1
|
Zhang H, Xing Y, Zhang Y, Sheng S, Zhang L, Dong Z, Gao Q, Cai W, Mou Z, Jing Q. Association between depression and quality of life in older adults with type 2 diabetes: A moderated mediation of cognitive impairment and sleep quality. J Affect Disord 2023; 340:17-24. [PMID: 37506770 DOI: 10.1016/j.jad.2023.07.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 07/15/2023] [Accepted: 07/23/2023] [Indexed: 07/30/2023]
Abstract
BACKGROUND The acceleration of aging and the increase in life expectancy have resulted in an increasing number of older adults developing physical and mental comorbidities. We examined the association between depression and quality of life (QoL) using cognitive impairment (COI) as a mediator and sleep quality (SQ) as a moderator among older adults with type 2 diabetes. METHODS A total of 2646 participants from Weifang, Shandong, China completed the survey. Their depression, cognitive function, SQ, and QoL were assessed. PROCESS was used to investigate mediating and moderating effects. RESULTS COI mediated the association between depression and QoL (indirect effect = -0.1058, bootstrapped 95 % CI [-0.1417, -0.0725]). Moderated mediation analyses indicated that SQ moderated the first half of the pathway of depression's impact on QoL through COI (moderating effect = -0.1128, bootstrapped 95 % CI [-0.1981, -0.0348]). Depression negatively impacted cognitive function in participants with poor (vs. better) SQ. LIMITATIONS First, multiple assessment tools should be considered to increase objective assessment. Second, the cross-sectional design limited our ability to make causal inferences. Third, additional diabetes-related variables should be included to explore this relationship. Finally, the pathways of influence and mechanisms of action of COI in older adults should be explored further. CONCLUSION Depression could impair the QoL of older adults by aggravating their COI. Fortunately, improving patients' SQ may undermine this negative effect. These findings may play an integral role in promoting the psychiatric health of older adults with type 2 diabetes.
Collapse
Affiliation(s)
- Han Zhang
- School of Management, Weifang Medical University, Weifang, Shandong, China; "Health Shandong" Collaborative Innovation Center for Severe Social Risk Prediction and Governance, Weifang, Shandong, China; China Academy of Rehabilitation and Health, Weifang Medical University, Weifang, Shandong, China
| | - Yang Xing
- Weifang People's Hospital, Weifang, Shandong, China
| | - Yefan Zhang
- School of Management, Weifang Medical University, Weifang, Shandong, China; "Health Shandong" Collaborative Innovation Center for Severe Social Risk Prediction and Governance, Weifang, Shandong, China; China Academy of Rehabilitation and Health, Weifang Medical University, Weifang, Shandong, China
| | - Sen Sheng
- School of Management, Weifang Medical University, Weifang, Shandong, China; "Health Shandong" Collaborative Innovation Center for Severe Social Risk Prediction and Governance, Weifang, Shandong, China
| | - Linlin Zhang
- School of Management, Weifang Medical University, Weifang, Shandong, China; "Health Shandong" Collaborative Innovation Center for Severe Social Risk Prediction and Governance, Weifang, Shandong, China
| | - Zhiwei Dong
- School of Management, Weifang Medical University, Weifang, Shandong, China; "Health Shandong" Collaborative Innovation Center for Severe Social Risk Prediction and Governance, Weifang, Shandong, China
| | - Qianqian Gao
- School of Management, Weifang Medical University, Weifang, Shandong, China; "Health Shandong" Collaborative Innovation Center for Severe Social Risk Prediction and Governance, Weifang, Shandong, China; China Academy of Rehabilitation and Health, Weifang Medical University, Weifang, Shandong, China
| | - Weiqin Cai
- School of Management, Weifang Medical University, Weifang, Shandong, China; "Health Shandong" Collaborative Innovation Center for Severe Social Risk Prediction and Governance, Weifang, Shandong, China; China Academy of Rehabilitation and Health, Weifang Medical University, Weifang, Shandong, China
| | - Zhongchen Mou
- Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, Shandong, China.
| | - Qi Jing
- School of Management, Weifang Medical University, Weifang, Shandong, China; "Health Shandong" Collaborative Innovation Center for Severe Social Risk Prediction and Governance, Weifang, Shandong, China; China Academy of Rehabilitation and Health, Weifang Medical University, Weifang, Shandong, China.
| |
Collapse
|
2
|
Kong JY, Hong H, Kang H. Relationship between physical activity and depressive symptoms in older Korean adults: moderation analysis of muscular strength. BMC Geriatr 2022; 22:884. [PMID: 36411413 PMCID: PMC9677686 DOI: 10.1186/s12877-022-03610-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Accepted: 11/11/2022] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND This population-based cross-sectional study examined the associations between physical activity (PA) and lower body muscle strength (LBMS) with late-life depression in a representative sample of older Korean adults aged 65 years and older. METHODS The data used in the current study (n = 10,097/60% women) were extracted from the 2020 Korea Longitudinal Study on Aging, which is a nationwide population-based survey conducted in Korea. Depressive symptoms were assessed with the Geriatric Depression Scale Short-Form. PA and LBMS were evaluated with a self-reported questionnaire and the 5 times sit-to-stand test, respectively. Covariates include age, gender, body mass index, education level, smoking status, alcohol intake, and comorbidity. RESULTS Insufficient PA had higher odds of depression (odds ratio [OR] = 1.201, 95% confidence interval [CI] = 1.035-1.393, p = 0.016), even after adjustments for all covariates, compared to sufficient PA. Poor LBMS had higher odds of depression (OR = 2.173, 95% CI = 1.821-2.593, p < 0.001), even after adjustments for all covariates, compared to good LBMS. Particularly, a significant moderation effect of LBMS on the relationship between PA and depressive symptoms was observed (β = 0.3514 and 95% CI = 0.1294 ~ 0.5733, p < 0.001). Individuals with poor LBMS had a greater odd of depression associated with physical inactivity compared to their counterparts with good LBMS. CONCLUSIONS The results of this study support the importance of promoting muscular strength through regular exercise as a preventive strategy against late-life depression in Korean adults.
Collapse
Affiliation(s)
- Ji-Young Kong
- grid.264381.a0000 0001 2181 989XCollege of Sport Science, Sungkyunkwan University, Suwon, 16419 Republic of Korea
| | - Haeryun Hong
- grid.264381.a0000 0001 2181 989XCollege of Sport Science, Sungkyunkwan University, Suwon, 16419 Republic of Korea
| | - Hyunsik Kang
- grid.264381.a0000 0001 2181 989XCollege of Sport Science, Sungkyunkwan University, Suwon, 16419 Republic of Korea
| |
Collapse
|
3
|
Empirical Analysis of Population Urbanization and Residents’ Life Satisfaction—Based on 2017 CGSS. SUSTAINABILITY 2022. [DOI: 10.3390/su14137580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
As the greatest potential of domestic demand, new urbanization shoulders the important mission of improving the living standards of residents. Based on the theory of exploitation, this paper systematically established the theoretical relationships among population urbanization rate, human capital, family capital, and life satisfaction. Through the 2017 China Comprehensive Social Survey of 1940 micro-individuals for empirical analysis, the results show that: (1) the urbanization rate of the core explanatory variable has a significant and robust positive effect on individual life satisfaction and on human capital and family capital; (2) the urbanization rate of the core explanatory variable has a significant positive effect on human capital and family capital; (3) human capital and family capital have significant positive effects on life satisfaction; (4) in the heterogeneity discussion, the male capital accumulation is higher than the female, but life satisfaction is the opposite. With the increase in age, the individuals accumulated the highest human capital and family capital in 26–34 years old and reached the peak in life satisfaction after retirement in 60–83 years old. As far as regional differences are concerned, individual human capital, family capital, and life satisfaction are decreasing from the east to the west. The results of the study will help to establish a healthy and perfect regional urbanization and to enhance the mental health of residents by promoting talent development and advocating family-friendly construction.
Collapse
|