scholarly journals Effect of Frequency of Exercise on Cognitive Function in Older Adults: Serial Mediation of Depression and Quality of Sleep

2020 ◽  
Vol 17 (3) ◽  
pp. 709 ◽  
Author(s):  
Manqiong Yuan ◽  
Hanhan Fu ◽  
Ruoyun Liu ◽  
Ya Fang
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Protective Factor ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Quality Of Sleep ◽  
Mediation Analyses ◽  
Face To Face ◽  
The Relationship

Background: Sleep quality and depression are two reciprocal causation socioemotional factors and their roles in the relationship between physical exercise and cognition are still unclear. Methods: A face-to-face survey of 3230 older adults aged 60+ was conducted in Xiamen, China, in 2016. Frequency of exercise (FOE) referred to the number of days of exercise per week. Quality of sleep (QOS) was categorized into five levels: very poor/poor/fair/good/excellent. The 15-item Geriatric Depression Scale (GDS-15) and the Montreal Cognitive Assessment (MoCA) were used to measure depression (DEP) and cognitive function (CF), respectively. Serial multiple mediator models were used. All mediation analyses were analyzed using the SPSS PROCESS macro. Results: 2469 respondents had valid data with mean scores for GDS-15 and MoCA being 1.87 and 21.61, respectively. The direct path from FOE to CF was significant (c’= 0.20, p < 0.001). A higher FOE was associated with better QOS (B = 0.04, p < 0.01), which in turn was associated with fewer symptoms of DEP (B = −0.40, p < 0.001), and further contributed to better CF (B = −0.24, p < 0.001). Similarly, a higher FOE was associated with lower GDS-15 scores (B = −0.17, p < 0.001) which then resulted in higher MoCA scores (B = −0.24, p < 0.001). However, QOS alone did not alter the relationship between FOE and CF. Conclusions: FOE is a protective factor of CF in older adults. Moreover, CF is influenced by QOS through DEP, without which the working path may disappear.

scholarly journals Quality of life of older Chinese adults receiving primary care in Wuhan, China: a multi-center study

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6860 ◽  
Author(s):  
Bao-Liang Zhong ◽  
Yan-Min Xu ◽  
Wu-Xiang Xie ◽  
Xiu-Jun Liu
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Primary Care ◽  
General Population ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Psychosocial Problems ◽  
Medical Conditions ◽  
Multi Center Study

Background Quality of life (QOL) is an important primary care outcome, but the QOL of older adults treated in primary care is understudied in China. This study examined QOL and its associated factors in older adults treated in Chinese primary care. Methods A total of 752 older patients (65+ years) were consecutively recruited from 13 primary care centers in Wuhan, China, and interviewed with a standardized questionnaire, concerning socio-demographics, major medical conditions, loneliness, and depression. QOL and depression were measured with the Chinese six-item QOL questionnaire and the shortened Geriatric Depression Scale, respectively. Multiple linear regression was used to identify factors associated with poor QOL. Results The average QOL score of primary care older adults was (20.7 ± 2.5), significantly lower than that of the Chinese general population. Factors significantly associated with poor QOL of Chinese primary care older adults included engaging in manual labor before older adulthood (unstandardized coefficient [β]: −0.702, P < 0.001), no living adult children (β: −1.720, P = 0.001), physical inactivity (β: −0.696, P < 0.001), having ≥ four major medical conditions (β: −1.813, P < 0.001), hearing problem (β: −1.004, P = 0.017), depression (β: −1.153, P < 0.001), and loneliness (β: −1.396, P < 0.001). Conclusions Older adults treated in Chinese primary care have poorer QOL than the general population. Addressing psychosocial problems at Chinese primary care settings could be helpful in improving QOL in Chinese older adults.

scholarly journals The Relationship between Subjective Cognitive Decline and Health Literacy in Healthy Community-Dwelling Older Adults

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 567
Author(s):  
Akio Goda ◽  
Shin Murata ◽  
Hideki Nakano ◽  
Koji Nonaka ◽  
Hiroaki Iwase ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Depression Scale ◽  
Community Dwelling ◽  
Subjective Cognitive Decline ◽  
Healthy Community ◽  
Community Dwelling Older Adults ◽  
The Relationship

Few studies have examined the effects of health literacy on people at risk of developing dementia; its effects on the pathogenesis of subjective cognitive decline (SCD) are particularly unclear. This study aimed to clarify the relationship between health literacy and SCD in a population of healthy community-dwelling older adults. SCD status was assessed using the Cognitive Function domain of the Kihon Checklist (KCL-CF). Health literacy, in turn, was evaluated using the Communicative and Critical Health Literacy (CCHL) scale. Global cognitive function and depressive symptoms were evaluated using the Mini-Mental State Examination (MMSE) and a five-item version of the Geriatric Depression Scale (GDS-5), respectively. Participants who were suspected of having SCD were significantly older than their non-SCD peers, and scored significantly worse on the CCHL, MMSE, and GDS-5. In addition, SCD status was found to be associated with CCHL and GDS-5 scores, as well as age, according to a logistic regression analysis. These findings suggest that low health literacy is linked to SCD morbidity in healthy community-dwelling older adults and should prove useful in the planning of dementia prevention and intervention programs for this population.

scholarly journals The Geriatric Depression Scale (GDS-15): Validation in Mexico and Disorder in the State of Knowledge

2020 ◽  
pp. 009141502095738
Author(s):  
Christian Oswaldo Acosta Quiroz ◽  
Raquel García-Flores ◽  
Sonia Beatriz Echeverría-Castro
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Well Being ◽  
Life Questionnaire ◽  
Subjective Well Being ◽  
Geriatric Depression

The objective of this study was to evaluate the reliability and validity of the Geriatric Depression Scale in its 15-item version (GDS-15) in Mexican older adults. Participants included 1178 older adults between the ages of 60 and 94 ( M = 69.16, SD = 7.69); 53.9% were women and 55.8% were married or with a partner. They completed the GDS-15, a subjective well-being scale, and a quality-of-life questionnaire. A Kuder–Richardson coefficient of .80 was obtained, which indicates an acceptable internal consistency of the GDS-15, as well as evidence of divergent validity with significant correlations of −.783 with subjective well-being and −.569 with quality of life, in addition to concurrent validity when discriminating between participants with low scores from those with high scores of depressive symptoms. The need for a simple screening tool such as the GDS-15 that helps in the identification of depressive symptoms in Mexican older adults is underlined.

Determinants of Suicidal Ideation among Older Adults

GeroPsych ◽  
2020 ◽  
pp. 1-9
Author(s):  
Mahshid Foroughan ◽  
Mohammad Rostami ◽  
Seyed Jalal Younesi
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Suicidal Ideation ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Satisfaction Index ◽  
Relationship Of ◽  
The Relationship

Abstract. This study examined the relationship of depression and life satisfaction with suicidal ideation among older Iranian adults. In this cross-sectional study, a total of 159 older adults in Tehran (73% community-residing, 60 years or older) participated. The data were gathered using the Beck Scale for Suicidal Ideation (BSSI), the Geriatric Depression Scale (GDS), and the Life Satisfaction Index-Z (LSIZ). According to the results, depression and life satisfaction are significantly related to suicidal ideation; the two variables predict 0.39% of the variance of suicidal ideation in older adults ( p < .01). The interaction between depression and life satisfaction is a stronger predictor of suicidal ideation in older adults than each of the variables alone.

scholarly journals Prevalence of Dementia, Emotional State and Physical Performance among Older Adults in the Metropolitan Area of Guadalajara, Jalisco, Mexico

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Irma E. Velázquez-Brizuela ◽  
Genaro G. Ortiz ◽  
Lucia Ventura-Castro ◽  
Elva D. Árias-Merino ◽  
Fermín P. Pacheco-Moisés ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Physical Performance ◽  
Functional Disability ◽  
Emotional State ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Cross Sectional ◽  
Level Of Education ◽  
Low Level

Background. Dementia affects memory, thinking, language, judgment, and behavior. Depression, is common in older adults with dementia. The concomitance of dementia and depression increases disability with impaired activities of daily living (ADL), increasing the chances of institutionalization and mortality.Methods. Cross-sectional study of a population 60 years and older who live in the State of Jalisco, Mexico. A total of 1142 persons were assessed regarding their cognitive function, emotional state, and physical performance. Door-to-door interview technique was assigned in condition with multistage probability random sampling. Cognitive function, depression and functional disability were assessed by applying standardized Minimental State Examination (Folstein), Geriatric Depression Scale, and the Katz index, respectively. Diagnosis of dementia was performed according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, the Fourth Edition. Data were analyzed using SPSS software.Results. Prevalence of demency was 9.5% (63.35% women, and 36.7% men). Demency was associated with being woman, being older than 70 years, low level of education, not having the economic benefit of retirement, being single or living without a partner, low level of education, suffering from depression and have functional disability in ADL.Conclusion. Dementia is more common in women and is related to depression and disability.

scholarly journals A study on correlation between depression, fear of fall and quality of life in elderly individuals

2017 ◽  
Vol 5 (4) ◽  
pp. 1456 ◽  
Author(s):  
Neeti Mishra ◽  
Anil Kumar Mishra ◽  
Mansi Bidija
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Elderly People ◽  
Fear Of Falling ◽  
Depression Scale ◽  
World Health ◽  
World Health Organization Quality ◽  
Elderly Individuals ◽  
The Relationship

Background: Fear of falling in elderly is a major cause of loss of independence, which has an effect on the physical function in elderly individuals. Depression is another important public health problem for older adults, because late life depression might have devastating consequences, such as an increase in mortality. QOL of older adults has become an important issue, because of demographic changes resulting from the ageing of the population. The goal of the study was to assess the depression and fear of fall which will provide further insights into the relationship between QOL, depression and fear of fall among elderly individuals in India.Methods: The sample consisted of 62 elderly people of age between 65 years to 75 years (mean=71.96, SD±5.92) were taken in the study. Depression was assessed using the 30-item geriatric depression scale (GDS), fear of falling was measured using falls efficacy scale (FES), QOL was assessed using the 26-item, World Health Organization Quality of Life, brief version (WHOQOL-BREF).Results: The data was analysed using Pearson co-efficient of correlation to examine the relationship between GDS, FES, and WHOQOL-BREF. The correlation co-efficient between GDS and FES was 0.5257 (p<0.05) and correlation coefficient between GDS and WHOQOL was 0.4372 (p<0.05).Conclusions: This study concluded that there was a significant association between the depression, fall efficacy, and QOL in the elderly people. This relationship has an important implication for the development of the rehabilitation programs that aim to improve the balance confidence and motivation will diminish its impact on QOL in elderly people.

A - 17 Fear of Falling in Older Adults with mTBI

2021 ◽  
Vol 36 (4) ◽  
pp. 657-657
Author(s):  
Manderino LM ◽  
Kissinger-Knox A ◽  
Colorito A ◽  
Mucha A ◽  
Puskar A ◽  
...  
Keyword(s):  
Older Adults ◽  
Fear Of Falling ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Assessment Tools ◽  
Symptom Scale ◽  
Post Injury ◽  
Fall Efficacy Scale ◽  
History Of ◽  
The Relationship

Abstract Objective To evaluate the use of an assessment of fear of falling (i.e., Short Fall Efficacy Scale [SFES]) in the evaluation and management of mild traumatic brain injury (mTBI) in older adults. Methods Fifty-two older adults (40% male) aged 60–76 (66.44 ± 4.74) years were included in the study; 27 older adults diagnosed with mTBI within three months of injury (33.07 ± 18.86 days) and 25 age-group and sex-matched controls. All participants completed the SFES, Vestibular/Ocular-Motor Screening (VOMS), Post-Concussion Symptom Scale (PCSS), Generalized Anxiety Disorder- 7 Item (GAD-7), and Geriatric Depression Scale- 5 Item (GDS5). Statistical comparisons were performed using paired t-tests and Pearson correlations. Results There were no significant differences on demographic factors, with the exception of participants in the mTBI group being more likely to have a history of a sleep disorder (χ2 = 10.26, p = 0.001). T-tests revealed higher concern for falling on SFES and higher total symptoms on the VOMS, GAD-7, and PCSS (p &lt; 0.01) in mTBI versus controls. Those with mTBI who sustained a fall, compared to other mechanisms of injury, did not differ in their report of fear of falling post-injury (p = 0.74). SFES scores were moderately correlated with VOMS total score (r = 0.40, p &lt; 0.01), PCSS total score (r = 0.64, p &lt; 0.01), GAD-7 (r = 0.65, p &lt; 0.01), and GDS-5 (r = 0.60, p &lt; 0.05). Conclusions Older adults with mTBI endorse greater fear of falling on the SFES and more symptoms on mTBI assessment tools relative to healthy controls. Future studies should include objective measures of balance to evaluate the relationship between fear of falling and postural stability.

Frailty, depression risk, and 10-year mortality in older adults: the FRADEA study

2020 ◽  
pp. 1-10
Author(s):  
Marta Carolina Ruiz-Grao ◽  
Pedro Manuel Sánchez-Jurado ◽  
Milagros Molina-Alarcón ◽  
Antonio Hernández-Martínez ◽  
Almudena Avendaño Céspedes ◽  
...  
Keyword(s):  
Older Adults ◽  
Mortality Risk ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Continuous Variable ◽  
Survival Times ◽  
Frailty Phenotype ◽  
Depression Risk ◽  
The Relationship

Abstract Objectives: To investigate if depression risk modifies the association between frailty and mortality in older adults. Design: Ongoing cohort study. Setting: Albacete city, Spain Participants: Eight hundred subjects, 58.8% women, over 70 years of age from the Frailty and Dependence in Albacete (FRADEA) study. Measurements: Frailty phenotype, Geriatric Depression Scale (GDS), comorbidity, disability, and drug use were collected at baseline. Six groups were categorized: (G1: non-frail/no depression risk; G2: non-frail/depression risk; G3: prefrail/no depression risk; G4: prefrail/depression risk; G5: frail/no depression risk; and G6: frail/depression risk). Mean follow-up was 2542 days (SD 1006). GDS was also analyzed as a continuous variable. The association between frailty and depression risk with 10-year mortality was analyzed. Results: Mean age was 78.5 years. Non-frail was 24.5%, prefrail 56.3%, frail 19.3%, and 33.5% at depression risk. Mean GDS score was 3.7 (SD 3.2), increasing with the number of frailty criteria (p < 0.001). Ten-year mortality rate was 44.9%. Mortality was 21.4% for the non-frail, 45.6% for the prefrail, and 72.7% for the frail participants, 56% for those with depression risk, and 39.3% for those without depression risk. Mean survival times for groups G1 to G6 were, respectively, 3390, 3437, 2897, 2554, 1887, and 1931 days. Adjusted mortality risk was higher for groups G3 (HR 2.1; 95% confidence interval (CI) 1.4–3.1), G4 (HR 2.5; 95% CI 1.7–3.8), G5 (HR 3.8; 95% CI 2.4–6.1), and G6 (HR 4.0; 95% CI 2.6–6.2), compared with G1 (p < 0.001). Interaction was found between frailty and depression risk, although they were independently associated with mortality. Conclusions: Depression risk increases mortality risk in prefrail older adults but not in non-frail and frail ones. Depression should be monitored in these older adults to optimize health outcomes. Factors modulating the relationship between frailty and depression should be explored in future studies.

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