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Sensory impairments and depressive symptoms in Europe: a cross-national cohort study.
Ahrenfeldt, Linda Juel; Möller, Sören; Nielsen, Dorthe Linding; Kjær, Niels Kristian; Søndergaard, Jens; Lykkegaard, Jesper.
Afiliación
  • Ahrenfeldt LJ; Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Esbjerg-Odense, Denmark.
  • Möller S; Open Patient data Explorative Network, Odense University Hospital, Odense, Denmark.
  • Nielsen DL; The OPEN Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
  • Kjær NK; Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Esbjerg-Odense, Denmark.
  • Søndergaard J; Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Esbjerg-Odense, Denmark.
  • Lykkegaard J; Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Esbjerg-Odense, Denmark.
Aging Ment Health ; 28(12): 1591-1599, 2024 Dec.
Article en En | MEDLINE | ID: mdl-38695383
ABSTRACT

OBJECTIVES:

To investigate the associations between sensory impairments and the development of depressive symptoms across sex, age, and European regions, and to examine the mediating role of cognitive function, activities of daily living (ADL), and physical activity.

METHOD:

A cohort study including 56,847 Europeans aged 50+ participating in at least two waves of the Survey of Health, Ageing and Retirement in Europe (SHARE). Associations were analyzed using mixed effects logistic regression models considering several confounders.

RESULTS:

Overall, 17.8% developed depressive symptoms. Compared to participants with good vision and hearing, those with vision impairment (VI) (odds ratio (OR) = 1.35, 95% confidence interval (CI) 1.27-1.44), hearing impairment (HI) OR = 1.32, 95% CI 1.21-1.43, and dual sensory impairment (DSI, i.e. VI and HI) (OR = 1.93, 95% CI 1.75-2.13) had increased odds of depressive symptoms. The associations were consistent across sex and European regions but became stronger with advancing age among men. Dose-response relationships were found for all associations. Mediation analyses revealed that preventing cognitive decline, ADL limitations, and physical inactivity would eliminate 15.0%, 11.5%, and 21.4% of the total effect for VI, HI, and DSI, respectively.

CONCLUSION:

Our findings emphasize the importance of preventing sensory impairments to avoid depressive symptoms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Visión / Actividades Cotidianas / Depresión Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Aging Ment Health Asunto de la revista: GERIATRIA / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Visión / Actividades Cotidianas / Depresión Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Aging Ment Health Asunto de la revista: GERIATRIA / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Reino Unido