Association of subclinical depressive symptoms and sleep with cognition in the community-dwelling older adults

Autor: Ching-Jow Hsieh, Jeng-Min Chiou, Ta-Fu Chen, Yen-Ching Chen, Jen-Hau Chen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of the Formosan Medical Association, Vol 122, Iss 8, Pp 790-799 (2023)
Druh dokumentu: article
ISSN: 0929-6646
DOI: 10.1016/j.jfma.2023.03.005
Popis: Background: /Purpose: This study aimed to explore the association of subclinical depressive symptoms and sleep with cognition in community-dwelling Taiwanese older adults. Methods: This four-year prospective cohort study (2015–2019) included 379 participants aged 65 years or older from the annual senior health checkup program at National Taiwan University Hospital who were followed up two years later. Global and domain cognitive functions were assessed using validated neuropsychological tests. Depressive symptoms were evaluated using the Center for Epidemiologic Studies Depression (CES-D) Scale. Sleep quality was evaluated using the Pittsburg Sleep Quality Index (PSQI). Excessive daytime sleepiness was assessed using the Epworth Sleepiness Scale (ESS). Generalized linear mixed models were used to explore the associations of subclinical depressive symptoms and sleep variables with cognition, adjusting for important covariates. Stratification analyses were performed using the sleep variables. Results: Over time, depressive symptoms were associated with poor performance of memory (βˆ = 0.24, P = 0.04) and executive function (βˆ = -0.24, P = 0.03). Poor sleep quality (elevated PSQI score) was associated with poor memory performance (βˆ = -0.04 to -0.03, P
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