Prospective Study
Copyright ©The Author(s) 2025.
World J Diabetes. Aug 15, 2025; 16(8): 106683
Published online Aug 15, 2025. doi: 10.4239/wjd.v16.i8.106683
Table 1 Baseline characteristics of the participants
SourceVariableOverallTotal depressive symptom
Somatic depressive symptom
Cognitive-affective depressive symptom
Yes
No
P value
Yes
No
Unknown
P value
Yes
No
Unknown
P value
HRSNumber18633454714086441414191281775584038
Age, mean (SD)66.7 (10.2)67.9 (10.9)66.3 (9.9)< 0.00167.7 (10.7)66.4 (10.0)71.5 (13.3)< 0.00166.8 (10.2)65.6 (10.8)67.6 (11.6)0.002
BMI, mean (SD)26.9 (5.2)27.4 (6.0)26.8 (4.9)< 0.00127.7 (6.1)26.7 (4.9)25.8 (4.7)< 0.00126.9 (5.2)26.9 (5.3)26.0 (4.6)0.553
Sex, n (%)
Female11015 (59.1)3050 (67.1)7965 (56.5)< 0.0012871 (65.0)8129 (57.3)15 (53.6)< 0.00110533 (59.3)458 (54.5)24 (63.2)0.019
Male7618 (40.9)1497 (32.9)6121 (43.5)1543 (35.0)6062 (42.7)13 (46.4)7222 (40.7)382 (45.5)14 (36.8)
Education, n (%)
Below high school4990 (26.8)1884 (41.4)3106 (22.1)< 0.0011833 (41.5)3144 (22.2)13 (46.4)< 0.0014775 (26.9)201 (23.9)14 (36.8)< 0.001
High school6704 (36.0)1561 (34.3)5143 (36.5)1555 (35.2)5142 (36.2)7 (25.0)6416 (36.1)279 (33.2)9 (23.7)
College or above6937 (37.2)1101 (24.2)5836 (41.4)1026 (23.2)5903 (41.6)8 (28.6)6563 (37.0)359 (42.7)15 (39.5)
Other2 (0.0)1 (0.0)1 (0.0)0 (0.0)2 (0.0)0 (0.0)1 (0.0)1 (0.1)0 (0.0)
Marital status, n (%)
Married or partnered12433 (66.7)2425 (53.3)10008 (71.0)< 0.0012628 (59.5)9787 (69.0)18 (64.3)< 0.00111860 (66.8)553 (65.8)20 (52.6)0.005
Never married558 (3.0)151 (3.3)407 (2.9)139 (3.1)418 (2.9)1 (3.6)520 (2.9)36 (4.3)2 (5.3)
Separated/divorced/widowed5620 (30.2)1963 (43.2)3657 (26.0)1641 (37.2)3970 (28.0)9 (32.1)5357 (30.2)247 (29.4)16 (42.1)
Unknown22 (0.1)8 (0.2)14 (0.1)6 (0.1)16 (0.1)0 (0.0)18 (0.1)4 (0.5)0 (0.0)
Smoking status, n (%)
Ever smokers10943 (58.7)2745 (60.4)8198 (58.2)0.0282687 (60.9)8241 (58.1)15 (53.6)0.02110398 (58.6)527 (62.7)18 (47.4)0.024
Never smokers7567 (40.6)1770 (38.9)5797 (41.2)1698 (38.5)5856 (41.3)13 (46.4)7243 (40.8)304 (36.2)20 (52.6)
Unknown123 (0.7)32 (0.7)91 (0.6)29 (0.7)94 (0.7)0 (0.0)114 (0.6)9 (1.1)0 (0.0)
Drinking status, n (%)
Ever drinkers9023 (48.4)1713 (37.7)7310 (51.9)< 0.0011575 (35.7)7438 (52.4)10 (35.7)< 0.0018561 (48.2)442 (52.6)20 (52.6)0.163
Never drinkers9609 (51.6)2833 (62.3)6776 (48.1)2838 (64.3)6753 (47.6)18 (64.3)9193 (51.8)398 (47.4)18 (47.4)
Unknown1 (0.0)1 (0.0)0 (0.0)1 (0.0)0 (0.0)0 (0.0)1 (0.0)0 (0.0)0 (0.0)
Hypertension, n (%)
Yes8067 (43.3)2316 (50.9)5751 (40.8)< 0.0012328 (52.7)5730 (40.4)9 (32.1)< 0.0017696 (43.3)355 (42.3)16 (42.1)0.816
No10566 (56.7)2231 (49.1)8335 (59.2)2086 (47.3)8461 (59.6)19 (67.9)10059 (56.7)485 (57.7)22 (57.9)
Heart problem, n (%)
Yes3671 (19.7)1251 (27.5)2420 (17.2)< 0.0011304 (29.5)2361 (16.6)6 (21.4)< 0.0013480 (19.6)182 (21.7)9 (23.7)0.28
No14962 (80.3)3296 (72.5)11666 (82.8)3110 (70.5)11830 (83.4)22 (78.6)14275 (80.4)658 (78.3)29 (76.3)
ELSA
Number9052203570171993704514866034448
Age, mean (SD)65.1 (10.4)66.5 (11.2)64.7 (10.1)< 0.00166.6 (11.2)64.7 (10.1)73.3 (9.7)< 0.00165.1 (10.4)64.6 (11.5)69.8 (12.2)0.006
BMI, mean (SD)28.0 (4.9)28.4 (5.4)27.8 (4.7)< 0.00128.9 (5.5)27.7 (4.6)27.7 (5.2)< 0.00128.0 (4.9)28.1 (5.1)26.9 (4.2)0.428
Sex, n (%)
Female4985 (55.1)1319 (64.8)3666 (52.2)< 0.0011268 (63.6)3710 (52.7)7 (50.0)< 0.0014784 (55.2)169 (49.1)32 (66.7)0.022
Male4067 (44.9)716 (35.2)3351 (47.8)725 (36.4)3335 (47.3)7 (50.0)3876 (44.8)175 (50.9)16 (33.3)
Education, n (%)
Below high school3453 (38.1)1049 (51.5)2404 (34.3)< 0.0011044 (52.4)2401 (34.1)8 (57.1)< 0.0013322 (38.4)109 (31.7)22 (45.8)0.047
High school1683 (18.6)336 (16.5)1347 (19.2)320 (16.1)1362 (19.3)1 (7.1)1611 (18.6)67 (19.5)5 (10.4)
College or above3180 (35.1)485 (23.8)2695 (38.4)461 (23.1)2716 (38.6)3 (21.4)3019 (34.9)145 (42.2)16 (33.3)
Other736 (8.1)165 (8.1)571 (8.1)168 (8.4)566 (8.0)2 (14.3)708 (8.2)23 (6.7)5 (10.4)
Marital status, n (%)
Married or partnered5994 (66.2)1009 (49.6)4985 (71.0)< 0.0011072 (53.8)4914 (69.8)8 (57.1)< 0.0015768 (66.6)204 (59.3)22 (45.8)< 0.001
Never married453 (5.0)136 (6.7)317 (4.5)117 (5.9)333 (4.7)3 (21.4)412 (4.8)37 (10.8)4 (8.3)
Separated/divorced/widowed2304 (25.5)842 (41.4)1462 (20.8)754 (37.8)1548 (22.0)2 (14.3)2190 (25.3)94 (27.3)20 (41.7)
NA301 (3.3)48 (2.4)253 (3.6)50 (2.5)250 (3.5)1 (7.1)290 (3.3)9 (2.6)2 (4.2)
Smoking status, n (%)
Ever smokers5608 (62.0)1365 (67.1)4243 (60.5)< 0.0011342 (67.3)4257 (60.4)9 (64.3)< 0.0015365 (62.0)213 (61.9)30 (62.5)0.996
Never smokers3440 (38.0)670 (32.9)2770 (39.5)651 (32.7)2784 (39.5)5 (35.7)3291 (38.0)131 (38.1)18 (37.5)
NA4 (0.0)0 (0.0)4 (0.1)0 (0.0)4 (0.1)0 (0.0)4 (0.0)0 (0.0)0 (0.0)
Drinking status, n (%)
Ever drinkers6722 (74.3)1266 (62.2)5456 (77.8)< 0.0011261 (63.3)5457 (77.5)4 (28.6)< 0.0016451 (74.5)248 (72.1)23 (47.9)< 0.001
Never drinkers848 (9.4)294 (14.4)554 (7.9)301 (15.1)545 (7.7)2 (14.3)798 (9.2)45 (13.1)5 (10.4)
NA1482 (16.4)475 (23.3)1007 (14.4)431 (21.6)1043 (14.8)8 (57.1)1411 (16.3)51 (14.8)20 (41.7)
Hypertension, n (%)
Yes3758 (41.5)961 (47.2)2797 (39.9)< 0.001993 (49.8)2757 (39.1)8 (57.1)< 0.0013599 (41.6)141 (41.0)18 (37.5)0.833
No5294 (58.5)1074 (52.8)4220 (60.1)1000 (50.2)4288 (60.9)6 (42.9)5061 (58.4)203 (59.0)30 (62.5)
Heart problem, n (%)
Yes1508 (16.7)468 (23.0)1040 (14.8)< 0.001489 (24.5)1015 (14.4)4 (28.6)< 0.0011439 (16.6)56 (16.3)13 (27.1)0.149
No7544 (83.3)1567 (77.0)5977 (85.2)1504 (75.5)6030 (85.6)10 (71.4)7221 (83.4)288 (83.7)35 (72.9)