Associations of allostatic load with sociodemographic factors, depressive symptoms, lifestyle, and health characteristics in a large general population-based sample

J Affect Disord. 2024 Apr 1:350:784-791. doi: 10.1016/j.jad.2024.01.189. Epub 2024 Jan 23.

Abstract

Objective: We examined the associations between allostatic load (AL) and sociodemographic factors, depressive symptoms, lifestyle and health characteristics in a population-based sample of 4993 adults in Finland.

Methods: Thirteen biomarkers were used to construct AL. High AL was defined as scoring highly in ≥4 items.

Results: AL scores of 4 and above were exceeded in the age group of 45-54 years in men and 65-74 years in women. Age was the strongest predictor for belonging to the high AL score group. In addition, elevated depressive symptoms (BDI-6 ≥ 4), male sex, not engaging in physical exercise, high alcohol use and a low level of education were associated with an increased likelihood of belonging to the high AL group.

Conclusion: The older the participants were, the greater their AL burden was. However, AL burden increased more steeply as a function of age in men. In addition to lifestyle interventions, effective prevention strategies for depression at the population level could have a major public health impact in reducing the accumulation of AL burden.

Keywords: Aging; Allostatic load; Depression; Lifestyle; Population.

MeSH terms

  • Adult
  • Allostasis*
  • Biomarkers
  • Depression* / epidemiology
  • Female
  • Humans
  • Life Style
  • Male
  • Middle Aged
  • Sociodemographic Factors

Substances

  • Biomarkers