• Inthira Roopsawang Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Suparb Aree-Ue Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Suttiwan Chawengkiattikul Orthopaedic Operating Room, Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University


depressive symptom, predicting factors, overweight older adults with knee osteoarthritis


           The descriptive cross-sectional study aimed to examine the prevalence of depressive symptoms and investigate the predictive factors of depressive symptoms among overweight older adults with knee osteoarthritis. A total of 119 community-dwelling older adults who met the following inclusion criteria: 60 years old or over; diagnosed knee osteoarthritis based on the American College of Rheumatology criteria, body mass index of 23.00-24.99 kg/m2, and performing activities of daily living independently, were recruited to participate in the study. Data collection was conducted by trained interviewers using the face-to-face interview method with study instruments, including the Health Information Record Form, the Multidimensional Assessment of Fatigue, the Thai Geriatric Depression Scale-15 (GDS-15), and the Knee Severity Scale. Descriptive statistics and Logistic regression were performed for data analysis.

           The results demonstrated that 1) 47.89% of participants experienced depressive symptoms, and 2) age and fatigue were uniquely significant predictors of depressive symptoms at the p-value of .05. (Odds ratio=1.07, 95%CI=1.009 - 1.132, p=.024; Odds ratio=1.08, 95%CI=1.026 - 1.142, p=.004, respectively). Although these predictors can marginally predict depressive symptoms, the findings can reveal vital information for the healthcare team to focus on multidimensional impacts, both physical and psychological, along with fatigue, which is the inherent clinical symptoms with knee osteoarthritis.


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