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Table 1 Characteristics of the study subjects at baseline and at the 1-year follow-up and the percentages of declines in higher-level activities of daily living during the 12-month study period by baseline characteristics

From: Early impact of depression symptoms on the decline in activities of daily living among older Japanese: Y-HALE cohort study

Variable (no. of missing datasets)

Baseline characteristics

Higher ADL decline at the follow-up, n (%)

Total

Depressive symptoms, n (%)

n (%)

Severe

Not severe

Total score

Social role

Intellectual activities

Instrumental self-maintenance

Depressive symptoms (0)

  Not severe

475 (90)

71 (15)

42 (9)

37 (8)

57 (12)

  Severe

55 (10)

18 (33)

18 (33)

8 (15)

11 (20)

    p value

   

0.001

<0.0001

0.09

0.09

Agea (0)

  65–74

233 (44)

27 (11)

230 (89)

33 (14)

23 (10)

16 (7)

27 (12)

  75+

297 (56)

37 (11)

293 (89)

56 (19)

37 (13)

29 (10)

41 (14)

    p value

 

0.79

0.15

0.35

0.23

0.45

Gender (0)

  Male

277 (52)

27 (9)

276 (91)

48 (17)

39 (14)

19 (7)

37 (13)

  Female

253 (48)

37 (13)

247 (87)

41 (16)

21 (8)

26 (10)

31 (12)

    p Value

 

0.11

0.72

0.03

0.16

0.70

Education (62)

  <High school

199 (43)

21 (9)

202 (91)

37 (19)

22 (11)

17 (9)

28 (14)

  High school+

269 (57)

34 (12)

260 (88)

43 (16)

32 (12)

20 (7)

33 (12)

    p value

 

0.43

0.45

0.78

0.66

0.57

Individual income; 1000 yen/month (68)

  <99

199 (43)

29 (13)

188 (87)

37 (19)

22 (11)

22 (11)

32 (16)

  100–199

124 (27)

14 (10)

125 (90)

20 (16)

16 (13)

10 (8)

13 (11)

  200+

139 (31)

8 (5)

141 (95)

19 (14)

14 (11)

5 (4)

12 (9)

    p value

 

0.04

0.48

0.76

0.05

0.09

Family composition (1)

  Living alone

43 (8)

6 (11)

48 (89)

7 (16)

4 (9)

2 (5)

9 (21)

  With spouse (2 people)

255 (43)

24 (10)

220 (90)

32 (14)

25 (11)

16 (7)

24 (11)

  3+ people

261 (49)

34 (12)

253 (88)

50 (19)

31 (12)

26 (10)

35 (13)

    p value

 

0.76

0.34

0.88

0.35

0.17

Physical health (PCS scoreb) (2)

  High

267 (51)

18 (6)

275 (94)

38 (14)

24 (9)

36 (12)

29 (11)

  Low

261 (49)

45 (15)

246 (85)

51 (20)

35 (13)

55 (19)

39 (15)

    p value

 

0.0003

0.10

0.11

0.03

0.16

Chronic disease (1)

  Yes

412 (78)

55 (12)

400 (88)

73 (18)

52 (13)

37 (9)

55 (13)

  No

117 (22)

9 (7)

120 (93)

16 (14)

8 (7)

8 (7)

13 (11)

    p value

 

0.10

0.30

0.08

0.46

0.52

Smoking (0)

  Never

308 (58)

40 (12)

305 (88)

51 (17)

31 (10)

27 (9)

38 (12)

  Ever

158 (30)

18 (11)

150 (89)

29 (18)

22 (14)

14 (9)

22 (13)

  Current

64 (12)

6 (8)

67 (92)

9 (14)

7 (11)

4 (6)

8 (13)

    p value

 

0.70

0.85

0.46

0.79

0.89

Alcohol drinking (0)

  Never

257 (50)

39 (13)

256 (87)

45 (18)

25 (10)

24 (9)

37 (14)

  Less than 1/week

92 (17)

10 (10)

87 (90)

11 (12)

9 (10)

7 (8)

7 (8)

  1–6/week

75 (14)

9 (11)

71 (89)

17 (28)

13 (17)

5 (7)

10 (13)

  Every day

106 (20)

6 (5)

109 (95)

16 (15)

13 (12)

9 (9)

14 (13)

    p value

 

0.14

0.30

0.30

0.88

0.42

Exercise habits (1)

  Yes

298 (56)

34 (11)

288 (89)

48 (16)

36 (12)

25 (9)

35 (11)

  No

232 (44)

30 (11)

234 (89)

41 (18)

24 (10)

20 (9)

33 (14)

    p value

 

0.76

0.63

0.53

0.92

0.39

Higher ADLs at baseline and at the follow-up (mean ± SD)

 

Baseline

At follow-up

TMIG-ICc score (score range)

  Total score (0–13)

10.5 ± 2.6

8.9 ± 3.0

10.7 ± 2.4

11.2 ± 2.5

    p value

 

<0.001

 

  Social role (0–4)

3.4 ± 1.0

2.6 ± 1.4

3.5 ± 1.0

3.5 ± 0.9

    p value

 

<0.001

 

  Intellectual activities (0–4)

3.5 ± 0.9

3.0 ± 1.1

3.5 ± 0.8

3.6 ± 0.8

    p value

 

0.001

 

 Instrumental self-maintenance (0–5)

3.7 ± 1.3

3.3 ± 1.6

3.8 ± 1.3

3.0 ± 1.3

    p value

 

0.02

 
  1. ADL Activities of daily living, SD standard deviation
  2. Chi-squared tests and t tests were used to calculate p values for frequency and mean values, respectively. Severe depressive symptoms were defined by the cutoff score (=52) of the SF-36, mental health component (mean 78.8, SD 19.7) following the suggestion by Yamazaki et al. [9]
  3. aMean age 76.4 years (SD 9.6 years)
  4. bMOS 36-Items Short Form Health Survey (SF-36) Physical Component Summary score; high score indicates good health [8]
  5. cTokyo Metropolitan Institute of Gerontology Index of Competence