Abstract:Background/Objectives
Few published studies have investigated the possibility of an association between depressive symptoms and dependence in activities of daily living (ADLs) in elderly adults. The objective of the study was to examine the association between depressive symptoms and future ADL dependence and to investigate how this association varies according to living circumstances and marital status.
Design
Community‐based prospective observational study.
Setting
Kurabuchi Town, Gunma Prefecture, Japan.
Pa… Show more
“…11 Depressive symptoms cause a decline in physical activity levels and everyday social and psychological function. 12 Depressive symptoms in individuals with knee OA in particular may lead to further worsening of pain symptoms and declining physical performance. 13,14 Because depression has a strong negative effect on well-being, understanding its risk factors is important for public health.…”
Section: Discussionmentioning
confidence: 99%
“…There were no substantial demographic differences between the total eligible population and those who participated in the baseline examinations. 12,17 The ethics committees of Keio University School of Medicine (Tokyo, Japan) (Approval No. [16][17][18][19][20] and Toho University (Tokyo, Japan) approved the study protocol (Approval No.…”
Examining elderly people's responses to questions about pain at night and difficulties performing daily activities may be an efficient way of identifying those at high risk of developing depressive symptoms.
“…11 Depressive symptoms cause a decline in physical activity levels and everyday social and psychological function. 12 Depressive symptoms in individuals with knee OA in particular may lead to further worsening of pain symptoms and declining physical performance. 13,14 Because depression has a strong negative effect on well-being, understanding its risk factors is important for public health.…”
Section: Discussionmentioning
confidence: 99%
“…There were no substantial demographic differences between the total eligible population and those who participated in the baseline examinations. 12,17 The ethics committees of Keio University School of Medicine (Tokyo, Japan) (Approval No. [16][17][18][19][20] and Toho University (Tokyo, Japan) approved the study protocol (Approval No.…”
Examining elderly people's responses to questions about pain at night and difficulties performing daily activities may be an efficient way of identifying those at high risk of developing depressive symptoms.
“…Murphy proved strong correlation between mood disorders and increased disability [18]. Nakamura et al evidenced that symptoms of depression are strong predictors of becoming dependent on other people in the future, and these correlations escalated in case of persons living in NHs [19]. The authors believe that depression has impact on the decrease of self-motivation and initiative, which translates into limited physical activity and decreased functional fitness [19].…”
Section: Introductionmentioning
confidence: 99%
“…Nakamura et al evidenced that symptoms of depression are strong predictors of becoming dependent on other people in the future, and these correlations escalated in case of persons living in NHs [19]. The authors believe that depression has impact on the decrease of self-motivation and initiative, which translates into limited physical activity and decreased functional fitness [19]. On the other hand, Chung and Condersson et al did not identify any correlation between functional fitness and symptoms of depression in seniors living in NHs [20,21].…”
Background: The aging is a multi-faceted process comprising both—the physical and mental alterations. Thus, the aim of the study was to evaluate the variables affecting the psychophysical state of the elderly people using wheelchairs and living in nursing homes (NH). Methods: 165 older wheelchair users were included in the study after meeting the inclusion criteria and expressing written consent. The assessment involved cognitive functioning, depression, body balance and flexibility, lung capacity and upper limbs dexterity, strenght and endurance. The results showed negative correlation between depression and balance, upper limb dexterity and endurance and shoulder flexion. A positive correlation between cognitive functioning and balance, upper limb dexterity, strenght and endurance, lung capacity and joint mobility was determined. Also, the study proved positive correlation between daily functioning and functional fitness, muscle strength and endurance, body flexibility, joint mobility. The regression analysis showed that better scores in balance test and joint mobility implied with higher scores in cognitive functioning. The most important determinants of functional fitness were balance, hand grip strenght and joint mobility. Conclusion: The future study should be focused on developing interventions aimed at senior wheelchair users living in NHs to prevent the deterioration of their mental and physical fitness.
“…Many prospective epidemiological studies have examined the association between depression with functional impairment. Findings indicate that depression (ie, depressive disorders and symptoms) places older adults at an increased risk for developing, having persistent, or having worsening functional impairment or disability . Evidence also suggests that functional impairment affects mental health, with disability increasing the risk for subsequent depression …”
Objectives: This study investigates the association of the cumulative burden of anxiety-only, depression-only, and comorbid anxiety and depression symptoms with (a) incident self-care or household activities impairment among those with no baseline self-care or household activities impairment, respectively, or (b) change in status of self-care or household activities impairment among those with baseline impairment.
Methods: This study consists of participants (N = 4619) from the National Health and Aging Trends Study, a longitudinal study that examines a nationally representative sample of US adults aged 65 years and older. Outcomes included incident or change in self-care or household activity impairment. Primary independent variables were yearly counts of screening positive for clinically significant symptoms for anxietyonly, depression-only, or co-occurring anxiety and depression. Multivariable logistic regression models examined incident impairment and change in impairment status.Results: Yearly counts of anxiety-only symptoms were associated with incident impairment in self-care and household activities and less improvement in self-care functioning. Yearly counts of depression-only symptoms were associated with incident impairment in self-care and household activities. Yearly counts of co-occurring symptoms of anxiety and depression were associated with incident impairment in self-care and household activities, less improvement in self-care activities, and worsening impairment in household activities.
Conclusions:This study finds that the cumulative burden of co-occurring anxiety and depression symptoms is associated with incident impairment in functioning, persistent self-care impairment, and deterioration in household activity impairment.These findings emphasize the importance of managing late-life anxiety and depressive symptoms, which are treatable, frequently co-occur, and contribute to disability.
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