Bidirectional association between ADL disability and depressive symptoms among older adults: longitudinal evidence from CHARLS

Feb 28, 2025Scientific reports

Two-way link between daily activity difficulties and depression symptoms in older adults over time

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Abstract

A total of 8,994 participants revealed that disability significantly increased the risk of (HR = 1.090).

  • ADL disability is associated with a higher likelihood of developing depressive symptoms among middle-aged and older adults.
  • Depressive symptoms are linked to an increased risk of developing ADL disability.
  • Subgroup analyses indicated that education level, social activity, and existing disability modified the relationship between ADL disability and depressive symptoms.
  • Age, marital status, and pain were found to influence the association between depressive symptoms and ADL disability.
  • Sensitivity analyses confirmed the reliability of these findings.

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Key numbers

1.090
Increase in Risk of
Hazard ratio for disability impacting
1.033
Increase in Risk of Disability
Hazard ratio for impacting disability
25%
Cumulative Incidence of
Cumulative incidence rate among participants over three years

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