The mediating and moderating effect of health-promoting lifestyle on frailty and depressive symptoms for Chinese community-dwelling older adults: A cross-sectional study

被引：4
作者：
Wang, Liqun [1 ,2 ]
Wang, Yali [1 ]
Luo, Yiling [3 ]
Li, Yan [4 ]
Li, Jiangping [1 ,2 ]
机构：
[1] Ningxia Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Yinchuan 750004, Peoples R China
[2] Ningxia Med Univ, Key Lab Environm Factors & Chron Dis Control, Yinchuan 750004, Peoples R China
[3] Peoples Hosp Ningxia Hui Autonomous Reg, Dept Hlth Management Ctr, Yinchuan 750021, Peoples R China
[4] Ctr Dis Control & Prevent Yinchuan City, Yinchuan 750011, Peoples R China
来源：
JOURNAL OF AFFECTIVE DISORDERS | 2024年 / 361卷
基金：
中国国家自然科学基金;
关键词：
Depressive symptoms; Health -promoting lifestyle; Frailty; Mediating effect; Moderating effect; SCALE; ASSOCIATION;
D O I：
10.1016/j.jad.2024.06.011
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Background: This study aims to explore the mediating and moderating effect of health-promoting lifestyles on the relationship between frailty and depressive symptoms to provide a practical reference for effectively promoting the mental health of older adults. Methods: A cross-sectional survey of community-dwelling older adults (n = 3107) was conducted in three cities of Ningxia Province, China. Depressive symptoms, frailty, and health-promoting lifestyles were assessed through the 30-item Geriatric Depression Scale, frailty scale, and health-promoting Lifestyle profile-II, respectively. The Bootstrap methods PROCESS program is employed to test the mediation and moderation model. Results: The findings indicated that health-promoting lifestyles are negatively related to depressive symptoms and frailty, while frailty is positively associated with depressive symptoms. Health-promoting lifestyles have mediated the relationship between frailty and depressive symptoms. Besides, the health-promoting lifestyles weakened the positive relationship between frailty and depression symptoms; there existed a moderating effect of health-promoting lifestyles on the relationship between frailty and depression symptoms among older adults. Limitations: Given the cross-sectional study, it is impossible to make causal inferences. Conclusions: A health-promoting lifestyle might be a protective factor for older adults' health in China. The mediating and moderating effect of a health-promoting lifestyle on the relationship between frailty and depression symptoms among older adults should be integrated to achieve maximum utility. Healthcare practitioners and medical service personnel are recommended to advance health education and publicity, encouraging healthy lifestyles among community-dwelling older adults with frailty to prevent depressive symptoms and promote healthy aging.
引用
收藏
页码：91 / 96
页数：6
相关论文
共 40 条
[1]   Health Promoting Lifestyle Behaviors and Sleep Quality Among Saudi Postmenopausal Women [J].
Abdelaziz, Enas Mahrous ;
Elsharkawy, Nadia Bassuoni ;
Mohamed, Sayeda Mohamed .
FRONTIERS IN PUBLIC HEALTH, 2022, 10
[2]  
[曹文君 Cao Wenjun], 2016, [中华疾病控制杂志, Chinese Journal of Disease Control & Prevention], V20, P286
[3]   Frailty and incident depressive symptoms in a Chinese sample: the Rugao Longevity and Ageing Study [J].
Chu, Xue-Feng ;
Zhang, Na ;
Shi, Guo-Ping ;
Wang, Yong ;
Wang, Zheng-Dong ;
Guo, Jiang-Hong ;
Jiang, Xiao-Yan ;
Jin, Li ;
Wang, Xiao-Feng ;
Zhu, Yin-Sheng .
PSYCHOGERIATRICS, 2020, 20 (05) :691-698
[4]   Frailty in elderly people [J].
Clegg, Andrew ;
Young, John ;
Iliffe, Steve ;
Rikkert, Marcel Olde ;
Rockwood, Kenneth .
LANCET, 2013, 381 (9868) :752-762
[5]   Moderation in Management Research: What, Why, When, and How [J].
Dawson, Jeremy F. .
JOURNAL OF BUSINESS AND PSYCHOLOGY, 2014, 29 (01) :1-19
[6]   Healthy aging, early screening, and interventions for frailty in the elderly [J].
Deng, Yi ;
Zhang, Keming ;
Zhu, Jiali ;
Hu, Xiaofeng ;
Liao, Rui .
BIOSCIENCE TRENDS, 2023, 17 (04) :252-261
[7]   Physical Frailty: ICFSR International Clinical Practice Guidelines for Identification and Management [J].
Dent, E. ;
Morley, J. E. ;
Cruz-Jentoft, A. J. ;
Woodhouse, L. ;
Rodriguez-Manas, L. ;
Fried, L. P. ;
Woo, J. ;
Aprahamian, I ;
Sanford, A. ;
Lundy, J. ;
Landi, F. ;
Beilby, J. ;
Martin, F. C. ;
Bauer, J. M. ;
Ferrucci, L. ;
Merchant, R. A. ;
Dong, B. ;
Arai, H. ;
Hoogendijk, E. O. ;
Won, C. W. ;
Abbatecola, A. ;
Cederholm, T. ;
Strandberg, T. ;
Gutierrez Robledo, L. M. ;
Flicker, L. ;
Bhasin, S. ;
Aubertin-Leheudre, M. ;
Bischoff-Ferrari, H. A. ;
Guralnik, J. M. ;
Muscedere, J. ;
Pahor, M. ;
Ruiz, J. ;
Negm, A. M. ;
Reginster, J. Y. ;
Waters, D. L. ;
Vellas, B. .
JOURNAL OF NUTRITION HEALTH & AGING, 2019, 23 (09) :771-787
[8]   Late-life depression and frailty-Epidemiological, clinical and neurobiological associations [J].
Depping, M. S. ;
Koehler-Ipek, L. ;
Ullrich, P. ;
Hauer, K. ;
Wolf, R. C. .
NERVENARZT, 2023, 94 (03) :234-239
[9]   Frailty Syndrome in Association with Depressive Symptoms and Functional Disability among Hospitalized Elderly [J].
dos Santos Tavares, Darlene Mara ;
Faria, Pedro Martins ;
Pegorari, Maycon Sousa ;
dos Santos Ferreira, Pollyana Cristina ;
Nascimento, Janaina Santos ;
Marchiori, Gianna Fiori .
ISSUES IN MENTAL HEALTH NURSING, 2018, 39 (05) :433-438
[10]  
Fan JN, 2020, LANCET PUBLIC HEALTH, V5, pE650, DOI 10.1016/S2468-2667(20)30113-4
1234