scholarly journals A Healthy Lifestyle in Old Age and Prospective Change in Four Domains of Functioning

2018 ◽  
Vol 31 (7) ◽  
pp. 1297-1314 ◽  
Author(s):  
Marjolein Visser ◽  
Hanneke A. H. Wijnhoven ◽  
Hannie C. Comijs ◽  
Fleur G. C. F. Thomése ◽  
Jos W. R. Twisk ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Social Functioning ◽  
Old Age ◽  
Gait Speed ◽  
Healthy Lifestyle ◽  
Smoking Status ◽  
Population Based ◽  
Cognitive Status ◽  
Lifestyle Factor ◽  
Social Contacts

Objective: The aim of this article is to study the associations between healthy lifestyle in old age and decline in physical, psychological, cognitive, and social functioning. Method: A population-based sample of 3,107 Dutch men and women aged 55 and 85 years (1992/1993; Longitudinal Aging Study Amsterdam) was used with five 3-yeary follow-up examinations. Lifestyle score, based on smoking status, alcohol consumption, physical activity, and body mass index (BMI), ranged from 0 ( unhealthy) to 4 ( healthy). Outcomes included gait speed, depressive symptoms, cognitive status, and social contacts. Results: Persons with a healthy lifestyle had a 10.6% slower decline in gait speed (0.04 m/s, 95% confidence interval [CI] = [0.03, 0.05]), 10.8% slower increase in depressive symptoms (–1.07 [–1.70, –0.44]), a 1.8% slower decline in cognitive functioning (0.47 [0.23, 0.70]), and a 4.9% slower decline in social contacts (0.58 [0.01, 1.15]) compared with persons with no or one healthy lifestyle factor. Discussion: A healthy lifestyle benefits physical, psychological, cognitive, and social functioning up to very old age.

scholarly journals Association Between Adherence to Healthy Lifestyles and Depressive Symptoms Among Japanese Hospital Workers During the COVID-19 Pandemic

2021 ◽  
pp. 101053952110076
Author(s):  
Ami Fukunaga ◽  
Yosuke Inoue ◽  
Shohei Yamamoto ◽  
Takako Miki ◽  
Akiko Nanri ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Healthy Lifestyle ◽  
Smoking Status ◽  
Hospital Staff ◽  
Lifestyle Factor ◽  
Normal Body Mass Index ◽  
Healthy Lifestyles ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Staff Members

The objective of this study was to investigate the association between adherence to healthy lifestyles (as measured by the healthy lifestyle index [HLI]) and depressive symptoms among staff members at a large national medical institution in Tokyo, Japan, during the coronavirus disease 2019 (COVID-19) pandemic. The study sample consisted of 1228 staff members aged between 21 and 73 years who participated in a cross-sectional survey conducted in July 2020. We constructed the HLI by assigning 1 point to each healthy lifestyle factor: normal body mass index, sufficient physical activity, non-smoking status, non-to-moderate alcohol consumption, and sufficient sleep duration. The multivariate adjusted odds ratios (95% confidence interval) for depressive symptoms were 1.00 (reference), 0.71 (0.46-1.11), 0.66 (0.43-1.01), and 0.56 (0.33-0.94) for participants with HLI scores of 0 to 2, 3, 4, and 5, respectively ( P for trend = 0.032). The present study suggests the role of healthy lifestyles in mental health among hospital staff working during the pandemic.

scholarly journals Frequent consumption of vegetables predicts lower risk of depression in older Taiwanese – results of a prospective population-based study

2011 ◽  
Vol 15 (6) ◽  
pp. 1087-1092 ◽  
Author(s):  
Alan C Tsai ◽  
Tsui-Lan Chang ◽  
Shu-Hwang Chi
Keyword(s):  
Depressive Symptoms ◽  
Regression Model ◽  
The Elderly ◽  
Population Based ◽  
Cognitive Status ◽  
Confounding Factors ◽  
Population Based Study ◽  
Major Food ◽  
Health Related ◽  
Frequent Consumption

AbstractObjectiveThe study evaluated the association between consumption frequencies of the major food categories and the risk of new depression four years later in older Taiwanese.DesignA prospective cohort study with multistage random sampling. Logistic regression analysis evaluated the significance of the longitudinal associations of intake frequencies of the major food categories with future (4 years later) risk of new depression, controlled for possible confounding factors with or without adjustment for cognitive status.SettingPopulation-based free-living elderly.SubjectsMen and women (n 1609) ≥65 years of age.ResultsIn a regression model that controlled for demographic, socio-economic, lifestyle and disease/health-related variables but not cognitive status, both fruits (OR = 0·66, 95 % CI 0·45, 0·98, P = 0·038) and vegetables (OR = 0·38, 95 % CI 0·17, 0·86, P = 0·021) were protective against depressive symptoms 4 years later. However, when the same regression model was also adjusted for cognitive status, only vegetables (OR = 0·40, 95 % CI 0·17, 0·95, P = 0·039) were protective against depressive symptoms. Higher consumption of eggs was close to being significant in both regression models (P = 0·087 and 0·069, respectively). Other food categories including meat/poultry, fish, seafood, dairy, legumes, grains and tea showed no significant associations.ConclusionsResults suggest that although confounding factors cannot be totally ruled out, more frequent consumption of vegetables seems to be protective against depressive symptoms in the elderly. Further studies are needed to elucidate the causal role and the mechanism of the association.

The Association Between Subjective Age and Motoric Cognitive Risk Syndrome: Results From a Population-Based Cohort Study

2021 ◽  
Author(s):  
Yannick Stephan ◽  
Angelina R Sutin ◽  
Brice Canada ◽  
Antonio Terracciano
Keyword(s):  
Depressive Symptoms ◽  
Gait Speed ◽  
Physical Inactivity ◽  
Demographic Factors ◽  
Population Based ◽  
Chronological Age ◽  
Subjective Age ◽  
Cognitive Complaints ◽  
Cognitive Risk ◽  
Dementia Risk

Abstract Objectives The motoric cognitive risk (MCR) syndrome, characterized by cognitive complaints and slower gait speed, is a predementia syndrome associated with dementia and mortality risk. The present study examined whether subjective age, that is, how old or young individuals feel relative to their chronological age, is related to concurrent and incident MCR syndrome. A relation between subjective age and MCR will inform knowledge on psychological factors related to dementia risk, identify who is at greater risk, and suggest a potential target of intervention. Methods The study sample was composed of 6,341 individuals aged 65–107 years without dementia from the Health and Retirement Study, a longitudinal study of adults aged 50 years and older. Participants completed measures of subjective age, cognitive complaints, and gait speed and provided information on demographic factors, cognition, physical activity, depressive symptoms, and body mass index (BMI) at baseline in 2008/2010. Incident MCR was assessed 4 and 8 years later. Results Controlling for demographic factors, an older subjective age was related to more than 60% higher likelihood of MCR at baseline and to around 50% higher risk of incident MCR over time. These associations remained significant when cognition, physical inactivity, depressive symptoms, and BMI were included in the analytic models. Discussion This study provides evidence that how old individuals feel is related to concurrent and incident MCR beyond the effect of chronological age, other demographic factors, physical inactivity, depressive symptoms, BMI, and cognitive functioning.

Is Current Depressive Symptoms Associated with the Perception of Poor Neighborhood Quality in Childhood? A Population-based Study

2020 ◽  
Author(s):  
Jing Guo ◽  
Yingxue Zhu ◽  
Liming Fang ◽  
Mingqi Fu ◽  
Min Li
Keyword(s):  
Depressive Symptoms ◽  
Old Age ◽  
Linear Regression Analysis ◽  
Population Based ◽  
Health Issues ◽  
Neighborhood Quality ◽  
Significant Interaction Effect ◽  
Close Relationship ◽  
Multivariable Linear Regression Analysis ◽  
Poor Neighborhood

Abstract Background Elderly depressive symptoms are an increasing important issue worldwide. Poor neighborhood quality in childhood may increase the risk of depressive symptoms in old age from the perspective of life span theory. The aims of this study were to examine the association between the perception of neighborhood quality during childhood and depressive symptoms in older age.Methods Data was taken from the China Health and Retirement Longitudinal Study (CHARLS), and a total of 7207 individuals aged 60 years or older were included. Robust multivariable linear regression analysis was applied to estimate the association between the perception of childhood community quality and depressive symptoms, and to examine the interaction effects of education and childhood community quality on depressive symptoms.Results This study suggested that individuals who perceived the childhood community as unsafe, deficient in close relationship, unclean demonstrated higher risk in suffering from depression. Furthermore, a significant gender difference has been found. However, no significant interaction effect of education revealed.Conclusion This study proposed that the perception of neighborhood quality during childhood is an important factor associated with depressive symptoms in old age. We urge that older adults’ mental health issues could be examined from a childhood neighborhood quality perspective, and call for further steps to promote neighborhood quality lived by Chinese citizens.

scholarly journals Temporal relation between depression and cognitive impairment in old age: prospective population based study

BMJ ◽  
2004 ◽  
Vol 329 (7471) ◽  
pp. 881 ◽  
Author(s):  
David J Vinkers ◽  
Jacobijn Gussekloo ◽  
Max L Stek ◽  
Rudi G J Westendorp ◽  
Roos C van der Mast
Keyword(s):  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Cognitive Decline ◽  
Old Age ◽  
Depression Scale ◽  
Population Based ◽  
Temporal Relation ◽  
Population Based Study ◽  
Delayed Recall

Abstract Objective To examine the temporal relation between depression and cognitive impairment in old age. Design Prospective, population based study with four years of follow up. Setting City of Leiden, the Netherlands. Participants 500 people aged 85 years at recruitment. Main outcome measures Annual assessments of depressive symptoms (15 item geriatric depression scale), global cognitive function (mini-mental state examination), attention (Stroop test), processing speed (letter digit coding test), and immediate and delayed recall (12 word learning test). Results At 85 years old, participants' depressive symptoms and cognitive impairment were highly significantly correlated (P < 0.001). During follow up, an accelerated annual increase of depressive symptoms was associated with impaired attention (0.08 points (95% confidence interval 0.01 to 0.16)), immediate recall (0.17 points (0.09 to 0.25)), and delayed recall (0.10 points (0.02 to 0.18)) at baseline. In contrast, depressive symptoms at baseline were not related to an accelerated cognitive decline during follow up (P > 0.05). Conclusion Caregivers should be aware of the development of depressive symptoms when cognitive impairment is present. However, the presence of depression only does not increase the risk of cognitive decline.

scholarly journals Depressive symptoms and C-reactive protein: The Cardiovascular Risk in Young Finns Study

2006 ◽  
Vol 36 (6) ◽  
pp. 797-805 ◽  
Author(s):  
MARKO ELOVAINIO ◽  
LIISA KELTIKANGAS-JÄRVINEN ◽  
LAURA PULKKI-RÅBACK ◽  
MIKA KIVIMÄKI ◽  
SAMPSA PUTTONEN ◽  
...  
Keyword(s):  
Risk Factors ◽  
Young Adults ◽  
Depressive Symptoms ◽  
Cardiovascular Risk ◽  
Contraceptive Use ◽  
Depressive Symptomatology ◽  
Smoking Status ◽  
Hdl Cholesterol ◽  
Population Based ◽  
Young Finns Study

Background. We tested the hypothesis that depressive symptoms in healthy young adults would be associated with elevated levels of C-reactive proteins (CRP).Method. We studied the association between depressive symptoms and CRP in 1201 young adults, as a part of the on-going population-based Cardiovascular Risk in Young Finns Study. Depressive symptoms were determined by responses to a revised version of Beck's Depression Inventory in 1992 and 2001. CRP and other known cardiac risk factors were measured in 2001.Results. Higher depressive symptomatology in 1992 and in 2001 and their means score were related to higher CRP levels (B's range from 0·24 to 0·21, p<0·001). These relationships persisted after separate adjustments for various risk factors including sex, age, education, oral contraceptive use, dietary fat, physical activity, alcohol consumption, smoking status, LDL-cholesterol, HDL-cholesterol, systolic blood pressure and history of acute infectious disease. Adjustments for obesity and triglycerides levels, however, somewhat attenuated the relationship between depressive symptoms and CRP.Conclusions. We concluded that higher levels of depressive symptoms are associated with higher levels of CRP, but this association may largely be attributable to obesity or triglycerides.

scholarly journals Hypothetical Interventions for Falls Among Older Adults: An Application of the Parametric G-Formula

2021 ◽  
Vol 8 ◽  
Author(s):  
Jiaojiao Ren ◽  
Guangyou Li ◽  
Liju Zhang ◽  
Na Zhang ◽  
Juan Ren
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Functional Status ◽  
Sleep Duration ◽  
Smoking Status ◽  
Health Indicators ◽  
Lifestyle Factor ◽  
Social Activities ◽  
Incidence And Mortality ◽  
Risk Of Falls

Introduction: Falls, which have a higher incidence and mortality due to accidental injuries, are a major global health challenge. The effects of lifestyle factor, health indicator, psychological condition, and functional status interventions on the risk of falls are unknown and the conventional regression model would not adjust for the confounders. This study aimed to evaluate the 4-year risk of falls on the basis of these hypothetical interventions among Chinese older adults.Methods: Data were obtained from 9,692 aged 65 years and over older adults in the China Health and Retirement Longitudinal Study wave, from 2011 to 2015. We used the parametric g-formula to evaluate the risk of falls on the basis of independent hypothetical interventions of sleep duration, social activities, smoking status, drinking status, body mass index (BMI), systolic blood pressure (SBP), vision, depression, activities of daily living (ADL), and their different joint intervention combinations.Results: During the follow-up of 4 years, we documented 1,569 falls. The observed risk of falls was 23.58%. The risk ratios (95% confidence intervals [CIs]) of falls under the intensive hypothetical interventions on increasing sleep duration, participating in more social activities, quit smoking and drinking, reducing BMI and SBP, better vision, alleviating depressive symptoms, and improving ADL capability were 0.93 (0.87–0.96), 0.88 (0.79–0.92), 0.98 (0.95–1.03), 0.97 (0.95–1.02), 0.92 (0.86–1.03), 0.93 (0.87–1.04), 0.86 (0.74–0.91), 0.91 (0.85–0.96), and 0.79 (0.74–0.85), respectively. The feasible and intensive joint hypothetical intervention reduced the 4-year fall risk by 22% (95% CI: 0.52–0.91) and 33% (95% CI: 0.56–0.72), respectively.Conclusions: Hypothetical interventions for increasing sleep duration, participating in more social activities, better vision, alleviating depressive symptoms, and improving ADL capability help protect older adults from falls. Our findings suggest that a combination of lifestyle factors, health indicators, psychological conditions, and functional status may prove to be an effective strategy for preventing falls among older adults.

scholarly journals Depression and Adherence to Healthy Lifestyle Among Patients with Coronary Artery Diseases

2020 ◽  
Author(s):  
Ibtisam M. Al-Zaru ◽  
Dina Masha'al ◽  
Ghada Shahrour ◽  
Audai A. Hayajneh
Keyword(s):  
Depressive Symptoms ◽  
Coronary Artery ◽  
Healthy Lifestyle ◽  
Patient Adherence ◽  
Smoking Status ◽  
Future Research ◽  
Lifestyle Behaviors ◽  
Convenience Sample ◽  
Healthy Lifestyle Behaviors ◽  
The Impact

Abstract Background: It is well-established in the literature that coronary artery disease (CAD) is a risk factor for depression and that depressive symptoms inversely affect the development and progression of CAD. No published studies have examined the relationship between depression and adherence to healthy lifestyle behaviors among patients with CAD in Jordan. Therefore, the purpose of this study is to investigate the impact of depression on adherence to healthy lifestyle behaviors among CAD patients in Jordan. Methods: A convenience sample of 130 patients with CAD was recruited from out-patient cardiac clinics in a university-affiliated hospital and government-operated hospital in Northern Jordan. Data were collected using self-administered questionnaires on depression and adherence to healthy lifestyle behaviors among CAD patients. Results: Our data showed that 41% of the participants were non-adherent to healthy lifestyle behaviors, especially in the areas of physical activity (6.2%), maintaining a healthy diet (24.6%), and weight loss (26.15%). Gender, smoking status, and number of cardiac catheterization procedures were found to be significant predictors of patient adherence to healthy lifestyle behaviors. Although depressive symptoms were present in 56.9 % of the participants, depression was not found to be a significant predictor of adherence to healthy lifestyle behaviors among our sample. Conclusion: Our study provides valuable data regarding the levels and predictors of adherence to healthy lifestyle behaviors among CAD patients with CADs. Implications for future research and practice are addressed.

The Association between Depressive Symptoms and Cigarette Smoking in An Urban Primary Care Sample

2000 ◽  
Vol 30 (1) ◽  
pp. 15-26 ◽  
Author(s):  
Charlotte Brown ◽  
Pamela A. F. Madden ◽  
Deena R. Palenchar ◽  
Lisa Cooper-Patrick
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Cigarette Smoking ◽  
Nicotine Dependence ◽  
Primary Care Physicians ◽  
Employment Status ◽  
Smoking Status ◽  
Smoking Behavior ◽  
Depression Scale ◽  
Population Based

Objective: To examine the relationship between cigarette smoking and depressive symptoms in an urban primary care sample. Methods: Eligible participants were 526 patients aged eighteen to sixty-four presenting in the waiting rooms of two university affiliated internal medicine clinics. Participants were asked to complete a brief interview which ascertained current depressive symptoms using the Center for Epidemiologic Studies Depression Scale (CES-D), demographic information, and smoking status using a modified version of the Fagerstrom Test for Nicotine Dependence (FTND). Results: Smoking status differed significantly by age, gender, education, and employment status. Mean level of depressive severity also differed by smoking status. Current smokers with nicotine dependence symptoms had significantly higher CES-D scores than those who had never smoked, ex-smokers, and non-dependent smokers. Logistic regression analyses indicated that gender, employment status, age, and smoking status were significantly associated with CES-D scores ≥16. Exploratory analyses suggested that among smokers with a symptom of nicotine dependence, significantly more women than men had clinically significant levels of depressive symptoms. Conclusions: The association between smoking behavior and depressive symptoms in the present study is consistent with that reported in population-based and psychiatric samples. Symptoms of nicotine dependence were significantly associated with clinical levels of depressive symptoms. Primary care physicians may wish to inquire about depressive symptoms among smokers, because these symptoms may interfere with patients' efforts to quit.

Disorientation in Time and Place in Old Age: Longitudinal Evidence from Three Old Age Cohorts in Germany (AgeDifferent.de Platform)

2021 ◽  
Vol 79 (4) ◽  
pp. 1589-1599
Author(s):  
Francisca S. Rodriguez ◽  
Alexander Pabst ◽  
Kathrin Heser ◽  
Luca Kleineidam ◽  
Andre Hajek ◽  
...  
Keyword(s):  
Old Age ◽  
Life Events ◽  
Personal Characteristics ◽  
Population Based ◽  
Cognitive Status ◽  
Older Age ◽  
Elderly Adults ◽  
Cognitive Health ◽  
Age Cohorts

Background: Only little evidence is available on disorientation, one of the most challenging symptoms of Alzheimer’s disease and related dementias. Objectives: The aim of this study was to investigate the prevalence of disorientation in older age in association with the level of cognitive status, personal characteristics, and life events. Methods: Three longitudinal population-based cohort studies on cognitive health of elderly adults were harmonized (LEILA 75 + , AgeCoDe/AgeQualiDe, AgeMooDe). Participants who completed a baseline and at least one follow-up assessment of cognitive functioning and who did not have stroke, Parkinson’s disease, atherosclerosis, kidney disease, and/or alcoholism were included in the analysis (n = 2135, 72.6% female, mean age 80.2 years). Data was collected in standardized interviews and questionnaires with the participant, a proxy informant, and the participant’s general practitioner. Results: Making three errors in the MMSE other than in the questions on orientation (MMSEwo) came with a probability of 7.8% for disorientation, making ten errors with a probability of 88.9%. A lower MMSEwo score (HR 0.75, CI 95 0.71–0.79, p < 0.001), older age (HR 1.11, CI 95 1.08–1.14, p < 0.001), and living in a nursing home (HR 1.64, CI 95 1.02–2.64, p = 0.042) were associated with incident disorientation. Impairments in walking (OR 2.41, CI 95 1.16–4.99, p = 0.018) were associated with a greater probability for prevalent disorientation. None of the life events were significant. Conclusion: Our findings suggest that disorientation is primarily associated with cognitive status. Regular walking activities might possibly reduce the risk for disorientation but further research is necessary.

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