- مبلغ: ۸۶,۰۰۰ تومان
- مبلغ: ۹۱,۰۰۰ تومان
و برای خرید ترجمه کامل مقاله با فرمت ورد از دکمه های زیر استفاده نمایید.
Objectives : We examined the association between social frailty and depressive symptoms among community-dwelling older adults during the coronavirus disease 2019 pandemic. Additionally, we investigated whether home exercise habits moderated the impact of social frailty on depressive symptoms.
Methods: This cross-sectional study included 1,103 community-dwelling older adults (54.0% female, mean age [standard deviation] = 81.1 [5.0] years) from a semi-urban area of Japan who completed a mailed questionnaire survey in October 2020. Social frailty status was categorized as non-social frailty, pre-social frailty, and social frailty, which was assessed by financial difficulties, living alone, lack of social activity, and contact with neighbors. Depressive symptoms were defined as a Kessler 6 score ≥5. We performed a multivariable logistic regression analysis to examine the association between social frailty and depressive symptoms, and also conducted stratified analysis of home exercise habits during the pandemic.
Results: A total of 309 (28.0%) participants had depressive symptoms. Compared with non-social frailty, social frailty was associated with depressive symptoms (odds ratio [OR] = 1.80, 95% confidence interval [95%CI] = 1.16–2.79, p = 0.009). A similar relationship was observed in those who did not exercise at home (OR = 2.10, 95%CI = 1.14–3.84, p =0.017). However, no such relationship was observed in those who did exercise at home (OR = 1.50, 95%CI = 0.79–2.85, p =0.213).
Conclusions: Social frailty was associated with a risk of depressive symptoms during the pandemic. In addition, our findings suggested that home exercise may buffer the association between social frailty and depressive symptoms.
In conclusion, the present results indicate that social frailty was associated with depressive symptoms during the COVID-19 pandemic. However, even in participants with social frailty, this relationship was mitigated in those who exercised at home. Our findings indicated that depressive symptoms in socially frail older adults need to be addressed and that exercise at home may help these individuals to maintain their mental health.
5. نتیجه گیری ها
به عنوان جمع بندی، نتایج کنونی دلالت بر آن دارند که آسیب پذیری اجتماعی با علائم افسردگی در طول همه گیری کووید 19 مرتبط بود. با وجود این، حتی در شرکت کنندگانی با آسیب پذیری اجتماعی، این رابطه در آنانی که در خانه ورزش می کردند تعدیل یافت. یافته های ما دلالت بر آن داشت که علائم افسردگی در افراد کهنسال تر و از نظر اجتماعی آسیب پذیر نیاز به بررسی دارد و این که ورزش در خانه ممکن است به این دسته از افراد کمک کند که سلامت روان خود را حفظ کنند.