Cargando…
Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities
Despite strong evidence associating depression with poor physical function, the underlying mechanisms of this association remain unknown. This study aimed to ascertain whether different types of leisure activities mediate the effect of depression severity on physical function. This cross-sectional d...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955444/ https://www.ncbi.nlm.nih.gov/pubmed/35329225 http://dx.doi.org/10.3390/ijerph19063543 |
_version_ | 1784676337341956096 |
---|---|
author | Zhao, Meng Wang, Yaqi Wang, Shan Yang, Yuan Li, Ming Wang, Kefang |
author_facet | Zhao, Meng Wang, Yaqi Wang, Shan Yang, Yuan Li, Ming Wang, Kefang |
author_sort | Zhao, Meng |
collection | PubMed |
description | Despite strong evidence associating depression with poor physical function, the underlying mechanisms of this association remain unknown. This study aimed to ascertain whether different types of leisure activities mediate the effect of depression severity on physical function. This cross-sectional descriptive study included 353 Chinese nursing home residents (aged ≥ 60 years; 197 female) from nursing homes of five districts (Lixia, Tianqiao, Huaiyin, Shizhong, and Licheng) in Jinan, Shandong Province, China, from March to June 2018. Multiple-mediation analyses, including regression and bootstrap analyses, were conducted to evaluate the association of depressive symptoms’ severity and active or passive leisure activities with physical function. Active, but not passive, leisure activities significantly mediated the effect of moderate/severe depressive symptoms on physical function compared to those without depressive symptoms. In contrast, there was no significant association between mild depressive symptoms and physical function. This study demonstrates that leisure activities affect the association between depressive symptoms’ severity and physical function, and its protective role depends on the type of leisure activities. Interventions for physical function should be designed by focusing on active leisure activities among older adults, especially those with moderate/severe depressive symptoms, to delay physical function and improve overall well-being. |
format | Online Article Text |
id | pubmed-8955444 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89554442022-03-26 Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities Zhao, Meng Wang, Yaqi Wang, Shan Yang, Yuan Li, Ming Wang, Kefang Int J Environ Res Public Health Article Despite strong evidence associating depression with poor physical function, the underlying mechanisms of this association remain unknown. This study aimed to ascertain whether different types of leisure activities mediate the effect of depression severity on physical function. This cross-sectional descriptive study included 353 Chinese nursing home residents (aged ≥ 60 years; 197 female) from nursing homes of five districts (Lixia, Tianqiao, Huaiyin, Shizhong, and Licheng) in Jinan, Shandong Province, China, from March to June 2018. Multiple-mediation analyses, including regression and bootstrap analyses, were conducted to evaluate the association of depressive symptoms’ severity and active or passive leisure activities with physical function. Active, but not passive, leisure activities significantly mediated the effect of moderate/severe depressive symptoms on physical function compared to those without depressive symptoms. In contrast, there was no significant association between mild depressive symptoms and physical function. This study demonstrates that leisure activities affect the association between depressive symptoms’ severity and physical function, and its protective role depends on the type of leisure activities. Interventions for physical function should be designed by focusing on active leisure activities among older adults, especially those with moderate/severe depressive symptoms, to delay physical function and improve overall well-being. MDPI 2022-03-16 /pmc/articles/PMC8955444/ /pubmed/35329225 http://dx.doi.org/10.3390/ijerph19063543 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Zhao, Meng Wang, Yaqi Wang, Shan Yang, Yuan Li, Ming Wang, Kefang Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities |
title | Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities |
title_full | Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities |
title_fullStr | Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities |
title_full_unstemmed | Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities |
title_short | Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities |
title_sort | association between depression severity and physical function among chinese nursing home residents: the mediating role of different types of leisure activities |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955444/ https://www.ncbi.nlm.nih.gov/pubmed/35329225 http://dx.doi.org/10.3390/ijerph19063543 |
work_keys_str_mv | AT zhaomeng associationbetweendepressionseverityandphysicalfunctionamongchinesenursinghomeresidentsthemediatingroleofdifferenttypesofleisureactivities AT wangyaqi associationbetweendepressionseverityandphysicalfunctionamongchinesenursinghomeresidentsthemediatingroleofdifferenttypesofleisureactivities AT wangshan associationbetweendepressionseverityandphysicalfunctionamongchinesenursinghomeresidentsthemediatingroleofdifferenttypesofleisureactivities AT yangyuan associationbetweendepressionseverityandphysicalfunctionamongchinesenursinghomeresidentsthemediatingroleofdifferenttypesofleisureactivities AT liming associationbetweendepressionseverityandphysicalfunctionamongchinesenursinghomeresidentsthemediatingroleofdifferenttypesofleisureactivities AT wangkefang associationbetweendepressionseverityandphysicalfunctionamongchinesenursinghomeresidentsthemediatingroleofdifferenttypesofleisureactivities |