TY - JOUR PY - 2024// TI - Associations of depressive symptoms with lower extremity function and balance in older adults JO - Epidemiology and health A1 - Kim, Bong Jo A1 - Ha, Kyupin A1 - Kim, Hyun Soo A1 - Bae, Hye Ran A1 - Son, Minkook SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVES: The relationship of depressive symptoms to lower extremity function and balance, especially in older adults without a depression diagnosis, remains unclear. Therefore, our study analyzed this relationship using a large sample of Korean older adults.

METHODS: We used data from the Korean National Health Insurance Service's Health Screening Program database. Individuals aged 66 years who had undergone the National Screening Program for Transitional Ages in Korea and were without a diagnosis of depressive disorder were included. The lower extremity function and balance were evaluated using 2 physical tests, while depressive symptoms were assessed using a 3-question survey. Multivariable-adjusted logistic regression analysis was used to examine the association between depressive symptoms and lower extremity function and balance.

RESULTS: Among 66,041 individuals, those with depressive symptoms showed significantly higher rates of abnormal lower extremity function and abnormal balance. The adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the association of depressive symptoms to abnormal lower extremity function and abnormal balance were (OR=1.34; 95% CI, 1.25-1.44) and (OR=1.38; 95% CI, 1.29-1.48), respectively. Assessment of the relationship based on depressive symptom scores revealed that higher scores were associated with higher ORs (p for trend <0.001). Subgroup analyses further confirmed this relationship, especially among patients with cerebrovascular disease or dementia.

CONCLUSION: This study revealed an association between depressive symptoms and the abnormal lower extremity function and balance of 66-year-old individuals without a diagnosis of depressive disorder.

Language: en

LA - en SN - 2092-7193 UR - http://dx.doi.org/10.4178/epih.e2024021 ID - ref1 ER -