Effects of exercise on depressive symptoms in older adults with poorly responsive depressive disorder

Mather, Anne S.; Rodrı́guez, César; Guthrie, Moyra; McHarg, Anne M.; Reid, Ian; McMurdo, Marion E. T.

doi:10.1192/bjp.180.5.411

Cited by 326 publications

(330 citation statements)

References 21 publications

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“…the levels of anxiety and/or depression and physical activity showed an inverse relationship. These data are in agreement with several studies which reported that exercise promotes a reduction of symptoms of anxiety and depression 3,[9][10][11][12][13][14][15][16][17][18][27][28][29][30][31][32][33] .…”

Section: Discussionsupporting

confidence: 93%

“…Several studies have demonstrated that adhesion to a regular program of physical exercises could improve significantly the cognitive performance of an elderly, increasing its self-esteem, humor, feeling of well-being, promoting a reduction of physiological responses to stress and positive effects on body image, therefore reducing levels of anxiety and depression [9][10][11][12][13][14][15][16][17][18] . However, in their study, Bailey and McLaren 19 did not find any significant positive relationship between improvement in anxiety and depression and physical activity.…”

Section: Introductionmentioning

confidence: 99%

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Comparação dos níveis de ansiedade e depressão entre idosos ativos e sedentários

Minghelli¹,

Tomé²,

Nunes³

et al. 2013

Rev. psiquiatr. clín.

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Background: The anxiety and depression are a public health problem in the elderly. Currently some studies have been shown a positive association between physical activity and good mental health. Objective: To compare the possible relationship between levels of anxiety and depression among active and sedentary elderly. Methods: The sample comprised a total of 72 patients divided into one group of 38 elderly subjects (GS) and another group of 34 physically assets (GA). These answered a questionnaire with socio-demographic characteristics and the Hospital Anxiety and Depression Scale. Results: The variables that influenced the presence of anxiety and depression were the level of physical activity (p < 0.001) and the level of instruction (p < 0.01). The GS showed 38 more probability to develop symptoms of anxiety and depression and subjects without qualifications had 11 more probability to develop these symptoms. For the GS 35 (92.1%) patients had levels of anxiety or depression and 3 (7.9%) did not. In GA, the presence of anxiety or depression were observed only in 8 (23.5%) and the remaining 26 (76.5%) revalidates not any kind of these symptoms (p < 0.05). Discussion: Practicing physical activity may represent a very important factor to reduce levels of anxiety and depression in elderly.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Comparação dos níveis de ansiedade e depressão entre idosos ativos e sedentários

Minghelli¹,

Tomé²,

Nunes³

et al. 2013

Rev. psiquiatr. clín.

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“…[21][22][23] Evidence from controlled studies on carefully selected depressed adults and older adults suggest that exercise training improves depressive symptoms in the short term. [23][24][25][26][27][28][29] Prompted by the promise of health benefits with physical activity, many organizations, including health plans, have in recent years expanded their prevention benefits to include formal physical activity programs. Because such benefits can be costly to finance, decision makers need information on who actually use these benefits, barriers associated with use, and what pattern of use results in improved outcomes at the population level.…”

Section: Introductionmentioning

confidence: 99%

Depression and Use of a Health Plan–Sponsored Physical Activity Program by Older Adults

Nguyen

Unützer

Larson

et al. 2008

American Journal of Preventive Medicine

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Background-The purpose of this study was to determine the associations between depression and the likelihood of enrollment in a health plan-sponsored physical activity program and pattern of program participation over 2 years; a secondary aim was to examine the association between participation dose and depression risk. There are no published studies on how depression influences participation in health plan-sponsored physical activity programs and how participation affects depression risk in older adults in nonresearch settings.

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“…A linearly reduced risk of depression by physical activity physical activity moderates depressive symptoms-disabilityhas been observed (Strawbridge et al, 2002), the effect pertaining to at least a moderate amount of exercise or recreational activity (Farmer et al, 1988;Camacho et al, 1991). Clinical trials involving older adults lend support to the efficacy of exercise training in reducing depressive symptoms (Mather et al, 2002;Barbour and Blumenthal, 2005). Various hypotheses have been raised on physical activity's mental health benefit, including increased self-efficacy, mastery, social interaction, and brain synaptic aminergic transmissions (Paluska and Schwenk, 2000).…”

Section: Discussionmentioning

confidence: 99%

Does physical activity moderate the association between depressive symptoms and disability in older adults?

Lee

Park

2007

Int J Geriat Psychiatry

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SUMMARYObjective Depressive symptoms and disability are closely associated and known to have reciprocal relationships. This study examines whether physical activity moderates the association between depressive symptoms and disability in community-dwelling older adults. Methods Baseline and 1-year follow-up data of 645 persons aged 65 years or older from the Suwon Longitudinal Aging Study were analyzed. A 15-item Geriatric Depression Scale, Physical Functioning scale, and physical performance tests were used to assess the individual's depressive symptoms and functional disability. Physical activity was defined as the recommended level of exercise based on its frequency and intensity. Multiple regression analysis with generalized estimating equations was conducted to examine the physical activity's role as an effect modifier in the association between depressive symptoms and disability. Results Physical activity was a significant effect modifier in the 'depressive symptoms-disability' association, controlling for sociodemographic characteristics and health-related covariates. Moderate-intensity activity was as effective as vigorous activity in moderating the relationship. The moderating effect was notable among those displaying severe depressive symptoms and functional disability. Over time the strength of the association between depressive symptoms and disability tended to diminish for those engaging in physical activity. Conclusion The association between depressive symptoms and disability is moderated by physical activity in older persons. The findings suggest that healthcare professionals need to promote moderate amount of physical activity as a potential intervention tool in attenuating the depression-disability connection in later life, especially among those with high levels of physical and mental impairments.

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Effects of exercise on depressive symptoms in older adults with poorly responsive depressive disorder

Abstract: Because exercise was associated with a modest improvement in depressive symptoms at 10 weeks, older people with poorly responsive depressive disorder should be encouraged to attend group exercise activities.

Cited by 326 publications

References 21 publications

Comparação dos níveis de ansiedade e depressão entre idosos ativos e sedentários

Comparação dos níveis de ansiedade e depressão entre idosos ativos e sedentários

Depression and Use of a Health Plan–Sponsored Physical Activity Program by Older Adults

Does physical activity moderate the association between depressive symptoms and disability in older adults?

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