Frailty and incident depressive symptoms in a Chinese sample: the Rugao Longevity and Ageing Study

Background To explore the cross‐sectional and longitudinal associations between frailty and incident depressive symptoms in a Chinese elderly sample. Methods We analysed data of 1264 older Chinese elders aged 70–87 years in the Rugao Longevity and Ageing Study. The frailty phenotype was assessed usi...

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Veröffentlicht in:Psychogeriatrics 2020-09, Vol.20 (5), p.691-698
Hauptverfasser: Chu, Xue‐Feng, Zhang, Na, Shi, Guo‐Ping, Wang, Yong, Wang, Zheng‐Dong, Guo, Jiang‐Hong, Jiang, Xiao‐Yan, Jin, Li, Wang, Xiao‐Feng, Zhu, Yin‐Sheng
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container_end_page 698
container_issue 5
container_start_page 691
container_title Psychogeriatrics
container_volume 20
creator Chu, Xue‐Feng
Zhang, Na
Shi, Guo‐Ping
Wang, Yong
Wang, Zheng‐Dong
Guo, Jiang‐Hong
Jiang, Xiao‐Yan
Jin, Li
Wang, Xiao‐Feng
Zhu, Yin‐Sheng
description Background To explore the cross‐sectional and longitudinal associations between frailty and incident depressive symptoms in a Chinese elderly sample. Methods We analysed data of 1264 older Chinese elders aged 70–87 years in the Rugao Longevity and Ageing Study. The frailty phenotype was assessed using the Fried criteria and depression symptoms was measured by the Geriatric Depression Scale. Results At baseline, 10.6% of participants had depressive symptoms and 9.0% had frailty. In cross‐sectional analysis, both pre‐frailty (odds ratio (OR) = 2.18, 95% CI 1.35–3.51) and frailty (OR = 4.64, 95% CI 2.49–8.66) were associated with depressive symptoms. In longitudinal analyses, frailty (OR = 2.12, 95% CI 1.17–3.83), instead of pre‐frailty, was associated with 1.5‐year incident depressive symptoms in a full‐adjusted model among participants free of baseline depressive symptoms. In the components of frailty, lower grip strength was associated with increased risk of depressive symptoms onset (OR = 1.56, 95% CI 1.06–2.29). Conclusions Frailty and lower grip strength were associated with incident depressive symptoms in a Chinese elderly sample. Interventions designed to prevent depressive symptoms may be useful by utilising physical aspects of the elderly population.
doi_str_mv 10.1111/psyg.12565
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Methods We analysed data of 1264 older Chinese elders aged 70–87 years in the Rugao Longevity and Ageing Study. The frailty phenotype was assessed using the Fried criteria and depression symptoms was measured by the Geriatric Depression Scale. Results At baseline, 10.6% of participants had depressive symptoms and 9.0% had frailty. In cross‐sectional analysis, both pre‐frailty (odds ratio (OR) = 2.18, 95% CI 1.35–3.51) and frailty (OR = 4.64, 95% CI 2.49–8.66) were associated with depressive symptoms. In longitudinal analyses, frailty (OR = 2.12, 95% CI 1.17–3.83), instead of pre‐frailty, was associated with 1.5‐year incident depressive symptoms in a full‐adjusted model among participants free of baseline depressive symptoms. In the components of frailty, lower grip strength was associated with increased risk of depressive symptoms onset (OR = 1.56, 95% CI 1.06–2.29). Conclusions Frailty and lower grip strength were associated with incident depressive symptoms in a Chinese elderly sample. Interventions designed to prevent depressive symptoms may be useful by utilising physical aspects of the elderly population.</description><identifier>ISSN: 1346-3500</identifier><identifier>EISSN: 1479-8301</identifier><identifier>DOI: 10.1111/psyg.12565</identifier><identifier>PMID: 32558008</identifier><language>eng</language><publisher>Melbourne: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Aging - psychology ; China - epidemiology ; Cross-Sectional Studies ; Depression - epidemiology ; depressive symptoms ; elderly population ; Frail Elderly ; Frailty ; Frailty - diagnosis ; Frailty - epidemiology ; Geriatric Assessment ; Geriatrics ; grip strength ; Humans ; Longevity ; Mental depression ; Older people ; Phenotypes</subject><ispartof>Psychogeriatrics, 2020-09, Vol.20 (5), p.691-698</ispartof><rights>2020 Japanese Psychogeriatric Society</rights><rights>2020 Japanese Psychogeriatric Society.</rights><rights>Psychogeriatrics © 2020 Japanese Psychogeriatric Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4515-51dd3e5897aeb0f283c6cded82066839ff5c06d16dd961568cb17cb1e997b0d83</citedby><cites>FETCH-LOGICAL-c4515-51dd3e5897aeb0f283c6cded82066839ff5c06d16dd961568cb17cb1e997b0d83</cites><orcidid>0000-0001-7333-8676</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpsyg.12565$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpsyg.12565$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27902,27903,45552,45553</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32558008$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chu, Xue‐Feng</creatorcontrib><creatorcontrib>Zhang, Na</creatorcontrib><creatorcontrib>Shi, Guo‐Ping</creatorcontrib><creatorcontrib>Wang, Yong</creatorcontrib><creatorcontrib>Wang, Zheng‐Dong</creatorcontrib><creatorcontrib>Guo, Jiang‐Hong</creatorcontrib><creatorcontrib>Jiang, Xiao‐Yan</creatorcontrib><creatorcontrib>Jin, Li</creatorcontrib><creatorcontrib>Wang, Xiao‐Feng</creatorcontrib><creatorcontrib>Zhu, Yin‐Sheng</creatorcontrib><title>Frailty and incident depressive symptoms in a Chinese sample: the Rugao Longevity and Ageing Study</title><title>Psychogeriatrics</title><addtitle>Psychogeriatrics</addtitle><description>Background To explore the cross‐sectional and longitudinal associations between frailty and incident depressive symptoms in a Chinese elderly sample. Methods We analysed data of 1264 older Chinese elders aged 70–87 years in the Rugao Longevity and Ageing Study. The frailty phenotype was assessed using the Fried criteria and depression symptoms was measured by the Geriatric Depression Scale. Results At baseline, 10.6% of participants had depressive symptoms and 9.0% had frailty. In cross‐sectional analysis, both pre‐frailty (odds ratio (OR) = 2.18, 95% CI 1.35–3.51) and frailty (OR = 4.64, 95% CI 2.49–8.66) were associated with depressive symptoms. In longitudinal analyses, frailty (OR = 2.12, 95% CI 1.17–3.83), instead of pre‐frailty, was associated with 1.5‐year incident depressive symptoms in a full‐adjusted model among participants free of baseline depressive symptoms. In the components of frailty, lower grip strength was associated with increased risk of depressive symptoms onset (OR = 1.56, 95% CI 1.06–2.29). Conclusions Frailty and lower grip strength were associated with incident depressive symptoms in a Chinese elderly sample. Interventions designed to prevent depressive symptoms may be useful by utilising physical aspects of the elderly population.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Aging - psychology</subject><subject>China - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>depressive symptoms</subject><subject>elderly population</subject><subject>Frail Elderly</subject><subject>Frailty</subject><subject>Frailty - diagnosis</subject><subject>Frailty - epidemiology</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>grip strength</subject><subject>Humans</subject><subject>Longevity</subject><subject>Mental depression</subject><subject>Older people</subject><subject>Phenotypes</subject><issn>1346-3500</issn><issn>1479-8301</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMojreNDyABNyJ0TJomTd0Ng47CgOJl4aqkzWknQ2827Ujf3mhHFy48EM7h5ONL-BE6pWRKXV01dsin1OeC76ADGoSRJxmhu25mgfAYJ2SCDq1dE-IHnLF9NGE-55IQeYCS21aZohuwqjQ2VWo0VB3W0LRgrdkAtkPZdHVp3SVWeL4yFVi3VWVTwDXuVoCf-lzVeFlXOWzM1jTLwVQ5fu56PRyjvUwVFk62_Qi93t68zO-85cPifj5bemnAKfc41ZoBl1GoICGZL1kqUg1a-kQIyaIs4ykRmgqtI0G5kGlCQ3cgisKEaMmO0MXobdr6vQfbxaWxKRSFqqDubewHlPtSBoQ69PwPuq77tnK_c1QQUvc4Cxx1OVJpW1vbQhY3rSlVO8SUxF_Jx1_Jx9_JO_hsq-yTEvQv-hO1A-gIfJgChn9U8ePz22KUfgJAgo32</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Chu, Xue‐Feng</creator><creator>Zhang, Na</creator><creator>Shi, Guo‐Ping</creator><creator>Wang, Yong</creator><creator>Wang, Zheng‐Dong</creator><creator>Guo, Jiang‐Hong</creator><creator>Jiang, Xiao‐Yan</creator><creator>Jin, Li</creator><creator>Wang, Xiao‐Feng</creator><creator>Zhu, Yin‐Sheng</creator><general>John Wiley &amp; 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Methods We analysed data of 1264 older Chinese elders aged 70–87 years in the Rugao Longevity and Ageing Study. The frailty phenotype was assessed using the Fried criteria and depression symptoms was measured by the Geriatric Depression Scale. Results At baseline, 10.6% of participants had depressive symptoms and 9.0% had frailty. In cross‐sectional analysis, both pre‐frailty (odds ratio (OR) = 2.18, 95% CI 1.35–3.51) and frailty (OR = 4.64, 95% CI 2.49–8.66) were associated with depressive symptoms. In longitudinal analyses, frailty (OR = 2.12, 95% CI 1.17–3.83), instead of pre‐frailty, was associated with 1.5‐year incident depressive symptoms in a full‐adjusted model among participants free of baseline depressive symptoms. In the components of frailty, lower grip strength was associated with increased risk of depressive symptoms onset (OR = 1.56, 95% CI 1.06–2.29). Conclusions Frailty and lower grip strength were associated with incident depressive symptoms in a Chinese elderly sample. Interventions designed to prevent depressive symptoms may be useful by utilising physical aspects of the elderly population.</abstract><cop>Melbourne</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>32558008</pmid><doi>10.1111/psyg.12565</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7333-8676</orcidid></addata></record>
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subjects Aged
Aged, 80 and over
Aging
Aging - psychology
China - epidemiology
Cross-Sectional Studies
Depression - epidemiology
depressive symptoms
elderly population
Frail Elderly
Frailty
Frailty - diagnosis
Frailty - epidemiology
Geriatric Assessment
Geriatrics
grip strength
Humans
Longevity
Mental depression
Older people
Phenotypes
title Frailty and incident depressive symptoms in a Chinese sample: the Rugao Longevity and Ageing Study
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