Association between functional limitations and depression among community‐dwelling older adults in Malaysia

Ahmad, Noor Ani; Razak, Mohamad Aznuddin Abd; Kassim, Mohd ShaifulAzlan; Sahril, Norhafizah; Ahmad, Fazila Haryati; Harith, Abdul Aziz; Mahmud, Nur Azna; Aziz, Faieza Abdul; Hasim, Mohd Hazrin; Ismail, Hashimah; Sidik, Sherina Mohd

doi:10.1111/ggi.14012

Cited by 23 publications

(25 citation statements)

References 25 publications

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“…A total of 39 articles describing 34 studies with 59,944 participants from six ASEAN countries were included in the review (Figure 1) as data from three cohorts were reported in several publications. (12)(13)(14)(15)(16)(17)(18)(19) Twenty-five studies were included in the meta-analysis. (14,17,18,)…”

Section: Resultsmentioning

confidence: 99%

The prevalence of functional disability and its impact on older adults in the ASEAN region: a systematic review and meta-analysis

et al. 2022

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Objectives: Functional disability is a common consequence of the ageing process and can lead to poor health outcomes due to the inability to perform activities of daily living (ADL) and instrumental ADL (IADL) independently. However, the prevalence of functional disability among older adults in the ASEAN region is poorly documented. This study aims to assess the prevalence of functional disability and its impact on older adults in the ASEAN region.Methods: A systematic literature search was performed on four databases from inception until March 2021 to identify for studies examining individuals aged 60 years and above reporting functional disabilities in the ASEAN region. Prevalence and impact of functional disability were extracted, assessed for bias, summarised and analysed using random-effects meta-analysis.Results: Thirty-four studies reporting 59,944 participants were included. Pooled prevalence of found that ADL disability was 21.5% (95% confidence interval: 16.2% to 27.3%) and IADL disability was 46.8% (35.5% to 58.3%). Subgroup analyses showed higher prevalence among those of advanced age and females. Adverse impacts include increased years of life with disability and poor health-related quality of life.Conclusions: Functional disability is experienced by nearly a quarter of the older adult population in the ASEAN region. Findings highlight the need for further research on functional disability burden and impact within this region to allow decision makers to gauge the severity of the issue, to develop policies to reduce the risk of developing functional disabilities and foster healthy ageing.

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Section: Resultsmentioning

confidence: 99%

The prevalence of functional disability and its impact on older adults in the ASEAN region: a systematic review and meta-analysis

et al. 2022

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“… 20 , 21 And higher than the prevalence in some developing countries in Asia; for example, the prevalence of depression among community-dwelling older adults in Malaysia was 11.5% and 39.3% in the Philippines. 22 , 23 Lower than the prevalence in urban elderly individuals from low-income families in developing countries in Asia; for instance, the prevalence of depression was 75.3% in elderly people receiving aid from the Penang state government, Malaysia. 24 The prevalence of depression among elderly individuals in urban slums was close to 80% in Cuttack, India according to the GDS-30 Scale.…”

Section: Discussionmentioning

confidence: 98%

Depressive Symptoms and ADL/IADL Disabilities Among Older Adults from Low-Income Families in Dalian, Liaoning

Zhao¹,

Wang²,

Deng³

et al. 2022

CIA

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Purpose This study aimed to assess the prevalence of depressive symptoms and ADL/IADL disabilities and explore their correlation and associated factors for depressive symptoms among community-dwelling older adults from low-income families in Dalian, Liaoning Province, China. Methods This cross-sectional study included 522 participants aged 60 years and older from low-income families in Dalian. The 30-Item Geriatric Depression Scale was employed to measure depressive symptoms. The Katz ADL Scale and IADL Scale were used to evaluate the performance of activities necessary for independent life. SPSS 22.0 was employed to analyze the data. Logistic regression was used to estimate the relationship between depressive symptoms and ADL/IADL disabilities in five models. Results The prevalence of depressive symptoms among older people from low-income families in Dalian was 57.3%. A total of 19.0% had difficulties performing ADLs, and 40.2% had difficulties performing IADLs. Logistic regression analysis revealed that ADL/IADL disabilities were associated with depressive symptoms even after controlling for people’s sociodemographic characteristics, welfare, health conditions and informal care. The following factors were associated with depressive symptoms: education, self-reported health, number of chronic diseases, and emotional support from families. Conclusion Given that older people from low-income families in Dalian have a notable prevalence rate of depressive symptoms, and ADL/IADL disabilities were independently associated with these symptoms, it is crucial to give priority to this particular group in geriatric health services due to economic and health disparities.

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“…The functional disability plays an important mediating role in the relationship between age and depression/life satisfaction. With increasing age, ADL disability and IADL disability may exist, which can affect depression ( Ahn and Kim, 2015 ; Ahmad et al, 2020 ) and life satisfaction ( Enkvist et al, 2012 ) simultaneously. Additionally, ADL disability has a greater effect on this process than IADL disability.…”

Section: Discussionmentioning

confidence: 99%

Depression and Life Satisfaction Among Middle-Aged and Older Adults: Mediation Effect of Functional Disability

Wang

Lin

et al. 2021

Front. Psychol.

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With increasing age, middle-aged and older persons face a series of physical and mental health problems. This study aimed to explore the latent relationships among age, functional disability, depression, and life satisfaction. The data were obtained from the Wave 2 (in 2013–2014) and Wave 3 (in 2015–2016) surveys of the China Health and Retirement Longitudinal Study. The analytic sample in the present study included 15,950 individuals aged 45 years and over. The participants answered the same questions concerning depression and life satisfaction in both study waves, and functional disability was measured based on the activities of daily living and instrumental activities of daily living. Age was directly associated with functional disability, life satisfaction, and depression. Functional disability was positively correlated with depression and negatively correlated with life satisfaction. Functional disability strongly mediated the relationships among age, depression, and life satisfaction. Depression and life satisfaction were found to have enduring effects and effects on each other. Additionally, the model revealed a gender difference. Depression in middle-aged people should receive closer attention. Avoiding or improving functional disability may be an effective way to improve life satisfaction and reduce the level of depression in middle-aged and older persons. If prevention work successfully decreases depression, the life dissatisfaction of middle-aged and older people could be improved. Additionally, for the prevention of functional disability and depression and improvement in life satisfaction, gender differences need to be considered.

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Association between functional limitations and depression among community‐dwelling older adults in Malaysia

Cited by 23 publications

References 25 publications

The prevalence of functional disability and its impact on older adults in the ASEAN region: a systematic review and meta-analysis

The prevalence of functional disability and its impact on older adults in the ASEAN region: a systematic review and meta-analysis

Depressive Symptoms and ADL/IADL Disabilities Among Older Adults from Low-Income Families in Dalian, Liaoning

Depression and Life Satisfaction Among Middle-Aged and Older Adults: Mediation Effect of Functional Disability

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