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Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people.

Boström G, Conradsson M, Rosendahl E, Nordström P, Gustafson Y, Littbrand H - Clin Interv Aging (2014)

Bottom Line: Multiple linear regression analyses with comprehensive adjustments were performed between GDS-15 and BBS, GDS-15 and Barthel ADL Index, and GDS-15 and each individual ADL task, separately.GDS-15 score was associated with BBS score (unstandardized b =-0.03, P=0.008), but not with Barthel ADL Index score (unstandardized b =-0.07, P=0.068).No significant interaction effects of sex, dementia, or living conditions were found in these associations.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.

ABSTRACT

Background: This study examined associations between depressive symptoms and functional capacity, overall dependency in personal activities of daily living (ADLs), and dependency in individual ADL tasks, respectively, in people with a high mean age, large range of functional capacity, and wide spectrum of dependency in ADLs.

Methods: Cross-sectional data from three studies were used. A total of 392 individuals living in community and residential care facilities were included. Mean age was 86.2 years, 72% were women, 75% were dependent in ADLs, 42% had depression, and 39% had dementia. Depressive symptoms were assessed with the 15-item Geriatric Depression Scale (GDS-15), functional capacity with the Berg Balance Scale (BBS), and ADLs with the Barthel ADL Index. Multiple linear regression analyses with comprehensive adjustments were performed between GDS-15 and BBS, GDS-15 and Barthel ADL Index, and GDS-15 and each individual ADL task, separately.

Results: GDS-15 score was associated with BBS score (unstandardized b =-0.03, P=0.008), but not with Barthel ADL Index score (unstandardized b =-0.07, P=0.068). No significant interaction effects of sex, dementia, or living conditions were found in these associations. Among individual ADL tasks, dependency in transfer (unstandardized b =-1.03, P=0.007) and dressing (unstandardized b =-0.70, P=0.035) were associated with depressive symptoms.

Conclusion: Functional capacity seems to be independently associated with depressive symptoms in older people living in community and residential care facilities, whereas overall ADL performance may not be associated. Dependency in the individual ADL tasks of transfer and dressing appear to be independently associated with depressive symptoms and may be an important focus of future interdisciplinary multifactorial intervention studies.

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Related in: MedlinePlus

Flow chart of the inclusion process for this study.Note:aIf a person participated in more than one study, results from the first study were used.Abbreviations: ADL, activities of daily living; FOPANU, Frail Older People–Activity and Nutrition; GDS-15, 15-item Geriatric Depression Scale; GERDA, Gerontological Regional Database; MMSE, mini mental state examination; REMANU, Residential Care Facilities–Mobility, Activity and Nutrition.
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f1-cia-9-249: Flow chart of the inclusion process for this study.Note:aIf a person participated in more than one study, results from the first study were used.Abbreviations: ADL, activities of daily living; FOPANU, Frail Older People–Activity and Nutrition; GDS-15, 15-item Geriatric Depression Scale; GERDA, Gerontological Regional Database; MMSE, mini mental state examination; REMANU, Residential Care Facilities–Mobility, Activity and Nutrition.

Mentions: The sole inclusion criterion for the population based Umeå 85+/GERDA Study was being of a certain age; 50% of people aged 85 years and all people aged 90 and ≥95 years were asked to participate. Of 319 people, 253 (79%) agreed to participate (Figure 1). The FOPANU Study was a randomized, controlled, exercise intervention trial, and the REMANU study was observational. The inclusion criteria for these two studies were living in a residential care facility, age ≥65 years, dependency in personal ADLs, ability to rise from a chair with armrests with help from no more than one person, mini-mental state examination (MMSE)27 score ≥10, and approval from the resident’s physician. The facilities comprised private apartments with access to common dining rooms, alarms, and onsite nursing and care. Some facilities also had specialized units for people with dementia, with private rooms and staff on hand. In the FOPANU and REMANU studies, 191/262 (73%) and 63/104 (61%) eligible people agreed to participate (Figure 1). Informed consent was obtained from all participants. When appropriate, ie, in cases of cognitive impairment, a next of kin was contacted for informed consent. The studies were approved by the Regional Ethical Review Board in Umeå (§99-326, §391/01, and §439/03).


Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people.

Boström G, Conradsson M, Rosendahl E, Nordström P, Gustafson Y, Littbrand H - Clin Interv Aging (2014)

Flow chart of the inclusion process for this study.Note:aIf a person participated in more than one study, results from the first study were used.Abbreviations: ADL, activities of daily living; FOPANU, Frail Older People–Activity and Nutrition; GDS-15, 15-item Geriatric Depression Scale; GERDA, Gerontological Regional Database; MMSE, mini mental state examination; REMANU, Residential Care Facilities–Mobility, Activity and Nutrition.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921096&req=5

f1-cia-9-249: Flow chart of the inclusion process for this study.Note:aIf a person participated in more than one study, results from the first study were used.Abbreviations: ADL, activities of daily living; FOPANU, Frail Older People–Activity and Nutrition; GDS-15, 15-item Geriatric Depression Scale; GERDA, Gerontological Regional Database; MMSE, mini mental state examination; REMANU, Residential Care Facilities–Mobility, Activity and Nutrition.
Mentions: The sole inclusion criterion for the population based Umeå 85+/GERDA Study was being of a certain age; 50% of people aged 85 years and all people aged 90 and ≥95 years were asked to participate. Of 319 people, 253 (79%) agreed to participate (Figure 1). The FOPANU Study was a randomized, controlled, exercise intervention trial, and the REMANU study was observational. The inclusion criteria for these two studies were living in a residential care facility, age ≥65 years, dependency in personal ADLs, ability to rise from a chair with armrests with help from no more than one person, mini-mental state examination (MMSE)27 score ≥10, and approval from the resident’s physician. The facilities comprised private apartments with access to common dining rooms, alarms, and onsite nursing and care. Some facilities also had specialized units for people with dementia, with private rooms and staff on hand. In the FOPANU and REMANU studies, 191/262 (73%) and 63/104 (61%) eligible people agreed to participate (Figure 1). Informed consent was obtained from all participants. When appropriate, ie, in cases of cognitive impairment, a next of kin was contacted for informed consent. The studies were approved by the Regional Ethical Review Board in Umeå (§99-326, §391/01, and §439/03).

Bottom Line: Multiple linear regression analyses with comprehensive adjustments were performed between GDS-15 and BBS, GDS-15 and Barthel ADL Index, and GDS-15 and each individual ADL task, separately.GDS-15 score was associated with BBS score (unstandardized b =-0.03, P=0.008), but not with Barthel ADL Index score (unstandardized b =-0.07, P=0.068).No significant interaction effects of sex, dementia, or living conditions were found in these associations.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.

ABSTRACT

Background: This study examined associations between depressive symptoms and functional capacity, overall dependency in personal activities of daily living (ADLs), and dependency in individual ADL tasks, respectively, in people with a high mean age, large range of functional capacity, and wide spectrum of dependency in ADLs.

Methods: Cross-sectional data from three studies were used. A total of 392 individuals living in community and residential care facilities were included. Mean age was 86.2 years, 72% were women, 75% were dependent in ADLs, 42% had depression, and 39% had dementia. Depressive symptoms were assessed with the 15-item Geriatric Depression Scale (GDS-15), functional capacity with the Berg Balance Scale (BBS), and ADLs with the Barthel ADL Index. Multiple linear regression analyses with comprehensive adjustments were performed between GDS-15 and BBS, GDS-15 and Barthel ADL Index, and GDS-15 and each individual ADL task, separately.

Results: GDS-15 score was associated with BBS score (unstandardized b =-0.03, P=0.008), but not with Barthel ADL Index score (unstandardized b =-0.07, P=0.068). No significant interaction effects of sex, dementia, or living conditions were found in these associations. Among individual ADL tasks, dependency in transfer (unstandardized b =-1.03, P=0.007) and dressing (unstandardized b =-0.70, P=0.035) were associated with depressive symptoms.

Conclusion: Functional capacity seems to be independently associated with depressive symptoms in older people living in community and residential care facilities, whereas overall ADL performance may not be associated. Dependency in the individual ADL tasks of transfer and dressing appear to be independently associated with depressive symptoms and may be an important focus of future interdisciplinary multifactorial intervention studies.

Show MeSH
Related in: MedlinePlus