The Relationships Between Depressive Symptoms, Functional Health Status, Physical Activity, and the Availability of Recreational Facilities: a Rural-Urban Comparison in Middle-Aged and Older Chinese Adults

2018 ◽  
Vol 25 (3) ◽  
pp. 322-330 ◽  
Author(s):  
Yazhuo Deng ◽  
David R. Paul
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Health Status ◽  
Functional Health ◽  
Functional Health Status ◽  
Middle Aged ◽  
Chinese Adults ◽  
Recreational Facilities ◽  
Older Chinese ◽  
Older Chinese Adults

scholarly journals Understanding Levels and Motivation of Physical Activity for Health Promotion among Chinese Middle-Aged and Older Adults: A Cross-Sectional Investigation

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Md Mizanur Rahman ◽  
Chang Yong Liang ◽  
Dongxiao Gu ◽  
Yong Ding ◽  
Monira Akter
Keyword(s):  
Physical Activity ◽  
Activity Levels ◽  
Middle Aged ◽  
Chinese Adults ◽  
Cross Sectional ◽  
Cultural Activities ◽  
Physical Activity Levels ◽  
Older Chinese ◽  
Sports And Exercise ◽  
Older Chinese Adults

Objective. Middle-aged and older Chinese adults (35 to 75) failed to meet the recommendations of physical activity guidelines for health promotion, because of a lack of understanding of their perspective on physical activity. This study considers the physical activity levels and motivation among middle-aged and older Chinese adults partitioned into three different participation groups (sports, exercise, and recreational and cultural activities). Methods. A cross-sectional analysis was performed on 633 participants, based on two different levels of physical activity levels. The International Physical Activity Questionnaire (IPAQ) and the Exercise Motivation Inventory (EMI-2) with 14 subscales were used to measure the participant’s physical activity levels and physical activity motivation for the three different group activities. Results. Results indicate those participants’ physical activity levels and motivation varied significantly among the different groups. The participants who engage in recreational and cultural activities have a higher motivation for physical activity, as compared with those whose primary form of physical activity is sports and exercise, and a higher probability to fulfill the global recommendations concerning physical activity. Participants who used recreational and cultural activities as their major type of physical activities were more motivated by “intrinsic” aspects. In contrast, those who participate in sports and exercise as their main type of physical activity are more motivated by “extrinsic” aspects. Conclusion. Close friends and family members of one’s home and community have potential influence in physical activity and recreational and cultural activity participants are highly motivated and luckier than others to fulfill the goal of physical activity levels.

scholarly journals Association of Depressive Symptoms With Incident Cardiovascular Diseases in Middle-Aged and Older Chinese Adults

2019 ◽  
Vol 2 (12) ◽  
pp. e1916591 ◽  
Author(s):  
Haibin Li ◽  
Deqiang Zheng ◽  
Zhiwei Li ◽  
Zhiyuan Wu ◽  
Wei Feng ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cardiovascular Diseases ◽  
Middle Aged ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

scholarly journals Association of Depressive Symptoms with Cancer Risk in Middle-Aged and Older Chinese Adults: A Longitudinal Cohort Study

2021 ◽  
Author(s):  
Chao Sheng ◽  
Luyang Liu ◽  
Fengju Song ◽  
Hongji Dai ◽  
Kexin Chen
Keyword(s):  
Depressive Symptoms ◽  
Cancer Risk ◽  
Depression Scale ◽  
High Risk Population ◽  
Middle Aged ◽  
Chinese Adults ◽  
Screening Programs ◽  
Incident Cancer ◽  
Older Chinese ◽  
Older Chinese Adults

Abstract Aims. Although, the association between depression and cancer has already been very well studied, but studies about depressive symptoms and cancer development are scarce and inconclusive among Chinese adults. We aimed to investigate whether the severity of depressive symptoms is associated with total and site-specific cancer risk in a nationally representative sample of middle-aged and older Chinese adults. Methods. This study was based on the China Health and Retirement Longitudinal Study (CHARLS), which was initiated in 2011 and followed up to 2018. We included 11,974 individuals aged 45 years or older with complete information about depressive symptoms and no history of cancer at baseline. Depressive symptoms were assessed using the validated 10-item of Center for Epidemiologic Studies Depression Scale (CES-D). Incident cancer cases were documented in the biennial self-reported questionnaires. The multivariable Cox proportional hazards model was used to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs). Results. Of 11,794 individuals included in the analysis, 51.72% were women. After a median follow-up of 7.0 years, 265 incident cancer cases were identified. Overall, there was a significant positive association between CES-D score and cancer risk (HR 1.02, 95%CI 1.00-1.05, P=0.03). Severe depressive symptoms were associated with a 75% increased cancer risk (HR 1.75, 95%CI 1.10-2.78). Such associations were evident among women rather than men. In the cancer-specific analysis, the association of severe depressive symptoms and cancer risk was more pronounced for female hormone-related cancers (HR 5.58; 95% CI 2.70-11.54). Conclusions. The findings imply that individuals with severe depressive symptoms could be considered as high-risk population in cancer screening programs.

A cross‐lagged model of depressive symptoms and mobility disability among middle‐aged and older Chinese adults with arthritis

2020 ◽  
Vol 20 (10) ◽  
pp. 873-877
Author(s):  
Rumei Yang ◽  
Jingxia Wang ◽  
Haocen Wang ◽  
Eunjin Lee Tracy ◽  
Cory T Tracy
Keyword(s):  
Depressive Symptoms ◽  
Middle Aged ◽  
Chinese Adults ◽  
Mobility Disability ◽  
Older Chinese ◽  
Older Chinese Adults

Depressive Symptoms Among Rural “Left-Behind” Older Adults: A Test of the High Outmigration Penalty Hypothesis

2021 ◽  
Author(s):  
Qian Song ◽  
Haowei Wang ◽  
Jeffery A Burr
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Rural Communities ◽  
Older Adult ◽  
Psychological Health ◽  
Economic Conditions ◽  
Adult Density ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

Abstract Objectives We investigated whether there was a “high outmigration penalty” for psychological health among older adults in rural China by assessing 2 potential community stressors associated with major sociodemographic changes in the community—increased outmigration and older adult density. We also investigated whether disparities in community economic conditions moderated the association between community stressors and depressive symptoms. Methods We employed 3 waves of data from the China Health and Retirement Longitudinal Study (2011–2015), using multilevel negative binomial models to address our research questions. Results Our results supported the “high outmigration penalty” hypothesis. Older adults living in low-income rural communities may experience an aggravated mental health penalty compared to those living in high-income rural communities. Higher older adult density was also associated with more depressive symptoms but only in less wealthy communities. Community differences in economic conditions were key factors buffering the high outmigration disadvantage associated with the psychological health of older Chinese adults. Discussion Rural outmigration may have deepened existing intercommunity health disparities among older adults. Policies should be developed to address community-level factors negatively associated with the well-being of older Chinese adults living in high outmigration and less wealthy rural communities.

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