(CHEs) increased (ADL) disability by approximately 9.1% in a sample of 9,905 individuals.
CHEs were associated with an approximate 8.0% increase in the probability of instrumental ADL (IADL) disability.
In individuals under 60 years of age, CHEs increased ADL disability by around 29.8%.
was found to mediate the relationship between CHEs and ADL disability.
The findings suggest that addressing mental health may be necessary to prevent physical functioning impairment related to CHEs.
Simplified
BACKGROUND: Hunger is an important public health issue. This study aims to explore the impact of (CHEs) on (ADL) disability and to discover the mediating role of on this correlation.
METHODS: Data were derived from the China Health and Retirement Longitudinal Study 2011, 2013, 2015, 2018, and 2020. Depression was assessed using the Centre for Epidemiological Studies Depression Scale. ADL disability, basic ADL (BADL) disability and instrumental ADL (IADL) disability were assessed using the ADL scale. The relationships between CHEs, depression and ADL disability were estimated using probit methods, and the mediating effect of depression was estimated using the stepwise regression test and bootstrap methods.
RESULTS: A total of 9,905 sample were included in the study. The study found that CHEs increased ADL disability by approximately 9.1% (β = 0.091, 95% CI: 0.028, 0.154), and increased the probability of IADL disability by approximately 8.0% (β = 0.080, 95% CI: 0.016, 0.144). CHEs increased ADL disability by approximately 29.8% (β = 0.298, 95% CI: 0.202, 0.393) in samples under 60 years of age. CHEs indirectly increased ADL (β = 0.062, 95% CI: 0.000, 0.124) by increasing the probability of depression.
CONCLUSION: CHEs predicted ADL disability, and depression mediated this correlation. There is a need to focus on the impact of CHEs on mental and physical health. In particular, focusing on mental health is necessary to prevent impairment of physical functioning.
Key numbers
9.1%
Increase in Disability
disability increased due to .
8.0%
Increase in IADL Disability
IADL disability also increased due to .
29.8%
Increase in Disability in Individuals Under 60
increased disability in those under 60 years old.
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