{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:16:00Z","timestamp":1792804560555,"version":"4.5.0"},"reference-count":54,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the mediating role of activities of daily living (ADL) in the association between stroke and depressive symptoms, and to investigate whether moderate physical activity (MPA) moderates this mediation in older adults, using sex-stratified analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross-sectional data from 31,137 participants (\u226565\u00a0years) were analysed using wave eight of the Survey of Health, Ageing and Retirement in Europe. Depression, ADL limitations, stroke history and weekly frequency of MPA were assessed. Mediation and moderated mediation analyses were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>ADL partially mediated the association between stroke and depression in males (36.53%) and females (37.20%). In males, both medium and high weekly frequencies of MPA significantly moderated the direct and indirect associations between stroke, ADL and depression. In females, only a high frequency of MPA (&gt; once per week) showed a significant moderating effect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Limitations in ADLs represent an important pathway linking stroke and depression in older age.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08982643261427819","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T08:37:08Z","timestamp":1771317428000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Post-Stroke Depression and Activities of Daily Living: Sex-Differentiated Analysis of the Moderating Role of Physical Activity in Older European Adults"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3577-3439","authenticated-orcid":false,"given":"Marcelo de Maio","family":"Nascimento","sequence":"first","affiliation":[{"name":"Federal University of Vale do S\u00e3o Francisco"},{"name":"Swiss Center of Expertise in Life Course Research LIVES"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Ihle","sequence":"additional","affiliation":[{"name":"Swiss Center of Expertise in Life Course Research LIVES"},{"name":"University of Geneva"},{"name":"Center for the Interdisciplinary Study of Gerontology and Vulnerability"},{"name":"University of Geneva"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Peralta","sequence":"additional","affiliation":[{"name":"Universidade de Lisboa"},{"name":"Universidade de Lisboa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerson","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Universidad Aut\u00f3noma de Chile"},{"name":"Universidad de Santiago de Chile (USACH)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c9lvio R\u00fabio","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Swiss Center of Expertise in Life Course Research LIVES"},{"name":"University of Madeira"},{"name":"Interactive Technologies Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adilson","family":"Marques","sequence":"additional","affiliation":[{"name":"Universidade de Lisboa"},{"name":"Universidade de Lisboa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"e_1_3_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40141-024-00474-2"},{"key":"e_1_3_7_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1397-3"},{"key":"e_1_3_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(24)00369-7"},{"key":"e_1_3_7_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000022"},{"key":"e_1_3_7_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000022"},{"key":"e_1_3_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11065-023-09611-5"},{"key":"e_1_3_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyt088"},{"key":"e_1_3_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2015.11.030"},{"key":"e_1_3_7_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2010.513042"},{"key":"e_1_3_7_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031707"},{"key":"e_1_3_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662168801200410"},{"key":"e_1_3_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.13616"},{"key":"e_1_3_7_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.115.011238"},{"key":"e_1_3_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ede.0000147107.76079.07"},{"key":"e_1_3_7_16_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000009394"},{"key":"e_1_3_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/17474930231184108"},{"key":"e_1_3_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.10.037"},{"key":"e_1_3_7_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.121.034534"},{"key":"e_1_3_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2018.03.016"},{"key":"e_1_3_7_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-021-10597-4"},{"key":"e_1_3_7_22_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression-based approach","author":"Hayes A. 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