Dimensions of Physical Activity Are Important in Managing Anxiety in Older Adults: A Systematic Review and Meta-Analysis

Ofosu, Esther Frema; Nys, Len De; Connelly, Jenni; Ryde, Gemma; Whittaker, Anna C.

doi:10.1123/japa.2022-0098

Cited by 7 publications

(10 citation statements)

References 78 publications

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“…However, in the present systematic review, we were unable to identify a meta-analysis on anxiety and exercise that had been conducted with older adults in CS. A recent meta-analysis that included studies with a truly heterogeneous population (community-dwelling and those in CS) showed that PA diminished anxiety symptoms [ 53 ]. Although this meta-analysis was not included in our systematic review, it is noteworthy as it included community-dwelling participants and it demonstrates that exercise may affect anxiety in this population.…”

Section: Discussionmentioning

confidence: 99%

Effects of Physical Activity on Physical and Mental Health of Older Adults Living in Care Settings: A Systematic Review of Meta-Analyses

Agbangla

Séba

Bunlon³

et al. 2023

IJERPH

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Previous studies included in meta-analyses have highlighted the effects of physical activity on the physical and psychological health of older adults living in care settings. We conducted a systematic review of meta-analyses, of institutionalized older adults, to evaluate and conduct a narrative synthesis of the results of these meta-analyses. A literature search was conducted in three databases (PubMed, Web of Science, and Cochrane Library) until 22 March 2023. After screening the identified articles with the PRISMA criteria filters, we included 11 meta-analyses in this systematic review. Higgins’ (2013) assessment tool of the meta-analyses demonstrates that the studies were of good quality although future meta-analyses need to provide more information on the treatment of missing data. A summary of the results of these meta-analyses shows that physical activity reduces the rate of falls, mobility issues, functional dependence, and depression, and improves health status. Future studies need to focus on new ways to promote and adapt physical activities to increase the participation of older adults in care settings.

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Section: Discussionmentioning

confidence: 99%

Effects of Physical Activity on Physical and Mental Health of Older Adults Living in Care Settings: A Systematic Review of Meta-Analyses

Agbangla

Séba

Bunlon³

et al. 2023

IJERPH

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“…The levels of depression were classified as follows: normal (0-4), mild (5-9), moderate (10-14) and severe. [15][16][17][18][19][20][21][22][23][24][25][26][27][28] The GAD-7 comprised 7 items using a 4-point Likert scale ranging from 0 (not at all) to 3 (nearly every day), with a total score between 0 and 21. The levels of anxiety were classified as follows: normal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14) and severe.…”

Section: Depression and Anxiety Assessmentmentioning

confidence: 99%

“…[12][13][14][15] Several systematic reviews and meta-analyses have strengthened the effectiveness of physical activity or daily exercise in managing depression or anxiety. [16][17][18] However, from the perspective of aetiological prevention, the association of physical activity with anxiety did not reach a conclusive result; some studies have found that physical activity or exercise can reduce the incidence of anxiety, 19 while others reported no association. 20 21 Gender was found to play a significant role in influencing anxiety and depression levels, and a lack of exercise might exacerbate the symptoms in both genders when compared with physically active individuals.…”

Section: Introductionmentioning

confidence: 99%

Association of habitual physical activity with depression and anxiety: a multicentre cross-sectional study

Liu,

Mei,

Huang

et al. 2024

BMJ Open

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ObjectiveDespite the known benefits of physical activity, the effect of habitual physical activity (HPA) on depression and anxiety remains unclear. This study aimed to investigate the association of HPA with the risk of depression and anxiety among Chinese adults, with the consideration of disease severity.MethodsThe participants in this multicentre cross-sectional study were from the nationwide survey of the psychology and behaviour of Chinese residents. Depression and anxiety were measured using the nine-item Patient Health Questionnaire and seven-item Generalised Anxiety Disorder scale. HPA was assessed by the short form of the International Physical Activity Questionnaire. Crude and adjusted ORs with their 95% CIs were estimated by using ordinal logistic regression.ResultsOf the 19 798 participants, 3901 (19.7%) had anxiety and 8914 (45.02%) had depression. Compared with inactive participants, depression risk in individuals reporting low, median and high volume HPA was reduced by 23% (OR 0.77, 95% CI 0.66 to 0.89), 21% (OR 0.79, 95% CI 0.68 to 0.90) and 13% (OR 0.87, 95% CI 0.78 to 0.98), respectively, after adjustment for confounder. No significant association of HPA with anxiety risk was observed.ConclusionParticipation in HPA, whether low, median or high volume, was associated with a lower risk of depression compared with inactive participation, while no significant association was observed between HPA and anxiety.

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“…Finally, a decline in physical function is commonly observed with ageing, increasing older adults' vulnerability to falling, frailty, rising healthcare costs and premature death (25)(26)(27). While these challenges can have profound negative impacts on older adults, research has demonstrated that PA can counterbalance these challenges and positively in uence healthy ageing by improving cortisol and/or DHEA(S) levels (28), anxiety and depression (29), muscle mass, strength, and thus physical function, frailty, and quality of life (30)(31)(32)(33)(34) Therefore, PA interventions are a viable approach to mitigating the adverse effects of ageing on the endocrine system, psychological wellbeing, and physical function in older adults.…”

Section: Introductionmentioning

confidence: 99%

“…In particular, the evidence for the effects of digital PA resources on steroid hormones in older adults is scarce. For example, several studies have noted a lack of quality evidence for the impact of PA interventions in care home residents on anxiety symptoms, cortisol and DHEA(S) (28,29,43). In addition, there is evidence that conducting PA in a group can enhance the effects of the intervention by enhancing social connectedness and reducing loneliness (34,44,45).…”

Section: Introductionmentioning

confidence: 99%

Digital music and movement resources to improve health and wellbeing in older adults in care homes: a pilot randomised trial.

De Nys,

Oyebola,

Connelly

et al. 2023

Preprint

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Background: Low physical activity among older adults is related to adverse health outcomes such as depression and loneliness, poor physical function and increased risk of falls. This study was designed to increase physical activity through a digital, group-based, physical activity and music resource and to examine its effectiveness on social, mental and physical health outcomes. Methods: Participants were 34 older adults (65 years+) recruited across four care homes in Scotland to a randomised controlled pilot study with waitlist controls. Surveys were administered at baseline and post-intervention, comprising measures of fear of falling, depression and anxiety, loneliness, sleep satisfaction and quality of life. A battery of physical function tests and saliva sampling for cortisol and dehydroepiandrosterone hormone analysis were also conducted at each time point. Additionally, process evaluation measures (recruitment, intervention fidelity, attendance, retention rates and safety) were monitored. The intervention comprised 12 weeks of three prescribed digital sessions per week: movement to music (n=2) and music-only (n=1), delivered by an activity coordinator in the care home. Post-intervention interviews with staff and participants were conducted to gain qualitative data on the acceptability of the intervention. Results: An average of 88% of prescribed sessions were delivered. The waitlist control group design was not adhered to. Intention-to-treat analysis across all participants revealed significant improvements in anxiety, salivary DHEA, fear of falling and loneliness. There were no significant improvements in health-related quality of life, perceived stress, sleep satisfaction or physical function tests, including handgrip strength. Qualitative analysis highlighted benefits of and barriers to the programme. Conclusions: The digital movement and music intervention was deemed acceptable and delivered with moderate fidelity, justifying progression to a full-scale trial. Although a proper control group would have yielded more confident causal relationships, preliminary psychosocial and biological effects were evident from this trial. To show significant improvements in physical function, it is likely that greater adherence, longer intervention and/or higher exercise volume may be necessary. Trial registration: The trial is registered at ClinicalTrials.gov, number NCT05601102 on 01/11/2022

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Dimensions of Physical Activity Are Important in Managing Anxiety in Older Adults: A Systematic Review and Meta-Analysis

Cited by 7 publications

References 78 publications

Effects of Physical Activity on Physical and Mental Health of Older Adults Living in Care Settings: A Systematic Review of Meta-Analyses

Effects of Physical Activity on Physical and Mental Health of Older Adults Living in Care Settings: A Systematic Review of Meta-Analyses

Association of habitual physical activity with depression and anxiety: a multicentre cross-sectional study

Digital music and movement resources to improve health and wellbeing in older adults in care homes: a pilot randomised trial.

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