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January 16, 2023International Journal of Environmental Research and Public HealthOpen Access

Comorbid depression in middle-aged and elderly Chinese adults with vascular disease or diabetes was significantly associated with lower functional status (ADL/IADL adjusted ORs 3.60-7.72, p<0.001).

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Why the study?

Chronic diseases and depression both increase the risk of functional impairment, but previous research evidence has been controversial.

Is comorbid depression associated with functional impairment in middle-aged and elderly Chinese adults with vascular disease or diabetes mellitus?

Population

Middle-aged and elderly Chinese people with vascular disease or diabetes mellitus

Comparison

Comorbid depression vs no depression across vascular disease and diabetes mellitus

Design

Cross-sectional study

Key result

Comorbid depression in middle-aged and elderly Chinese adults with vascular disease or diabetes was significantly associated with lower functional status (ADL/IADL adjusted ORs 3.60-7.72, p<0.001).

Authors

YZYuxiao ZhaoYZYueying ZhangKTKayla M. Teopiz

Discussion

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Member takes

Overview

Depression may flag functional impairment risk among vascular disease or diabetes patients; leaves open causality and intervention effects in cross-sectional data.

Study Design

Type

Cross-Sectional

Structured PICO

Is comorbid depression associated with functional impairment in middle-aged and elderly Chinese adults with vascular disease or diabetes mellitus?

P
Population
Middle-aged and elderly Chinese adults with vascular disease or diabetes mellitus, assessed for depression and functional impairment using 2018 CHARLS data.
E
Exposure
Presence of comorbid depression
C
Comparator
Absence of comorbid depression
O
Outcome
Functional impairment (measured by Activity of Daily Living/Instrumental Activity of Daily Living)patient reported

Main Result

Effect estimate: OR 3.60-7.72

p-value: p=<0.001

Comorbid depression significantly increases the odds of functional impairment in middle-aged and elderly adults with vascular disease or diabetes, highlighting the need for concurrent depression management.

Cite This Study

Zhao et al. (2023) conducted a cross-sectional in Vascular disease and diabetes mellitus. Comorbid depression was evaluated on Lower functional status (Activity of Daily Living/Instrumental Activity of Daily Living) (OR 3.60-7.72, p=<0.001). Comorbid depression in middle-aged and elderly Chinese adults with vascular disease or diabetes was significantly associated with lower functional status (ADL/IADL adjusted ORs 3.60-7.72, p<0.001).

synapsesocial.com/papers/6a7a1d3714b028facf0e2b48https://doi.org/10.3390/ijerph20021602
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Depression severity and chronic disease risk: interactive effects on cognitive function and life satisfaction in Chinese middle-aged and older adults2025 · 6 citations
  2. 2DEPRESSIVE SYMPTOMS AND MULTIPLE CHRONIC CONDITIONS:FINDINGS FROM THE CHINA HEALTH AND RETIREMENT LONGITUDINAL STUDY ON AGING AMONG MIDDLE-AGED AND OLDER ADULTS2024 · 1 citations
  3. 3Association of depression, physical functioning and incident cardiovascular disease: a national cohort study2025
  4. 4Joint Association of Functional Impairment and Depression with Advanced Cardiovascular–Kidney–Metabolic Syndrome: A Cross-Sectional and Cohort Study Using Two Large Datasets2026
  5. 5Socio-demographic characteristics and co-occurrence of depressive symptoms with chronic diseases among older adults in China: the China longitudinal ageing social survey2019 · 53 citations