Longitudinal relationship between sensory impairments and depressive symptoms in older adults: The mediating role of functional limitation

Zhang, Shimin; Wang, Qiong; Wang, Xiyuan; Qi, Kaili; Zhou, Yanxin; Zhou, Chengchao

doi:10.1002/da.23266

Cited by 10 publications

(7 citation statements)

References 48 publications

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“…A cohort study revealed an association between altered sleep duration and depression ( 4 ). Depression is associated also with sensory impairment ( 29 , 30 ). In this study, we hypothesized that altered sleep duration would influence the risk of sensory impairment.…”

Section: Discussionmentioning

confidence: 99%

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Persistently short or long sleep duration increases the risk of sensory impairment in Chinese older adults

Yang,

Du,

Duan

et al. 2024

Front. Public Health

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BackgroundCross-sectional evidence suggests that persistently short or long sleep duration is associated with sensory impairment. Thus, this study was conducted to investigate the associations between sleep duration and altered sleep duration with sensory impairment in Chinese older adults.MethodsLongitudinal data (2008–2014) obtained through the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were analyzed. Sleep duration was classified as normal (7–8 h), short (<7 h), or long (≥9 h). Sensory impairment was assessed using individuals’ self-reported data on visual and hearing functions. Cox regression was performed to evaluate the effects of sleep duration and altered sleep duration on sensory impairment, including visual impairment (VI) and hearing impairment (HI).ResultsThis study included 3,578 older adults (mean age: 78.12 ± 9.59 years). Among them, 2,690 (75.2%) were aged 65–84 years and 1798 (50.3%) were women. The risks of VI (hazard ratio [HR]: 1.14; 95% confidence interval [CI]: 1.02–1.29), HI (HR: 1.14; 95% CI: 1.00–1.30), and dual sensory impairment (both VI and HI; HR: 1.26; 95% CI: 1.03–1.55) were high in older adults with long sleep duration. In addition, the risks of VI, HI, and dual sensory impairment were high in individuals whose sleep duration changed from normal to short or long (HR: 1.20 [95% CI: 1.02–1.42], 1.26 [95% CI: 1.03–1.53], and 1.54 [95% CI: 1.11–2.12], respectively) and those with persistently short or long sleep duration (HR: 1.25 [95% CI: 1.07–1.46], 1.34 [95% CI: 1.11–1.61], and 1.67 [95% CI: 1.22–2.27], respectively).ConclusionA prospective association was identified between altered sleep duration and sensory impairment in Chinese older adults. Our findings highlight the importance of optimal sleep duration and healthy sleep habits in preventing sensory impairment in older adults.

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Section: Discussionmentioning

confidence: 99%

“…Having a weak social network serves as a predictor of excessive sleep ( 42 ). If postretirement psychological changes are not addressed in a timely manner, this may lead to depression, which increases the risk of sensory impairment ( 29 ).…”

Section: Discussionmentioning

confidence: 99%

Persistently short or long sleep duration increases the risk of sensory impairment in Chinese older adults

Yang,

Du,

Duan

et al. 2024

Front. Public Health

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“…These prevalence estimates were comparable with some previous China-based studies using similar tools to measure SI. One study reported a 58.6% prevalence of DSI among adults aged 45 years or older25; another study documented the prevalence of self-reported HI only, VI only and DSI in older Chinese adults being 5.7%, 22.2% and 58.6%, respectively;27 there was also literature focusing on long-lived individuals over 95 years of age in China and reported even higher prevalence among them: 66.1% of VI and 87.3% of HI 23. However, our estimates of SI prevalence seemed much higher than those reported in other studies from China (11.8% HI only, 6.3% VI only and 2.1% DSI28) and countries such as Korea (12.4% DSI29), Europe (eg, 34.4% either HI or VI, and 15.8% DSI in Germany30; 13.5% HI only, 10.2% VI only and 5.9% DSI in 11 European countries31), Canada (1.9% DSI32) and USA (24.4% HI only, 14.5% VI only and 18.2% DSI33).…”

Section: Discussionmentioning

confidence: 99%

“…The discrepancies in prevalence rates across studies might be attributed to varieties in SI measurements (eg, self-reports or objective assessments) and participant characteristics (eg, age, race). The low use of assistive devices such as eyeglasses and hearing aids as well as the insufficient care priority paid to sensory problems may also contribute to the high prevalence of SI in China 25 27…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life associated with sensory impairment in Chinese middle-aged and older adults: a cohort study

Ding

Yan

Tian

et al. 2023

J Epidemiol Community Health

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BackgroundThe impact of sensory impairment (SI) on individual multidimensional health has not been adequately explored in developing countries. This study examined the association of hearing or/and visual impairment with health-related quality of life (HRQoL) in the Chinese middle-aged and older population, and further explored potential discrepancies in associations by gender and rural–urban residence.MethodsThis cohort study used four-wave data during 2011–2018 from the China Health and Retirement Longitudinal Study, and enrolled 13 342 community-dwelling adults aged 45 years or older. We employed linear mixed effects models to estimate the longitudinal associations between SI and HRQoL, and conducted interaction tests to assess gender or rural–urban differences in above associations.ResultsHearing impairment (HI) and visual impairment (VI) were separately and jointly associated with deteriorated overall HRQoL and decreased physical/mental component of HRQoL (all β<0, all p<0.05), and in particular, dual sensory impairment (DSI) exhibited greater impacts on HRQoL than either HI or VI alone. The impacts of SI on HRQoL were more evident among women or rural population than their counterparts (all p for interaction<0.05).ConclusionThis study observed decreased HRQoL in association with SI. The greater impact of DSI underlines the need for integrated care for comorbid sensory conditions. Our findings also indicate the necessity to reduce the burden of SI among more vulnerable populations such as females and rural adults.

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“…Depressive symptoms were measured using CES-D which was a validated rating scale and had been widely used to assess depressive symptoms in the Chinese population ( 16 , 17 ). The CES-D includes 10 items that refer to depressive symptoms during the last week.…”

Section: Methodsmentioning

confidence: 99%

Association of depressive symptoms with chronic liver disease among middle-aged and older adults in China

Zeng,

Lai,

Wang

et al. 2023

Front. Psychiatry

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BackgroundThe relationship between depressive symptoms and chronic liver disease (CLD) is still unclear. We aimed to determine whether depressive symptoms are associated with CLD in a large population sample.MethodsThe data was from the China Health and Retirement Longitudinal Study (CHARLS), an ongoing nationally representative prospective cohort study. Depressive symptoms were assessed with the catchment-area epidemiology survey-depression (CES-D). CLD was identified by the patient’s self-report about a physician’s diagnosis at each visit. Multi-adjusted logistic regression and Cox regression models were used.ResultsA total of 14,995 participants (53.1% female; mean age: 58.85 ± 9.87 years) and 13,405 participants (53.64% female; mean age: 58.58 ± 9.69 years) were included in the cross-sectional and longitudinal analyses, respectively. In the cross-sectional analysis, the odds ratio of CLD in patients with moderate and severe depressive symptoms were 1.46 [95% confidence interval (CI), 1.16–1.83] and 1.78 (95% CI, 1.23–2.56) than those with none/mild depressive symptoms, respectively. In the longitudinal analysis, compared to participants with none/mild depressive symptoms, the hazard rates of CLD in those with moderate and severe depressive symptoms were 1.65 (95%CI, 1.33–2.03) and 1.80 (95%CI, 1.24–2.60). And the 50th percentile difference of time (years) at the incidence of CLD in participants with moderate and severe depressive symptoms were − 0.83 (95%CI, −1.18, −0.49) and − 0.96 (95%CI, −1.56, −0.35), respectively.ConclusionElevated depressive symptoms were associated with an increased risk of CLD among middle-aged and older adults in China.

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Longitudinal relationship between sensory impairments and depressive symptoms in older adults: The mediating role of functional limitation

Cited by 10 publications

References 48 publications

Persistently short or long sleep duration increases the risk of sensory impairment in Chinese older adults

Persistently short or long sleep duration increases the risk of sensory impairment in Chinese older adults

Health-related quality of life associated with sensory impairment in Chinese middle-aged and older adults: a cohort study

Association of depressive symptoms with chronic liver disease among middle-aged and older adults in China

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