Details

Autor(en) / Beteiligte

• Shan, Yifan
• Zhao, Wenjing
• Hao, Wen
• Kimura, Takashi
• Ukawa, Shigekazu
• Ohira, Hideki
• Kawamura, Takashi
• Wakai, Kenji
• Ando, Masahiko
• Tamakoshi, Akiko

Titel

Changes in behavioral activities and transition of depressive symptoms among younger‐old community‐dwelling adults during 6 years: An age‐specific prospective cohort study

Ist Teil von

• International journal of geriatric psychiatry, 2022-08, Vol.37 (8), p.n/a

Ort / Verlag

Bognor Regis: Wiley Subscription Services, Inc

Erscheinungsjahr

2022

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• Objective Regular engagement in behavioral activities plays a crucial role against depressive symptoms in older adults. This study aims to explore the relationship between behavioral activities and the temporal evolution of depressive symptoms. Methods We included community‐dwelling Japanese adults aged 64 or 65 years with and without depressive symptoms enrolled in the New Integrated Suburban Seniority Investigation (NISSIN) project. Depressive symptoms at baseline and follow‐up were assessed using the 15‐item Geriatric Depression Scale. Behavioral activities were measured by self‐reported questions. Risk ratios and 95% confidence intervals were calculated using modified Poisson regression, adjusting for relevant sociodemographic variables and health‐related confounders. Results During the 6 year follow‐up period, 139 (10.1%) without depressive symptoms at baseline developed such symptoms over time, while 174 (51.6%) with depressive symptoms improved to the point of these symptoms being absent. The participants without depressive symptoms at baseline and those who engaged in social activity or daily walking at a continued regular frequency (CRF) or an increased frequency (IF) and exercise habits at CRF were the least likely to have depressive symptoms onset at follow‐up. There was no significant difference between the changes in behavioral activities and the improvement of depressive symptoms after controlling for confounders. Participants engaging in a greater variety of behavioral activities at CRF were less likely to experience a new onset of depressive symptoms. Conclusions Consistent and regular participation in one or more behavioral activities was significantly associated with the onset of depressive symptoms in Japanese community‐dwelling older adults. Key points Consistent and regular participation in one or more behavioral activities were significantly associated with the onset of depressive symptoms in community‐dwelling older adults. Older adults with initially low frequency of social activities and daily walking at earlier ages but they increase the frequency of participation, their depressive symptoms may still benefit from these activities.