open access

Vol 73, No 6 (2022)
Original paper
Submitted: 2021-09-19
Accepted: 2022-08-07
Published online: 2022-12-09
Get Citation

Hormones and depression in the advanced age

Katarzyna Winczyk1, Tomasz Kostka2, Hanna Pisarek, Hanna Pisarek, Agnieszka Guligowska, Agnieszka Guligowska, Edyta Piechocka-Wochniak, Edyta Piechocka-Wochniak, Jacek Świętosławski, Jacek Świętosławski, Marek Pawlikowski1
·
Pubmed: 36519649
·
Endokrynol Pol 2022;73(6):917-921.
Affiliations
  1. Department of Neuroendocrinology, Chair of Laboratory and Molecular Diagnostics, Medical University of Lodz, Poland
  2. Department of Geriatrics, Healthy Ageing Research Centre, Medical University of Lodz, Poland

open access

Vol 73, No 6 (2022)
Original Paper
Submitted: 2021-09-19
Accepted: 2022-08-07
Published online: 2022-12-09

Abstract

Introduction: In older people, depression and mental disability are more frequently present than in younger subjects. It is found that depression is a risk factor for dementia, just as dementia is a risk factor for depression. In turn, both disturbances are known to be influenced by hormones. The present study aimed to see whether the hormonal changes in subjects over 75 years old correlate with the symptoms of depression measured using the Geriatric Depression Scale (GDS).

Material and methods: In a group of patients aged over 75 years, concentrations of follicle-stimulating hormone (FSH), luteinizing hormone (LH), oestradiol, testosterone, dehydroepiandrosterone sulphate (DHEAs), and cortisol were measured in serum with the use of chemiluminescence. The symptoms of depression were estimated by GDS, and the mental functions were assessed by the Mini-Mental State Examination (MMSE). The correlations between the obtained results were estimated by Spearman’s test.

Results and Conclusions: A significant correlation between GDS and MMSE scores was observed in the investigated patients. Some statistically significant correlations concerning cortisol and testosterone with GDS were observed in women, but not in men. On the other hand, no significant correlations between concentrations of FSH, LH, DHEAs, and oestradiol with GDS were noticed. Our data support the role of cortisol (possibly secreted during chronic stress) in the risk of depression. The gender difference in the mechanism of depression and stress in older age could be also hypothesized.

Abstract

Introduction: In older people, depression and mental disability are more frequently present than in younger subjects. It is found that depression is a risk factor for dementia, just as dementia is a risk factor for depression. In turn, both disturbances are known to be influenced by hormones. The present study aimed to see whether the hormonal changes in subjects over 75 years old correlate with the symptoms of depression measured using the Geriatric Depression Scale (GDS).

Material and methods: In a group of patients aged over 75 years, concentrations of follicle-stimulating hormone (FSH), luteinizing hormone (LH), oestradiol, testosterone, dehydroepiandrosterone sulphate (DHEAs), and cortisol were measured in serum with the use of chemiluminescence. The symptoms of depression were estimated by GDS, and the mental functions were assessed by the Mini-Mental State Examination (MMSE). The correlations between the obtained results were estimated by Spearman’s test.

Results and Conclusions: A significant correlation between GDS and MMSE scores was observed in the investigated patients. Some statistically significant correlations concerning cortisol and testosterone with GDS were observed in women, but not in men. On the other hand, no significant correlations between concentrations of FSH, LH, DHEAs, and oestradiol with GDS were noticed. Our data support the role of cortisol (possibly secreted during chronic stress) in the risk of depression. The gender difference in the mechanism of depression and stress in older age could be also hypothesized.

Get Citation

Keywords

depression; hormones; aging; GDS; MMSE

About this article
Title

Hormones and depression in the advanced age

Journal

Endokrynologia Polska

Issue

Vol 73, No 6 (2022)

Article type

Original paper

Pages

917-921

Published online

2022-12-09

Page views

3843

Article views/downloads

860

DOI

10.5603/EP.a2022.0094

Pubmed

36519649

Bibliographic record

Endokrynol Pol 2022;73(6):917-921.

Keywords

depression
hormones
aging
GDS
MMSE

Authors

Katarzyna Winczyk
Tomasz Kostka
Hanna Pisarek
Hanna Pisarek
Agnieszka Guligowska
Agnieszka Guligowska
Edyta Piechocka-Wochniak
Edyta Piechocka-Wochniak
Jacek Świętosławski
Jacek Świętosławski
Marek Pawlikowski

References (38)
  1. WHO. Mental health of older adults 2017. https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults.
  2. Fiske A, Wetherell JL, Gatz M. Depression in older adults. Annu Rev Clin Psychol. 2009; 5: 363–389.
  3. Malhi GS, Das P, Outhred T, et al. Depression. Lancet. 2018; 392(10161): 2299–2312.
  4. Guligowska A, Pigłowska M, Fife E, et al. Inappropriate nutrients intake is associated with lower functional status and inferior quality of life in older adults with depression. Clin Interv Aging. 2016; 11: 1505–1517.
  5. WHO. Depression 2020. https://www.who.int/news-room/fact-sheets/detail/depression.
  6. Rubin R. Exploring the Relationship Between Depression and Dementia. JAMA. 2018; 320(10): 961–962.
  7. Potter GG, Wagner HR, Burke JR, et al. Neuropsychological predictors of dementia in late-life major depressive disorder. Am J Geriatr Psychiatry. 2013; 21(3): 297–306.
  8. Crocco EA, Castro K, Loewenstein DA. How late-life depression affects cognition: neural mechanisms. Curr Psychiatry Rep. 2010; 12(1): 34–38.
  9. Valkanova V, Ebmeier KP, Allan CL. Depression is linked to dementia in older adults. Practitioner. 2017; 261(1800): 11–15.
  10. Juruena MF, Bocharova M, Agustini B, et al. Atypical depression and non-atypical depression: Is HPA axis function a biomarker? A systematic review. J Affect Disord. 2018; 233: 45–67.
  11. Yeap BuB, Marriott RJ, Adams RJ, et al. Androgens In Men Study (AIMS): protocol for meta-analyses of individual participant data investigating associations of androgens with health outcomes in men. BMJ Open. 2020; 10(5): e034777.
  12. Warren MP, Ng EPS. Menopause. In: Karasek K. ed. Aging and Age-related Diseases: The Basics. Nova Biomedical, Hauppauge 2006: 5–29.
  13. Korenman SG, Grotts JF, Bell DS, et al. Depression in Nonclassical Hypogonadism in Young Men. J Endocr Soc. 2018; 2(11): 1306–1313.
  14. Joffe H, de Wit A, Coborn J, et al. Impact of Estradiol Variability and Progesterone on Mood in Perimenopausal Women With Depressive Symptoms. J Clin Endocrinol Metab. 2020; 105(3).
  15. Gordon JL, Sander B, Eisenlohr-Moul TA, et al. Mood sensitivity to estradiol predicts depressive symptoms in the menopause transition. Psychol Med. 2021; 51(10): 1733–1741.
  16. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982; 17(1): 37–49.
  17. Folstein M, Folstein S, McHugh P. “Mini-mental state”. J Psychiatr Res. 1975; 12(3): 189–198.
  18. Pawlikowski Łódź M, Kostka T, Pisarek H, et al. Gonadotropins and steroid hormones in older people: their mutual connections and relations to body mass indices. Endokrynol Pol. 2019; 70(6): 484–488.
  19. Deuschle M, Weber B, Colla M, et al. Effects of major depression, aging and gender upon calculated diurnal free plasma cortisol concentrations: a re-evaluation study. Stress. 1998; 2(4): 281–287.
  20. Vogelzangs N, Suthers K, Ferrucci L, et al. Hypercortisolemic depression is associated with the metabolic syndrome in late-life. Psychoneuroendocrinology. 2007; 32(2): 151–159.
  21. Vogelzangs N, Beekman ATF, Dik MG, et al. Late-life depression, cortisol, and the metabolic syndrome. Am J Geriatr Psychiatry. 2009; 17(8): 716–721.
  22. Knorr U, Vinberg M, Kessing LV, et al. Salivary cortisol in depressed patients versus control persons: a systematic review and meta-analysis. Psychoneuroendocrinology. 2010; 35(9): 1275–1286.
  23. Mayer SE, Lopez-Duran NL, Sen S, et al. Chronic stress, hair cortisol and depression: A prospective and longitudinal study of medical internship. Psychoneuroendocrinology. 2018; 92: 57–65.
  24. Khan QU, Zaffar S, Rehan AM, et al. Relationship of Major Depression with Body Mass Index and Salivary Cortisol. Cureus. 2020; 12(1): e6577.
  25. Oldehinkel AJ, van den Berg MD, Flentge F, et al. Urinary free cortisol excretion in elderly persons with minor and major depression. Psychiatry Res. 2001; 104(1): 39–47.
  26. Barca ML, Eldholm RS, Persson K, et al. Cortisol levels among older people with and without depression and dementia. Int Psychogeriatr. 2019; 31(4): 597–601.
  27. Ouanes S, Popp J. High Cortisol and the Risk of Dementia and Alzheimer's Disease: A Review of the Literature. Front Aging Neurosci. 2019; 11: 43.
  28. Wolkowitz OM, Reus VI, Wolkowitz OM, et al. Dehydroepiandrosterone (DHEA) treatment of depression. Biol Psychiatry. 1997; 41(3): 311–318.
  29. Souza-Teodoro LH, de Oliveira C, Walters K, et al. Higher serum dehydroepiandrosterone sulfate protects against the onset of depression in the elderly: Findings from the English Longitudinal Study of Aging (ELSA). Psychoneuroendocrinology. 2016; 64: 40–46.
  30. Michikawa T, Nishiwaki Y, Nakano M, et al. Higher serum dehydroepiandrosterone sulfate levels are protectively associated with depressive symptoms in men, but not in women: a community-based cohort study of older Japanese. Am J Geriatr Psychiatry. 2013; 21(11): 1154–1163.
  31. Moffat SD, Zonderman AB, Harman SM, et al. The relationship between longitudinal declines in dehydroepiandrosterone sulfate concentrations and cognitive performance in older men. Arch Intern Med. 2000; 160(14): 2193–2198.
  32. Sunderland T, Merril CR, Harrington MG, et al. Reduced plasma dehydroepiandrosterone concentrations in Alzheimer's disease. Lancet. 1989; 2(8662): 570.
  33. Pawlikowski M, Karasek M. Dehydroeiandrosterone (DHEA) in aging. In: Karasek M. ed. Aging and age-related disease: the basics. Nova Biomedical, Hauppauge 2006: 65–81.
  34. Bromberger JT, Schott LL, Kravitz HM, et al. Longitudinal change in reproductive hormones and depressive symptoms across the menopausal transition: results from the Study of Women's Health Across the Nation (SWAN). Arch Gen Psychiatry. 2010; 67(6): 598–607.
  35. Morssinkhof MWL, van Wylick DW, Priester-Vink S, et al. Associations between sex hormones, sleep problems and depression: A systematic review. Neurosci Biobehav Rev. 2020; 118: 669–680.
  36. Prasad A, Schisterman EF, Schliep KC, et al. Depressive symptoms and their relationship with endogenous reproductive hormones and sporadic anovulation in premenopausal women. Ann Epidemiol. 2014; 24(12): 920–924.
  37. Harlow BL, Wise LA, Otto MW, et al. Depression and its influence on reproductive endocrine and menstrual cycle markers associated with perimenopause: the Harvard Study of Moods and Cycles. Arch Gen Psychiatry. 2003; 60(1): 29–36.
  38. Ryan J, Burger HG, Szoeke C, et al. A prospective study of the association between endogenous hormones and depressive symptoms in postmenopausal women. Menopause. 2009; 16(3): 509–517.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Via MedicaWydawcą jest  VM Media Group sp. z o.o., Grupa Via Medica, ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl