Profiles of centenarians' functioning: linking functional and cognitive capacity with depressive symptoms.

Details

Serval ID
serval:BIB_F90B19B701F7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Profiles of centenarians' functioning: linking functional and cognitive capacity with depressive symptoms.
Journal
BMC geriatrics
Author(s)
Uittenhove K., Lampraki C., da Rocha C.G., Rott C., von Gunten A., Jopp D.S.
ISSN
1471-2318 (Electronic)
ISSN-L
1471-2318
Publication state
Published
Issued date
23/05/2024
Peer-reviewed
Oui
Volume
24
Number
1
Pages
451
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Despite most centenarians facing age-related declines in functional and cognitive capacities, the severity of these declines varies among individuals, as does the maintenance of good mental health (e.g., depressive symptoms) despite these declines. This study aims to examine this heterogeneity in centenarians from the Second Heidelberg Centenarian Study, which collected data from 112 centenarians living in Germany. In our study, we focus on a subsample of 73 centenarians who provided self-reports for our measures of interest (M age = 100.4, SD age = 0.55).
We examined correlations between functional capacity (i.e., PADL, IADL), cognitive capacity (i.e., MMSE), and depressive symptoms (i.e., GDS), and the existence of different profiles using hierarchical clustering.
Higher functional capacity was related to higher cognitive capacity and to fewer depressive symptoms. Yet, higher cognitive capacity was associated with more depressive symptoms. Hierarchical clustering analysis elucidated this contradiction by identifying three profiles: low-capacity individuals (i.e., 24 individuals had low functional and cognitive capacities, with low depressive symptoms), high-capacity individuals (i.e., 33 individuals with high functional and cognitive capacities, with low depressive symptoms), and low-functional-high-cognitive-capacity individuals (i.e., 16 individuals showed low functional but high cognitive capacity, with high depressive symptoms). Our post-hoc analyses highlighted arthritis and pain as risk factors for functional dependence and depression.
Our findings emphasize the importance of identifying centenarian subgroups with specific resource- and risk profiles to better address their needs, and of treating pain to improve functional capacity and mental health in centenarians.
Keywords
Humans, Male, Female, Aged, 80 and over, Depression/psychology, Depression/epidemiology, Depression/diagnosis, Germany/epidemiology, Cognition/physiology, Activities of Daily Living/psychology, Geriatric Assessment/methods, Functional Status, Centenarians, Cognitive capacity, Depressive symptoms, Functional capacity, Gerontology
Pubmed
Web of science
Open Access
Yes
Create date
27/05/2024 13:55
Last modification date
26/07/2024 6:02
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