Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?

Mia Conradsson,1 Håkan Littbrand,1,2 Gustaf Boström,1 Nina Lindelöf,1 Yngve Gustafson,1 Erik Rosendahl1,2 1Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Reh...

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Autores principales:	Conradsson M, Littbr, H, Boström G, Lindelöf N, Gustafson Y, Rosendahl E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	aged residential facilities dementia frail elderly activities of daily living physical fitness mental health depression quality of life Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/44002eb9aa0840a28214431117e96246
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spelling	oai:doaj.org-article:44002eb9aa0840a28214431117e962462021-12-02T00:42:01ZIs a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?1178-1998https://doaj.org/article/44002eb9aa0840a28214431117e962462013-11-01T00:00:00Zhttps://www.dovepress.com/is-a-change-in-functional-capacity-or-dependency-in-activities-of-dail-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Mia Conradsson,1 Håkan Littbrand,1,2 Gustaf Boström,1 Nina Lindelöf,1 Yngve Gustafson,1 Erik Rosendahl1,2 1Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden Aim: Functional capacity and dependency in activities of daily living (ADL) could be important mediators for an association between physical exercise and mental health. The aim of this study was to investigate whether a change in functional capacity or dependency in ADL is associated with a change in depressive symptoms and psychological well-being among older people living in residential care facilities, and whether dementia can be a moderating factor for this association. Methods: A prospective cohort study was undertaken. Participants were 206 older people, dependent in ADL, living in residential care facilities, 115 (56%) of whom had diagnosed dementia. Multivariate linear regression, with comprehensive adjustment for potential confounders, was used to investigate associations between differences over 3 months in Berg Balance Scale (BBS) and Geriatric Depression Scale (GDS-15) scores, and in BBS and Philadelphia Geriatric Center Morale Scale (PGCMS) scores. Associations were also investigated between differences in Barthel ADL Index and GDS-15 scores, and in Barthel ADL Index and PGCMS scores. Results: There were no significant associations between changes in scores over 3 months; the unstandardized β for associations between BBS and GDS-15 was 0.026 (P=0.31), BBS and PGCMS 0.045 (P=0.14), Barthel ADL Index and GDS-15 0.123 (P=0.06), and Barthel ADL Index and PGCMS -0.013 (P=0.86). There were no interaction effects for dementia. Conclusion: A change in functional capacity or dependency in ADL does not appear to be associated with a change in depressive symptoms or psychological well-being among older people living in residential care facilities. These results may offer one possible explanation as to why studies of physical exercise to influence these aspects of mental health have not shown effects in this group of older people. Keywords: aged, residential facilities, dementia, frail elderly, activities of daily living, physical fitness, mental health, depression, quality of lifeConradsson MLittbrHBoström GLindelöf NGustafson YRosendahl EDove Medical Pressarticleagedresidential facilitiesdementiafrail elderlyactivities of daily livingphysical fitnessmental healthdepressionquality of lifeGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1561-1568 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	aged residential facilities dementia frail elderly activities of daily living physical fitness mental health depression quality of life Geriatrics RC952-954.6
spellingShingle	aged residential facilities dementia frail elderly activities of daily living physical fitness mental health depression quality of life Geriatrics RC952-954.6 Conradsson M Littbr H Boström G Lindelöf N Gustafson Y Rosendahl E Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?
description	Mia Conradsson,1 Håkan Littbrand,1,2 Gustaf Boström,1 Nina Lindelöf,1 Yngve Gustafson,1 Erik Rosendahl1,2 1Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden Aim: Functional capacity and dependency in activities of daily living (ADL) could be important mediators for an association between physical exercise and mental health. The aim of this study was to investigate whether a change in functional capacity or dependency in ADL is associated with a change in depressive symptoms and psychological well-being among older people living in residential care facilities, and whether dementia can be a moderating factor for this association. Methods: A prospective cohort study was undertaken. Participants were 206 older people, dependent in ADL, living in residential care facilities, 115 (56%) of whom had diagnosed dementia. Multivariate linear regression, with comprehensive adjustment for potential confounders, was used to investigate associations between differences over 3 months in Berg Balance Scale (BBS) and Geriatric Depression Scale (GDS-15) scores, and in BBS and Philadelphia Geriatric Center Morale Scale (PGCMS) scores. Associations were also investigated between differences in Barthel ADL Index and GDS-15 scores, and in Barthel ADL Index and PGCMS scores. Results: There were no significant associations between changes in scores over 3 months; the unstandardized β for associations between BBS and GDS-15 was 0.026 (P=0.31), BBS and PGCMS 0.045 (P=0.14), Barthel ADL Index and GDS-15 0.123 (P=0.06), and Barthel ADL Index and PGCMS -0.013 (P=0.86). There were no interaction effects for dementia. Conclusion: A change in functional capacity or dependency in ADL does not appear to be associated with a change in depressive symptoms or psychological well-being among older people living in residential care facilities. These results may offer one possible explanation as to why studies of physical exercise to influence these aspects of mental health have not shown effects in this group of older people. Keywords: aged, residential facilities, dementia, frail elderly, activities of daily living, physical fitness, mental health, depression, quality of life
format	article
author	Conradsson M Littbr H Boström G Lindelöf N Gustafson Y Rosendahl E
author_facet	Conradsson M Littbr H Boström G Lindelöf N Gustafson Y Rosendahl E
author_sort	Conradsson M
title	Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?
title_short	Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?
title_full	Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?
title_fullStr	Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?
title_full_unstemmed	Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?
title_sort	is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/44002eb9aa0840a28214431117e96246
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Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?

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