Severe depressive symptoms were independently associated with higher odds of short-term activities of daily living decline (OR 2.51) compared to no depressive symptoms following hip fracture.
Cohort (n=472)
Yes
Do severe depressive symptoms increase the risk of short-term activities of daily living decline in middle-aged and older Chinese adults with incident hip fracture?
Severe depressive symptoms are an independent baseline correlate of early post-fracture functional decline in middle-aged and older adults.
Effect estimate: OR 2.51 (95% CI 1.19-5.40)
Absolute Event Rate: 17.9% vs 7.4%
p-value: p=0.017
Depression is common after hip fracture, but its independent association with early functional decline remains unclear. Using the Andersen Behavioral Model (ABM), we examined whether baseline predisposing, enabling, and need factors—particularly depressive symptoms—were associated with short-term activities of daily living (ADL) decline in middle-aged and older Chinese adults with incident hip fracture. Using China Health and Retirement Longitudinal Study Waves 2–5, we conducted a longitudinal cohort analysis. Incident hip fracture was defined as the first report in Waves 2–4 with no prior report; this wave served as baseline for the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10) and ADL. ADL decline was defined as a decrease in total ADL score from baseline to the immediately subsequent follow-up wave (ΔADL 0.050), with each 1-point increase associated with 6%–7% higher odds (OR, 1.06–1.07; p ≤ 0.016). Within the ABM framework, older age and severe depressive symptoms were baseline correlates of early post-fracture ADL decline, with an additional association for life satisfaction. These findings support consideration of depressive-symptom screening and mental-health assessment in post-fracture rehabilitation; prospective studies should evaluate clinical effectiveness.
Shi et al. (Wed,) conducted a cohort in Incident hip fracture (n=472). Severe depressive symptoms vs. No depressive symptoms was evaluated on Short-term functional decline (decrease in total ADL score) (OR 2.51, 95% CI 1.19-5.40, p=0.017). Severe depressive symptoms were independently associated with higher odds of short-term activities of daily living decline (OR 2.51) compared to no depressive symptoms following hip fracture.