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Factors associated with depressive symptoms among chinese elderly in Kampung Baru Sungai Chua, Kajang, Malaysia

This cross-sectional study aimed to determine the association of socio-demographic,psychosocial, lifestyle, health, functional and nutritional factors with depressive symptoms (DS) among Chinese elderly. Respondents were recruited by convenience sampling method through house-to-house visit. Data wer...

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Main Author: Choong, Horng Tatt
Format: Thesis
Language:English
Published: 2015
Online Access:http://psasir.upm.edu.my/id/eprint/57604/1/FPSK%28m%29%202015%2025RR.pdf
http://psasir.upm.edu.my/id/eprint/57604/
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spelling my.upm.eprints.576042017-10-04T04:02:01Z http://psasir.upm.edu.my/id/eprint/57604/ Factors associated with depressive symptoms among chinese elderly in Kampung Baru Sungai Chua, Kajang, Malaysia Choong, Horng Tatt This cross-sectional study aimed to determine the association of socio-demographic,psychosocial, lifestyle, health, functional and nutritional factors with depressive symptoms (DS) among Chinese elderly. Respondents were recruited by convenience sampling method through house-to-house visit. Data were obtained through face-to-face interview using interviewer-administered questionnaire. Elderly Cognitive Assessment Questionnaire (ECAQ) was used to screen and exclude respondents with cognitive impairment. Geriatric Depression Scale (GDS) was used to assess DS. Social support, functional status, physical activity and dietary intake were assessed using Medical Outcomes Study-Social Support Survey (MOS-SSS), Barthel Index of Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), Rapid Assessment of Physical Activity (RAPA) and 24-hour dietary recall, respectively. Weight, height, waist circumference, middle upper arm circumference, calf circumference were measured using standard procedures. The prevalence of DS among the respondents was 36.6%. Majority of the respondents were physically inactive (96.5%), received below-moderate social support (54.46±10.07), reporting abdominal obesity (61.6%), having at least one disease (84.8%) and taking medication (69.6%), and consuming excess selenium (81.9 ± 54.44 mcg) and inadequate calcium (309 ± 173.36 mg). Social support score (p<0.001) and number of pain symptom (p<0.001) were the predictors of GDS score. Folate (, p<0.01), magnesium (p<0.01) and iron (p<0.01) intake were significant predictor of GDS score only if confounding effect of dietary variables were ignored. After adjustment for gender, number of disease, current drinker,medication, functional dependent, and dietary folate and magnesium intakes, money satisfaction (OR=0.16, p<0.01), pain symptom (OR=0.25, p<0.05) and social support (OR=0.92, p<0.01) were significantly associated with risk reporting DS. This study suggested that folate, magnesium and iron play crucial roles in production of serotonin. To certain extent, these nutrients might reduce DS, but do not change the risk of reporting DS. DS could be improved through receiving frequent affection, and companionship from social environment, adequate money for living, being physically healthy and consuming foods rich in folate and magnesium, particularly among men. 2015-06 Thesis NonPeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/57604/1/FPSK%28m%29%202015%2025RR.pdf Choong, Horng Tatt (2015) Factors associated with depressive symptoms among chinese elderly in Kampung Baru Sungai Chua, Kajang, Malaysia. Masters thesis, Universiti Putra Malaysia.
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description This cross-sectional study aimed to determine the association of socio-demographic,psychosocial, lifestyle, health, functional and nutritional factors with depressive symptoms (DS) among Chinese elderly. Respondents were recruited by convenience sampling method through house-to-house visit. Data were obtained through face-to-face interview using interviewer-administered questionnaire. Elderly Cognitive Assessment Questionnaire (ECAQ) was used to screen and exclude respondents with cognitive impairment. Geriatric Depression Scale (GDS) was used to assess DS. Social support, functional status, physical activity and dietary intake were assessed using Medical Outcomes Study-Social Support Survey (MOS-SSS), Barthel Index of Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), Rapid Assessment of Physical Activity (RAPA) and 24-hour dietary recall, respectively. Weight, height, waist circumference, middle upper arm circumference, calf circumference were measured using standard procedures. The prevalence of DS among the respondents was 36.6%. Majority of the respondents were physically inactive (96.5%), received below-moderate social support (54.46±10.07), reporting abdominal obesity (61.6%), having at least one disease (84.8%) and taking medication (69.6%), and consuming excess selenium (81.9 ± 54.44 mcg) and inadequate calcium (309 ± 173.36 mg). Social support score (p<0.001) and number of pain symptom (p<0.001) were the predictors of GDS score. Folate (, p<0.01), magnesium (p<0.01) and iron (p<0.01) intake were significant predictor of GDS score only if confounding effect of dietary variables were ignored. After adjustment for gender, number of disease, current drinker,medication, functional dependent, and dietary folate and magnesium intakes, money satisfaction (OR=0.16, p<0.01), pain symptom (OR=0.25, p<0.05) and social support (OR=0.92, p<0.01) were significantly associated with risk reporting DS. This study suggested that folate, magnesium and iron play crucial roles in production of serotonin. To certain extent, these nutrients might reduce DS, but do not change the risk of reporting DS. DS could be improved through receiving frequent affection, and companionship from social environment, adequate money for living, being physically healthy and consuming foods rich in folate and magnesium, particularly among men.
format Thesis
author Choong, Horng Tatt
spellingShingle Choong, Horng Tatt
Factors associated with depressive symptoms among chinese elderly in Kampung Baru Sungai Chua, Kajang, Malaysia
author_facet Choong, Horng Tatt
author_sort Choong, Horng Tatt
title Factors associated with depressive symptoms among chinese elderly in Kampung Baru Sungai Chua, Kajang, Malaysia
title_short Factors associated with depressive symptoms among chinese elderly in Kampung Baru Sungai Chua, Kajang, Malaysia
title_full Factors associated with depressive symptoms among chinese elderly in Kampung Baru Sungai Chua, Kajang, Malaysia
title_fullStr Factors associated with depressive symptoms among chinese elderly in Kampung Baru Sungai Chua, Kajang, Malaysia
title_full_unstemmed Factors associated with depressive symptoms among chinese elderly in Kampung Baru Sungai Chua, Kajang, Malaysia
title_sort factors associated with depressive symptoms among chinese elderly in kampung baru sungai chua, kajang, malaysia
publishDate 2015
url http://psasir.upm.edu.my/id/eprint/57604/1/FPSK%28m%29%202015%2025RR.pdf
http://psasir.upm.edu.my/id/eprint/57604/
_version_ 1643836537305038848
score 13.211869

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