The Effect of Activity Participation in Middle-Aged and Older People on the Trajectory of Depression in Later Life: National Cohort Study.
The Effect of Activity Participation in Middle-Aged and Older People on the Trajectory of Depression in Later Life: National Cohort Study.
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DOI：
10.2196/44682
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发表时间：
2023-03-23
影响因子：
8.5
通讯作者：
Han, Suyue
中科院分区：
文献类型：
--
作者：
Gao, Yan;Jia, Zhihao;Zhao, Liangyu;Han, Suyue
更多的活动参与是处理抑郁症和促进积极老龄化的重要手段，但活动参与变化对抑郁症发展轨迹的影响尚未得到充分研究。本研究旨在研究中国中老年人（≥45岁）当前运动参与与抑郁的关系，以及运动参与与晚年抑郁发展轨迹的关系。本研究采用中国健康与退休纵向研究（CHARLS）的数据，历时7年，共纳入4818名中老年人（≥45岁）。在控制相关控制变量的情况下，采用潜在生长曲线模型和交叉滞后模型评估活动参与变化对晚年抑郁轨迹的影响以及活动参与与抑郁之间的主要滞后关系。以CHARLS问卷为基础，采用自我报告的活动和健康状况来测量活动参与和抑郁程度。4818名被调查者身体活动参与、社会休闲活动参与和抑郁的平均值分别为76.98 (SD 15.16) ~ 83.95 （SD 5.72）、7.43 (SD 8.67) ~ 9.25 （SD 10.16）和7.61 (SD 5.72) ~ 8.82 （SD 6.51）。我们的研究结果表明，参与活动可能与抑郁症有关。体育活动参与可预测初始抑郁（β= -0.631， P< 0.001）及其发展轨迹（β=0.461， P< 0.001）。然而，社会休闲活动参与预测了初始抑郁（β= -0.223， P<.001），但不能预测其发展轨迹（β=0.067， P=.159）。最后，交叉滞后回归分析进一步证明了运动参与对抑郁的预测作用。本研究展示了对中国中老年人群未来抑郁的运动参与预测。数据显示，在中国的中老年人群中，运动参与与抑郁的变化和未来的抑郁有显著的关系。中国政府应该鼓励中老年人参加各种活动，这可以有效防止抑郁症的加重，对积极老龄化也有积极意义。
More activity participation is an important means of handling depression and promoting positive aging, but the impact of changes in activity participation on the developmental trajectory of depression has not been fully studied. The purpose of this study is to study the relationship between current activity participation and depression in middle-aged and older people (≥45 years old) and the relationship between activity participation and the developmental trajectory of depression in later life in China. This study used data from the China Health and Retirement Longitudinal Study (CHARLS) across 7 years and included a total of 4818 middle-aged and older people (≥45 years old). Controlling for relevant control variables, the latent growth curve model and the cross-lag model were used to assess the effect of changes in activity participation on the depression trajectory in later life and the main lag relationship between activity participation and depression. Activity participation as well as depression were measured using the self-reported activity and health status based on the CHARLS questionnaire. Among the 4818 respondents, the mean values of physical activity participation, social leisure activity participation, and depression ranged from 76.98 (SD 15.16) to 83.95 (SD 5.72), from 7.43 (SD 8.67) to 9.25 (SD 10.16), and from 7.61 (SD 5.72) to 8.82 (SD 6.51), respectively. Our findings revealed that activity participation could be related to depression. Physical activity participation predicted initial depression (β=–0.631, P<.001) and its trajectory (β=0.461, P<.001). However, social leisure activity participation predicted initial depression (β=–0.223, P<.001) but did not predict its trajectory (β=0.067, P=.159). Finally, cross-lag regression analysis further demonstrated the predictive effect of activity participation on depression. This study demonstrates the prediction of activity participation for future depression in the Chinese middle-aged and older populations. The data showed that activity participation is significantly associated with changes in depression and future depression among middle-aged and older people in China. The Chinese government should encourage middle-aged and older people to participate in various activities, which can effectively prevent the aggravation of depression and also have a positive significance for positive aging.
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DOI：
10.1093/geronj/27.4.511
发表时间：
1972-01-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
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2011-06-01
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