A Systematic Review and Meta-Analysis of the Association Between Physical Capability, Social Support, Loneliness, Depression, Anxiety, and Life Satisfaction in Older Adults.

IF 4.6 2区医学 Q1 GERONTOLOGY

Gerontologist Pub Date : 2024-11-01 DOI:10.1093/geront/gnae128

Santi Sulandari, Rachel O Coats, Amy Miller, Alexander Hodkinson, Judith Johnson

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引用次数: 0

Abstract

Background and objectives: Physical capability, social support, loneliness, depression, and anxiety predict life satisfaction in older adults. Currently, no systematic review and meta-analysis have been conducted to investigate the strength of these associations globally. Therefore, this study quantified the strength of these associations.

Research design and methods: A systematic literature search was conducted using MEDLINE, EMBASE, APA PsycINFO, Web of Science, and Scopus. We included observational studies assessing the association between physical capability, social support, loneliness, depression, and anxiety with life satisfaction in adults aged 65+.

Results: In total, 10,552 articles were identified, of which 78 studies in 164,478 participants were included in the systematic review and 57 were included in the meta-analysis. Greater life satisfaction was significantly associated with greater physical capabilities (odds ratio [OR] = 2.64; 95% confidence interval [CI]: 2.01-3.45; p < .001, k = 35, n = 33,732), higher social support (OR = 3.27; 95% CI: 2.59-4.13, k = 20 studies, n = 13,228), reduced loneliness (OR = 3.30; 95% CI: 2.53-4.30, k = 11, n = 33,638), depression (OR = 4.76; 95% CI: 3.10-7.32, k = 24, n = 64,097), and anxiety (OR = 5.10; 95% CI: 2.21-11.78, k = 5, n = 43,368). The strength of associations did not vary between Western and Eastern countries, year of publication, or quality. Gender was a moderator: Loneliness was more strongly associated with life satisfaction in females. Age was also a moderator; the association between social support and life satisfaction weakened with increasing age.

Discussion and implications: Improving the physical capabilities of older individuals, fostering social support, and alleviating feelings of loneliness, depression, and anxiety may help build life satisfaction in older individuals, which policy-makers and healthcare professionals should prioritize when implementing strategies.

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关于老年人体能、社会支持、孤独感、抑郁、焦虑和生活满意度之间关系的系统回顾和荟萃分析。

背景和目的：身体能力、社会支持、孤独感、抑郁和焦虑可预测老年人的生活满意度。目前，尚未在全球范围内对这些关联的强度进行系统回顾和荟萃分析。因此，本研究对这些关联的强度进行了量化：我们使用 MEDLINE、EMBASE、APA PsycINFO、Web of Science 和 Scopus 进行了系统的文献检索。我们纳入了评估 65 岁以上成年人的体能、社会支持、孤独感、抑郁和焦虑与生活满意度之间关系的观察性研究：结果：共发现 10,552 篇文章，其中 78 项研究（164,478 人参与）被纳入系统综述，57 项被纳入荟萃分析。更高的生活满意度与更强的体能明显相关（OR=2.64；95% CI 2.01-3.45；p 讨论和影响：提高老年人的身体机能、促进社会支持、减轻孤独感、抑郁和焦虑可能有助于提高老年人的生活满意度，政策制定者和医疗保健专业人员在实施策略时应优先考虑这一点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerontologist GERONTOLOGY-

CiteScore

11.00

自引率

8.80%

发文量

171

期刊介绍： The Gerontologist, published since 1961, is a bimonthly journal of The Gerontological Society of America that provides a multidisciplinary perspective on human aging by publishing research and analysis on applied social issues. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people. Articles should include a conceptual framework and testable hypotheses. Implications for policy or practice should be highlighted. The Gerontologist publishes quantitative and qualitative research and encourages manuscript submissions of various types including: research articles, intervention research, review articles, measurement articles, forums, and brief reports. Book and media reviews, International Spotlights, and award-winning lectures are commissioned by the editors.