A Lower Energy Balance is Associated With Higher Severity and Odd of Depression Based on the Beck Depression Inventory‐13 (BDI‐13) in a Retiring Age Population: A Population‐Based Cross‐Sectional Study

ABSTRACT Background and Aims Depression is a mental disorder, especially in aging people. Many studies worked on the association of diet with depression, but the association of energy is still unclear. This study aims to investigate the relationship between energy balance and the risk of depression...

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Main Authors: Mohammad Reza Shadmand Foumani Moghadam, Mostafa Shahraki Jazinaki, Zohre Hosseini, Fatemeh Rajabi, Sharif Etemdi, Melika Hadizadeh, Parnian Pezeshki, Mohammad Amushahi, Reza Rezvani
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Language:English
Published: Wiley 2025-03-01
Series:Health Science Reports
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Online Access:https://doi.org/10.1002/hsr2.70293
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author Mohammad Reza Shadmand Foumani Moghadam
Mostafa Shahraki Jazinaki
Zohre Hosseini
Fatemeh Rajabi
Sharif Etemdi
Melika Hadizadeh
Parnian Pezeshki
Mohammad Amushahi
Reza Rezvani
author_facet Mohammad Reza Shadmand Foumani Moghadam
Mostafa Shahraki Jazinaki
Zohre Hosseini
Fatemeh Rajabi
Sharif Etemdi
Melika Hadizadeh
Parnian Pezeshki
Mohammad Amushahi
Reza Rezvani
author_sort Mohammad Reza Shadmand Foumani Moghadam
collection DOAJ
description ABSTRACT Background and Aims Depression is a mental disorder, especially in aging people. Many studies worked on the association of diet with depression, but the association of energy is still unclear. This study aims to investigate the relationship between energy balance and the risk of depression in a retiring‐age population. Methods In this population‐based cluster‐sampling cross‐sectional approach, a total of 765 retiring‐age individuals were categorized into different levels of depression using the Beck Depression Inventory‐13 (BDI‐13). Energy balance was calculated by subtracting energy intake from Total Energy Expenditure (TEE) and Basal Metabolic Rate (BMR) which was calculated using Bio‐Electrical Impedance Analysis and Mifflin and St‐Jeor formula. Results There was a significant difference in energy intake, BMR, TEE, and energy balance between depression groups (p < 0.003 for all factors). However, by stratifying to gender, only energy intake, TEE, and energy balance according to BMR stayed significant. There was a trend towards lower energy intake and more negative energy balance with increasing severity of depression especially in males. After adjusting for various factors in all models, the results remained mostly consistent, except in Models 3 and 4 which were adjusted for nutrient intake patterns, health quality (12 domains), and supplement intake. There was a significantly weak negative correlation between the BDI‐13 score and all factors which was stronger in males.
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spelling doaj-art-dbace9beed5c44dcb3c836d6f5194e0f2025-08-20T03:42:22ZengWileyHealth Science Reports2398-88352025-03-0183n/an/a10.1002/hsr2.70293A Lower Energy Balance is Associated With Higher Severity and Odd of Depression Based on the Beck Depression Inventory‐13 (BDI‐13) in a Retiring Age Population: A Population‐Based Cross‐Sectional StudyMohammad Reza Shadmand Foumani Moghadam0Mostafa Shahraki Jazinaki1Zohre Hosseini2Fatemeh Rajabi3Sharif Etemdi4Melika Hadizadeh5Parnian Pezeshki6Mohammad Amushahi7Reza Rezvani8Service of Clinical Nutrition and Dietitian, Emam Reza Hospital Mashhad University of Medical Sciences Mashhad IranDepartment of Nutrition Science, Faculty of Medicine Mashhad University of Medical Sciences Mashhad IranDepartment of Nutrition Science Varastegan Institute for Medical Sciences Mashhad IranDepartment of Sport Sciences, Faculty of Humanities Islamic Azad University East Tehran Branch Tehran IranDepartment of Nutrition Science Varastegan Institute for Medical Sciences Mashhad IranDepartment of Nutrition Science Varastegan Institute for Medical Sciences Mashhad IranDepartment of Food Science and Technology Varastegan Institute for Medical Sciences Mashhad IranDepartment of Nutrition Science Varastegan Institute for Medical Sciences Mashhad IranDepartment of Nutrition Science, Faculty of Medicine Mashhad University of Medical Sciences Mashhad IranABSTRACT Background and Aims Depression is a mental disorder, especially in aging people. Many studies worked on the association of diet with depression, but the association of energy is still unclear. This study aims to investigate the relationship between energy balance and the risk of depression in a retiring‐age population. Methods In this population‐based cluster‐sampling cross‐sectional approach, a total of 765 retiring‐age individuals were categorized into different levels of depression using the Beck Depression Inventory‐13 (BDI‐13). Energy balance was calculated by subtracting energy intake from Total Energy Expenditure (TEE) and Basal Metabolic Rate (BMR) which was calculated using Bio‐Electrical Impedance Analysis and Mifflin and St‐Jeor formula. Results There was a significant difference in energy intake, BMR, TEE, and energy balance between depression groups (p < 0.003 for all factors). However, by stratifying to gender, only energy intake, TEE, and energy balance according to BMR stayed significant. There was a trend towards lower energy intake and more negative energy balance with increasing severity of depression especially in males. After adjusting for various factors in all models, the results remained mostly consistent, except in Models 3 and 4 which were adjusted for nutrient intake patterns, health quality (12 domains), and supplement intake. There was a significantly weak negative correlation between the BDI‐13 score and all factors which was stronger in males.https://doi.org/10.1002/hsr2.70293agingBMRdepressionenergyTEE
spellingShingle Mohammad Reza Shadmand Foumani Moghadam
Mostafa Shahraki Jazinaki
Zohre Hosseini
Fatemeh Rajabi
Sharif Etemdi
Melika Hadizadeh
Parnian Pezeshki
Mohammad Amushahi
Reza Rezvani
A Lower Energy Balance is Associated With Higher Severity and Odd of Depression Based on the Beck Depression Inventory‐13 (BDI‐13) in a Retiring Age Population: A Population‐Based Cross‐Sectional Study
Health Science Reports
aging
BMR
depression
energy
TEE
title A Lower Energy Balance is Associated With Higher Severity and Odd of Depression Based on the Beck Depression Inventory‐13 (BDI‐13) in a Retiring Age Population: A Population‐Based Cross‐Sectional Study
title_full A Lower Energy Balance is Associated With Higher Severity and Odd of Depression Based on the Beck Depression Inventory‐13 (BDI‐13) in a Retiring Age Population: A Population‐Based Cross‐Sectional Study
title_fullStr A Lower Energy Balance is Associated With Higher Severity and Odd of Depression Based on the Beck Depression Inventory‐13 (BDI‐13) in a Retiring Age Population: A Population‐Based Cross‐Sectional Study
title_full_unstemmed A Lower Energy Balance is Associated With Higher Severity and Odd of Depression Based on the Beck Depression Inventory‐13 (BDI‐13) in a Retiring Age Population: A Population‐Based Cross‐Sectional Study
title_short A Lower Energy Balance is Associated With Higher Severity and Odd of Depression Based on the Beck Depression Inventory‐13 (BDI‐13) in a Retiring Age Population: A Population‐Based Cross‐Sectional Study
title_sort lower energy balance is associated with higher severity and odd of depression based on the beck depression inventory 13 bdi 13 in a retiring age population a population based cross sectional study
topic aging
BMR
depression
energy
TEE
url https://doi.org/10.1002/hsr2.70293
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