What is the relationship between falls, functional limitations, and depressive symptoms among Chinese older adults? The role of living alone

Yang, Rumei; Wang, Haocen; Tracy, Eunjin Lee; Jo, Yeon Jung; Sward, Katherine; Edelman, Linda S.; Demiris, George

doi:10.1016/j.maturitas.2022.10.007

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…Additionally, 38.5% of the participants were at risk of depression. This rate was higher than that of depression (26.9%) among older adults living alone in Shanghai, China [30]. Depression in older people living alone is also linked to social problems such as dying alone; therefore, social support systems must be carefully examined.…”

Section: Nutritional Risk Depression and Physical Function Of Partici...mentioning

confidence: 85%

Nutritional Risk, Depression, and Physical Function in Older People Living Alone

Park,

Kang

2024

Healthcare

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This study investigated depression and physical function as factors associated with nutritional risk in older adults living alone. The study included 2896 people 65 years or older who lived alone. Data were collected in South Korea between September and November 2020. Descriptive statistics, a chi-squared test, independent samples t-test, weighted multiple regression analysis, and binary logistic regression analysis were performed using IBM SPSS for Windows ver. 23.0. In this study, 44.8% of participants were in the nutritional risk group. Furthermore, 60.9% of those at risk for depression, 75.1% of those with instrumental activities of daily living (IADLs) dependency, and 59.1% of those with chewing limitations were at nutritional risk. The factors that increased nutritional risk in the weighted multiple regression analysis were depression (β = 0.27, p < 0.001), chewing limitations (β = 0.12, p < 0.001), IADL dependency (β = 0.09, p < 0.001), and basic physical movement (β = 0.04, p = 0.020). Binary logistic regression analysis showed that those with IADL dependency had a 2.59 times higher nutritional risk than those with IADL non-dependency (p < 0.001). The nutritional risk group had a higher risk of depression (2.01 times higher [p < 0.001]), chewing limitations (1.76 times higher [p < 0.001]), and basic physical movement limitations (1.35 times higher [p = 0.009]) than the good nutritional group. Therefore, nutritional screening is required of older individuals living alone. To mitigate nutritional risks, it is necessary to assess depression and physical function, including IADL dependency.

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Section: Nutritional Risk Depression and Physical Function Of Partici...mentioning

confidence: 85%

Nutritional Risk, Depression, and Physical Function in Older People Living Alone

Park,

Kang

2024

Healthcare

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“…In contrast, there is limited direct evidence demonstrating that falls augment the incidence of comorbid chronic diseases. Nevertheless, evidence suggests that falls themselves can cause traumatic injuries, including fractures and sprains, while also potentially impacting the physical, psychological, immune functions and quality of life of this population, leading to long-term health problems 20 – 22 . For instance, falls can reduce physical activity levels in this population, increasing the likelihood of obesity, diabetes, and cardiovascular diseases 23 .…”

Section: Introductionmentioning

confidence: 99%

Bidirectional association between falls and multimorbidity in middle-aged and elderly Chinese adults: a national longitudinal study

Tian,

Zhou,

Jiang

et al. 2024

Sci Rep

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This study explores the bidirectional association between multimorbidity and falls in Chinese middle-aged and elderly adults. Participants aged 45 and above from the China Health and Retirement Longitudinal Study were included. Binary logistic regression assessed the impact of chronic conditions on fall incidence (stage I), while multinomial logistic regression examined the relationship between baseline falls and multimorbidity (stage II). The fully adjusted odds ratios (ORs) for one, two, or three or more chronic conditions were 1.34, 1.65, and 2.02, respectively. Among participants without baseline falls, 28.61% developed two or more chronic conditions during follow-up, compared to 37.4% of those with a history of falls. Fully adjusted ORs for one, two, or three or more chronic conditions in those with a history of falls were 1.21, 1.38 and 1.70, respectively. The bidirectional relationship held in sensitivity and subgroup analyses. A bidirectional relationship exists between multimorbidity and falls in Chinese middle-aged and elderly adults. Strengthening chronic condition screening and treatment in primary healthcare may reduce falls risk, and prioritizing fall prevention and intervention in daily life is recommended.

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The moderating role of psychological resilience in the relationship between falls, anxiety and depressive symptoms

Wang

et al. 2023

Journal of Affective Disorders

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What is the relationship between falls, functional limitations, and depressive symptoms among Chinese older adults? The role of living alone

Cited by 4 publications

References 28 publications

Nutritional Risk, Depression, and Physical Function in Older People Living Alone

Nutritional Risk, Depression, and Physical Function in Older People Living Alone

Bidirectional association between falls and multimorbidity in middle-aged and elderly Chinese adults: a national longitudinal study

The moderating role of psychological resilience in the relationship between falls, anxiety and depressive symptoms

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