ArticleThe journal of nutrition, health & aging2025
Longitudinal association between ADL disability and depression in middle-aged and elderly: national cohort study.
Article in The journal of nutrition, health & aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Longitudinal association between sleep duration and fall risk in middle-aged and older adults: A multiple mediation pathways analysis.Sleep medicine: X · 2026Article
- Article
- Multi-trajectory patterns of ADL, cognition, and depression with fall risk: evidence from a longitudinal study in China.BMC geriatrics · 2026Article
- Accelerated multimorbidity in early adulthood and long-term functional disability in later life: a life-course epidemiological study.International journal for equity in health · 2026Article
- Physical disorders, ADLs, cognition, and depression in nursing home residents: a parallel mediation analysis.BMC geriatrics · 2026Article
- Social support as leverage? A quantitative study of social support as a mediator of the relationship between disability/activity limitations and psychological distress among young adults in Ghana.BMC public health · 2026Article
- Association of depressive symptoms with longitudinal changes in activities of daily living among middle-aged and older Chinese adults with hip fracture: an Andersen Behavioral Model perspective.Journal of health, population, and nutrition · 2026Article
- Exploring service demands of community-embedded elderly care based on the Kano model: a cross-sectional study in Hefei, China.BMC geriatrics · 2026Article
- Impact of the SARS-CoV-2 pandemic on healthy aging and functionality in older Mexican adults: insights from the MHAS cohort.Aging clinical and experimental research · 2026Article
- Development and Validation of a Disability Risk Prediction Model for Older Adults Based on Machine Learning: A Multi-Algorithm Comparison with SHAP Interpretation.Clinical interventions in aging · 2026Article
- The Ripple Effect: A Serial Mediation Analysis of Multimorbidity and Depressive Symptoms Among Women in Midlife in China.International journal of women's health · 2026Article
- Network analysis of the relationships among activities of daily living disability, cognitive impairment, and depression in Chinese older adults.BMC public health · 2025Article
- Bidirectional association between ADL disability and depressive symptoms among older adults: longitudinal evidence from CHARLS.Scientific reports · 2025Article
- The impact of ADL disability in middle-aged and older adults on the incidence of hip fractures and the mediating role of depression: a longitudinal evidence from CHARLS.Frontiers in medicine · 2025Article
- Identification of optimal cutoffs for obesity and lipid-related indices in screening activities of daily living disability in Chinese middle-aged and elderly adults.Frontiers in nutrition · 2025Article
- Effectiveness of Failure Mode and Effects Analysis in managing skin complications in ICU psychiatric patients: a real-world study.Frontiers in psychiatry · 2025Article
- Association between sleep duration and disability in activities of daily living among Chinese older adults: a nationwide observational study.Frontiers in public health · 2025Observational
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6 authors.
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Abstract
backgroundThe decline in daily living abilities (ADL) among older adults is a notable predictor of depressive symptoms and the occurrence of disease. However, the effects of changes in ADL disability on the progression of depression have not been extensively studied.
objectiveThis research aims to examine the relationship between current ADL disability and depression in individuals aged 45 and older, as well as to explore how ADL disability influences the progression of depression in later life within China.
methodsThis study analyzed 7-year data from the China Health and Retirement Longitudinal Study (CHARLS), involving 2,205 middle-aged and older adults. The ADL disability (BADL: such as eating, dressing; IADL: such as shopping, cooking) were obtained using ADL scale (scores 0-12, lower is better), and depression was measured by the Center for Epidemiologic Studies Depression Scale (scores 0-30, lower is better). The latent growth curve and cross-lagged models were analyzed after adjusting relevant control variables to study the effect of ADL disability on the progression of depression.
resultsThe mean values for depression, basic activities of daily living (BADL), and instrumental activities of daily living (IADL) varied from 9.44 to 11.08, 6.45 to 6.81, and 6.86 to 7.29, respectively. The analysis indicated a potential association between depression and ADL. Specifically, the trajectory of BADL was a significant predictor of both initial depression (β = 0.138, 95%CI = 0.039-0.237) and its trajectory (β = 0.579, 95%CI = 0.403-0.754). Although IADL did not significantly predict the trajectory of depression, it was a significant predictor of initial depression (β = 0.471, 95%CI = 0.404-0.538). Additionally, cross-lag regression analysis provided further support for the relationship between depression and BADL disability.
conclusionsThis research highlights how ADL disability can forecast future depression in Chinese middle-aged and older adults. The findings indicate a significant connection between ADL disability and both changes in and future instances of depression in this group. Therefore, it is crucial for the Chinese government to prioritize interventions that enhance physical functioning in the elderly, as such measures can effectively mitigate the worsening of depression and promote positive aging.
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