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Table 4 Depression and other health status as mediators in the association between chronic conditions and low physical activity among older adults (aged ≥50 years)

From: Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries

  

Total effect

Direct effect

Indirect effect

 

Exposure

Mediator

OR [95% CI]

P-value

OR [95% CI]

P-value

OR [95% CI]

P-value

% Mediated

Angina

Depression

1.17 [1.05–1.29]

0.0040

1.12 [1.01–1.25]

0.0283

1.04 [1.02–1.05]

<0.0001

23.5

Mobility

1.16 [1.05–1.28]

0.0050

1.01 [0.91–1.12]

0.8970

1.15 [1.12–1.18]

<0.0001

95.3

Pain/discomfort

1.18 [1.06–1.30]

0.0015

1.06 [0.96–1.17]

0.2790

1.11 [1.08–1.15]

<0.0001

65.9

Sleep/energy

1.17 [1.06–1.30]

0.0021

1.09 [0.99–1.21]

0.0868

1.07 [1.05–1.10]

<0.0001

43.7

Arthritis

Depression

1.19 [1.07–1.33]

0.0018

1.16 [1.04–1.30]

0.0067

1.02 [1.01–1.04]

<0.0001

13.7

Mobility

1.20 [1.07–1.34]

0.0016

1.06 [0.94–1.19]

0.3286

1.13 [1.10–1.16]

<0.0001

67.8

Pain/discomfort

1.18 [1.06–1.32]

0.0027

1.06 [0.95–1.19]

0.3142

1.12 [1.08–1.15]

<0.0001

64.9

Sleep/energy

1.18 [1.06–1.32]

0.0024

1.13 [1.01–1.26]

0.0377

1.05 [1.03–1.07]

<0.0001

30.2

Asthma

Depression

1.55 [1.29–1.85]

<0.0001

1.50 [1.25–1.79]

<0.0001

1.03 [1.02–1.05]

0.0002

7.6

Mobility

1.52 [1.29–1.78]

<0.0001

1.34 [1.14–1.57]

0.0004

1.13 [1.10–1.17]

<0.0001

30.3

Pain/discomfort

1.55 [1.31–1.84]

<0.0001

1.44 [1.22–1.70]

<0.0001

1.08 [1.05–1.11]

<0.0001

17.3

Sleep/energy

1.56 [1.31–1.86]

<0.0001

1.48 [1.24–1.76]

<0.0001

1.05 [1.03–1.08]

<0.0001

11.8

Diabetes

Depression

1.48 [1.27–1.74]

<0.0001

1.45 [1.24–1.69]

<0.0001

1.03 [1.01–1.04]

0.0004

6.8

Mobility

1.54 [1.32–1.80]

<0.0001

1.35 [1.15–1.57]

0.0002

1.14 [1.11–1.18]

<0.0001

31.2

Pain/discomfort

1.51 [1.29–1.76]

<0.0001

1.40 [1.20–1.64]

<0.0001

1.08 [1.05–1.10]

<0.0001

17.6

Sleep/energy

1.51 [1.29–1.76]

<0.0001

1.44 [1.24–1.68]

<0.0001

1.05 [1.03–1.07]

<0.0001

11.2

Edentulism

Depression

1.20 [1.04–1.40]

0.0143

1.19 [1.03–1.38]

0.0217

1.01 [1.00–1.02]

0.0110

6.7

Mobility

1.25 [1.07–1.46]

0.0041

1.23 [1.05–1.43]

0.0090

1.02 [1.00–1.04]

0.0281

8.7

Pain/discomfort

1.20 [1.04–1.39]

0.0142

1.18 [1.02–1.37]

0.0264

1.02 [1.01–1.03]

0.0051

9.2

Sleep/energy

1.20 [1.04–1.39]

0.0137

1.19 [1.03–1.38]

0.0204

1.01 [1.00–1.02]

0.0141

5.9

Hearing problem

Depression

1.43 [1.22–1.67]

<0.0001

1.39 [1.19–1.64]

<0.0001

1.02 [1.01–1.04]

0.0005

6.3

Mobility

1.52 [1.30–1.78]

<0.0001

1.37 [1.17–1.60]

0.0001

1.11 [1.08–1.14]

<0.0001

25.6

Pain/discomfort

1.52 [1.31–1.76]

<0.0001

1.42 [1.23–1.65]

<0.0001

1.07 [1.04–1.09]

<0.0001

15.5

Sleep/energy

1.47 [1.26–1.73]

<0.0001

1.42 [1.21–1.66]

<0.0001

1.04 [1.02–1.06]

<0.0001

10.0

Tuberculosis

Depression

1.35 [0.98–1.86]

0.0689

1.27 [0.92–1.76]

0.1480

1.06 [1.03–1.10]

0.0008

20.2

Mobility

1.37 [0.99–1.88]

0.0553

1.21 [0.88–1.66]

0.2472

1.13 [1.07–1.20]

<0.0001

39.7

Pain/discomfort

1.39 [1.01–1.90]

0.0412

1.28 [0.93–1.75]

0.1283

1.09 [1.05–1.13]

<0.0001

25.4

Sleep/energy

1.40 [1.01–1.92]

0.0409

1.32 [0.96–1.81]

0.0929

1.06 [1.03–1.09]

0.0001

17.6

Visual impairment

Depression

2.12 [1.61–2.77]

<0.0001

2.04 [1.55–2.67]

<0.0001

1.04 [1.02–1.06]

0.0006

5.1

Mobility

2.10 [1.60–2.77]

<0.0001

1.67 [1.27–2.20]

0.0002

1.26 [1.20–1.32]

<0.0001

30.9

Pain/discomfort

2.10 [1.61–2.75]

<0.0001

1.84 [1.41–2.40]

<0.0001

1.14 [1.10–1.19]

<0.0001

17.9

Sleep/energy

2.12 [1.62–2.77]

<0.0001

1.92 [1.47–2.50]

<0.0001

1.11 [1.07–1.15]

<0.0001

13.4

Multimorbidity

Depression

1.37 [1.23–1.54]

<0.0001

1.32 [1.18–1.48]

<0.0001

1.04 [1.02–1.06]

<0.0001

12.5

Mobility

1.36 [1.22–1.52]

<0.0001

1.14 [1.02–1.29]

0.0236

1.19 [1.15–1.23]

<0.0001

56.4

Pain/discomfort

1.38 [1.24–1.54]

<0.0001

1.22 [1.09–1.36]

0.0006

1.13 [1.09–1.18]

<0.0001

38.7

Sleep/energy

1.37 [1.23–1.53]

<0.0001

1.28 [1.15–1.43]

<0.0001

1.07 [1.04–1.10]

<0.0001

21.6

  1. Models are adjusted for age, sex, education, wealth and country
  2. The total amount of moderate to vigorous physical activity over the last week was calculated and those scoring <150 min were considered to have low physical activity
  3. Multimorbidity refers to two or more chronic conditions. Depression = presence in the past 12 months (DSM-IV). Mobility problems, pain/discomfort and sleep/energy problems = presence in the past 30 days; each item was scored on a five-point scale ranging from ‘none’ to ‘extreme/cannot do’. For each separate domain, we used a factor analysis to obtain a factor score which was later converted to scores ranging from 0 to 100
  4. Abbreviation: OR Odds Ratio, CI Confidence Interval