The Effect of Vitamin D and Calcium on Cognitive Function and Depression in the Elderly Living in a City

Article information

Res Community Public Health Nurs. 2017;28(3):251-259
Publication date (electronic) : 2017 September 12
doi : https://doi.org/10.12799/jkachn.2017.28.3.251
1Department of Nursing, Dongnam Health University, Suwon, Korea
2Promotion Support Team, ‘Outreach Community Service Center’ Project in Seoul, Seoul, Korea
Corresponding author: Lee, Yu-Jin Department of Nursing, Dongnam Health University, 50 Cheoncheon-ro, 74-gil, Jangan-gu, Suwon 16328, Korea. Tel: +82-31-249-6695, Fax: +82-31-249-6480, E-mail: lyj15@dongnam.ac.kr
Received 2017 May 01; Revised 2017 July 11; Accepted 2017 July 11.

Abstract

Abstract

Purpose

This study aims to examine the influence of vitamin D and calcium on depression and cognitive function of the elderly living alone in a city.

Methods

The participants were registered in eight senior centers in S city and they had lived alone. Data were collected between November 28, 2014 and March 7, 2015. A total of 155 people participated in data collection to measure the serum vitamin D, the serum calcium, depression, and cognitive function. The data were analyzed with t-test, ANOVA, Pearson's correlation and multiple regression analysis.

Results

There were significant differences in depression according to gender and perceptions of health status. Depression correlated significantly with the serum calcium and perceptions of health status, and a stepwise regression analysis showed that the perceptions of health status were significant. There were significant differences in cognitive function according to education level and age. Cognitive function correlated significantly with the serum vitamin D and a stepwise regression analysis showed that education level and age were significant.

Conclusion

Consequently, elderly people with poor perceptions of their health status need a depressive intervention program and those with a higher age and lower level of education need a cognitive function intervention program.

Characteristics, Vitamin D, Calcium, Depression, Cognitive Function of the Study Population (N=155)

Depression, Cognitive Function by General Characteristics (N=155)

Correlations between Depression, Cognitive Function, Vitamin D, Calcium, Perceived Health and Outdoor Activity Time (N=155)

Factors influencing Depression (N=155)

Factors influencing Cognitive Function (N=155)

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Article information Continued

Table 1.

Characteristics, Vitamin D, Calcium, Depression, Cognitive Function of the Study Population (N=155)

Characteristics Categories n (%) or M±SD
Age (year) ≤69 15 (9.7)
70~79 90 (58.1)
≥80 50 (32.2)
76.9±5.90
Gender Male 33 (21.3)
Female 122 (78.7)
Education Illiteracy 61 (39.4)
Elementary school 61 (39.4)
Middle school 21 (13.5)
High school 11 (7.1)
≥College 1 (0.6)
Religion Christianity 25 (16.1)
Catholic 37 (23.9)
Buddhism 41 (26.5)
No religion 52 (33.5)
Alcohol use Yes 38 (24.5)
No 117 (75.5)
Smoking Yes 10 (6.5)
No 145 (93.5)
Perceptions of health status Not very healthy 3 (1.9)
Not healthy 80 (51.6)
Moderate 55 (35.5)
Healthy 17 (11.0)
Outdoor activity time (min/day) <60 67 (43.2)
60~<180 64 (41.3)
180~<300 20 (12.9)
≥300 4 (2.6)
79.87±74.55
Vitamin D 18.88±9.24
Calcium 9.25±0.38
GDSSF-K 5.59±3.97
MMSE-K 23.88±3.60

GDSSF-K: Geriatric depression scale short form-Korean version (0~4: normal, 5~9: mild depression, 10~15: severe depression);

MMSE-K: Mini-mental state examination- Korean version (High score: Good cognitive function).

Table 2.

Depression, Cognitive Function by General Characteristics (N=155)

Characteristics Categories Depression Cognitive function
n (%) or M±SD t or F p n (%) or M±SD t or F p
Age (year) ≤69a 6.73±3.91 1.06 .349 26.40±2.69 5.58 .005
70~79b 5.68±4.14 23.97±3.38 b, c<a
≥80c 5.08±3.63 22.98±3.89
Gender Male 4.30±3.87 -2.12 .036 25.18±3.25 2.37 .019
Female 5.93±3.94 23.53±3.62
Education Illiteracya 6.05±4.10 1.50 .204 21.92±3.61 11.54 .001
Elementary schoolb 5.82±3.73 24.59±2.30 a<b
Middle schoolc 4.90±4.31 25.57±2.30 a, b<c
High schoold 3.36±3.41 27.27±1.62 a, b, c<d
≥Collegee 2.00±0.00 28.00±0.00
Religion Christianity 5.56±4.20 0.06 .980 23.88±3.91 0.27 .847
Catholic 5.81±4.13 24.24±3.52
Buddhism 5.59±3.93 23.98±3.31
No religion 5.44±3.87 23.56±3.80
Alcohol use Yes 5.56±3.99 -0.13 .900 23.83±3.61 -0.33 .740
No 5.66±3.95 24.05±3.59
Smoking Yes 5.48±3.94 -1.25 .214 23.97±3.47 1.08 .284
No 7.10±4.25 22.70±5.19
Perceptions of health status Not very healthya 9.33±1.53 9.72 .001 23.00±1.00 1.09 .354
Not healthyb 6.95±3.90 c>b 23.50±3.27
Moderatec 3.96±3.38 24.58±3.48
Healthyd 3.76±3.63 23.59±3.60
Outdoor activity time (min/day) <60 4.97±3.69 2.11 .102 23.93±3.78 0.65 .585
60~<180 5.73±4.02 24.11±3.24
180~<300 7.40±4.49 23.45±3.72
≥300 4.50±3.11 21.75±5.85

Scheffé test.

Table 3.

Correlations between Depression, Cognitive Function, Vitamin D, Calcium, Perceived Health and Outdoor Activity Time (N=155)

Variables MMSE-K Vitamin D Calcium Perception of health status Outdoor activity time
r (p) r (p) r (p) r (p) r (p)
GDSSF-K -.09 (.294) -.05 (.557) .17 (.039) -.38 (<.001) .12 (.162)
MMSE-K .17 (.032) .02 (.852) .08 (.357) -.09 (.261)
Vitamin D -.09 (.296) .13 (.103) .10 (.233)
Calcium -.01 (.921) .00 (.970)
Perceptions of health status -.01 (.876)

Table 4.

Factors influencing Depression (N=155)

Factors B SE β t p
Perceptions of health status -2.21 0.53 -.37 -4.19 <.001
R2=.14, Adj. R2 =.13, F=17.54, p<.001

Table 5.

Factors influencing Cognitive Function (N=155)

Factors B SE β t p
Education 1.56 0.31 .43 5.05 <.001
Age -0.13 0.05 -.21 -2.46 .016
R2=.28, Adj. R2=.27, F=21.05, p<.001