Do daily-living limits track depression in older Chinese adults?
Among 9,789 CHARLS adults ≥60, ~43.5% had high-risk CES-D scores; BADL and IADL limitations roughly tripled adjusted depression odds.
Source
Association between activities of daily living and depressive symptoms among older adults in China: evidence from the CHARLS
Study at a glance
- Design
- Cross-sectional — CHARLS wave 4; BADL/IADL limitations vs CES-D-10 depressive symptoms
- N
- N=9789 · Chinese adults aged ≥60 years
- Population
- Community-dwelling older adults in CHARLS
- Outcome
- High-risk depressive symptoms (CES-D-10 ≥10) associated with BADL/IADL limits
Structured fields used in claim comparison tables when every cited study has a complete layer.
Inspect source passages
Do daily-living limits track depression in older Chinese adults?
These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.
9,789 older adults screened from CHARLS wave 4.
Data from the China Health and Retirement Longitudinal Study (CHARLS, wave 4) were used, and 9,789 older adults aged 60 years and above were screened.
43.5% high-risk depression; BADL 19.02%; IADL 25.29%.
The prevalence of high-risk depression among older adults was 43.5%, and the rates of limitation in BADL and IADL were 19.02 and 25.29%, respectively.
What they did
Used CHARLS wave 4 to relate 12-item ADL (BADL/IADL) limitations to CES-D-10 depressive symptoms with generalized linear mixed-effect models.
What they found
High-risk depression prevalence 43.5%; BADL limitation 19.02%; IADL limitation 25.29%. Limited BADL (OR-adjusted 2.71) and IADL (2.68) associated with higher depression risk vs no limitation.
The limits
What it doesn't show
Cross-sectional CHARLS data cannot establish whether disability causes depression or the reverse; residual confounding remains.
Key terms
- BADL
- Basic activities of daily living (self-care tasks).
- IADL
- Instrumental activities needed for independent living.
- CES-D-10
- 10-item depression screen used in CHARLS.
- CHARLS
- China Health and Retirement Longitudinal Study.
- Functional limitation
- Difficulty performing ADL tasks.
- High-risk depression
- CES-D-10 score ≥10 in this analysis.
Flashcards
0 of 8 answers reviewed
Research intelligence for this paper
See its role on concept claims, tensions it is part of, placement history, and related discoveries.
Quiz yourself
CHARLS analytic N (≥60)?
Common questions
Sample?
9,789 adults aged ≥60.
Depression prevalence?
43.5% high-risk by CES-D-10.
BADL limitation rate?
19.02%.
Adjusted ORs?
BADL 2.71; IADL 2.68.
More on Depression treatment