Evidence map›Paper›PMID 31722665›Full record

ArticleBMC geriatrics2019

Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly.

Eri Kiyoshige, Mai Kabayama, Yasuyuki Gondo, Yukie Masui, Hiroki Inagaki, Madoka Ogawa, Takeshi Nakagawa, Saori Yasumoto, Hiroshi Akasaka, Ken Sugimoto and 5 more

Abstract readComparative Study
In one paragraph

Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Article
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  7. Review
  8. Relationship Between Visual Functions and Independence in ADLs and IADLs Among Community-Dwelling Older Adults.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Eri KiyoshigeDepartment of Health Promotion Science, Osaka University, Graduate School of Medicine, Osaka, Japan.
Mai KabayamaDepartment of Health Promotion Science, Osaka University, Graduate School of Medicine, Osaka, Japan.
Yasuyuki GondoDepartment of Clinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human Sciences, Osaka, Japan.
Yukie MasuiTokyo Metropolitan Institute of Gerontology, Research Team for Human Care, Tokyo, Japan.
Hiroki InagakiTokyo Metropolitan Institute of Gerontology, Research Team for Human Care, Tokyo, Japan.
Madoka OgawaTokyo Metropolitan Institute of Gerontology, Research Team for Human Care, Tokyo, Japan.
Takeshi NakagawaSection of NILS-LSA, National Center for Geriatrics and Gerontology, Aicehi, Japan.
Saori YasumotoDepartment of Clinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human Sciences, Osaka, Japan.
Hiroshi AkasakaDepartment of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Ken SugimotoDepartment of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Kazunori IkebeDepartment of Prosthodontics, Gerontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Osaka, Japan.
Yasumichi AraiCenter for Supercentenarian Medical Research, Keio University School of Medicine, Tokyo, Japan.
Tatsuro IshizakiTokyo Metropolitan Institute of Gerontology, Research Team for Human Care, Tokyo, Japan.
Hiromi RakugiDepartment of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Kei KamideDepartment of Health Promotion Science, Osaka University, Graduate School of Medicine, Osaka, Japan. kamide@sahs.med.osaka-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInstrumental Activities of Daily Living (IADL) is an indicator of whether a community-dwelling elderly can live independently. IADL decline was reported to be associated with aging and depression. The present study aimed to investigate whether the association between IADL decline and depressive symptoms differs with aging, using two age groups of community-dwelling Japanese elderly in their 70s and 80s.

methodsWe conducted longitudinal analysis among participants in their 70s and 80s at the baseline from Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC) study. IADL was assessed by The Tokyo Metropolitan Institute of Gerontology (TMIG) index of competence. As a main predictor, depressive symptoms were measured by the five-item version of the Geriatrics Depression Scale (GDS-5). As possible confounders, we considered cognitive function, body mass index, solitary living, education, economic status, medical history of stroke and heart disease, hypertension, dyslipidemia, diabetes, and sex. We obtained odds ratios (ORs) of IADL decline for having depressive symptoms in each age group (70s/80s) and tested interactions between depressive symptoms and age groups in relation to IADL decline in 3 years by logistic regression. Additionally, to confirm age group differences, we conducted multiple group analysis.

resultsThere were 559 participants in their 70s and 519 in their 80s. Compared to participants without depressive symptoms, those with depressive symptoms had higher OR of IADL decline in 70s (OR [95% CI] = 2.33 [1.13, 4.78]), but not in 80s (OR [95% CI] = 0.85 [0.46, 1.53]). There were significant interactions between depressive symptoms and age groups in relation to IADL decline (p-value = 0.03). Multiple group analyses showed differences between the age groups by Akaike information criterion (AIC), and ORs (95%CI) decline for depressive symptoms was 2.33 (1.14, 4.77) in 70s and 0.85 (0.47, 1.54) in 80s.

conclusionThe association of depressive symptoms and IADL decline during the 3 years was significantly different between the 70s and 80s age groups, and significant association was found only in people in their 70s. Detecting depressive symptoms may be a key for preventing IADL decline in people in their 70s and not for those in their 80s.

Indexed as

Activities of Daily LivingAgedAged, 80 and overAgingDepressionFemaleFollow-Up StudiesHumansIndependent LivingJapanLongitudinal StudiesMaleSocioeconomic FactorsAge groupCommunity-dwelling peopleDepressive symptomsInstrumental activities of daily livingMultiple group analysisOlder adults

Identifiers

PMID31722665
PMCPMC6854629

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.