{"id":18025,"date":"2015-07-09T09:25:08","date_gmt":"2015-07-09T13:25:08","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=18025"},"modified":"2015-07-13T22:26:20","modified_gmt":"2015-07-14T02:26:20","slug":"recurrent-major-depressive-disorder-and-use-of-antidepressants-associated-with-lower-bone-density","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2015\/07\/recurrent-major-depressive-disorder-and-use-of-antidepressants-associated-with-lower-bone-density\/","title":{"rendered":"Recurrent major depressive disorder and use of antidepressants associated with lower bone density"},"content":{"rendered":"<p>From the University of Eastern Finland media release:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/06\/physiotherapy-senior-band.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-14283\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/06\/physiotherapy-senior-band.jpg\" alt=\"physiotherapy senior band\" width=\"275\" height=\"254\" \/><\/a>A recent study from the University of Eastern Finland in collaboration with Deakin University, Australia, shows that\u00a0<strong>recurrent major depressive disorder (MDD) [depression] in men is associated with lower bone density<\/strong>.<\/p>\n<p>The <strong>use of antidepressants was also associated<\/strong> with lower bone mineral density (BMD), but this association was dependent on the person&#8217;s weight and site of bone measurement.<\/p>\n<p>Osteoporosis is a common disorder and an underlying factor in fragility fractures. Especially in women, the menopause increases the risk of osteoporosis. <strong>Other risk factors include low levels of physical activity,\u00a0smoking, low intake of calcium and vitamin D, as well as some medications and diseases<\/strong>. In the elderly, susceptibility to fracture and serious hip fractures can result in long-term hospitalization and decreased state of health.<\/p>\n<p>Previous studies have shown that also depression is associated with lower bone density. This might be due to the effects of depression-induced long-term stress and increased secretion of inflammatory markers. Furthermore, selective serotonin reuptake inhibitors (SSRIs) used to treat depression have been shown to weaken bone health. <strong>However, the majority of studies has focused on postmenopausal women<\/strong>. The present study analysed the association of single and recurrent MDD episodes and the use of antidepressants with bone density in men.<\/p>\n<p>The study analysed data from the Geelong Osteoporosis Study, GOS, which is a large, ongoing, population-based osteoporosis study carried out in the Barwon Health hospital district in Australia. <strong>Between 2006 and 2011, 928 men (aged 24-98 years) completed a comprehensive questionnaire and had BMD assessments at the forearm, spine, total hip and total body<\/strong>. MDD was identified using a structured clinical interview. Multivariate model was adjusted for lifestyle, medications and other confounding factors.<\/p>\n<p><strong>Nine per cent of the study population had had a single MDD episode, and five per cent had suffered from recurrent MDD<\/strong>. Furthermore, seven per cent of the study participants reported the use of antidepressants at the time of assessment.<\/p>\n<p>Recurrent MDD was associated with lower BMD at the forearm and total body (-6.5% and -2.5%, respectively compared to men with no history of MDD), while single MDD episodes were associated with higher BMD at the total hip (+3.4%).<\/p>\n<p>Antidepressant use was associated with lower BMD only in lower-weight men and varied across the bone sites. F<strong>or example, the use of antidepressants was associated with reduced bone density in the hip in men weighing less than 110 kilograms<\/strong>. In the forearm, however, the association of anti-depressants with reduced bone density was not observed in men until their body weight was under 75 kilograms.<\/p>\n<p>According to the study, <strong>recurrent major depression may increase the risk of osteoporosis in men<\/strong>. Furthermore, the use of antidepressants should be taken into account as a potential risk factor of osteoporosis especially in men with a low body weight.<\/p><\/blockquote>\n<p>The study constitutes part of the PhD project of Researcher P\u00e4ivi Rauma, focusing on the effects of depression and antidepressants on bone health. The findings were published in<em>Journal of Musculoskeletal and Neuronal Interactions<\/em>.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the University of Eastern Finland media release: A recent study from the University of Eastern Finland in collaboration with Deakin University, Australia, shows that\u00a0recurrent major depressive disorder (MDD) [depression]&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2015\/07\/recurrent-major-depressive-disorder-and-use-of-antidepressants-associated-with-lower-bone-density\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[321,345,358,351],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18025"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=18025"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18025\/revisions"}],"predecessor-version":[{"id":18026,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18025\/revisions\/18026"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=18025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=18025"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=18025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}