Life-space mobility and dimensions of depressive symptoms among community-dwelling older adults

Polku, Hannele; Mikkola, Tuija M.; Portegijs, Erja; Rantakokko, Merja; Kokko, Katja; Kauppinen, Markku; Rantanen, Taina; Viljanen, Anne

doi:10.1080/13607863.2014.977768

Cited by 76 publications

(62 citation statements)

References 58 publications

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“…Other studies have reported a relationship between participation in various activities in daily life and depressive symptoms [12][13][14][15][16][17][18][19], but no studies have investigated the activities that community-dwelling older adults with depressive symptoms find meaningful. Depressive symptoms in older adults lead to the limitation of activities, including social activities, in daily life [43,44], and poor life-space mobility [45]. In the current study, males with depressive symptoms tended to choose domestic life and leisure, and fewer tended to choose interpersonal interactions and work; and women with depressive symptoms tended to choose domestic life, while fewer tended to choose sports.…”

Section: Discussionmentioning

confidence: 42%

Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults

Maruta

Makizako

Ikeda

et al. 2020

JCM

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The aim of this cross-sectional study was to investigate relationships between individuals' ratings of satisfaction and performance of activities that they found meaningful and depressive symptoms. Data was obtained from 806 older adults (mean age 74.9 ± 6.3 years, women = 63.0%) who participated in a community-based health check survey (Tarumizu Study 2018). Participants selected meaningful activities from 95 activities using the Aid for Decision-Making in Occupation Choice and evaluated their satisfaction and performance. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15) and defined by a GDS-15 score of ≥5. Non-linear logistic regression analyses were used separately by gender to examine the association between satisfaction and performance of meaningful activities and depressive symptoms. The prevalence of depressive symptoms was 15.8%. We found no significant difference between meaningful activity choice between older adults with depressive symptoms and those without, in both men and women. After adjusting for potential covariates, satisfaction was associated with depressive symptoms in both men (OR 0.52, 95% CI 0.35-0.77) and women (OR 0.67, 95% CI 0.49-0.91), but performance was limited in women (OR 0.87, 95% CI 0.77-0.99). Our findings suggest that depressive symptoms are associated with satisfaction in meaningful activities regardless of activity categories.

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Section: Discussionmentioning

confidence: 42%

Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults

Maruta

Makizako

Ikeda

et al. 2020

JCM

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“…Impaired mobility is correlated with a worse quality of life in old age as measured with the LEIPAD questionnaire [47], and motor slowness has long been recognized as a symptom of clinical depression [48, 49]. Nevertheless, we documented the explicit nonlinear impact of the TUG score on the three different dimensions of SWB in geriatric inpatients after controlling for other sociodemographic or health-related factors.…”

Section: Discussionmentioning

confidence: 87%

Objective drivers of subjective well-being in geriatric inpatients: mobility function and level of education are general predictors of self-evaluated health, feeling of loneliness, and severity of depression symptoms

Bień

Bień-Barkowska

2016

Qual Life Res

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PurposeIdentification of optimal predictors for different indicators of subjective well-being (SWB) in geriatric inpatients: (1) self-evaluated health status (SEH), (2) feeling of loneliness (FoL), and (3) severity of depression symptoms (SoDS). Investigation of the relationship between response categories of the SWB indicators and their predictors.MethodsThe data were collected retrospectively from hospital records. All 555 geriatric inpatients underwent a comprehensive geriatric assessment, including the Timed Up and Go (TUG) test. The Bayesian information criterion was applied in ordinal logistic regression models to identify optimal predictors of SEH, FoL, and SoDS among different objective factors.ResultsAfter controlling for high-stress situations in the recent past, motor slowness measured with the TUG test, and a level of education were jointly selected as the best predictors of all three SWB indicators. The speed of performing the TUG test improved SEH (OR = 2.08) and decreased both FoL (OR = 0.41) and SoDS (OR = 0.41). A higher level of education improved SEH (OR = 1.05) and alleviated both FoL (OR = 0.96) and SoDS (OR = 0.92). Additionally, a higher level of SEH was positively correlated with a lower BMI, improved instrumental activities of daily living (I-ADL), and higher hemoglobin level. FoL was reinforced by the level of comorbidity, and SoDS was increased by impaired basic ADL.ConclusionAlthough SWB in geriatric inpatients can be explained by objective comorbidities and disabilities, the good motor function (i.e., a TUG test outcome of less than about 20 s) and a higher level of education were the general predictors that exert an independent beneficial impact on all three SWB indicators.

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“…A recent avenue of research has focused on life-space mobility, and evidence supports the dynamic interaction between declining physical performance, fear of falling, depression, loneliness, self-rated feelings of lack of autonomy, perceived environmental barriers, and lack of life-space mobility. [2][3][4][5][6][7] Furthermore, reduced life-space mobility has been shown to predict greater mortality at 6 months and 2, 3, and 8 years. [8][9][10][11][12] Frequency of leaving ones house is a simple and easily quantifiable measure that may serve as a real-world surrogate for the more complex measurement of life-space mobility.…”

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confidence: 99%

Frequency of Leaving the House and Mortality from Age 70 to 95

Jacobs

Hammerman-Rozenberg²,

Stessman

2017

J American Geriatrics Society

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OBJECTIVES:To determine the association between frequency of leaving the house and mortality. DESIGN: Prospective follow-up of an age-homogenous, representative, community-dwelling birth cohort (born 1920-21) from the Jerusalem Longitudinal Study . SETTING: Home. PARTICIPANTS: Individuals aged 70 (n = 593), 78 (n = 973), 85 (n = 1164), and 90 (n = 645), examined in 1990, 1998, 2005, and 2010, respectively. MEASUREMENTS: Frequency of leaving the house, defined as daily (6-7/week), often (2-5/week), and rarely (≤1/week); geriatric assessment; all-cause mortality (2010-15). Kaplan-Meier survival charts and proportional hazards models adjusted for social (sex, marital status, financial status, loneliness), functional (sex, self-rated health, fatigue, depression, physical activity, activity of daily living difficulty), and medical (sex, chronic pain, visual impairment, hearing impairment, diabetes mellitus, hypertension, ischemic heart disease, chronic kidney disease) covariates. RESULTS: At ages 70, 78, 85, and 90, frequency of going out daily was 87.0%, 80.6%, 65.6%, and 48.4%; often was 6.4%, 9.5%, 17.4%, and 11.3%; and rarely was 6.6%, 10.0%, 17.0%, and 40.3% respectively. Decreasing frequency of going out was associated with negative social, functional, and medical characteristics. Survival rates were lowest among those leaving rarely and highest among those going out daily throughout follow-up. Similarly, compared with rarely leaving the house, unadjusted mortality hazard ratios (HRs) were lowest among subjects leaving daily and remained significant after adjustment for social, functional and medical covariates. Among subjects leaving often, unadjusted HRs showed a similar effect of smaller magnitude, with attenuation of significance after adjustment in certain models. Findings were unchanged after excluding subjects dying within 6 months of followup. CONCLUSION: In community-dwelling elderly adults aged 70 to 90, leaving the house daily was associated with lower mortality risk, independent of social, functional, or medical status. J Am Geriatr Soc 66:106-112, 2018.

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Life-space mobility and dimensions of depressive symptoms among community-dwelling older adults

Cited by 76 publications

References 58 publications

Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults

Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults

Objective drivers of subjective well-being in geriatric inpatients: mobility function and level of education are general predictors of self-evaluated health, feeling of loneliness, and severity of depression symptoms

Frequency of Leaving the House and Mortality from Age 70 to 95

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