ArticleJMIR public health and surveillance2023
The Effect of Activity Participation in Middle-Aged and Older People on the Trajectory of Depression in Later Life: National Cohort Study.
Article in JMIR public health and surveillance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.
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Who cites it
41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Association between digital smart device use and depression among older adults: systematic review and meta-analysis.BMC public health · 2026Pooled it
- Domain-specific physical activity and mental health: an updated systematic review and multilevel meta-analysis in a combined sample of 3.3 million people.British journal of sports medicine · 2026Pooled it
- Article
- Prevalence and Influencing Factors of Motoric Cognitive Risk Syndrome Among Older Adults in Long-Term Care Facilities.Healthcare (Basel, Switzerland) · 2026Article
- Shifting barriers to exercise in later life: increasing impact among the oldest-old.Physical activity and nutrition · 2026Article
- Longitudinal study on professional identity and future self-continuity of undergraduate nursing students.BMC psychology · 2026Article
- Healthy Lifestyle, multimorbidity network, and all-cause mortality among older Chinese: a longitudinal analysis in Chinese longitudinal healthy longevity survey.BMC public health · 2026Article
- Prevalence, influencing factors, and dementia outcome of sarcopenic obesity in China.Aging clinical and experimental research · 2026Article
- Social support and future self-continuity across clinical transition phases in master of nursing specialist students: a longitudinal cross-lagged panel study based on Schlossberg's Transition Theory.Frontiers in psychology · 2026Article
- Development and validation of a predictive model for depression risk in older patients with multiple chronic diseases in the community: cross-sectional study based on a health ecology model.Frontiers in public health · 2026Article
- Activity-function transitions and interpretable machine learning for predicting incident depressive symptoms among ACE-exposed middle-aged and older adults: a multi-cohort study.Frontiers in public health · 2026Article
- Social engagement and depressive symptoms in Korean older adults: The potential moderating role of employment status.PloS one · 2026Article
- The Impact of Falls on Depressive Symptoms in Middle-Aged and Older Chinese Adults: Mediating Effects of Pain.Psychology research and behavior management · 2026Article
- Assessment of Functional Capacity and Its Sociodemographic and Health Determinants in Older Adults from a Region of Peru.Risk management and healthcare policy · 2026Article
- Association between cognitive leisure activities and symptoms of depression in Chinese middle-aged and older adults: A CHARLS cohort study from 2011 to 2018.Global mental health (Cambridge, England) · 2026Article
- Article
- Community-Based Group Exercises and Depression Prevention Among Middle-Aged and Older Adults in China: A Longitudinal Analysis.Journal of prevention (2022) · 2025Article
- Elderly abuse and depressive symptoms among older adults: loneliness and social participation as mediators and moderators.BMC public health · 2025Article
- Latent profile analysis of depressive symptoms in older patients with chronic diseases and their relationship with social support study.BMC psychology · 2025Article
- Latent profile analysis of social participation among adults with cardiovascular disease based on the CHARLS.Scientific reports · 2025Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundMore activity participation is an important means of handling depression and promoting positive aging, but the impact of changes in activity participation on the developmental trajectory of depression has not been fully studied.
objectiveThe purpose of this study is to study the relationship between current activity participation and depression in middle-aged and older people (≥45 years old) and the relationship between activity participation and the developmental trajectory of depression in later life in China.
methodsThis study used data from the China Health and Retirement Longitudinal Study (CHARLS) across 7 years and included a total of 4818 middle-aged and older people (≥45 years old). Controlling for relevant control variables, the latent growth curve model and the cross-lag model were used to assess the effect of changes in activity participation on the depression trajectory in later life and the main lag relationship between activity participation and depression. Activity participation as well as depression were measured using the self-reported activity and health status based on the CHARLS questionnaire.
resultsAmong the 4818 respondents, the mean values of physical activity participation, social leisure activity participation, and depression ranged from 76.98 (SD 15.16) to 83.95 (SD 5.72), from 7.43 (SD 8.67) to 9.25 (SD 10.16), and from 7.61 (SD 5.72) to 8.82 (SD 6.51), respectively. Our findings revealed that activity participation could be related to depression. Physical activity participation predicted initial depression (β=-0.631, P<.001) and its trajectory (β=0.461, P<.001). However, social leisure activity participation predicted initial depression (β=-0.223, P<.001) but did not predict its trajectory (β=0.067, P=.159). Finally, cross-lag regression analysis further demonstrated the predictive effect of activity participation on depression.
conclusionsThis study demonstrates the prediction of activity participation for future depression in the Chinese middle-aged and older populations. The data showed that activity participation is significantly associated with changes in depression and future depression among middle-aged and older people in China. The Chinese government should encourage middle-aged and older people to participate in various activities, which can effectively prevent the aggravation of depression and also have a positive significance for positive aging.
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