Inflammation and Coagulation as Mediators in the Relationships Between Religious Attendance and Functional Limitations in Older Adults.

Journal Article (Journal Article)

OBJECTIVE: The aim of this study was to examine inflammation and coagulation, which are positively linked to disability and inversely linked to increased religious attendance, as mediators in the cross-sectional relationships between religious attendance and functional status. METHOD: Frequency of attendance and limitations in basic activities of daily living (ADLs), instrumental activities (IADLs), and mobility were assessed in 1,423 elders. RESULTS: More frequent attendance was associated with fewer ADL, IADL, and mobility limitations, and with lower levels of inflammation and coagulation including interleukin-6, soluble vascular cell adhesion molecule, and D-dimer. Inflammation and coagulation partially mediated the associations between attendance and function. Eight percent of the effect of attendance on ADL (p = .014), 5% of the effect on IADL (p = .003), and 8% of the effect on mobility (p = .001) limitations were due to inflammation and coagulation. DISCUSSION: Relationships between attendance and function may be due in part to lower levels of inflammation and coagulation among elders who attend services.

Full Text

Duke Authors

Cited Authors

  • Hybels, CF; George, LK; Blazer, DG; Pieper, CF; Cohen, HJ; Koenig, HG

Published Date

  • June 2014

Published In

Volume / Issue

  • 26 / 4

Start / End Page

  • 679 - 697

PubMed ID

  • 24728938

Pubmed Central ID

  • PMC4193946

Electronic International Standard Serial Number (EISSN)

  • 1552-6887

Digital Object Identifier (DOI)

  • 10.1177/0898264314527479


  • eng

Conference Location

  • United States