{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:36:09Z","timestamp":1791495369045,"version":"4.3.4"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:00:00Z","timestamp":1723680000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depressive symptoms represent a significant public health challenge, impacting the mental well-being of older adults. Despite this, the understanding of how activities of daily living (ADL) abilities correlate with life satisfaction and depressive symptoms among older Chinese adults remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aims to investigate the relationship between ADL and depressive symptoms in older people Chinese individuals, with a specific focus on examining the mediating role of life satisfaction within this context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) collected in 2020. A cohort of 8,343 individuals aged 60\u2009years and above was included. The analysis was conducted using STATA 17.0 and SPSS 26.0, employing descriptive statistics, chi-square tests, Pearson correlations, and mediation analysis using the percentile Bootstrap method with 5,000 resamples to explore the interrelations among ADL, life satisfaction, and depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ADL is positively correlated with life satisfaction (r\u2009=\u20090.129,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.01) and negatively correlated with depressive symptoms (r\u2009=\u2009\u22120.313,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.01). Additionally, life satisfaction and depressive symptoms are negatively correlated with each other (r\u2009=\u2009\u22120.360,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.01). In the model of the mediating effect, ADL directly, significantly and negatively predicts depressive symptoms in the Chinese older people (\u03b2\u2009=\u2009\u22120.193, t\u2009=\u2009\u221217.827,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). After incorporating life satisfaction into the regression equation, the direct predictive effect of ADL on depressive symptoms remains significant (\u03b2\u2009=\u2009\u22120.177, t\u2009=\u2009\u221217.099,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001); furthermore, ADL has a significant positive predictive effect on life satisfaction (\u03b2\u2009=\u20090.007, t\u2009=\u20094.959,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) and life satisfaction significantly negatively predicts depressive symptoms (\u03b2\u2009=\u2009\u22122.235, t\u2009=\u2009\u221227.799,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Furthermore, the direct effect of ADL on depressive symptoms (\u22120.177) and its mediating effect (\u22120.016) account for 91.71% and 8.29% of the total effect (\u22120.193), respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ADL is inversely associated with the risk of depressive symptoms among older people Chinese individuals, with life satisfaction serving as a significant mediator in this relationship. Interventions aimed at improving life satisfaction in older people individuals with ADL impairments may effectively reduce or prevent the onset of depressive symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2024.1393530","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:41:58Z","timestamp":1723682518000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":21,"title":["The mediating effect of life satisfaction between daily living abilities and depressive symptoms in the Chinese older people: evidence from CHARLS 2020"],"prefix":"10.3389","volume":"12","author":[{"given":"Mingsheng","family":"Liao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuesi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiquan","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Limei","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liqin","family":"Zou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1126\/science.3299702","article-title":"Human aging: usual and successful","volume":"237","author":"Rowe","year":"1987","journal-title":"Science"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"3729","DOI":"10.2147\/RMHP.S324095","article-title":"Successful aging among community-dwelling older adults in urban areas of Liaoning Province: the crucial effect of visual ability","volume":"14","author":"Liu","year":"2021","journal-title":"Risk Manage Healthc Policy"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"142","DOI":"10.3390\/bs11110142","article-title":"Prevalence of major depressive disorder and correlates of thoughts of death, suicidal behaviour, and death by suicide in the geriatric population: a general review of literature","volume":"11","author":"Obuobi-Donkor","year":"2021","journal-title":"Behav Sci"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1038\/s43587-022-00207-x","article-title":"Depression is associated with poor health outcomes in older adults","volume":"2","author":"Ward","year":"2022","journal-title":"Nat Aging"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1016\/j.jad.2021.06.044","article-title":"The prevalence of depressive symptoms and associated factors in middle-aged and elderly Chinese people","volume":"293","author":"Fan","year":"2021","journal-title":"J Affect Disord"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"689","DOI":"10.3389\/fpubh.2023.1017689","article-title":"Physical function, ADL, and depressive symptoms in Chinese elderly: evidence from the CHARLS","volume":"11","author":"Yan","year":"2023","journal-title":"Front Public Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1489","DOI":"10.1017\/S1041610218000030","article-title":"Risk factors of geriatric depression in rural China based on a generalized estimating equation","volume":"30","author":"Zhao","year":"2018","journal-title":"Int Psychogeriatr"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"91","DOI":"10.21194\/kjgsw.77.4.202212.91","article-title":"Did the depression affect the relationship between the elderly\u2019s activities of daily living ability and life satisfaction during COVID-19? 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