Depression of the patients osteoporosis in older patients with osteoporosis was associated with education levels of less than high school (OR=2.09, 95% CI=1.04 - 4.22), impaired activity daily living (OR=2.13, 95% CI=1.03 - 4.38), impaired instrumental activity daily living (OR=2.28 95% CI=1.16 - 4.46).