aims to investigate the association between WWI and depressive symptoms in adults aged 65 years and older. Material and Methods: This retrospective cross-sectional study included 150 patients aged ≥65 years attending a geriatrics outpatient clinic. Sociodemographic, functional, cognitive, nutritional, and anthropometric data were collected. Depressive symptoms were assessed using the Yesevage Geriatric Depression Scale (GDS), with scores ≥5 indicating depression. WWI was calculated as waist circumference (cm) divided by the square root of weight (kg). Binary logistic regression analysis was performed to identify factors independently associated with depressive symptoms. Results: Depressive symptoms were present in 53 participants (35.3%). Patients with depressive symptoms had significantly higher WWI values (11.68 ± 0.73 vs. 11.28 ± 0.66, p<0.001). In the final regression model, being women (OR: 3.17; 95% CI: 1.21–8.32; p=0.019), lower SMMSE score (OR: 0.84; 95% CI: 0.75–0.95; p=0.005), higher WWI (OR: 1.66; 95% CI: 0.91–3.02; p=0.097), and lower MNA-SF score (OR: 0.76; 95% CI: 0.60–0.97; p=0.027) were associated with depressive symptoms. Conclusion: Higher WWI may be linked to depressive symptoms in older adults. WWI could serve as a simple, non-invasive tool to help identify individuals at increased risk of depression. Longitudinal studies are needed to confirm these findings.

Anahtar Kelimeler

• Depression
• Older adults
• Weight-Adjusted Waist Index

Etik Beyan

Ethical approval was obtained from the Ankara Bilkent City Hospital clinical research ethics committee on 14.05.25 with the reference number of TABED 2-25-1219.

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