Sleep Quality Partially Mediate the Relationship Between Depressive Symptoms and Cognitive Function in Older Chinese: A Longitudinal Study Across 10 Years

Guo, Huan; Zhang, Yancui; Wang, Zhen-Dong; Huang, Shen

doi:10.2147/prbm.s353987

Cited by 28 publications

(15 citation statements)

References 108 publications

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“…Despite this change, the specific mechanism and the link between depression and insomnia remain unclear. According to research, various factors can mediate or moderate the link between depression and insomnia, including socio-demographic characteristics (such age, gender, and social support), and a number of neurobiological factors (such as stress) may mediate/moderate the insomnia–depression link [ 25 , 26 ]. The prevalence of comorbid depression and insomnia was found to be 19%, and this finding is consistent with previous studies that indicated a bidirectional relationship between those two conditions [ 6 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Depressive and Insomnia Symptoms in Quality of Life among Community-Dwelling Older Adults

Tsaras

Tsiantoula

Papagiannis

et al. 2022

IJERPH

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The purpose of this study was to investigate the effects of depressive symptoms, insomnia symptoms, and comorbid depressive and insomnia symptoms on the quality of life among community-dwelling older adults in an urban area of central Greece. A cross-sectional study was conducted on 200 older adults (aged ≥60) collected from five Open Care Centers for Elderly People of the Municipality of Larissa, Greece. Data were obtained through a questionnaire that included demographic, socioeconomic, and health-related characteristics; the World Health Organization Quality of Life (WHOQoL)-Bref questionnaire; the Geriatric Depression Scale; and the Athens Insomnia Scale. The prevalences of depression, insomnia, and comorbid depression and insomnia were 28% (95% confidence interval (95% CI): 21.8–34.2%), 40.5% (95% CI: 33.7–47.3%), and 19% (95% CI: 13.5–24.5%), respectively. The mean WHOQoL-Bref score for all domains was approximately 14.50, with the highest mean value observed for psychological health (14.79 ± 2.60), followed by the physical health (14.49 ± 2.66), social relationships (14.39 ± 2.03), and environmental domains (14.32 ± 1.90). All WHOQoL-Bref domains were negatively correlated with depression and insomnia. Older adults with depressive symptoms, insomnia symptoms, and comorbid depressive and insomnia symptoms had lower scores in all quality of life dimensions compared with those without.

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Section: Discussionmentioning

confidence: 99%

The Effect of Depressive and Insomnia Symptoms in Quality of Life among Community-Dwelling Older Adults

Tsaras

Tsiantoula

Papagiannis

et al. 2022

IJERPH

View full text Add to dashboard Cite

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“…A modified Mini Mental State Examination (mMMSE) score was calculated by 23 items in original questionnaire to assess the cognitive function. A detailed introduction to this mMMSE has been published elsewhere ( Guo et al, 2022 ). Every interviewee was asked about diagnoses (hypertension, diabetes, heart disease, stroke, respiratory diseases, tuberculosis, cancer, Parkinson’s disease, arthritis) by hospital.…”

Section: Methodsmentioning

confidence: 99%

Living alone reduces the decline of calf circumference among Chinese older adults: A 4-year longitudinal study

Wang

Zhang

2022

Front. Aging

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Background: Calf circumference (CC) is regarded as a surrogate marker of skeletal muscle mass with high sensitivity and specificity for predicting sarcopenia. A cross-sectional study reported older adults living alone were at high risk of developing sarcopenia. Whether living alone affects the change of calf circumference is unknown and there is no evidence from longitudinal study. The purpose of this study was to investigate the relationship between living arrangements and the change of calf circumferences among older adults in China.Methods: The data were from the Chinese Longitudinal Healthy Longevity Survey. A total of 2,203 older adults (age ≥65 years, mean age: 80.61 ± 8.30 years, 50.0% female) who were interviewed in 2014 and then 2018 follow-up survey were finally included for analysis. Living arrangements and other information were collected in 2014. Calf circumferences were measured and recorded in the questionnaires of two waves and the differences were calculated. Logistic regression analyses were conducted to evaluate the association of living arrangements (living alone or not living alone) with the change of calf circumferences (decline or no decline).Results: There were 446 (20.2%) participants living alone and 1,757 (79.8%) participants not living alone. After about 4 years, calf circumferences of 866 (39.3%) older adults declined. Compared to not living alone, living alone was negatively associated with calf circumference decline, even after adjustment for covariates (OR: 0.702, 95% CI: 0.547–0.901, p = 0.005). This significant association was found in 65–79 years old (OR: 0.619, 95% CI: 0.407–0.942, p = 0.025), female (OR: 0.567, 95% CI: 0.408–0.790, p = 0.001) and city/town (OR: 0.461, 95% CI: 0.310–0.685, p < 0.001) subgroups but not in advanced age (≥80 years old), male and rural subgroups.Conclusion: This study revealed that living alone was associated with a decreased risk of calf circumference decline among older adults, and might be a protective factor for sarcopenia.

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“…In fact, in addition to the influencing factors of depression covered in this study, other factors such as type of tea consumption (37), sleep quality (38), and spirituality/religion (39) are also included. Recent research has demonstrated that religion can be beneficial for modifying lifestyle and enhancing psychological health (40).…”

Section: Strengths and Limitationmentioning

confidence: 99%

The major risk factor for depression in the Chinese middle-aged and elderly population: A cross-sectional study

et al. 2022

Front. Psychiatry

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BackgroundThe number of patients suffering from depression is continuously increasing in China. Demographic characteristics, physical health levels, and individual lifestyles/healthy behaviors are associated with the severity of depression. However, the major risk factor for depression remains unclear.Materials and methodsIn this investigation, 16,512 patients were screened using the CHARLS (China Health and Retirement Longitudinal Study) database after being determined to be eligible based on the inclusion criteria. Depressive symptoms were evaluated through the CESD-10 (10-item Center for Epidemiological Studies Depression Scale). Consequently, various models were developed based on potential predictive factors, employing stepwise LR (Logistic Regression)/RF (Random Forests) models to examine the influence and weighting of candidate factors that affect depression.ResultsGender, residential address location, changes in health status following last interview, physical disabilities, chronic pain, childhood health status, ADL (activity of daily living), and social activity were all revealed to be independent risk factors for depression (p < 0.05) in this study. Depression has a synergic effect (across chronic pain and age groups). In comparison to other factors, RF results showed that chronic pain had a stronger impact on depression.ConclusionThis preliminary study reveals that chronic pain is a major risk factor for depression.

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Sleep Quality Partially Mediate the Relationship Between Depressive Symptoms and Cognitive Function in Older Chinese: A Longitudinal Study Across 10 Years

Cited by 28 publications

References 108 publications

The Effect of Depressive and Insomnia Symptoms in Quality of Life among Community-Dwelling Older Adults

The Effect of Depressive and Insomnia Symptoms in Quality of Life among Community-Dwelling Older Adults

Living alone reduces the decline of calf circumference among Chinese older adults: A 4-year longitudinal study

The major risk factor for depression in the Chinese middle-aged and elderly population: A cross-sectional study

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