Dataset Information

Relationships between cognitive leisure activities and cognitive function in older adults with depressive symptoms: a cross-sectional study.

ABSTRACT: OBJECTIVES:The current study aimed to elucidate the associations between cognitive leisure activities and cognitive function in an older population stratified by having or not having depressive symptoms. DESIGN:A retrospective cross-sectional study based on a self-report questionnaire. SETTING:Annual health check-ups in a rural community in Japan. PARTICIPANTS:A total of 11?010 community-dwelling older adults aged ?65 years (mean age: 74.0±5.4 years) was examined. Participants with missing data for the main outcome (n=1630) were excluded. OUTCOME MEASURES:Cognitive impairment was defined as at least 1.5 SD below the reference threshold (age-adjusted and education-adjusted score) on two of more of the tests in the National Center for Geriatrics and Gerontology-Functional Assessment Tool. Depressive symptoms were defined by a 15-item Geriatric Depression Scale score ?6. We assessed the frequency of participation in cognitive leisure activities using the validated scale (score: 0-42). A score of ?8 points was defined as frequent participation in cognitive leisure activities. RESULTS:A total of 12.6% (n=1186) of the participants had depressive symptoms. There was a significant association between cognitive leisure activities and cognitive impairment in older adults (adjusted OR=0.77, 95%?CI=0.65 to 0.94). In older adults with depressive symptoms, a higher frequency of cognitive leisure activities was negatively associated with cognitive impairment (adjusted OR=0.45, 95%?CI=0.28 to 0.70). In contrast, there was no significant association in older adults without depressive symptoms (adjusted OR=0.85, 95%?CI=0.70 to 1.02). CONCLUSIONS:Engaging in cognitive leisure activities in late life is associated with better cognitive function in older adults with depressive symptoms.

SUBMITTER: Kim MJ

PROVIDER: S-EPMC7044867 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Relationships between cognitive leisure activities and cognitive function in older adults with depressive symptoms: a cross-sectional study.

Kim Min Ji MJ Tsutsumimoto Kota K Doi Takehiko T Nakakubo Sho S Kurita Satoshi S Makizako Hyuma H Shimada Hiroyuki H

BMJ open 20200217 2

<h4>Objectives</h4>The current study aimed to elucidate the associations between cognitive leisure activities and cognitive function in an older population stratified by having or not having depressive symptoms.<h4>Design</h4>A retrospective cross-sectional study based on a self-report questionnaire.<h4>Setting</h4>Annual health check-ups in a rural community in Japan.<h4>Participants</h4>A total of 11 010 community-dwelling older adults aged ≥65 years (mean age: 74.0±5.4 years) was examined. Pa ...[more]

PMID: 32071175

Similar Datasets

Project description:This study analysed the association between income inequality and depression from a multilevel perspective among older adults in Europe, including an examination of the role of social support. The data came from Eurostat's European Health Interview Survey (EHIS). Selected participants were aged 65 years or above (n = 68,417) and located in 24 European countries. The outcome variable (depression) was measured using the eight-item Patient Health Questionnaire (PHQ-8). The resulting dataset included individual-level (level-1) and aggregate-level (level 2) exposure variables. Level-1 included income quintiles and social support as exposure variables and sex, age, living alone, limitation in activities of daily living and general activity limitation as control variables. Level 2 included the Gini coefficient, healthcare expenditure and dependency ratio. A multilevel linear regression analysis was performed with maximum likelihood (ML) estimation. All the income quintiles from 1 to 4 showed higher average scores for depression than quintile 5 (the highest). Higher social support scores were associated with lower scores for depression. An interaction was found between income quintile and social support, with higher levels of social support associated with lower scores for depression in quintiles 1 and 2. Higher Gini coefficient scores were associated with higher scores for depression. A significative random slope for social support was also found, meaning that the relationship between social support and depression differed across countries. No significant interaction was found between the Gini coefficient and social support. The study findings suggest that more unequal societies provide a less favourable context for the mental health of older adults. There are also significant country-dependent differences in terms of the relationship between support and mental health among older adults.Supplementary informationThe online version contains supplementary material available at 10.1007/s10433-021-00670-2.

Dataset Information

Relationships between cognitive leisure activities and cognitive function in older adults with depressive symptoms: a cross-sectional study.

Publications

Relationships between cognitive leisure activities and cognitive function in older adults with depressive symptoms: a cross-sectional study.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets