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Relationship between self-care and frailty in Chinese middle-aged and older adults:Depression plays a mediating role
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Bing-yan CUI1, Chen CHEN1, Run-zhou MA2, Mei-jie ZHENG3, Wen-xiu LIU3, Wei LI3, Xian LI3, *
Modern Preventive Medicine | 2024, 51(18) : 3442 - 3448
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Modern Preventive Medicine | 2024, 51(18): 3442-3448
Relationship between self-care and frailty in Chinese middle-aged and older adults:Depression plays a mediating role
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Bing-yan CUI1, Chen CHEN1, Run-zhou MA2, Mei-jie ZHENG3, Wen-xiu LIU3, Wei LI3, Xian LI3, *
Affiliations
  • College of Nursing, Chengde Medical College, Chengde, Hebei 067000, China
Published: 2024-09-25 doi: 10.20043/j.cnki.MPM.202406171
Outline
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Objective

To explore the mediating effect of depression between life self-care ability and frailty.

Methods

Based on data from the China Health and Retirement Longitudinal Study (CHARLS), Pearson correlation analysis, linear regression model and Bootstrap repeated sampling method were used to analyse the relationships and mediating effects between activity of daily living, depression and frailty.

Results

A total of 1 554 middle-aged and elderly people aged 45 years or older were included. The prevalence of debility was 14.1%, with a self-care score of 5.9±0.4 and a depression score of 9.4±6.0. Activity of daily living was significantly negatively correlated with depression and frailty (r=-0.14, r=-0.23, both P<0.001), and depression and frailty were positively correlated (r=0.34, P< 0.001). Activity of daily living (β=-0.164, P<0.001) and depression (β=0.013, P< 0.001) were influences on frailty, and depression partially mediated the relationship between activity of daily living and frailty, with a mediating effect of 12.17%.

Conclusion

Depression reduces the ameliorative effect of self-care ability on debility.

Activity of daily living  /  The middle-aged and the elderly  /  Frailty  /  Mediating effect
Bing-yan CUI, Chen CHEN, Run-zhou MA, Mei-jie ZHENG, Wen-xiu LIU, Wei LI, Xian LI. Relationship between self-care and frailty in Chinese middle-aged and older adults:Depression plays a mediating role[J]. Modern Preventive Medicine, 2024 , 51 (18) : 3442 -3448 . DOI: 10.20043/j.cnki.MPM.202406171
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Year 2024 volume 51 Issue 18
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Article Info
doi: 10.20043/j.cnki.MPM.202406171
  • Receive Date：2024-06-12
  • Online Date：2026-03-20
  • Published：2024-09-25
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  • Received：2024-06-12
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    College of Nursing, Chengde Medical College, Chengde, Hebei 067000, China
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多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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