IGF1 and depressive symptom measurement: Our results after initial re-categorization of IGF-1 levels38 showed that, after 4 years of follow-up, the age-adjusted odds ratios (95% confidence interval) of depression symptoms for the lowest and highest tenth percentiles of IGF-1 among men were 2.26 (1.25, 4.09) and 1.51 (0.86, 2.68), respectively when compared with those with intermediate levels; whereas the corresponding results in women were 1.38 (0.93, 2.07) and 1.27 (0.77, 2.10).