Early-onset late-life depression: Association with body mass index, obesity, and treatment response
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Early-onset late-life depression: Association with body mass index, obesity, and treatment response. / Chae, Woo Ri; Fuentes-Casan, Manuel; Gutknecht, Felix; Ljubez, Angela; Gold, Stefan; Wingenfeld, Katja; Otte, Christian.
In: Comprehensive Psychoneuroendocrinology, Vol. 8, No. 8, 100096, 11.2021, p. 100096.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Early-onset late-life depression: Association with body mass index, obesity, and treatment response
AU - Chae, Woo Ri
AU - Fuentes-Casan, Manuel
AU - Gutknecht, Felix
AU - Ljubez, Angela
AU - Gold, Stefan
AU - Wingenfeld, Katja
AU - Otte, Christian
PY - 2021/11
Y1 - 2021/11
N2 - Early-onset (EOD) and late-onset (LOD) late-life depression might differ in etiology, clinical features, and treatment response. While EOD is more frequently associated with a family history of affective disorders and personality aspects, LOD is thought to be more strongly driven by acquired cerebrovascular risk factors associated with vascular pathology, executive dysfunction, and poor treatment response. However, in a systematic review, EOD and LOD only differed in the frequency of affective disorders in the family history. We compared EOD versus LOD using medical records. In this retrospective chart review, elderly depressed patients (N = 108; mean age: 69.0 ± 7.2 years) were characterized by sociodemographic, psychiatric, and somatic variables and divided according to age-at-onset (cut-off: 60 years): EOD (N = 67, mean age-at-onset: 40.2 ± 13.6 years) and LOD (N = 41, 67.5 ± 6.3 years). A family history of affective disorders was more common in EOD than LOD patients (49.2% vs. 19.5%). EOD patients had a higher body mass index (mean: 27.0 kg/m2 vs. 23.1 kg/m2) and were more often obese compared with LOD patients (20% vs. 0%). There were fewer treatment responders in the EOD group than in the LOD group on trend level significance (46.3% vs. 63.4%). Higher frequency of affective disorders in the family history is compatible with a greater genetic risk of EOD. The larger metabolic burden of EOD might stem from the longer duration of depressive illness.
AB - Early-onset (EOD) and late-onset (LOD) late-life depression might differ in etiology, clinical features, and treatment response. While EOD is more frequently associated with a family history of affective disorders and personality aspects, LOD is thought to be more strongly driven by acquired cerebrovascular risk factors associated with vascular pathology, executive dysfunction, and poor treatment response. However, in a systematic review, EOD and LOD only differed in the frequency of affective disorders in the family history. We compared EOD versus LOD using medical records. In this retrospective chart review, elderly depressed patients (N = 108; mean age: 69.0 ± 7.2 years) were characterized by sociodemographic, psychiatric, and somatic variables and divided according to age-at-onset (cut-off: 60 years): EOD (N = 67, mean age-at-onset: 40.2 ± 13.6 years) and LOD (N = 41, 67.5 ± 6.3 years). A family history of affective disorders was more common in EOD than LOD patients (49.2% vs. 19.5%). EOD patients had a higher body mass index (mean: 27.0 kg/m2 vs. 23.1 kg/m2) and were more often obese compared with LOD patients (20% vs. 0%). There were fewer treatment responders in the EOD group than in the LOD group on trend level significance (46.3% vs. 63.4%). Higher frequency of affective disorders in the family history is compatible with a greater genetic risk of EOD. The larger metabolic burden of EOD might stem from the longer duration of depressive illness.
U2 - 10.1016/j.cpnec.2021.100096
DO - 10.1016/j.cpnec.2021.100096
M3 - SCORING: Journal article
VL - 8
SP - 100096
JO - Comprehensive Psychoneuroendocrinology
JF - Comprehensive Psychoneuroendocrinology
SN - 2666-4976
IS - 8
M1 - 100096
ER -