The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older People
Background. Frailty refers to a decline in an elderly person’s physical, psychological, and social functioning, making them sensitive to stressors. Because frailty is caused by a variety of factors, including certain demographic characteristics, understanding the mediating factors that affect frailt...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2022-01-01
|
| Series: | Current Gerontology and Geriatrics Research |
| Online Access: | http://dx.doi.org/10.1155/2022/7979006 |
| _version_ | 1797977071673147392 |
|---|---|
| author | Eva Berthy Tallutondok Chia-Jung Hsieh Pei-Shan Li |
| author_facet | Eva Berthy Tallutondok Chia-Jung Hsieh Pei-Shan Li |
| author_sort | Eva Berthy Tallutondok |
| collection | DOAJ |
| description | Background. Frailty refers to a decline in an elderly person’s physical, psychological, and social functioning, making them sensitive to stressors. Because frailty is caused by a variety of factors, including certain demographic characteristics, understanding the mediating factors that affect frailty in the elderly is critical. Purpose. To provide evidence about the relationship between depression, well-being, social activity, physical performance, and frailty among older adults. Materials and Methods. The study used secondary data from Taiwan’s Long-term Study of Aging (n = 7,622), excluding people with severe dementia. The chi-square test and Spearmen’s coefficient correlation were used to assess the relationship between the demographic variables and frailty. Nonparametric bootstrapping analysis was used to test whether depression, well-being, and social activity are parallel mediators of the relationship between physical performance and frailty. This study was approved by Fu Jen Catholic University (FJU-IRB No. C110040). Results. The overall frailty prevalence was 13.9%. We calculated a mean score and standard deviation for each measurement in this study. The correlation found low-to-moderate positive and negative statistically significant correlations between the variables. A significant, moderately negative relationship was found between physical performance and frailty that correlated with three potential mediating factors. The path indicated that lower physical performance scores and higher depression scores are more likely to be associated with frailty. Conclusion. Older adults who are depressed are more likely to become frail. Adults who are more socially active and report greater well-being are less likely to become frail. Therefore, further research should design and test a comprehensive intervention for older adults in community settings that addresses all three factors, aimed at increasing well-being and social activity while also treating depression. |
| first_indexed | 2024-04-11T05:01:06Z |
| format | Article |
| id | doaj.art-9486e2ab7d554e38a52db997ec0c6484 |
| institution | Directory Open Access Journal |
| issn | 1687-7071 |
| language | English |
| last_indexed | 2024-04-11T05:01:06Z |
| publishDate | 2022-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Current Gerontology and Geriatrics Research |
| spelling | doaj.art-9486e2ab7d554e38a52db997ec0c64842022-12-26T01:12:46ZengHindawi LimitedCurrent Gerontology and Geriatrics Research1687-70712022-01-01202210.1155/2022/7979006The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older PeopleEva Berthy Tallutondok0Chia-Jung Hsieh1Pei-Shan Li2School of NursingSchool of NursingSchool of NursingBackground. Frailty refers to a decline in an elderly person’s physical, psychological, and social functioning, making them sensitive to stressors. Because frailty is caused by a variety of factors, including certain demographic characteristics, understanding the mediating factors that affect frailty in the elderly is critical. Purpose. To provide evidence about the relationship between depression, well-being, social activity, physical performance, and frailty among older adults. Materials and Methods. The study used secondary data from Taiwan’s Long-term Study of Aging (n = 7,622), excluding people with severe dementia. The chi-square test and Spearmen’s coefficient correlation were used to assess the relationship between the demographic variables and frailty. Nonparametric bootstrapping analysis was used to test whether depression, well-being, and social activity are parallel mediators of the relationship between physical performance and frailty. This study was approved by Fu Jen Catholic University (FJU-IRB No. C110040). Results. The overall frailty prevalence was 13.9%. We calculated a mean score and standard deviation for each measurement in this study. The correlation found low-to-moderate positive and negative statistically significant correlations between the variables. A significant, moderately negative relationship was found between physical performance and frailty that correlated with three potential mediating factors. The path indicated that lower physical performance scores and higher depression scores are more likely to be associated with frailty. Conclusion. Older adults who are depressed are more likely to become frail. Adults who are more socially active and report greater well-being are less likely to become frail. Therefore, further research should design and test a comprehensive intervention for older adults in community settings that addresses all three factors, aimed at increasing well-being and social activity while also treating depression.http://dx.doi.org/10.1155/2022/7979006 |
| spellingShingle | Eva Berthy Tallutondok Chia-Jung Hsieh Pei-Shan Li The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older People Current Gerontology and Geriatrics Research |
| title | The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older People |
| title_full | The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older People |
| title_fullStr | The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older People |
| title_full_unstemmed | The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older People |
| title_short | The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older People |
| title_sort | parallel mediation effects of depression well being and social activity on physical performance and frailty in community dwelling middle aged and older people |
| url | http://dx.doi.org/10.1155/2022/7979006 |
| work_keys_str_mv | AT evaberthytallutondok theparallelmediationeffectsofdepressionwellbeingandsocialactivityonphysicalperformanceandfrailtyincommunitydwellingmiddleagedandolderpeople AT chiajunghsieh theparallelmediationeffectsofdepressionwellbeingandsocialactivityonphysicalperformanceandfrailtyincommunitydwellingmiddleagedandolderpeople AT peishanli theparallelmediationeffectsofdepressionwellbeingandsocialactivityonphysicalperformanceandfrailtyincommunitydwellingmiddleagedandolderpeople AT evaberthytallutondok parallelmediationeffectsofdepressionwellbeingandsocialactivityonphysicalperformanceandfrailtyincommunitydwellingmiddleagedandolderpeople AT chiajunghsieh parallelmediationeffectsofdepressionwellbeingandsocialactivityonphysicalperformanceandfrailtyincommunitydwellingmiddleagedandolderpeople AT peishanli parallelmediationeffectsofdepressionwellbeingandsocialactivityonphysicalperformanceandfrailtyincommunitydwellingmiddleagedandolderpeople |