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Uittenhove K, Lampraki C, da Rocha CG, Rott C, von Gunten A, Jopp DS. Profiles of centenarians' functioning: linking functional and cognitive capacity with depressive symptoms. BMC Geriatr 2024; 24:451. [PMID: 38783188 PMCID: PMC11119272 DOI: 10.1186/s12877-024-05036-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 05/02/2024] [Indexed: 05/25/2024] Open
Abstract
BACKGROUND Despite most centenarians facing age-related declines in functional and cognitive capacities, the severity of these declines varies among individuals, as does the maintenance of good mental health (e.g., depressive symptoms) despite these declines. This study aims to examine this heterogeneity in centenarians from the Second Heidelberg Centenarian Study, which collected data from 112 centenarians living in Germany. In our study, we focus on a subsample of 73 centenarians who provided self-reports for our measures of interest (M age = 100.4, SD age = 0.55). METHODS We examined correlations between functional capacity (i.e., PADL, IADL), cognitive capacity (i.e., MMSE), and depressive symptoms (i.e., GDS), and the existence of different profiles using hierarchical clustering. RESULTS Higher functional capacity was related to higher cognitive capacity and to fewer depressive symptoms. Yet, higher cognitive capacity was associated with more depressive symptoms. Hierarchical clustering analysis elucidated this contradiction by identifying three profiles: low-capacity individuals (i.e., 24 individuals had low functional and cognitive capacities, with low depressive symptoms), high-capacity individuals (i.e., 33 individuals with high functional and cognitive capacities, with low depressive symptoms), and low-functional-high-cognitive-capacity individuals (i.e., 16 individuals showed low functional but high cognitive capacity, with high depressive symptoms). Our post-hoc analyses highlighted arthritis and pain as risk factors for functional dependence and depression. CONCLUSIONS Our findings emphasize the importance of identifying centenarian subgroups with specific resource- and risk profiles to better address their needs, and of treating pain to improve functional capacity and mental health in centenarians.
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Affiliation(s)
- Kim Uittenhove
- Institute of Psychology, University of Lausanne & Swiss Centre of Expertise in Life Course Research, Bâtiment Géopolis, Lausanne, CH-1015, Switzerland.
| | - Charikleia Lampraki
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - Carla Gomes da Rocha
- Service of Old Age Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
- School of Health Sciences, HES-SO Valais-Wallis, Sion, Switzerland
- Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - Christoph Rott
- Institute of Gerontology, Heidelberg University, Heidelberg, Germany
| | - Armin von Gunten
- Service of Old Age Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Daniela S Jopp
- Institute of Psychology, University of Lausanne & Swiss Centre of Expertise in Life Course Research, Bâtiment Géopolis, Lausanne, CH-1015, Switzerland
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Song Y, Liu M, Jia WP, Han K, Wang SS, He Y. The association between nutritional status and functional limitations among centenarians: a cross-sectional study. BMC Geriatr 2021; 21:376. [PMID: 34154543 PMCID: PMC8218470 DOI: 10.1186/s12877-021-02312-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 06/02/2021] [Indexed: 11/25/2022] Open
Abstract
Background Although there have been studies on the association between nutritional status and functional limitations, there were few studies on Asian centenarians in community. Therefore, this study aims to identify associations between nutritional status and functional limitations among centenarians in China. Methods This cross-sectional study was conducted with the data from the China Hainan Centenarian Cohort Study. These data ultimately included basic characteristics, hematologic indicators, and chronic disease status for 1,002 centenarians. The nutritional status was evaluated using the Mini Nutritional Assessment Short-Form scale. The functional limitations were assessed using the activities of daily living (ADL) scale, namely Barthel Index and Lawton Scale. The association between nutritional status and ADL was assessed using multivariate logistic regression models. Results In this study, the prevalence of malnutrition was 20.8 % among centenarians, basic ADL (BADL) limitation was 28.6 %, and instrumental ADL (IADL) limitation was 64.7 %. As the nutritional status deteriorated, the risk of ADL limitations increased in total population (BADL limitation: OR = 17.060, 95 % CI: 8.093-35.964; IADL limitation: OR = 11.221, 95 % CI: 5.853-21.511; p for trend < 0.001). Similar results were found in both men and women after stratifying sex but were more prominent in women. Conclusions Malnutrition is associated with functional limitations among centenarians in China and more pronounced among women.
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Affiliation(s)
- Yang Song
- Institute of geriatrics, the 2nd Medical Center, State Key Laboratory of Kidney Disease, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China.,Graduate school of Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China
| | - Miao Liu
- Graduate school of Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China
| | - Wang-Ping Jia
- Institute of geriatrics, the 2nd Medical Center, State Key Laboratory of Kidney Disease, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China.,Graduate school of Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China
| | - Ke Han
- Institute of geriatrics, the 2nd Medical Center, State Key Laboratory of Kidney Disease, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China.,Graduate school of Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China
| | - Sheng-Shu Wang
- Institute of geriatrics, the 2nd Medical Center, State Key Laboratory of Kidney Disease, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China
| | - Yao He
- Institute of geriatrics, the 2nd Medical Center, State Key Laboratory of Kidney Disease, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China.
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