Premium
Frailty and incident depressive symptoms in a Chinese sample: the Rugao Longevity and Ageing Study
Author(s) -
Chu XueFeng,
Zhang Na,
Shi GuoPing,
Wang Yong,
Wang ZhengDong,
Guo JiangHong,
Jiang XiaoYan,
Jin Li,
Wang XiaoFeng,
Zhu YinSheng
Publication year - 2020
Publication title -
psychogeriatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.647
H-Index - 32
eISSN - 1479-8301
pISSN - 1346-3500
DOI - 10.1111/psyg.12565
Subject(s) - depression (economics) , medicine , depressive symptoms , geriatric depression scale , grip strength , odds ratio , ageing , center for epidemiologic studies depression scale , longitudinal study , gerontology , physical therapy , psychiatry , cognition , economics , macroeconomics , pathology
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.