Change in depressive symptom scores to assess the risk of new-onset dual sensory impairment in middle-aged and older adults: a nationwide cohort study
BackgroundEvidence of the association between change in depressive symptom scores and new-onset dual sensory impairment (DSI) remain underexplored. We aimed to investigate the relationship between depressive symptom scores and the risk of new-onset DSI in middle-aged and older adults.MethodsThe stud...
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Frontiers Media S.A.
2025-03-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1520552/full |
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| author | Jiang Wang Jiang Wang Lanzhi Duan Lanzhi Duan Rui Zeng Fayi Xie Zhigang Wu Zhigang Wu Yanhong Luo Yanhong Luo Xiaoming Zhang Wei Li Wei Li Wei Li Dongmei Ye Ke Zhu Tenghui Fan Aizhang Zhu Aizhang Zhu Lihuan Chen Wan Zhu Yueyue Zhao Hongmei Hu Hongmei Hu Yi Xiao |
| author_facet | Jiang Wang Jiang Wang Lanzhi Duan Lanzhi Duan Rui Zeng Fayi Xie Zhigang Wu Zhigang Wu Yanhong Luo Yanhong Luo Xiaoming Zhang Wei Li Wei Li Wei Li Dongmei Ye Ke Zhu Tenghui Fan Aizhang Zhu Aizhang Zhu Lihuan Chen Wan Zhu Yueyue Zhao Hongmei Hu Hongmei Hu Yi Xiao |
| author_sort | Jiang Wang |
| collection | DOAJ |
| description | BackgroundEvidence of the association between change in depressive symptom scores and new-onset dual sensory impairment (DSI) remain underexplored. We aimed to investigate the relationship between depressive symptom scores and the risk of new-onset DSI in middle-aged and older adults.MethodsThe study included 3,237 participants. The Center for Epidemiologic Studies Depression Scale (CES-D-10) was used to assess depression symptoms. CES-D-10 scores were classified according to the K-means cluster analysis. Subsequently, the logistic regression analysis was used to determine the association between the change in CES-D-10 scores and DSI. Additionally, restricted cubic splines (RCS) were employed to examine whether there was a linear correlation between cumulative CES-D-10 scores and DSI. We also explored whether the association of CES-D-10 scores with DSI varies across different subgroups.ResultsOne thousand and sixty one out of 3,237 participants had a new-onset DSI during 3 years. Compared to class 1 with the best control of depressive state, the OR for class 2 with good control was 1.54 (95% CI, 1.28, 1.85), the OR for class 3 with moderate control was 1.59 (95% CI, 1.22, 2.07), the OR for class 4 with worse control was 1.62 (95% CI, 1.31, 2.02), and the OR for class 5 with consistently high levels was 1.86 (95% CI, 1.34, 2.57).ConclusionsIndividuals exhibiting suboptimal management of depressive symptoms were more susceptible to developing new-onset DSI, underscoring the need for early depression screening and assessment in the preventative strategies for new-onset DSI. |
| format | Article |
| id | doaj-art-309132a7119f41d28ee9004bd704a91c |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-309132a7119f41d28ee9004bd704a91c2025-08-20T03:40:54ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-03-011310.3389/fpubh.2025.15205521520552Change in depressive symptom scores to assess the risk of new-onset dual sensory impairment in middle-aged and older adults: a nationwide cohort studyJiang Wang0Jiang Wang1Lanzhi Duan2Lanzhi Duan3Rui Zeng4Fayi Xie5Zhigang Wu6Zhigang Wu7Yanhong Luo8Yanhong Luo9Xiaoming Zhang10Wei Li11Wei Li12Wei Li13Dongmei Ye14Ke Zhu15Tenghui Fan16Aizhang Zhu17Aizhang Zhu18Lihuan Chen19Wan Zhu20Yueyue Zhao21Hongmei Hu22Hongmei Hu23Yi Xiao24School of Basic Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaOnline Collaborative Research Center for Evidence-Based Medicine Ministry of Education, JingGangshan Univesity Branch, Ji'an, Jiangxi, ChinaSchool of Basic Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaOnline Collaborative Research Center for Evidence-Based Medicine Ministry of Education, JingGangshan Univesity Branch, Ji'an, Jiangxi, ChinaSchool of Clinical Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaSchool of Clinical Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaSchool of Basic Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaOnline Collaborative Research Center for Evidence-Based Medicine Ministry of Education, JingGangshan Univesity Branch, Ji'an, Jiangxi, ChinaSchool of Basic Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaOnline Collaborative Research Center for Evidence-Based Medicine Ministry of Education, JingGangshan Univesity Branch, Ji'an, Jiangxi, ChinaDepartment of Emergency, The People's Hospital of Baoan Shenzhen, Shenzhen, ChinaOnline Collaborative Research Center for Evidence-Based Medicine Ministry of Education, JingGangshan Univesity Branch, Ji'an, Jiangxi, ChinaSchool of Clinical Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaAffiliated Stomatological Hospital of Jinggangshan University, Center for Clinical Medicine Research of Jinggangshan University, Ji'an, ChinaSchool of Clinical Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaSchool of Clinical Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaSchool of Clinical Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaSchool of Basic Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaOnline Collaborative Research Center for Evidence-Based Medicine Ministry of Education, JingGangshan Univesity Branch, Ji'an, Jiangxi, ChinaSchool of Chinese Medicine, Jinggangshan University, Ji'an, Jiangxi, ChinaSchool of Clinical Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaSchool of Clinical Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaSchool of Basic Medicine, Health Science Center, Jinggangshan University, Ji'an, Jiangxi, ChinaOnline Collaborative Research Center for Evidence-Based Medicine Ministry of Education, JingGangshan Univesity Branch, Ji'an, Jiangxi, ChinaSchool of Mathematics and Physics, Jinggangshan University, Ji'an, Jiangxi, ChinaBackgroundEvidence of the association between change in depressive symptom scores and new-onset dual sensory impairment (DSI) remain underexplored. We aimed to investigate the relationship between depressive symptom scores and the risk of new-onset DSI in middle-aged and older adults.MethodsThe study included 3,237 participants. The Center for Epidemiologic Studies Depression Scale (CES-D-10) was used to assess depression symptoms. CES-D-10 scores were classified according to the K-means cluster analysis. Subsequently, the logistic regression analysis was used to determine the association between the change in CES-D-10 scores and DSI. Additionally, restricted cubic splines (RCS) were employed to examine whether there was a linear correlation between cumulative CES-D-10 scores and DSI. We also explored whether the association of CES-D-10 scores with DSI varies across different subgroups.ResultsOne thousand and sixty one out of 3,237 participants had a new-onset DSI during 3 years. Compared to class 1 with the best control of depressive state, the OR for class 2 with good control was 1.54 (95% CI, 1.28, 1.85), the OR for class 3 with moderate control was 1.59 (95% CI, 1.22, 2.07), the OR for class 4 with worse control was 1.62 (95% CI, 1.31, 2.02), and the OR for class 5 with consistently high levels was 1.86 (95% CI, 1.34, 2.57).ConclusionsIndividuals exhibiting suboptimal management of depressive symptoms were more susceptible to developing new-onset DSI, underscoring the need for early depression screening and assessment in the preventative strategies for new-onset DSI.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1520552/fullCHARLSdepressive symptomDSImiddle-aged and older adultK-means clustering |
| spellingShingle | Jiang Wang Jiang Wang Lanzhi Duan Lanzhi Duan Rui Zeng Fayi Xie Zhigang Wu Zhigang Wu Yanhong Luo Yanhong Luo Xiaoming Zhang Wei Li Wei Li Wei Li Dongmei Ye Ke Zhu Tenghui Fan Aizhang Zhu Aizhang Zhu Lihuan Chen Wan Zhu Yueyue Zhao Hongmei Hu Hongmei Hu Yi Xiao Change in depressive symptom scores to assess the risk of new-onset dual sensory impairment in middle-aged and older adults: a nationwide cohort study Frontiers in Public Health CHARLS depressive symptom DSI middle-aged and older adult K-means clustering |
| title | Change in depressive symptom scores to assess the risk of new-onset dual sensory impairment in middle-aged and older adults: a nationwide cohort study |
| title_full | Change in depressive symptom scores to assess the risk of new-onset dual sensory impairment in middle-aged and older adults: a nationwide cohort study |
| title_fullStr | Change in depressive symptom scores to assess the risk of new-onset dual sensory impairment in middle-aged and older adults: a nationwide cohort study |
| title_full_unstemmed | Change in depressive symptom scores to assess the risk of new-onset dual sensory impairment in middle-aged and older adults: a nationwide cohort study |
| title_short | Change in depressive symptom scores to assess the risk of new-onset dual sensory impairment in middle-aged and older adults: a nationwide cohort study |
| title_sort | change in depressive symptom scores to assess the risk of new onset dual sensory impairment in middle aged and older adults a nationwide cohort study |
| topic | CHARLS depressive symptom DSI middle-aged and older adult K-means clustering |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1520552/full |
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