Relationship between leisure activity and depression in Chinese older adults: chain mediating effect of diet and cognition

Abstract Background Leisure activity was associated with depression in older adults. However, the specific processes by which diet and cognition mediate the role of leisure activities and depression remain uncertain. The study aims to investigate the relationship between leisure activity and depress...

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Main Authors: Yan Cui, Ying Duan, Jing Du, Ling Yang, Xi Tian, Huaqing Liu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-024-05671-1
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author Yan Cui
Ying Duan
Jing Du
Ling Yang
Xi Tian
Huaqing Liu
author_facet Yan Cui
Ying Duan
Jing Du
Ling Yang
Xi Tian
Huaqing Liu
author_sort Yan Cui
collection DOAJ
description Abstract Background Leisure activity was associated with depression in older adults. However, the specific processes by which diet and cognition mediate the role of leisure activities and depression remain uncertain. The study aims to investigate the relationship between leisure activity and depression in older people and the underlying mechanisms involved, while constructing a comprehensive model that links these variables. Methods Data came from the 2018 Chinese Longitudinal Healthy Longevity Survey. Mini-Mental State Examination and CES-D-10 were used to assess cognition and depression, respectively. PROCESS macro was employed to assess the mediation effects of diet and cognition on the relationship between leisure activity and depression. Results Leisure activity was negatively associated with depression, with 35.90% of the total effect mediated through dietary diversity and cognitive function, of which 1.28% was from the chain-mediated effect of dietary diversity and cognition. In addition, 20.94% of the total effect mediated through a plant-based diet and cognitive function, of which 0.43% was from the chain-mediated effect of plant-based diet and cognition. Conclusions Leisure activities are linked to depression, with diet and cognition acting as chain-mediating factors. Public health experts recommend that older adults engage in leisure activities, ensure a broad spectrum of dietary intake, and prioritize the augmentation of plant-based diets as preventative strategies against depression.
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publishDate 2025-01-01
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series BMC Geriatrics
spelling doaj-art-0aa3fc6f4f9c49fda984960c02a6d8692025-01-12T12:38:39ZengBMCBMC Geriatrics1471-23182025-01-0125111210.1186/s12877-024-05671-1Relationship between leisure activity and depression in Chinese older adults: chain mediating effect of diet and cognitionYan Cui0Ying Duan1Jing Du2Ling Yang3Xi Tian4Huaqing Liu5School of Public Health, Bengbu Medical UniversitySchool of Public Health, Bengbu Medical UniversitySchool of Public Health, Bengbu Medical UniversitySchool of Public Health, Bengbu Medical UniversitySchool of Public Health, Bengbu Medical UniversitySchool of Public Health, Bengbu Medical UniversityAbstract Background Leisure activity was associated with depression in older adults. However, the specific processes by which diet and cognition mediate the role of leisure activities and depression remain uncertain. The study aims to investigate the relationship between leisure activity and depression in older people and the underlying mechanisms involved, while constructing a comprehensive model that links these variables. Methods Data came from the 2018 Chinese Longitudinal Healthy Longevity Survey. Mini-Mental State Examination and CES-D-10 were used to assess cognition and depression, respectively. PROCESS macro was employed to assess the mediation effects of diet and cognition on the relationship between leisure activity and depression. Results Leisure activity was negatively associated with depression, with 35.90% of the total effect mediated through dietary diversity and cognitive function, of which 1.28% was from the chain-mediated effect of dietary diversity and cognition. In addition, 20.94% of the total effect mediated through a plant-based diet and cognitive function, of which 0.43% was from the chain-mediated effect of plant-based diet and cognition. Conclusions Leisure activities are linked to depression, with diet and cognition acting as chain-mediating factors. Public health experts recommend that older adults engage in leisure activities, ensure a broad spectrum of dietary intake, and prioritize the augmentation of plant-based diets as preventative strategies against depression.https://doi.org/10.1186/s12877-024-05671-1DepressionCognitive functionLeisure activityPlant-based dietDietary diversity
spellingShingle Yan Cui
Ying Duan
Jing Du
Ling Yang
Xi Tian
Huaqing Liu
Relationship between leisure activity and depression in Chinese older adults: chain mediating effect of diet and cognition
BMC Geriatrics
Depression
Cognitive function
Leisure activity
Plant-based diet
Dietary diversity
title Relationship between leisure activity and depression in Chinese older adults: chain mediating effect of diet and cognition
title_full Relationship between leisure activity and depression in Chinese older adults: chain mediating effect of diet and cognition
title_fullStr Relationship between leisure activity and depression in Chinese older adults: chain mediating effect of diet and cognition
title_full_unstemmed Relationship between leisure activity and depression in Chinese older adults: chain mediating effect of diet and cognition
title_short Relationship between leisure activity and depression in Chinese older adults: chain mediating effect of diet and cognition
title_sort relationship between leisure activity and depression in chinese older adults chain mediating effect of diet and cognition
topic Depression
Cognitive function
Leisure activity
Plant-based diet
Dietary diversity
url https://doi.org/10.1186/s12877-024-05671-1
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