The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older People

Current Gerontology and Geriatrics Research

article

Tallutondok, Eva Berthy¹  Hsieh, Chia-Jung¹  Li, Pei-Shan¹ 

[1] School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences;Faculty of Nursing, Universitas Pelita Harapan;Department of Nursing, Taipei Veterans General Hospital

DOI  :  10.1155/2022/7979006

学科分类：药学、药理学、毒理学（综合）

来源: Hindawi Publishing Corporation

【 摘 要 】

Background. Frailty refers to a decline in an elderly person’s physical, psychological, and social functioning, making them sensitive to stressors. Because frailty is caused by a variety of factors, including certain demographic characteristics, understanding the mediating factors that afect frailty in the elderly is critical. Purpose. To provide evidence about the relationship between depression, well-being, social activity, physical performance, and frailty among older adults. Materials and Methods. Te study used secondary data from Taiwan’s Long-term Study of Aging (n � 7,622), excluding people with severe dementia. Te chi-square test and Spearmen’s coefcient correlation were used to assess the relationship between the demographic variables and frailty. Nonparametric bootstrapping analysis was used to test whether depression, well-being, and social activity are parallel mediators of the relationship between physical performance and frailty. Tis study was approved by Fu Jen Catholic University (FJU-IRB No. C110040). Results. Te overall frailty prevalence was 13.9%. We calculated a mean score and standard deviation for each measurement in this study. Te correlation found low-to-moderate positive and negative statistically signifcant correlations between the variables. A signifcant, moderately negative relationship was found between physical performance and frailty that correlated with three potential mediating factors. Te path indicated that lower physical performance scores and higher depression scores are more likely to be associated with frailty. Conclusion. Older adults who are depressed are more likely to become frail. Adults who are more socially active and report greater well-being are less likely to become frail. Terefore, further research should design and test a comprehensive intervention for older adults in community settings that addresses all three factors, aimed at increasing well-being and social activity while also treating depression.

【 授权许可】

CC BY