ArticleBMC geriatrics2024
Bidirectional, longitudinal associations between depressive symptoms and IADL/ADL disability in older adults in China: a national cohort study.
Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- The effectiveness of Zhi-Shi plaster acupoint therapy combined with lactulose in the treatment of geriatrics functional constipation: a randomized controlled trial.Frontiers in neurology · 2025Trial
- Longitudinal dynamic relationships among social frailty, depression, cognitive function, and physical frailty in community-dwelling older adults: A random intercept cross-lagged panel model study.International journal of nursing studies advances · 2026Article
- Longitudinal association between sleep duration and fall risk in middle-aged and older adults: A multiple mediation pathways analysis.Sleep medicine: X · 2026Article
- Spousal concordance and interdependence in depression among older adults: A cross-cultural longitudinal study in China, the United States, and England.Psychological medicine · 2026Article
- Joint Association of Functional Impairment and Depression with Advanced Cardiovascular-Kidney-Metabolic Syndrome: A Cross-Sectional and Cohort Study Using Two Large Datasets.Healthcare (Basel, Switzerland) · 2026Article
- Long-term care insurance pilot exposure and severe-depression risk among older adults with baseline severe IADL impairment: a panel difference-in-difference-in-differences analysis.BMC geriatrics · 2026Article
- Physical function frailty trajectory before and after cardiovascular event among older adults in three multinational cohorts.BMC public health · 2026Article
- The role of dominant handgrip strength in fall occurrence possibility and frequency.BMC public health · 2026Article
- The Effect of Tooth Loss on Depression and Anxiety Among Older Adults in China: The Mediating Role of Dietary Diversity.Nutrients · 2026Article
- Development of a Practical Nomogram for Depression Risk Stratification in Older Adults With Hypertension and Diabetes: Retrospective Analysis of Data From the China Health and Retirement Longitudinal Study.JMIR medical informatics · 2026Article
- Associations of physical activity, sleep with functional disability in Chinese older adults: a five-year prospective study.Clinics (Sao Paulo, Brazil) · 2026Article
- Cross-national predictive correlates of depressive symptoms among middle-aged and older adults with chronic conditions: an explainable machine learning analysis.Frontiers in psychiatry · 2026Article
- Intelligent health management technology use and depressive symptoms among older adults: the serial mediating roles of physical activity and social adaptation.Frontiers in psychology · 2026Article
- Gender in old care: comparing sons' and daughters' role in parental functional and psychological well-being.BMC geriatrics · 2025Article
- The role of instrumental activity of daily living disability in the association between circadian syndrome and cardiometabolic multimorbidity in Chinese middle-aged and older adults.Journal of health, population, and nutrition · 2025Article
- Article
- Changes in daily living dependency and incident depressive symptoms among older individuals: findings from four prospective cohort studies.BMJ mental health · 2025Article
- Establishment and validation of a model for predicting depression risk in stroke patients.BMC psychiatry · 2025Article
- A prediction model for the risk of developing mild cognitive impairment in older adults with sarcopenia: evidence from the CHARLS.Aging clinical and experimental research · 2025Article
- Impact of functional level on cognitive function in adults aged 45 and older than 45 years in the Korean Longitudinal Study of Aging.Australasian journal on ageing · 2025Article
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Authors and funding
6 authors.
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Abstract
introductionBased on the data from the China Health and Retirement longitudinal study (CHARLS), we aimed to investigate the bidirectional relationship between depressive symptoms and functional disability.
methodsData were collected across 3 waves from 2013 to 2018. The activities of daily living (ADLs) and the instrumental activities of daily living (IADLs) scales were used to measure functional disability and the CESD-10 was used to measure depressive symptoms. Cross-lagged models were performed to examine cross effect between depressive symptoms and functional disability across three waves.
resultsData on 10,092(mean [SD] age, 61.98[8.44] years; 3764 females [37.30%]) and 10,180 participants (mean [SD] age, 62.01[8.46] years; 3788 females [37.21%]) in IADL sample and ADL sample were included in the analyses. For IADL disability, the cross-lagged model shows a bidirectional association across three waves; the multivariable GEE model revealed that changes in CESD-10 score across waves were associated with worse IADL disability (β ranges: 0.08-0.10) and vice versa, worsen of IADL disability ascending developing of CESD-10 score (β ranges: 0.09-0.10). For ADL disability, the cross-lagged model shows a bidirectional association across three waves; the multivariable GEE model revealed that changes of CESD-10 score across waves were associated with worse IADL disability (β ranges: 0.08-0.10) and vice versa, worsen of IADL disability ascending developing of CESD-10 score (β ranges: 0.09-0.10). DISCUSSION: Study findings underscore a significant bidirectional between depressive symptoms and functional disability in older adults. Thus, simultaneous intervention should be taken to manage the mutual development of functional disability and depression.
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