[Relationship of physical condition and functional capacity to depressive status in person aged 75 years].

[Relationship of physical condition and functional capacity to depressive status in person aged 75 years].
复制标题

[75岁老年人身体状况和功能能力与抑郁状态的关系]。

DOI:
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发表时间:
1995
期刊:
[Nihon koshu eisei zasshi] Japanese journal of public health
影响因子:
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通讯作者:
S. Yasumura
S. Yasumura
中科院分区:
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文献类型:
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作者:
H. Osada;Hiroshi Shibata;Hiroshi Haga;S. Yasumura

文献摘要

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本研究的目的是从横截面和纵向上考察老年人的身体状况和功能能力与抑郁状态的关系。受试者包括308名男性和女性,年龄在75岁以上,生活在农村社区的家中。采用老年抑郁量表(GDS)评定抑郁状态,同时调查躯体状况和功能能力。结果如下:1.不同年龄和性别的GDS评分无显著差异。2.横截面上,抑郁状态与男性握力减弱和运动能力差显著相关,并且与福尔斯跌倒、咀嚼能力差和高功能能力水平低(由Tynth能力指数测量)相关。3.纵向超过2年的时间,丧亲之痛,运动能力下降,持续焦虑的身体状况显着影响男性抑郁状态的加重。在女性中,高收缩压和视力和/或听力障碍影响恶化。功能能力的下降,衡量能力的Tendon指数似乎影响男性和女性的恶化。
The purpose of the present study is to examine cross-sectionally and longitudinally the relationship of physical conditions and functional capacity to depressive status in the elderly. Subjects comprised 308 men and women aged 75 years and over living at home in a rural community. Geriatric Depression Scale (GDS) was employed to assess depressive status, and physical conditions and functional capacity were simultaneously investigated. The results obtained were as follows; 1. There was no significant difference in GDS score by age or sex. 2. Cross-sectionally, the depressive status was significantly associated with weakened grip strength and poor locomotion in men, and it was associated with experience of falls, poor chewing ability, and low levels in high functional capacity as measured by the TMIG Index of Competence. 3. Longitudinally over a 2 year period, bereavement, decline of locomotion, and persistent anxiety about physical conditions significantly influenced aggravation of the depressive status in men. In women, high systolic blood pressure and visual and/or hearing impairment influenced the aggravation. Decline in functional capacity as measured by the TMIG Index of Competence appeared to influence the aggravation in both men and women.