Depressive symptoms and risk of incident activities of daily living disability among older adults with symptomatic arthritis - Takeaways - MDSpire
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Association of Depressive Symptoms with the Onset of Daily Living Disability in Older Adults Suffering from Symptomatic Arthritis

  • By

  • Jingxuan Cui

  • Jian Kang

  • Shuaiyu Li

  • Linru Zeng

  • Chen Li

  • June 1, 2026

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  • 1

    Depressive symptoms significantly increase the risk of activities of daily living (ADL) disability in older adults with symptomatic arthritis.

  • 2

    Each 1-point increase in CES-D score correlates with a 7% higher risk of ADL disability in ELSA and a 10% higher risk in HRS.

  • 3

    Participants with depression have a substantially elevated risk of ADL disability, with adjusted HRs of 1.26 in ELSA and 1.49 in HRS.

  • 4

    Physical activity partially mediates the association between depressive symptoms and ADL disability, accounting for about 9.1% in ELSA and 5.0% in HRS.

  • 5

    The study highlights the need for integrated mental health and lifestyle interventions to reduce functional decline in older adults with arthritis.

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