Risk and Protective Factors for Depressive Symptoms in Older Adults with frailty. The FRAGSALUD project.

  1. Juan Corral-Pérez 12
  2. Carlos Morillas-Cantos 12
  3. Arturo Lamela-Ortiz 12
  4. Alberto Morillas Cantos 12
  5. María Rebollo-Ramos 12
  6. Laura Ávila-Cabeza-de-Vaca 12
  7. Andrea González Mariscal 12
  8. María Ángeles Vázquez-Sánchez 3
  1. 1 ExPhy Research Group, Department of Physical Education and INiBICA, University of Cadiz, Spain
  2. 2 Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Universidad de Cádiz, Cádiz, Spain
  3. 3 PASOS Research Group, Department of Nursing, Faculty of Health Sciences, University of Malaga, Spain
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Konferenzberichte:
Exercise, biomechanics and Nutrition

Verlag: Instituto Politécnico de Setúbal – Escola Superior de Educação

ISBN: 978-989-35059-3-9

Datum der Publikation: 2023

Art: Konferenz-Beitrag

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Zusammenfassung

Introduction: Depression and frailty are prevalent in older adults, and their coexistence can lead to negative health outcomes. Understanding the potential outcomes associated with depression in frail participants is critical. Therefore, this study aimed to examine the associations between physical frailty, physical activity, nutritional status, and depressivesymptoms in frail older adults. Methods: A total of 235 Spanish older adults (157 women, 74.4±7.77 years) with at least one condition of Fried's frailty phenotype. Physical frailty was assessed using the Short Physical Performance Battery, and physical activity using a wrist-worn accelerometer. Nutritional status was evaluated using body mass, body mass index, waist, arm, and leg circumferences, and the Mini-Nutritional Assessment (MNA). Depressive symptoms were assessed using the 15-item Geriatric Depression Scale, with scores higher than 4 indicating depressive symptoms. Logistic regression models were used to explore the relationship between depressive status and frailty status, physical frailty, physical activity, and nutritional status, in both unadjusted and adjusted models by sex. Odds ratios (OR) and p-values were reported. Results: Walking speed (OR=1.150, p=0.045) was identified as a significant risk factor for depressive symptoms. Conversely, moderate physical activity (OR=0.988, p<0.029), arm (OR=0.934, p<0.047), and leg (OR=0.903, p<0.003) circumferences, and MNA score (OR=0.616, p<0.001) were identified as protective factors for depressive symptoms in bothunadjusted and adjusted models. Conclusions: This study highlights that a slower walking speedis a significant risk factor for depressive symptoms, while higher levels of moderate physicalactivity, and better nutritional status serve as protective factors. The results emphasize theimportance of promoting moderate physical activity and optimizing nutritional status to preventor alleviate depressive symptoms in frail older adults. Project funded by10.13039/501100011011, reference UMA20-FEDERJA-154.