Las actividades de ocio al menos asociados con la depresión fueron la lectura de periódicos / libros y realización de proyectos de construcción al aire libre, las doslimitaciones de movilidad que más se asocia con depresión fueron dificultades paralevantar objetos y al subir escaleras. Las dos tensiones que más se asocia con la depresión se percibe la tensión de la salud y el estrés financiero. Estos resultados indican que las intervenciones para prevenir o reducir la depresión en los adultos mayores debe incluir estrategias prácticas destinadas a estos factores de riesgo modificables







Leisure activity, mobility limitation and stress as modifiable risk factors for depressive symptoms in the elderly: Results of a national longitudinal study
Chun-Te Leeabcd, Chih-Jung Yehde, Meng-Chih Leeacdf, Hui-Sheng Linde, Vincent Chin-Hung Chenbc, Ming-Hong Hsiehabcd, Chi-Hua Yenacdf and Te-Jen LaiabcdCorresponding Author Contact InformationE-mail The Corresponding AuthorE-mail The Corresponding Author
a Institute of Medicine, Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Rd., Taichung, 402, Taiwan
b Department of Psychiatry, Chung Shan Medical University Hospital, No. 110, Sec. 1, Jianguo N. Rd., Taichung, 402, Taiwan
c School of Medicine, Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Rd., Taichung, 402, Taiwan
d Center for Education and Research on Geriatrics and Gerontology, Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Rd., Taichung, 402, Taiwan
e School of Public Health, Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Rd., Taichung, 402, Taiwan
f Department of Family and Community Medicine, Chung Shan Medical University Hospital, No. 110, Sec. 1, Jianguo N. Rd., Taichung, 402, Taiwan
Received 28 February 2011;  
revised 12 June 2011;  
accepted 13 June 2011.  
Available online 6 August 2011. 

Abstract

Few national longitudinal studies have investigated the modifiable risk factors for depression in the elderly. This study investigated the risk factors and health-related behaviors associated with depressive symptoms using a national survey of Taiwanese elderly with a 4-year follow-up period. In this prospective cohort study, 1481 non-demented population-based elderly were interviewed at baseline in 2003 and at follow-up in 2007. The independent variables included demographics, chronic medical diseases and health-related behaviors assessed at baseline. The dependent variable was depressive symptoms assessed at follow-up. Reduced rank regression was applied to characterize independent factors related to depressive symptoms. The prevalence of depressive symptoms at follow-up was 21.1%. The results of multivariate analyses revealed three independent risk factors for depressive symptoms: fewer leisure activities (odds ratio, OR = 0.56, 95% confidence interval, CI = 0.38–0.83,p = 0.0034), more mobility limitations (OR = 1.93, 95% CI = 1.30–2.86, p = 0.0011) and higher stress levels (OR = 2.43, 95% CI = 1.68–3.50, p < 0.0001). The leisure activities least associated with depression were reading newspapers/books and doing outdoor building projects; the two mobility limitations most associated with depression were difficulty in lifting things and in climbing stairs. The two stresses most associated with depression were perceived health stress and financial stress. These results indicated that interventions to prevent or reduce depression in older adults should include practical strategies aimed at these modifiable risk factors.
Keywords: Depression; Elderly; Risk factor; Leisure activity; Stress; Reduced rank regression

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