Relationship of physical function and body composition to suicidal ideation in the elderly: A Systematic Review

Keywords: Physical function, body composition, suicidal ideation, older adults, assessment


In this study, a systematic review was conducted to examine suicidal ideation in older adults in relation to physical function and body composition in older men and women aged 60 years and older. Articles published between January 2013 and September 2023 were identified using the keywords suicidal ideation, physical function, and body composition, written in English. The search was conducted if they were empirical papers, published in scientific journals, written in English or Spanish language and that evaluated the relationship between suicidal ideation, physical function and body composition in older adults. Eighteen cross-sectional studies and one clinical trial met the eligibility criteria. Most were conducted in South Korea. The relationship between suicidal ideation, physical function in older adults was positive and significant in men, but not in women. On the other hand, the relationship between body composition resulting from body mass index (BMI) and suicidal ideation was not shown to be a significant predictor. This study provided valuable information on the importance of preventing the loss of physical function, such as gait speed, muscle strength, and basic activities of daily living (BADL) and instrumental activities of daily living (IADL), in preventing suicidal ideation in older adults. This finding is important because physical function can be treated or mediated by therapeutic interventions.


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Böttcher RM, Garay CJ. Prevalencia y factores de riesgo asociados al suicidio en países latinoamericanos. Psicodebate. 2021;21(1):61–78.

Mellqvist Fässberg M, Östling S, Braam AW, Bäckman K, Copeland JRM, Fichter M, et al. Functional disability and death wishes in older Europeans: results from the EURODEP concerted action. Soc Psychiatry Psychiatr Epidemiol. 2014;49(9):1475–82.

Park SM. Suicidal ideation and its determinants in Korean adults: The role of physical activity and functional limitations. Psychol Heal Med. 2015;20(8):979–88.

Valera Ortín J. Factores relacionados con el suicidio en personas mayores: una revisión sistemática. Rev Esp Salud Pública. 2021; 95:1–19.

Bickford D, Morin RT, Woodworth C, Verduzco E, Khan M, Burns E, et al. late life depression. 2022;25(3):439–44.

Patrizio E, Calvani R, Marzetti E, Cesari M. Physical Functional Assessment in Older Adults. J Frailty Aging. 2021;10(2):141–9.

Maté Muñoz JL, Domínguez R. Percepción de salud, autoestima y autoconcepto físico en personas mayores en función de su actividad física. Rev Psicol del Deport J Sport Psychol. 2019;28(2):127–34.

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: Revised European consensus on definition and diagnosis. Vol. 48, Age and Ageing. Oxford University Press; 2019. p. 16–31.

Echeverría A, Cauas R, Díaz B, Sáez C, Cárcamo M. Tools for the evaluation of daily life activities instrumental in adults: systematic review. Rev Medica Clin Las Condes. 2021;32(4):474–90.

Correia IB, Silva N de A, E Silva PG, de Menezes TN. Body image perception and associated anthropometric and body composition indicators in the elderly. Rev Bras Cineantropometria e Desempenho Hum. 2018;20(6):525–34.

Bouzas C, Bibiloni M del M, Tur JA. Relationship between body image and body weight control in overweight ≥55-year-old adults: A systematic review. Int J Environ Res Public Health. 2019;16(9).

Kokkeler KJE, van den Berg KS, Comijs HC, Oude Voshaar RC, Marijnissen RM. Sarcopenic obesity predicts nonremission of late-life depression. Int J Geriatr Psychiatry. 2019;34(8):1226–34.

Molendijk ML, Bus BAA, Spinhoven P, Penninx BWJH, Prickaerts J, Oude Voshaar RC, et al. Gender specific associations of serum levels of brain-derived neurotrophic factor in anxiety. World J Biol Psychiatry. 2012;13(7):535–43.

Patas K, Penninx BWJH, Bus BAA, Vogelzangs N, Molendijk ML, Elzinga BM, et al. Association between serum brain-derived neurotrophic factor and plasma interleukin-6 in major depressive disorder with melancholic features. Brain Behav Immun. 2014; 36:71–9.

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016; 5(1).

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372.

Hong QN, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, et al. Improving the content validity of the mixed methods appraisal tool: a modified e-Delphi study. J Clin Epidemiol. 2019;111:49-59.

Lutz J, Mackin RS, Otero MC, Morin R, Bickford D, Tosun D, et al. Improvements in Functional Disability After Psychotherapy for Depression Are Associated With Reduced Suicide Ideation Among Older Adults. Am J Geriatr psychiatry. 2021;29(6):557–61.

Park J Il, Yang JC, Han C, Park TW, Chung SK. Suicidal Ideation Among Korean Elderly: Risk Factors and Population Attributable Fractions. Psychiatry (New York). 2016;79(3):262–81.

Recklitis CJ, Zhou ES, Zwemer EK, Hu JC, Kantoff PW. Suicidal ideation in prostate cancer survivors: Understanding the role of physical and psychological health outcomes. Cancer. 2014;120(21):3393–400.

Samonds RJ, Cammermeyer M. Perceptions of body image in subjects with multiple sclerosis: a pilot study. J Neurosci Nurs J Am Assoc Neurosci Nurses. 1989;21(3):190–4.

Sun L, Zhou C. Association between body mass index and suicidal ideation among seniors in Shandong, China. Compr Psychiatry.2018;82:68–72.

Webb CA, Cui R, Titus C, Fiske A, Nadorff MR. Sleep Disturbance, Activities of Daily Living, and Depressive Symptoms among Older Adults. Clin Gerontol. 2018;41(2):172–80.

Zhang H, Song J, Zhao Y, Brytek-Matera A, He J. Is the relationship between BMI and body appreciation explained by body dissatisfaction and body image inflexibility among older adults? A study among older Chinese men and women. Body Image. 2022;40:110–5.

Xiao S, Shi L, Xue Y, Zheng X, Zhang J, Chang J, et al. The relationship between activities of daily living and psychological distress among Chinese older adults: A serial multiple mediation model. Aging (Albany NY). 2020;300(22):462–8.

Barry L. Functional disability, depression, and suicidal ideation in older prisoners. Physiol Behav. 2020;266:366–73.

Vasiliadis HM, D’Aiuto C, Lamoureux-Lamarche C, Pitrou I, Gontijo Guerra S, Berbiche D. Pain, functional disability and mental disorders as potential mediators of the association between chronic physical conditions and suicidal ideation in community living older adults. Aging Ment Heal. 2022;26(4):791–802.

Ahn J, Kim BJ. The Relationships Between Functional Limitation, Depression, Suicidal Ideation, and Coping in Older Korean Immigrants. J Immigr Minor Heal. 2015;17(6):1643–53.

Kim JH, Kim DH, Park YS. Body composition, sarcopenia, and suicidal ideation in elderly Koreans: Hallym aging study. J Korean Med Sci. 2016;31(4):604–10.

Kim SH. Suicidal ideation and suicide attempts in older adults: Influences of chronic illness, functional limitations, and pain. Geriatr Nurs (Minneap). 2016;37(1):9–12.

Lee K. Relative handgrip strength in relation to depressive mood and suicidal ideation in Koreans using the 2015 KNHANES data. J Musculoskelet Neuronal Interact. 2018;18(3):333–8.

Lutzman M, Sommerfeld E, Ben-david S. Loneliness and social integration as mediators between physical pain and suicidal ideation among elderly men. International psychogeriatrics. 2021;33(5):453–9.

Noh H, Park YS. Handgrip strength , dynapenia , and mental health in older Koreans. Sci Rep [Internet]. 2020;1–9.

Oon-Arom A, Wongpakaran T, Kuntawong P, Wongpakaran N. Attachment anxiety, depression, and perceived social support: A moderated mediation model of suicide ideation among the elderly. Int Psychogeriatrics. 2021;33(2):169–78.

Heisel MJ, Neufeld E, Flett GL. Reasons for living, meaning in life, and suicide ideation: Investigating the roles of key positive psychological factors in reducing suicide risk in community-residing older adults. Aging Ment Heal. 2016;20(2):195–207.

Sim HS, Lee SG, Kim TH. Physical functioning, depressive symptoms, and suicidal ideation among older Korean adults. Int J Environ Res Public Health. 2021;18(16).

Wahab S, Chua TY, Razali R, Saher ZM, Zamzam IH, Bujang MA. Suicidal Behavior Among Elderly Inpatients: its Relation to Functional Disability and Pain. Psychol Res Behav Manag. 2022;15(3):737–50.

Gleeson H, Roesch C, Hafford-Letchfield T, Ellmers T. Assessing suicide ideation among older adults: A systematic review of screening and measurement tools. Int Psychogeriatrics. 2021;65:439–52.

Chin J, Park J, Yang S-J, Yeom J, Ahn Y, Baek MJ, et al. Re-standardization of the Korean-Instrumental Activities of Daily Living (K-IADL): Clinical Usefulness for Various Neurogenerative Diseases. Dement Neurocognitive Disord. 2018;17(1):11.

How to Cite
Flores Pérez, C. J. (2024). Relationship of physical function and body composition to suicidal ideation in the elderly: A Systematic Review. Mexican Journal of Medical Research ICSA, 12(24). Retrieved from