To
investigate
the
associations
between
five
depressive
symptom
trajectories
and
cognitive
impairment
in
Taiwan's
older
population.
In
addition,
we
investigated
moderating
factors
influencing
these
associations.
This
population-based,
longitudinal,
cohort
study
was
conducted
on
basis
of
Taiwan
Longitudinal
Study
Aging.
Data
corresponding
to
fifth
(2003),
sixth
(2007),
seventh
(2011)
survey
waves
were
analyzed,
focusing
individuals
aged
≥
65
years.
Depressive
analyzed
using
10-item
Centre
for
Epidemiological
Studies
Depression
scale,
function
assessed
Short
Portable
Mental
State
Questionnaire.
Logistic
regression
models
adjusted
various
covariates
such
as
sociodemographic,
lifestyle,
health-related
variables.
We
also
effects
sex,
age,
type
2
diabetes
mellitus,
hypertension,
coronary
heart
disease.
Five
symptoms
included
1,549
identified.
Approximately
36.09%,
47.13%,
5.68%,
6.20%,
4.91%
exhibited
no,
mild,
decreasing,
increasing,
persistent
trajectories,
respectively.
The
odds
ratios
3.17
(95%
confidence
interval
[CI]:
1.41–7.15)
Model
1;
3.24
CI:
1.42–7.41)
2;
2.95
1.24–7.00)
3
with
trajectory.
Only
trajectory
reached
statistical
significance
all
three
models.
Cognitive
decline
evident
across
trajectories.
rate
more
rapidly
trajectory,
nearly
twofold
no
which
β
values
(score/year)
−
0.0862,
0.1020,
0.1192,
0.1206,
0.1683
Female
disease
significant
moderators
risk
impairment.
Persistent
is
associated
adults.
Identifying
high-risk
subgroups
crucial
targeted
assistance.
Policymakers
health-care
professionals
should
be
informed
accordingly.
Healthcare,
Год журнала:
2023,
Номер
11(4), С. 450 - 450
Опубликована: Фев. 4, 2023
Objective:
Intrinsic
capacity
is
recognized
as
an
important
determinant
of
healthy
aging
and
well-being
older
adults;
however,
relatively
little
known
about
the
intrinsic
adults
to
predict
adverse
health
outcomes.
The
study
aimed
examine
which
outcomes
can
be
predicted
by
capacity.
Methods:
was
conducted
using
scoping
review
methodological
framework
Arksey
O’Malley.
A
systematic
literature
search
nine
electronic
databases
(i.e.,
Pubmed,
Embase,
Cochrane
library,
Web
science,
CINAHL,
China
National
Knowledge
Infrastructure,
VIP,
Wanfang,
Chinese
Biological
Medical
Literature
Database)
were
performed
from
database’s
inception
1
March
2022.
Results:
Fifteen
longitudinal
studies
included.
series
assessed,
including
physical
function
(n
=
12),
frailty
3),
falls
mortality
6),
quality
life
2)
other
4).
Conclusions:
could
some
different
follow-up
times
for
due
small
number
sample
size,
more
high-quality
are
necessary
explore
relationships
between
in
future.
Journal of Medical Internet Research,
Год журнала:
2023,
Номер
25, С. e46298 - e46298
Опубликована: Июнь 19, 2023
Background
Chronic
disease
incidence
among
the
elderly
is
increasing,
which
correlated
with
acceleration
of
population
aging.
Evolving
internet
technologies
may
help
prevent
and
provide
interventions
for
chronic
diseases
in
an
accelerating
aging
process.
However,
impact
daily
use
on
not
well
understood.
Objective
This
study
aims
to
investigate
whether
by
middle-aged
older
adults
inhibit
or
promote
occurrence
diseases.
Methods
We
included
participants
from
China
Health
Retirement
Longitudinal
Study
(CHARLS),
a
longitudinal
survey
Chinese
residents
aged
≥45
years.
assessed
8-year
data
wave
1
(June
2011-March
2012)
4
(July-September
2018)
CHARLS.
Data
were
used
cross-sectional
study,
all
waves
study.
Self-reported
track
variables,
including
use,
frequency,
different
Cox
proportional
hazards
modeling
was
applied
examine
relationship
between
adults,
while
adjusting
sociodemographic
characteristics
health
behaviors.
In
addition,
analyze
usage
trends,
factors
influencing
use.
Results
Among
20,113
analyses,
increased
significantly,
2%
12.3%,
2011
2018.
The
adjusted
model
found
statistically
significant
relationships
lower
following
diseases:
hypertension
(hazard
ratio
[HR]
0.78,
95%
CI
0.65-0.95,
P=.01),
lung
(HR
0.74,
0.57-0.97,
P=.03),
stroke
0.69,
0.50-0.94,
P=.02),
digestive
0.73,
0.58-0.91,
P=.005),
memory-related
disorders
0.58,
0.37-0.91,
arthritis
rheumatism
0.60,
0.48-0.76,
P<.001),
asthma
0.52,
0.33-0.84,
P=.007),
depression
0.80,
0.71-0.89,
vision
impairment
0.83,
0.74-0.93,
P=.004).
Moreover,
our
also
showed
that
increasing
frequency
risk
some
decreases.
Conclusions
who
have
reduced
developing
versus
those
do
internet.
prevalence
stimulate
contemplation
potential
role
platforms
future
research
prevention.
Abstract
Background
Frailty,
cognitive
impairment,
and
depressive
symptoms
are
closely
interrelated
conditions
in
the
aging
population.
However,
limited
research
has
longitudinally
analyzed
concurrent
trajectories
of
these
three
prominent
older
adults
China.
This
study
aimed
to
explore
eight-year
frailty,
symptoms,
identify
individual-level
structural-level
factors
associated
with
trajectories.
Methods
Four
waves
data
from
China
Health
Retirement
Longitudinal
Study
(2011–2018)
were
used
6,106
eligible
adults.
The
main
measures
included
frailty
by
index
constructed
using
30
indicators,
impairment
summary
score
immediate
delayed
word
recall,
figure
drawing,
serial
subtraction,
orientation,
Center
for
Epidemiologic
Studies
Depression
Scale.
Multi-trajectory
models
identified
over
time.
Multinomial
logistic
regression
was
employed
estimate
associations
between
capital
one
structural
factor
(
hukou
geographic
residency)
trajectories,
adjusting
demographic
characteristics.
Results
emerged:
(1)
worsening
depression
(14.0%);
(2)
declining
pre-frailty,
cognition,
borderline
(20.0%);
(3)
no
(29.3%);
(4)
physically
robust,
(36.7%).
Using
“physically
depression”
as
reference,
not
working,
social
activity
participant,
worse
childhood
family
financial
situation,
poorer
adult
health
most
strongly
“worsening
trajectory;
during
had
highest
association
“declining
less
education,
lower
household
consumption,
rural
greatest
increased
likelihood
“pre-frailty,
trajectory.
Conclusions
Findings
could
inform
understanding
interrelationship
may
help
practitioners
detect
at
risk
adverse
implement
strategies
proper
care.
Depression
and
disability
in
activities
of
daily
living
(ADL)
are
common
middle-aged
older
adults.
This
study
investigated
the
bidirectional
relationship
between
depression
ADL
Chinese
International Journal of Mental Health Nursing,
Год журнала:
2025,
Номер
34(1)
Опубликована: Янв. 16, 2025
ABSTRACT
China
is
the
country
with
largest
population
of
older
persons.
Depression
most
common
mental
health
issue
among
adults,
a
trend
expected
to
increase
as
societies
continue
age.
With
global
in
depression
and
depressive
symptoms
this
demographic,
resulting
disease
burden
poses
significant
challenge
social
care
systems
China.
To
map,
summarise
examine
empirical
literature
on
prevalence
factors
associated
Chinese
an
integrative
review
was
conducted
informed
by
guidelines
Whittemore
Knafl.
The
search
encompassed
EMBASE,
SCOPUS,
CINAHL,
Web
Science,
PubMed,
PsycINFO,
SocINDEX,
National
Knowledge
Infrastructure
Database
Wanfang
Database.
included
65
studies,
29
English
36
Chinese.
reported
or
adults
3.78%–84.3%.
Based
biopsychosocial
model,
were
clustered
follows:
biological
(physical
health,
disability,
drug
effects,
gender,
age,
diets,
physical
activities),
psychological
(self‐esteem,
coping
skills,
trauma,
emotions,
beliefs,
hobbies,
lifestyle)
(family
relationships,
peers,
family
circumstances,
school,
residential
areas,
support,
structure).
This
synthesised
research
China,
highlighting
varying
across
diverse
geographical
locations.
Given
high
certain
cohorts,
early
identification
assessment
essential
reducing
burden.
use
model
provided
theoretical
lens
holistic
way.
Thus,
furthering
understanding
that
require
close
consideration
future
practice
innovations
Frontiers in Public Health,
Год журнала:
2022,
Номер
10
Опубликована: Ноя. 17, 2022
Background
Cognitive
impairments
are
associated
with
increased
risk
for
progression
to
dementia.
In
China,
limited
surveys
have
been
conducted
estimate
the
national
prevalence
and
factors
cognitive
impairment
in
China.
This
study
aims
assess
modifiable
Chinese
elderly
population.
Methods
cross-sectional
was
based
on
2018
China
Health
Retirement
Longitudinal
Study.
The
Mini
Mental
State
Examination
(MMSE)
is
recommended
test
impairment.
Univariate
multivariate
logistic
regression
models
were
used
assessing
Results
A
total
of
3768
participants
aged
60
years
or
older
enrolled
this
study.
22.24%
higher
south-west
region
than
north
(29.94
vs.
16.53%,
p
<
0.05).
following
participants:
not
married
living
spouse
relative
present
(OR
=
1.39,
95%
CI,
1.15–1.70;
0.001),
nap
duration
≥
90
min
30–60
1.54,
1.20–1.98;
sleep
8
h
6–8
1.73,
1.29–2.31;
depression
no
1.67,
1.41–1.97;
0.001).
lower
urban
areas
rural
0.57,
0.47–0.69;
0.001)
consuming
alcohol
once
a
month
never
0.69,
0.51–0.94;
0.02).
Conclusion
high
potentially
should
be
further
assessed
development
interventions
JMIR Public Health and Surveillance,
Год журнала:
2023,
Номер
9, С. e44682 - e44682
Опубликована: Март 23, 2023
Background
More
activity
participation
is
an
important
means
of
handling
depression
and
promoting
positive
aging,
but
the
impact
changes
in
on
developmental
trajectory
has
not
been
fully
studied.
Objective
The
purpose
this
study
to
relationship
between
current
middle-aged
older
people
(≥45
years
old)
later
life
China.
Methods
This
used
data
from
China
Health
Retirement
Longitudinal
Study
(CHARLS)
across
7
included
a
total
4818
old).
Controlling
for
relevant
control
variables,
latent
growth
curve
model
cross-lag
were
assess
effect
main
lag
depression.
Activity
as
well
measured
using
self-reported
health
status
based
CHARLS
questionnaire.
Results
Among
respondents,
mean
values
physical
participation,
social
leisure
ranged
76.98
(SD
15.16)
83.95
5.72),
7.43
8.67)
9.25
10.16),
7.61
5.72)
8.82
6.51),
respectively.
Our
findings
revealed
that
could
be
related
Physical
predicted
initial
(β=–0.631,
P<.001)
its
(β=0.461,
P<.001).
However,
(β=–0.223,
did
predict
(β=0.067,
P=.159).
Finally,
regression
analysis
further
demonstrated
predictive
Conclusions
demonstrates
prediction
future
Chinese
populations.
showed
significantly
associated
with
among
government
should
encourage
participate
various
activities,
which
can
effectively
prevent
aggravation
also
have
significance
aging.
International Psychogeriatrics,
Год журнала:
2023,
Номер
36(7), С. 587 - 598
Опубликована: Фев. 21, 2023
ABSTRACT
Objectives:
The
aim
of
this
study
was
to
investigate
the
factors
influencing
urban–rural
differences
in
depressive
symptoms
among
old
people
China
and
measure
contribution
relevant
factors.
Design:
A
cross-sectional
research.
2018
data
from
Chinese
Longitudinal
Health
Longevity
Survey
(CLHLS).
Setting:
Twenty-three
provinces
China.
Participants:
From
8th
CLHLS,
11,245
elderly
participants
were
selected
who
met
requirements
study.
Measurements:
We
established
binary
logistic
regression
models
explore
main
their
used
Fairlie
analyze
between
urban
rural
contribution.
Results:
percentage
older
adults
11.72%,
results
showed
that
(12.41%)
had
higher
rates
than
(10.13%).
decomposition
analysis
revealed
73.96%
difference
could
be
explained,
which
primarily
associated
with
annual
income
(31.51%),
education
level
(28.05%),
sleep
time
(
−
25.67%),
self-reported
health
(24.18%),
instrumental
activities
daily
living
dysfunction
(20.73%),
exercise
(17.72%),
status
8.31%),
age
3.84%),
3.29%),
social
activity
(2.44%).
Conclusions:
prevalence
adults,
socioeconomic
status,
personal
lifestyle,
residents.
If
these
addressed,
we
make
targeted
precise
intervention
strategies
improve
mental
high-risk
elderly.