Physical activity and depression in older adults: the knowns and unknowns

Zhang, Su; Xiang, Kun; Li, Shujing; Pan, Hai‐Feng

doi:10.1016/j.psychres.2021.113738

Cited by 63 publications

(47 citation statements)

References 76 publications

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“…Depression is more likely to be associated with suicide in older individuals than in any other age group ( 5 ). Depression was predicted by the World Health Organization to become the second largest cause of mortality in older adults, endangering their health and safety ( 6 ). Given the deteriorating course and consequences of depression, it is critical to discover effective methods of preventing and treating depression in older adults.…”

Section: Introductionmentioning

confidence: 99%

Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?

et al. 2021

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Objectives: Social participation may prevent depressive symptoms in older adults. But research to date ignores gender differences in the associations between social participation and depressive symptoms. The purpose of this study was to determine the effect of different type and frequency of social participation on depressive symptoms, as well as if there is a gender difference in these correlations among older Chinese adults.Methods: Data was obtained from adults aged 60 years or above in the 2018 China Health and Retirement Longitudinal Survey, a nationally representative sample of older adults in China. Depressive symptoms were measured using CESD-10. Social participation included participation in social groups, hobby groups, sports groups, and community-related organizations. The independent relationships between each type of social participation and depressive symptoms were assessed using multiple linear regression models.Results: A total of 6,287 older adults were included in this analysis, of whom 49.69% were women. Participating in social groups, sports groups, and community-related organizations with a frequency of one or more per week was all linked to better mental health. Furthermore, our findings suggest that the positive relationship between participation in social groups, hobby groups, and community-related organizations and depressive symptoms is more flexible for older men than for women.Conclusions: Older individuals who participate in social participation at a high frequency may have better mental health. The findings provide novel insights into mental health from the standpoint of social participation in older adults. Gender differences in the associations between social participation and depressive symptoms need to be considered when formulating interventions to prevent depression.

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Section: Introductionmentioning

confidence: 99%

Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?

et al. 2021

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“…Considering the possibility of new COVID-19 waves threatening the world, it is important to understand which factors are associated with lower depression levels in older adults. For instance, evidence shows an inverse relationship between physical activity and depressive symptoms in older adults (Zhang et al, 2021). However, the COVID-19 outbreak disrupted community exercise programs offered to older populations, impairing both physical activity and social contacts among attendees.…”

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confidence: 99%

Predictors of Lower Depression Levels in Older Adults During COVID-19 Lockdown

et al. 2021

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Background Social distancing during the COVID-19 pandemic may lead to adverse mental health consequences, such as depression, among older adults. This study aimed to investigate the predictors of lower depression scores in older adults living under lockdown. Methods 1,123 older Brazilian adults were cross-sectionally assessed for depression, physical activity (PA), pet ownership (dogs, cats, and birds), ability to make video calls, leaving home during lockdown, and not living alone. The statistical procedures included linear regression and analysis of covariance (ANCOVA). Results After adjusting for age, sex, and race, moderate to vigorous PA (β = −0.014, p < .001), it was found that PA (β = −0.905, p < .001) and dog ownership (β = −0.545, p = .004) were associated with lower depression. No association was observed between depression and other conditions. Conclusions With the likelihood of subsequent COVID-19 waves, remotely delivered PA programs might be a strategy to counteract the negative psychological effects of lockdown on older adults.

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“…Skipping breakfast, absence of moderate-intensity physical activity, subjective stress, and subjective health status were independent risk factors for depression. It has been generally reported that a lower frequency of physical activity [ 27 ], lower socioeconomic status [ 28 , 29 ], higher stress [ 30 ], and poorer subjective health status [ 31 ] increase the prevalence of depression in the older adult population. Numerous previous studies [ 23 , 28 , 32 ] have suggested that regular physical activity was a major health promotion habit that can be critical in the prevention and treatment of depression.…”

Section: Discussionmentioning

confidence: 99%

Development of a Nomogram for Predicting Depression in the Elderly Using Patient Health Questionnaire-9 among a Nationwide Sample of Korean Elderly

Byeon¹

2021

JPM

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This cross-sectional study developed a nomogram that could allow medical professionals in the primary care setting to easily and visually confirm high-risk groups of depression. This study analyzed 4011 elderly people (≥60 years old) who completed a health survey, blood pressure, physical measurement, blood test, and a standardized depression screening test. A major depressive disorder was measured using the Korean version of the Patient Health Questionnaire (PHQ-9). This study built a model for predicting major depressive disorders using logistic regression analysis to understand the relationship of each variable with major depressive disorders. In the result, the prevalence of depression measured by PHQ-9 was 6.8%. The results of multiple logistic regression analysis revealed that the major depressive disorder of the elderly living alone was significantly (p < 0.05) related to monthly mean household income, the mean frequency of having breakfast per week for the past year, moderate-intensity physical activity, subjective level of stress awareness, and subjective health status. The results of this study implied that it would be necessary to continuously monitor these complex risk factors such as household income, skipping breakfast, moderate-intensity physical activity, subjective stress, and subjective health status to prevent depression among older adults living in the community.

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Physical activity and depression in older adults: the knowns and unknowns

Cited by 63 publications

References 76 publications

Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?

Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?

Predictors of Lower Depression Levels in Older Adults During COVID-19 Lockdown

Development of a Nomogram for Predicting Depression in the Elderly Using Patient Health Questionnaire-9 among a Nationwide Sample of Korean Elderly

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