August 2020, Volume 23，No22 Abstracts（B）
Author：尹鹏 Source：CGP Published： [07-01] views： 215
Activities of Daily Living and Depressive Symptoms in the Chinese Elderly CHEN Jinfeng，FANG Mingwang，XIAO Chenghan，MA Xiao*
West China School of Public Health，Sichuan University/West China Fourth Hospital，Sichuan University，Chengdu 610041，China
*Corresponding author：MA Xiao，Professor；E-mail：email@example.com
【Abstract】 Background As people grow older，the functions of their organs gradually decline，which may lead to seriously impaired mental health due to decreased physical activity level，decreased ability to perform their due social role，eventually resulting in the occurrence of depressive symptoms. So understanding the correlation between activities of daily living（ADL） and depressive symptoms has great importance to decrease the incidence of depressive symptoms and improve the life quality in this group. Objective To investigate the prevalence of depressive symptoms，and to determine the correlation between ADL and depressive symptoms in Chinese elderly people. Methods Data were extracted from the 2015 China Health and Retirement Longitudinal Study database. A total of 4 355 respondents who were 60 years old and above were selected as valid samples. The basic condition of patients，the Basic Activities of Daily Living（BADL） and Instrumental Activities of Daily Living（IADL） assessed by ADL，and the depression symptoms assessed by the Center for Epidemiological Studies Depression Scale were analyzed. Binary Logistic regression was acted to identify the influence of BADL and IADL on depressive symptoms. Results 1 865 respondents reported to have depressive symptoms，with a prevalence of 42.82%. The prevalence of depressive symptoms in those with intact and impaired BADL was 40.81%（1 616/3 960）and 63.04%（249/395），respectively，with a significant difference（χ2=72.490，P<0.001），and in those with intact and impaired IADL was 37.19%（1 179/3 170）and 57.89%（686/1 185），respectively，with a significant difference（χ2=150.917，P<0.001）. Logistic regression analysis indicated that the respondents with impaired BADL were more likely to have depressive symptoms than those with intact BADL〔OR（95%CI）=1.796（1.420，2.273）〕，and that the respondents with impaired IADL were more likely to have depressive symptoms than those with intact IADL〔OR（95%CI）=1.982（1.704，2.306）〕. Stratified analysis by gender found that male respondents with impaired BADL were more likely to have depressive symptoms than those with intact BADL〔OR（95%CI）=1.933（1.313，2.846）〕，that male respondents with impaired IADL were more likely to have depressive symptoms than those with intact IADL〔OR（95%CI）=1.820（1.409，2.350）〕，that female respondents with impaired BADL were more likely to have depressive symptoms than those with intact BADL〔OR（95%CI）=1.708（1.268，2.302）〕，and that female respondents with impaired IADL were more likely to have depressive symptoms than those with intact IADL〔OR（95%CI）=2.045（1.691，2.473）〕. Conclusion ADL is associated with depressive symptoms in the elderly. Impaired ADL may increase the risk of having depressive symptoms. Gender is associated with the impact of impaired BADL or IADL on the occurrence of depressive symptoms. Specifically，males with impaired BADL or females with impaired IADL may have a higher risk.
【Key words】 Activities of daily living；Depression；Aged；China
Sedentary Behavior and the Risk of Depression in Patients with Type 2 Diabetes Mellitus WANG Ya1，SUN Juan2，ZHANG Xiaoyi3，HE Hong4*，GAO Jing5，YIN Lirong2
1.Affiliated Hospital of Nantong University，Nantong 226000，China
2.School of Nursing，Medical School of Nantong University，Nantong 226000，China
3.Department of Endocrinology，Affiliated Hospital of Nantong University，Nantong 226000，China
4.Department of Nursing，Affiliated Hospital of Nantong University，Nantong 226000，China
5.Department of Neurology，the Affiliated Hospital of Xuzhou Medical University，Xuzhou 221000，China
*Corresponding author：HE Hong，Chief superintendent nurse，Master supervisor；E-mail：firstname.lastname@example.org
【Abstract】 Background The adverse effects of sedentary behavior on physical health have been widely studied，but its impact on mental health is rarely reported. The prevalence of sedentary behavior in patients with type 2 diabetes mellitus（T2DM） is relatively high，so it is of great significance to explore the relationship between sedentary behavior level and depression risk in this group. Objective To explore the correlation between sedentary behavior and depression risk in patients with T2DM，providing a theoretical basis for clinical delivery of health education intervention for such patients. Methods From January to November 2018，a questionnaire survey was conducted in a convenience sample of 410 T2DM outpatients from the endocrine outpatient clinic of a grade A tertiary hospital in Nantong area，for collecting the data about socio-demographic information，history of disease，subjective assessment of sedentary behavior，depression risk assessed by the Beck Depression Inventory 2nd Edition（BDI-Ⅱ），and physical activity assessed by the International Physical Activity Questionnaire-Short Form（IPAQ-SF）. Correlation analysis and Logistic regression model were used to analyze the relationship between sedentary behavior level and depression risk. Results A total of 402（98.1%） cases returned responsive questionnaires. The average daily time spent in sedentary behavior was （5.62±2.60）h in all the respondents，and was at least 5 hours in 265（65.9%） cases. The sedentary behavior level differed significantly by average personal monthly income，body mass index（BMI），the number of comorbidities，glycosylated hemoglobin（HbA1c），total cholesterol（TC），triacylglycerol（TG），low-density lipoprotein cholesterol（LDL-C），BDI-II score and physical activity level（P<0.05）. Correlation analysis showed that sedentary behavior level was positively correlated with the number of comorbidities，diastolic pressure，BMI，waist circumference and depression level，and negatively correlated with physical activity level（P<0.05）. After controlling for socio-demographic factors consisting of age，sex，marital status，employment status，prevalence of smoking，drinking，and medical insurance，educational level，average personal monthly income，course of T2DM，number of complications，number of comorbidities，family history of T2DM，depression history，types of drug therapies，insulin therapy，systolic blood pressure，diastolic blood pressure，BMI，waist circumference and physical activity level，partial correlation analysis showed that sedentary behavior level was still positively correlated with depression level（pratial correlation coefficient was 0.637，P<0.001）. Stepwise Logistic regression analysis showed that the OR（95%CI） of depression risk in sedentary group was 29.68（16.11，54.68），and was 64.55（28.40，146.72） after adjusting for the above-mentioned socio-demographic variables. Conclusion There is a positive correlation between sedentary behavior level and depression risk in patients with T2DM. Clinical workers should pay attention to the health education for reducing sedentary behavior in such patients.
【Key words】 Diabetes mellitus，type 2；Sedentary lifestyle；Depression；Correlation