Lower vitamin D levels are associated with depression among community-dwelling European men

David M. Lee, Abdelouahid Tajar, Terence W. O'Neill, Daryl B. O'Connor, Gyorgy Bartfai, Steven Boonen, Roger Bouillon, Felipe F. Casanueva, Joseph D. Finn, Gianni Forti, Aleksander Giwercman, Thang S. Han, Ilpo T. Huhtaniemi, Krzysztof Kula, Michael E.J. Lean, Margus Punab, Alan J. Silman, Dirk Vanderschueren, Frederick C.W. Wu, Neil Pendleton

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Abstract

Low serum 25-hydroxyvitamin D (25(OH)D) and elevated parathyroid hormone (PTH) levels have been linked with depressive symptoms among adults in various clinical settings. Data in generally healthy, community-dwelling individuals remain inconclusive. We investigated whether depression was associated with 25(OH)D and/or PTH in a sample of middle-aged and older men (n=3369; mean age 60±11) participating in the European Male Ageing Study, and whether any associations were explained by lifestyle and health factors. The Beck Depression Inventory-II (BDI-II) was used to screen for depression, and serum 25(OH)D and PTH levels measured by radioimmunoassay. Univariate analysis revealed that 25(OH)D levels were lower (p<0.001) and PTH higher (p=0.004) in people with depression. In age- and centre-adjusted linear regressions a higher BDI-II score was significantly associated with lower levels of 25(OH)D (p=0.004). After adjustment for lifestyle and health factors this relationship was attenuated but remained significant (p=0.01). Using multivariable logistic regression the odds for depression increased approximately 70% across decreasing 25(OH)D quartiles (ptrend=0.04). There was no independent association between PTH and depression in any of the multivariable regressions. Our results reveal an inverse association between 25(OH)D levels and depression, largely independent of several lifestyle and health factors. Further studies are required to determine whether higher levels of vitamin D have an antidepressant effect in older adults.

Original languageEnglish
Pages (from-to)1320-1328
Number of pages9
JournalJournal of Psychopharmacology
Volume25
Issue number10
DOIs
Publication statusPublished - okt. 1 2011

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ASJC Scopus subject areas

  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

Cite this

Lee, D. M., Tajar, A., O'Neill, T. W., O'Connor, D. B., Bartfai, G., Boonen, S., Bouillon, R., Casanueva, F. F., Finn, J. D., Forti, G., Giwercman, A., Han, T. S., Huhtaniemi, I. T., Kula, K., Lean, M. E. J., Punab, M., Silman, A. J., Vanderschueren, D., Wu, F. C. W., & Pendleton, N. (2011). Lower vitamin D levels are associated with depression among community-dwelling European men. Journal of Psychopharmacology, 25(10), 1320-1328. https://doi.org/10.1177/0269881110379287