The interactive effects of chronic physical diseases and leisure activities on depression among the elderly in community
10.3760/cma.j.cn113661-20210308-00111
- VernacularTitle:慢性躯体疾病与休闲活动对社区老年人抑郁情绪的交互影响
- Author:
Jing ZHANG
1
;
Haifeng ZHANG
1
;
Xiaozhen LYU
1
;
Xin YU
1
;
Huali WANG
1
Author Information
1. 北京大学精神卫生研究所（第六医院）卫生部精神卫生学重点实验室（北京大学）痴呆诊治转化医学研究北京市重点实验室 国家精神心理疾病临床医学研究中心 100191
- Publication Type:Journal Article
- Keywords:
Depression;
Aged;
Transactional analysis;
Chronic physical diseases;
Leisure activities, stretching exercise
- From:
Chinese Journal of Psychiatry
2021;54(5):337-343
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The purpose of this study is to investigate the interactive effects of chronic physical diseases and leisure activities on depression in the elderly.Methods:Through a cross-sectional study design, 3 007 adults aged 60 and over were recruited for eligibility psychological status screening between June 20, 2014 and August 20, 2014 in communities of China. Geriatric Depression Inventory (GDI) was used to assess depressive symptoms. Leisure Activity Questionnaire was used to assess the participation of leisure activities. Logistic regression was used to analyze the relationship between chronic physical disease and leisure activity and depression, and the interaction between was also analyzed.Results:In the community cross-sectional survey, the incidence of depression among the elderly in community was 35.78% (1 076/3 007). Logistic regression analysis showed that Diabetes ( OR=1.42, 95 %CI: 1.14-1.76), hyperlipidemia ( OR=1.27, 95 %CI: 1.09-1.56), coronary heart disease ( OR=1.31, 95 %CI: 1.04-1.63), and transient ischemic attack ( OR=1.31, 95 %CI: 1.04-1.63) were significantly associated with increased risk of geriatric depression (all P<0.05), while stretching and flexibility exercises ( OR=0.79, 95 %CI: 0.68-0.92) was associated with a decrease in the risk of depression ( P<0.05). Diabetes and non-participation in stretching exercises had an interactive effect as a risk factor for depression [attributable proportion due to interaction (AP)=41.75%]. Conclusions:Depression is common in the elderly in the community. Chronic physical diseases may increase the risk of geriatric depression, especially diabetes, hyperlipidemia, coronary heart disease, and transient ischemic attack. Active participation in stretching exercises may be beneficial to reduce the occurrence of depression.
