Correlates of physical activity among depressed older people in six low‐income and middle‐income countries: A community‐based cross‐sectional study

Vancampfort, Davy; Stubbs, Brendon; Veronese, Nicola; Mugisha, James; Swinnen, Nathalie; Koyanagi, Ai

doi:10.1002/gps.4796

Cited by 21 publications

(16 citation statements)

References 71 publications

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“…It is consistent with the figures calculated by some recent studies concerning the senior population in China (Li et al, 2014;Li et al, 2012), and is significantly higher than that was found two decades ago (3.86%) (Chen et al, 1999). Moreover, it is far beyond the average level of LMICs (Stubbs et al, 2016;Vancampfort et al, 2018) and even some developed countries (Jung et al, 2018;Mc Dowell et al, 2018). This not only warns about the daunting challenge China faces in terms of the increasing burden of depression, but also reminds us the urgent need for more accessible and viable approaches in a context with insufficient professional resources.…”

Section: Prevalence Of Depressionsupporting

confidence: 91%

Melancholy or mahjong? Diversity, frequency, type, and rural-urban divide of social participation and depression in middle- and old-aged Chinese: A fixed-effects analysis

Wang

Chen

Zhou

et al. 2019

Social Science & Medicine

118

103

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The potential benefit of social participation (SP) to one's mental health has been widely acknowledged. Nevertheless, the specific type and amount of SP that is associated with improved depressive symptoms in middle-and old-aged Chinese awaits further investigation. This study aimed to understand the patterns of depression and SP by comparing urban vs rural China, and according to which, measure the associations between changes in SP and that in depressive symptoms. A total of 10,988 community residents aged 45 years and above were selected from wave 1 (2011), wave 2 (2013), and wave 4 (2015) of the China Health and Retirement Longitudinal Study (CHARLS), a nationally representative survey. The fixed-effects analysis was used to explore the association between the changes in diversity, frequency, and type of SP and the changes in depressive symptoms. The results indicated that rural respondents suffered from a significantly higher risk of depression and took less SP than their urban counterparts. Transitioning from no SP to 1 or more types of SP or to a once a week or higher frequency was associated with a decline in depressive symptoms. For urban respondents, playing mah-jong or cards and joining sports or social clubs predicted a decline in depressive symptoms. For rural residents, interacting with friends regularly was associated with fewer depressive symptoms. In conclusion, more diverse and higher frequency of SP was associated with better mental health, while the social significance of SP varied across different types of SP and between rural and urban areas.

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Section: Prevalence Of Depressionsupporting

confidence: 91%

Melancholy or mahjong? Diversity, frequency, type, and rural-urban divide of social participation and depression in middle- and old-aged Chinese: A fixed-effects analysis

Wang

Chen

Zhou

et al. 2019

Social Science & Medicine

118

103

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“…Future research should explore why unemployment, for example, due to retirement, is an influential factor in the association between physical activity and loneliness in these two countries. At least, it is known that middle‐aged and old‐age people in LMICs who are employed are more physically active . Speculatively, employment may offer opportunities for social connection, enhance social functioning, and, consequently, provide more opportunity to be active, to feel as a meaningful contributor to society, and to feel less lonely …”

Section: Discussionmentioning

confidence: 99%

“…At least, it is known that middle-aged and old-age people in LMICs who are employed are more physically active. 48,49 Speculatively, employment may offer opportunities for social connection, enhance social functioning, and, consequently, provide more opportunity to be active, to feel as a meaningful contributor to society, and to feel less lonely. [50][51][52] Social cohesion was a particularly strong confounder in Russia.…”

Section: General Findingsmentioning

confidence: 99%

Physical activity and loneliness among adults aged 50 years or older in six low‐ and middle‐income countries

Vancampfort

Lara

Smith

et al. 2019

Int J Geriat Psychiatry

Self Cite

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Introduction Loneliness is widespread and associated with deleterious outcomes in middle‐aged and older age people in low‐ and middle‐income countries (LMICs). Physical activity is one potential psychosocial strategy with the potential to reduce loneliness in this population. Thus, the aim of this study was to explore associations between physical activity (PA) and loneliness in middle‐aged and older people from six LMICs. Materials and methods Data from the Study on Global Ageing and Adult Health (SAGE) were analyzed. Self‐reported data on loneliness and PA (as assessed by the Global Physical Activity Questionnaire) were collected. Participants were dichotomized into those who do and do not meet the international recommendation of 150 minutes of moderate to vigorous PA per week. Associations between loneliness and PA were examined using logistic regressions. Results Among 34 129 individuals aged 50 years or older, the prevalence of loneliness was higher among those not meeting the PA guidelines in all countries, although this difference was not significant in Mexico and South Africa. After full adjustment, not meeting PA guidelines was positively associated with loneliness in the meta‐analysis based on country‐wise estimates, with a moderate level of between‐country heterogeneity being observed (OR = 1.31; 95% CI, 1.07‐1.61; I2 = 48.7%). At an individual country level, statistical significance was only reached in Ghana (OR = 1.89; 95% CI = 1.44‐2.49). Discussion Our data suggest that physical inactivity and loneliness commonly co‐occur in adults aged 50 years or older in LMICs overall but that this association differs by country. Longitudinal studies are required to confirm these findings and investigate potential mechanisms that may inform future interventions.

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“…Disability creates a vicious cycle of poverty through lack of access to education and employment, and through increased out of pocket expenditure (OOP). Even a small OOP expenditure on health can put them at risk of drifting to below poverty line, especially for households that are just above the poverty line (van Doorslaer et al, 2006). Though the life expectancy of the general population has increased due to education, per capita income, living conditions and medical practices (Wang et al, 2017), life expectancy has not increased in the same extent for people with disabilities (Murray et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Relationship between neighbourhood cohesion and disability: findings from SWADES population-based survey, Kerala, India

Devassy¹,

Benny²,

Allagh³

et al. 2020

F1000Res

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Background: The burden of disability on individuals and society is enormous in India, and informal care systems try to reduce this burden. This study investigated the association between neighbourhood cohesion and disability in a community-based population in Kerala, India. To the best of our knowledge, no previous studies have examined this association in India. Methods: A cross-sectional household survey was conducted with 997 participants aged 30 years and above, in Kerala. Neighbourhood cohesion was assessed by three scales: trust, community participation, and perceived safety. Functional ability was measured by WHODAS 2.0. Explanatory covariates included chronic disease conditions, age, gender, education, income, and mental health conditions. Results: Of 997 participants (37% male; mean age, 53.9 [range, 30–90] years), the majority were married or cohabiting. Univariate analysis showed functional ability to be positively associated with most demographic and health characteristics. However, after adjustment, only social cohesion, age, income, education, chronic diseases and mental health conditions remained significant. Mediation analysis showed the effect of personal and health characteristics on functional ability as mediated by social cohesion. Conclusion: Social cohesion is an important moderator of functional ability. Interventions targeting the creation of stronger ties among neighbours and a sense of belonging should be scaled-up and evaluated in future research.

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Correlates of physical activity among depressed older people in six low‐income and middle‐income countries: A community‐based cross‐sectional study

Cited by 21 publications

References 71 publications

Melancholy or mahjong? Diversity, frequency, type, and rural-urban divide of social participation and depression in middle- and old-aged Chinese: A fixed-effects analysis

Melancholy or mahjong? Diversity, frequency, type, and rural-urban divide of social participation and depression in middle- and old-aged Chinese: A fixed-effects analysis

Physical activity and loneliness among adults aged 50 years or older in six low‐ and middle‐income countries

Relationship between neighbourhood cohesion and disability: findings from SWADES population-based survey, Kerala, India

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