Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly

Kiyoshige, Eri; Kabayama, Mai; Gondo, Yasuyuki; Masui, Yukie; Inagaki, Hiroki; Ogawa, Madoka; Nakagawa, Toshio; Yasumoto, Saori; Akasaka, Hiroshi; Sugimoto, Ken; Ikebe, Kazunori; Arai, Yasumichi; Ishizaki, Tatsuro; Rakugi, Hiromi; Kamide, Kei

doi:10.1186/s12877-019-1333-6

Cited by 38 publications

(29 citation statements)

References 20 publications

(26 reference statements)

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“…The multivariate models were adjusted for IADL scores at baseline. In addition, to compare differences among age stage and sex groups, Multiple-Group Path Analysis was conducted for age stage, sex, and their combination, simultaneously [ 15 , 24 , 25 ]. Path Analysis is one of the methods of a causal modeling approach for Structural Equation Modeling (SEM).…”

Section: Methodsmentioning

confidence: 99%

Decline in independence after three years and its association with dietary patterns and IADL-related factors in community-dwelling older people: an analysis by age stage and sex

Kodama¹,

Hoshi

Kurimori

2021

BMC Geriatr

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Background Few studies have shown age stage and sex differences in the association among dietary patterns and various health factors related to disability in older people. This study aimed to reveal the differences of characteristics, including several dietary patterns, associated with a decline in independence over 3 years in community-dwelling independent older people. Specifically, we examined data by age stage, for people between 65 and 75 years (earlier-stage) and people aged 75 years or above (later-stage), and sex. Methods We conducted a nationwide longitudinal study of 25 Japanese prefectures from 2013 to 2016; 2250 participants’ complete data (1294 men and 956 women) were analyzed. Independence was evaluated based on instrumental activities of daily living (IADL) scores (maximum = 12). Dietary patterns were derived from a principal component analysis of the seven food groups. Baseline IADL-related factors linked to independence 3 years later were selected. Multiple logistic regression analysis for having low independence—without a full score of IADL 3 years after baseline—was conducted, adjusted for baseline IADL scores. Finally, to compare differences among age stage and sex groups, we used Multiple-Group Path Analysis. Results Participants with a full IADL score 3 years later were classified as high independence (69.6%), and those without the full score were classified as low independence (30.4%). Only the later-stage older peoples’ proportion of low independence 3 years later was significantly higher than those at baseline. A high meat frequency pattern was associated with a significantly higher risk of decline in independence 3 years later in later-stage older women. The earlier-stage older people showed that 18.5 ≤ BMI < 25 was associated with a lower risk, referring to BMI < 18.5. In the later-stage, exercising three or more times a week with enjoyment and fulfillment was associated with a significantly lower risk. Conclusions The IADL disability in older people aged 75 and over showed a rapid change. The different characteristics associated with the risk of decline in independence among age stage and sex were revealed. Targeting age stage and sex separately for community-based comprehensive supportive strategies would be necessary for a long life globally.

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Section: Methodsmentioning

confidence: 99%

Decline in independence after three years and its association with dietary patterns and IADL-related factors in community-dwelling older people: an analysis by age stage and sex

Kodama¹,

Hoshi

Kurimori

2021

BMC Geriatr

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“…Os participantes com sintomas depressivos crescentes tiveram o declínio cognitivo mais rápido, enquanto naqueles com sintomas depressivos decrescentes foram resguardados do declínio na cognição. Kiyoshige et al (2019) concluíram em estudo longitudinal que detectar sintomas depressivos pode ser uma chave para prevenir o declínio das AIVD em pessoas na faixa dos 70 anos.…”

Section: Discussionunclassified

Sintomas depressivos e pré-frontais em idosos institucionalizados e não institucionalizados

Ferreira

Reinaldo

Ferreira

et al. 2021

RSD

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O envelhecimento é um processo de desenvolvimento que provoca mudanças físicas, cognitivas, comportamentais e socioemocionais. O objetivo do presente trabalho consistiu em verificar as associações entre os sintomas pré-frontais e os sintomas depressivos em idosos institucionalizados e não institucionalizados. Participaram 206 pessoas, de ambos os sexos, com idade acima de 60 anos, sendo 109 indivíduos não institucionalizados e ativos da comunidade e 97 longevos residentes em instituições de longa permanência. Os participantes responderam ao Miniexame do Estado Mental (MEEM), a Escala de Depressão Geriatra (EDG-15), ao Inventário de Sintomas Pré-frontais (ISP-16) e um questionário sociodemográfico. Os resultados revelaram que os idosos institucionalizados exibiu maior média de idade (77 anos; DP=8,3); a maioria possuía pouca escolaridade, eram, predominantemente, solteiros e sedentários. Apresentaram, também, mais déficits cognitivos (MEEM), sintomas subclínicos de depressão e pontuação maior no ISP-16, quando comparado aos não institucionalizados. Nos grupos, houve correlações positivas moderadas, estatisticamente significantes entre o ISP-16 e a EDG-15 (p<0,001) e negativa entre a escolaridade e o ISP-16 (p<0,01). A análise de regressão múltipla corroborou o papel dos sintomas depressivos como um preditor significativo da variância dos sintomas pré-frontais e o papel da escolaridade como variável de confusão. Apesar das diferenças entre os contextos de moradia, aspectos sociodemográficos e estilo de vida, os sintomas depressivos estão associados aos pré-frontais, nos grupos, de forma semelhante, visto que regulações emocionais, comportamentais e cognitivas estão interligadas.

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“…If subjects answered yes, it was counted as one point. A low point for self-maintenance (≤4 points), for intellectual activity (≤2 points), and for social role (≤2 points) were regarded as functional decline [ 58 , 59 ].…”

Section: Methodsmentioning

confidence: 99%

Mortality- and Health-Related Factors in a Community-Dwelling of Oldest-Older Adults at the Age of 90: A 10-Year Follow-Up Study

Nomura

Shimada

Kakuta

et al. 2020

IJERPH

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Mortality is obviously intended for epidemiological studies of community-dwelling older adults. There are several health-related factors associated with nutritional status and mortality. The aim of this study was to elucidate the risk factor for mortality in community-dwelling oldest-older adults at the age of 90 and clarify the structure of health-related factors associated with mortality. A 10-year follow-up study was performed for 93 subjects at the age of 90. The mean and median of their survival days were 2373 and 2581 days for women, and 1694 and 1793 days for men. By Cox’s proportional hazards model, health-related factors associated with mortality were self-assessed for chewing ability, activities of daily living (ADLs), serum albumin, total cholesterol, serum creatinine, and gripping power for women but not for men. These factors interacted with each other, and the association of these factors was different in women and men. Self-assessed chewing ability was a powerful risk factor for mortality in women at the age of 90. It acted independently from nutritional status. For older adults, addressing healthy food choices together with improved oral functions is useful. However, risk factors for mortality may depend on the life stage of subjects. To investigate the risk factor for the mortality, the life course approach is necessary.

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Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly

Cited by 38 publications

References 20 publications

Decline in independence after three years and its association with dietary patterns and IADL-related factors in community-dwelling older people: an analysis by age stage and sex

Decline in independence after three years and its association with dietary patterns and IADL-related factors in community-dwelling older people: an analysis by age stage and sex

Sintomas depressivos e pré-frontais em idosos institucionalizados e não institucionalizados

Mortality- and Health-Related Factors in a Community-Dwelling of Oldest-Older Adults at the Age of 90: A 10-Year Follow-Up Study

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