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<p>Older adults are particularly vulnerable to the physical health impacts of COVID-19 and are considered susceptible to the negative effects of lockdowns caused by the pandemic. This study conducted a cross-sectional analysis using data from 5,358 participants aged 65 years and above in the 2020 wave of the China Health and Retirement Longitudinal Study (CHARLS) to explore the effects of lifestyle changes resulting from lockdowns on depression among older adults. The study focused on changes in four domains: time spent outdoors, social interactions, psychological state, and health behaviors. Multivariate logistic regression was employed to identify factors associated with depressive symptoms. Results indicated that 37.14% of older adults exhibited depressive symptoms, with higher risks observed among females, widowed individuals, those with lower educational attainment, rural residents, and participants with three or more chronic conditions. Increased fear and anxiety, reductions in telephone communication, and decreased sleep were all significantly associated with elevated depressive risk. Moreover, associations between social interaction modalities and depressive symptoms demonstrated heterogeneity: reductions in in-person social activities (e.g., outdoor activity time, frequency of visiting friends, and face-to-face recreational activities) and increases in online social engagement were both significantly linked to lower depressive risk.</p>

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Associations between lifestyle changes and depressive symptoms among Chinese older adults during COVID-19: A CHARLS study

  • 期刊论文

  • 发表日期：

    2026年6月30日

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  • Ling Zhang,
  • Ruigang Wei,
  • Jingwen Zhou,
  • Xiaolong Che,
  • Zhiliang Zhong,
  • Minqiang Zhang

摘要

Older adults are particularly vulnerable to the physical health impacts of COVID-19 and are considered susceptible to the negative effects of lockdowns caused by the pandemic. This study conducted a cross-sectional analysis using data from 5,358 participants aged 65 years and above in the 2020 wave of the China Health and Retirement Longitudinal Study (CHARLS) to explore the effects of lifestyle changes resulting from lockdowns on depression among older adults. The study focused on changes in four domains: time spent outdoors, social interactions, psychological state, and health behaviors. Multivariate logistic regression was employed to identify factors associated with depressive symptoms. Results indicated that 37.14% of older adults exhibited depressive symptoms, with higher risks observed among females, widowed individuals, those with lower educational attainment, rural residents, and participants with three or more chronic conditions. Increased fear and anxiety, reductions in telephone communication, and decreased sleep were all significantly associated with elevated depressive risk. Moreover, associations between social interaction modalities and depressive symptoms demonstrated heterogeneity: reductions in in-person social activities (e.g., outdoor activity time, frequency of visiting friends, and face-to-face recreational activities) and increases in online social engagement were both significantly linked to lower depressive risk.