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Depression and low bone mineral density: a meta-analysis of epidemiologic studies
Abstract
Summary The association between depression and loss of bone mineral density (BMD) has been reported inconsistently. This meta-analysis, which pooled results from 14 qualifying individual studies, found that depression was associated with a significantly decreased BMD, with a substantially greater BMD decrease in depressed women and in cases of clinical depression.Introduction The reported association between depression and loss of BMD has been controversial. This meta-analysis was conducted to determine whether depression and BMD are associated and to identify the variation in some subgroups.Methods English-language articles published before October 2008 were used as the data source. A total of six case-controlled and eight cross-sectional studies met prestated inclusion criteria (N = 10,523). Information on study design, participant characteristics, measurements of BMD and depression, and control for potential confounders was abstracted independently by two investigators using a standardized protocol.Results Overall, depression was associated with a significant decrease in mean BMD of spine (-0.053 g/cm(2) [95% confidence interval {CI} -0.087 to -0.018 g/cm(2)]) and hip (-0.052 g/cm(2) [95% CI -0.083 to -0.022 g/cm(2)]). A substantially greater BMD decrease was observed in depressed women (-0.076 g/cm(2) in spine; -0.059 g/cm(2) in hip) and in cases of clinical depression (-0.074 g/cm(2) in spine; -0.080 g/cm(2) in hip).Conclusion Depression is associated with low BMD, with a substantially greater BMD decrease in depressed women and in cases of clinical depression. Depression should be considered as an important risk factor for osteoporosis.
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“Two recent meta-analyses confirmed that depression is associated with low BMD and should be considered as an important risk factor for osteoporosis, although this increased risk may be mediated by AD (484,485).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [485]
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Self-citation
Metadata
- Authors
- Wu, Q., Magnus, J. H., Liu, J., Bencaz, A. F., & Hentz, J. G.
- Affiliations
- Mayo Clinic (US)
- Tulane University (US)
- Northern Arizona University (US)
- Corresponding author
- Wu, Q.
- Venue
- Osteoporosis International
- Published
- 2009-04-03
- Volume
- 20
- Issue
- 8
- Pages
- 1309-1320
- ISSN
- 0937-941X (ISSN-L)
- 1433-2965
- OpenAlex
- W2055157541
- Cited by
- 102
- References
- 62
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 8 · 2018: 5 · 2017: 4 · 2016: 9 · 2015: 8 · 2014: 8 · 2013: 7 · 2012: 6
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Osteoporosis International (publishedVersion)
- PubMed (publishedVersion)
- Digital Scholarship - UNLV (University of Nevada Reno) (submittedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Keywords
- depression, bone mineral density, osteoporosis, bone loss, women, major depressive disorder, spine, hip, risk factors
- MeSH terms
- Adult, Aged, Depressive Disorder, Female, Hip Joint, Humans, Male, Middle Aged, Osteoporosis, Research Design, Sensitivity and Specificity, Spine, Bone Density, Publication Bias
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