Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly
Abstract Background Instrumental Activities of Daily Living (IADL) is an indicator of whether a community-dwelling elderly can live independently. IADL decline was reported to be associated with aging and depression. The present study aimed to investigate whether the association between IADL decline...
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-11-01
|
| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-019-1333-6 |
| _version_ | 1819010002444091392 |
|---|---|
| author | Eri Kiyoshige Mai Kabayama Yasuyuki Gondo Yukie Masui Hiroki Inagaki Madoka Ogawa Takeshi Nakagawa Saori Yasumoto Hiroshi Akasaka Ken Sugimoto Kazunori Ikebe Yasumichi Arai Tatsuro Ishizaki Hiromi Rakugi Kei Kamide |
| author_facet | Eri Kiyoshige Mai Kabayama Yasuyuki Gondo Yukie Masui Hiroki Inagaki Madoka Ogawa Takeshi Nakagawa Saori Yasumoto Hiroshi Akasaka Ken Sugimoto Kazunori Ikebe Yasumichi Arai Tatsuro Ishizaki Hiromi Rakugi Kei Kamide |
| author_sort | Eri Kiyoshige |
| collection | DOAJ |
| description | Abstract Background Instrumental Activities of Daily Living (IADL) is an indicator of whether a community-dwelling elderly can live independently. IADL decline was reported to be associated with aging and depression. The present study aimed to investigate whether the association between IADL decline and depressive symptoms differs with aging, using two age groups of community-dwelling Japanese elderly in their 70s and 80s. Methods We conducted longitudinal analysis among participants in their 70s and 80s at the baseline from Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC) study. IADL was assessed by The Tokyo Metropolitan Institute of Gerontology (TMIG) index of competence. As a main predictor, depressive symptoms were measured by the five-item version of the Geriatrics Depression Scale (GDS-5). As possible confounders, we considered cognitive function, body mass index, solitary living, education, economic status, medical history of stroke and heart disease, hypertension, dyslipidemia, diabetes, and sex. We obtained odds ratios (ORs) of IADL decline for having depressive symptoms in each age group (70s/80s) and tested interactions between depressive symptoms and age groups in relation to IADL decline in 3 years by logistic regression. Additionally, to confirm age group differences, we conducted multiple group analysis. Results There were 559 participants in their 70s and 519 in their 80s. Compared to participants without depressive symptoms, those with depressive symptoms had higher OR of IADL decline in 70s (OR [95% CI] = 2.33 [1.13, 4.78]), but not in 80s (OR [95% CI] = 0.85 [0.46, 1.53]). There were significant interactions between depressive symptoms and age groups in relation to IADL decline (p-value = 0.03). Multiple group analyses showed differences between the age groups by Akaike information criterion (AIC), and ORs (95%CI) decline for depressive symptoms was 2.33 (1.14, 4.77) in 70s and 0.85 (0.47, 1.54) in 80s. Conclusion The association of depressive symptoms and IADL decline during the 3 years was significantly different between the 70s and 80s age groups, and significant association was found only in people in their 70s. Detecting depressive symptoms may be a key for preventing IADL decline in people in their 70s and not for those in their 80s. |
| first_indexed | 2024-12-21T01:05:20Z |
| format | Article |
| id | doaj.art-2a6809c1fc294dc98de0b52642fe0e62 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-21T01:05:20Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-2a6809c1fc294dc98de0b52642fe0e622022-12-21T19:21:03ZengBMCBMC Geriatrics1471-23182019-11-011911810.1186/s12877-019-1333-6Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderlyEri Kiyoshige0Mai Kabayama1Yasuyuki Gondo2Yukie Masui3Hiroki Inagaki4Madoka Ogawa5Takeshi Nakagawa6Saori Yasumoto7Hiroshi Akasaka8Ken Sugimoto9Kazunori Ikebe10Yasumichi Arai11Tatsuro Ishizaki12Hiromi Rakugi13Kei Kamide14Department of Health Promotion Science, Osaka University, Graduate School of MedicineDepartment of Health Promotion Science, Osaka University, Graduate School of MedicineDepartment of Clinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human SciencesTokyo Metropolitan Institute of Gerontology, Research Team for Human CareTokyo Metropolitan Institute of Gerontology, Research Team for Human CareTokyo Metropolitan Institute of Gerontology, Research Team for Human CareSection of NILS-LSA, National Center for Geriatrics and GerontologyDepartment of Clinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human SciencesDepartment of Geriatric and General Medicine, Osaka University Graduate School of MedicineDepartment of Geriatric and General Medicine, Osaka University Graduate School of MedicineDepartment of Prosthodontics, Gerontology and Oral Rehabilitation, Osaka University Graduate School of DentistryCenter for Supercentenarian Medical Research, Keio University School of MedicineTokyo Metropolitan Institute of Gerontology, Research Team for Human CareDepartment of Geriatric and General Medicine, Osaka University Graduate School of MedicineDepartment of Health Promotion Science, Osaka University, Graduate School of MedicineAbstract Background Instrumental Activities of Daily Living (IADL) is an indicator of whether a community-dwelling elderly can live independently. IADL decline was reported to be associated with aging and depression. The present study aimed to investigate whether the association between IADL decline and depressive symptoms differs with aging, using two age groups of community-dwelling Japanese elderly in their 70s and 80s. Methods We conducted longitudinal analysis among participants in their 70s and 80s at the baseline from Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC) study. IADL was assessed by The Tokyo Metropolitan Institute of Gerontology (TMIG) index of competence. As a main predictor, depressive symptoms were measured by the five-item version of the Geriatrics Depression Scale (GDS-5). As possible confounders, we considered cognitive function, body mass index, solitary living, education, economic status, medical history of stroke and heart disease, hypertension, dyslipidemia, diabetes, and sex. We obtained odds ratios (ORs) of IADL decline for having depressive symptoms in each age group (70s/80s) and tested interactions between depressive symptoms and age groups in relation to IADL decline in 3 years by logistic regression. Additionally, to confirm age group differences, we conducted multiple group analysis. Results There were 559 participants in their 70s and 519 in their 80s. Compared to participants without depressive symptoms, those with depressive symptoms had higher OR of IADL decline in 70s (OR [95% CI] = 2.33 [1.13, 4.78]), but not in 80s (OR [95% CI] = 0.85 [0.46, 1.53]). There were significant interactions between depressive symptoms and age groups in relation to IADL decline (p-value = 0.03). Multiple group analyses showed differences between the age groups by Akaike information criterion (AIC), and ORs (95%CI) decline for depressive symptoms was 2.33 (1.14, 4.77) in 70s and 0.85 (0.47, 1.54) in 80s. Conclusion The association of depressive symptoms and IADL decline during the 3 years was significantly different between the 70s and 80s age groups, and significant association was found only in people in their 70s. Detecting depressive symptoms may be a key for preventing IADL decline in people in their 70s and not for those in their 80s.http://link.springer.com/article/10.1186/s12877-019-1333-6Instrumental activities of daily livingDepressive symptomsAge groupCommunity-dwelling peopleOlder adultsMultiple group analysis |
| spellingShingle | Eri Kiyoshige Mai Kabayama Yasuyuki Gondo Yukie Masui Hiroki Inagaki Madoka Ogawa Takeshi Nakagawa Saori Yasumoto Hiroshi Akasaka Ken Sugimoto Kazunori Ikebe Yasumichi Arai Tatsuro Ishizaki Hiromi Rakugi Kei Kamide Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly BMC Geriatrics Instrumental activities of daily living Depressive symptoms Age group Community-dwelling people Older adults Multiple group analysis |
| title | Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly |
| title_full | Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly |
| title_fullStr | Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly |
| title_full_unstemmed | Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly |
| title_short | Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly |
| title_sort | age group differences in association between iadl decline and depressive symptoms in community dwelling elderly |
| topic | Instrumental activities of daily living Depressive symptoms Age group Community-dwelling people Older adults Multiple group analysis |
| url | http://link.springer.com/article/10.1186/s12877-019-1333-6 |
| work_keys_str_mv | AT erikiyoshige agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT maikabayama agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT yasuyukigondo agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT yukiemasui agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT hirokiinagaki agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT madokaogawa agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT takeshinakagawa agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT saoriyasumoto agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT hiroshiakasaka agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT kensugimoto agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT kazunoriikebe agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT yasumichiarai agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT tatsuroishizaki agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT hiromirakugi agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly AT keikamide agegroupdifferencesinassociationbetweeniadldeclineanddepressivesymptomsincommunitydwellingelderly |