A systematic review and meta-analysis of the association between physical capability, social support, loneliness, depression, anxiety, and life satisfaction in older adults.
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 has 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: 10,552 articles were identified, of which 78 studies in 164,478 participants were included in systematic review and 57 were included in the meta-analysis. Greater life satisfaction was significantly associated with greater physical capabilities (OR=2.64; 95% CI 2.01-3.45; p<0.001, k=35, n=33,732), higher social support (OR=3.27; 95% CI 2.59-4.13, k=20 studies, n=13,228), and 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 policymakers and healthcare professionals should prioritise when implementing strategies.
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.
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