Correlation between depressive symptoms and cognitive function in middle-aged and elderly population in China: an analysis of CHARLS baseline data
ObjectiveTo examine the association between depressive symptoms and cognitive function and the influences of gender, region of life, and residential area on the association in middle-aged and elderly people in China. MethodsData on 17 705, 2 834, and 574 individuals aged ≥ 45 years were extracted fr...
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Editorial Office of Chinese Journal of Public Health
2024-10-01
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| Series: | Zhongguo gonggong weisheng |
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| Online Access: | https://www.zgggws.com/article/doi/10.11847/zgggws1142613 |
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| author | Yuchao SUN Jing FENG Zihui LEI Ge QU Xinyan LI Yong GAN |
| author_facet | Yuchao SUN Jing FENG Zihui LEI Ge QU Xinyan LI Yong GAN |
| author_sort | Yuchao SUN |
| collection | DOAJ |
| description | ObjectiveTo examine the association between depressive symptoms and cognitive function and the influences of gender, region of life, and residential area on the association in middle-aged and elderly people in China. MethodsData on 17 705, 2 834, and 574 individuals aged ≥ 45 years were extracted from the 2011, 2013, and 2015 China Health and Retirement Longitudinal Study (CHARLS) enrollment surveys, which used the 10-item Center for the Epidemiological Studies of Depression Short Form (CES-D-10) to identify participants′ depression symptoms. Multiple linear stepwise regression was used to analyze the factors influencing cognitive function and to compare the differences in the influence of depressive symptoms on cognitive function across gender, regions of life, and residential areas. ResultsThe final analysis included 14 979 participants with a mean age of 58.05 ± 9.35 years and 51.18% (7 661) males. For all participants, the mean cognitive function score was 12.09 ± 3.54, and 33.3% (4 985) were classified as having depressive symptoms. The results of multiple linear stepwise regression showed that being female (B = – 0.31), being older (B60 – 69 years = – 0.19; B70 – 79 years = – 1.18; B80 – 89 years = – 2.12; B ≥ 90 years = – 3.66), living in central and western regions (Bcentral = – 0.36; Bwestern = – 0.57), smoking (B = – 0.15), and having depressive symptoms (Bmild to moderate = – 0.90; Bsevere = – 1.51) were risk factors for cognitive decline; further stratified analysis revealed that depressive symptoms had a significant negative impact on cognitive function in middle-aged and older adults across gender, residential area, and region of life, with higher levels of depression associated with poorer cognitive function. ConclusionThe prevalence of depressive symptoms is high and cognitive function is poor among middle-aged and elderly people in China. Depressive symptoms have a negative predictive effect on cognitive function, and the effect of depressive symptoms on cognitive function shows no significant differences among genders, living regions, and residential areas. |
| format | Article |
| id | doaj-art-54203760b38e453bb0f0f76da28433c1 |
| institution | Kabale University |
| issn | 1001-0580 |
| language | zho |
| publishDate | 2024-10-01 |
| publisher | Editorial Office of Chinese Journal of Public Health |
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| series | Zhongguo gonggong weisheng |
| spelling | doaj-art-54203760b38e453bb0f0f76da28433c12025-01-23T05:11:54ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802024-10-0140101206121110.11847/zgggws11426131142613Correlation between depressive symptoms and cognitive function in middle-aged and elderly population in China: an analysis of CHARLS baseline dataYuchao SUN0Jing FENG1Zihui LEI2Ge QU3Xinyan LI4Yong GAN5School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaObjectiveTo examine the association between depressive symptoms and cognitive function and the influences of gender, region of life, and residential area on the association in middle-aged and elderly people in China. MethodsData on 17 705, 2 834, and 574 individuals aged ≥ 45 years were extracted from the 2011, 2013, and 2015 China Health and Retirement Longitudinal Study (CHARLS) enrollment surveys, which used the 10-item Center for the Epidemiological Studies of Depression Short Form (CES-D-10) to identify participants′ depression symptoms. Multiple linear stepwise regression was used to analyze the factors influencing cognitive function and to compare the differences in the influence of depressive symptoms on cognitive function across gender, regions of life, and residential areas. ResultsThe final analysis included 14 979 participants with a mean age of 58.05 ± 9.35 years and 51.18% (7 661) males. For all participants, the mean cognitive function score was 12.09 ± 3.54, and 33.3% (4 985) were classified as having depressive symptoms. The results of multiple linear stepwise regression showed that being female (B = – 0.31), being older (B60 – 69 years = – 0.19; B70 – 79 years = – 1.18; B80 – 89 years = – 2.12; B ≥ 90 years = – 3.66), living in central and western regions (Bcentral = – 0.36; Bwestern = – 0.57), smoking (B = – 0.15), and having depressive symptoms (Bmild to moderate = – 0.90; Bsevere = – 1.51) were risk factors for cognitive decline; further stratified analysis revealed that depressive symptoms had a significant negative impact on cognitive function in middle-aged and older adults across gender, residential area, and region of life, with higher levels of depression associated with poorer cognitive function. ConclusionThe prevalence of depressive symptoms is high and cognitive function is poor among middle-aged and elderly people in China. Depressive symptoms have a negative predictive effect on cognitive function, and the effect of depressive symptoms on cognitive function shows no significant differences among genders, living regions, and residential areas.https://www.zgggws.com/article/doi/10.11847/zgggws1142613cognitive functiondepressive symptomsmiddle-aged and elderly peopleinfluencing factor |
| spellingShingle | Yuchao SUN Jing FENG Zihui LEI Ge QU Xinyan LI Yong GAN Correlation between depressive symptoms and cognitive function in middle-aged and elderly population in China: an analysis of CHARLS baseline data Zhongguo gonggong weisheng cognitive function depressive symptoms middle-aged and elderly people influencing factor |
| title | Correlation between depressive symptoms and cognitive function in middle-aged and elderly population in China: an analysis of CHARLS baseline data |
| title_full | Correlation between depressive symptoms and cognitive function in middle-aged and elderly population in China: an analysis of CHARLS baseline data |
| title_fullStr | Correlation between depressive symptoms and cognitive function in middle-aged and elderly population in China: an analysis of CHARLS baseline data |
| title_full_unstemmed | Correlation between depressive symptoms and cognitive function in middle-aged and elderly population in China: an analysis of CHARLS baseline data |
| title_short | Correlation between depressive symptoms and cognitive function in middle-aged and elderly population in China: an analysis of CHARLS baseline data |
| title_sort | correlation between depressive symptoms and cognitive function in middle aged and elderly population in china an analysis of charls baseline data |
| topic | cognitive function depressive symptoms middle-aged and elderly people influencing factor |
| url | https://www.zgggws.com/article/doi/10.11847/zgggws1142613 |
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