Five-year changes of social activity and incident long-term care needs among depressed older adults: A 15-year follow up

Shan，Yifan1,2,3; Zhao，Wenjing3,4; Hao，Wen3; Kimura，Takashi3; Ukawa，Shigekazu5; Ohira，Hideki6; Kawamura，Takashi7; Wakai，Kenji8; Ando，Masahiko9; Tamakoshi，Akiko3; Wang，Chengzeng1,2

2024

10.1016/j.archger.2023.105163

Archives of Gerontology and Geriatrics   Impact Factor & Quartile

0167-4943

1872-6976

Objectives: To examine the effects of changes in individual/multiple social activities between 65 and 70 years of age on incident long-term care (LTC) needs between 70 and 80 in older adults with depressive symptoms. Methods: Participants were recruited from the New Integrated Suburban Seniority Investigation Project, an ongoing prospective cohort study. A total of 525 older adults with depressive symptoms were included. The validated 15-item Geriatric Depression Scale was used to assess depressive symptoms. A self-report questionnaire was used to measure social activities (social-related, learning, and personal). LTC needs was defined according to Japan's Long-term Care Insurance System. A competing risk model and a Laplace regression model were used to estimate the hazard ratios of LTC needs incidence and the 25th percentile difference in LTC-needs-free survival time and their 95% confidence intervals. Results: Out of 4314 person-years of mild LTC needs, 108 individuals developed it. Participants who increased their frequency of learning activities have a lower risk of developing mild LTC needs. Increasing the frequency could also prolong LTC-needs-free survival time by approximately 2.61 years. Out of 4535 person-years for severe LTC needs, 54 individuals developed it. Participants with a continuous regular frequency of learning activities had a lower risk of developing severe LTC needs. However, the association between this frequency and LTC-needs-free survival time for severe LTC needs was insignificant in the multivariable models. Conclusions: Increased frequency of learning activities reduced the risk of LTC needs among older adults with depressive symptoms and prolonged their LTC-needs-free survival time.

Depressive symptoms Learning activities Long-term care needs Personal activities Social-related activities

SCI

English

Others

Ministry of Education, Culture, Sports, Science and Technology of Japan["JP15390197","JP25893003","JP26520105","JP26460760","JP20K02392"]

Geriatrics & Gerontology

Geriatrics & Gerontology

WOS:001070794900001

ELSEVIER IRELAND LTD

CLINICAL MEDICINE

2-s2.0-85169307863

Scopus

1.The First Affiliated Hospital of Zhengzhou University,Zhengzhou,China
2.Institute for Hospital Management of Henan Province,Zhengzhou,China
3.Department of Public Health,Faculty of Medicine and Graduate School of Medicine,Hokkaido University,Sapporo,Kita 15 Jo Nishi 7 Chome, Kita-ku, Hokkaido,060-8638,Japan
4.School of Public Health and Emergency Management,Southern University of Science and Technology,Guangdong,China
5.Research Unit of Advanced Interdisciplinary Care Science,Osaka Metropolitan University Graduate School of Human Life and Ecology,Osaka,Japan
6.Department of Psychology,Graduate School of Informatics,Nagoya University,Nagoya,Japan
7.Kyoto University School of Public Health,Kyoto,Japan
8.Department of Preventive Medicine,Graduate School of Medicine,Nagoya University,Japan
9.Center for Advanced Medicine and Clinical Research,Nagoya University Hospital,Nagoya,Japan

Shan，Yifan,Zhao，Wenjing,Hao，Wen,et al. Five-year changes of social activity and incident long-term care needs among depressed older adults: A 15-year follow up[J]. Archives of Gerontology and Geriatrics,2024,116.

Shan，Yifan.,Zhao，Wenjing.,Hao，Wen.,Kimura，Takashi.,Ukawa，Shigekazu.,...&Wang，Chengzeng.(2024).Five-year changes of social activity and incident long-term care needs among depressed older adults: A 15-year follow up.Archives of Gerontology and Geriatrics,116.

Shan，Yifan,et al."Five-year changes of social activity and incident long-term care needs among depressed older adults: A 15-year follow up".Archives of Gerontology and Geriatrics 116(2024).