Physical Activity and Psychological Well-Being in Advanced Age: A Meta-Analysis of Intervention Studies.

Netz, Yael; Wu, Meng-Jia; Becker, Betsy Jane; Tenenbaum, Gershon

doi:10.1037/0882-7974.20.2.272

Cited by 773 publications

(600 citation statements)

References 64 publications

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“…A meta-analysis examined data from 36 studies linking physical activity with well-being in older adults without clinical disorders. The result showed that aerobic training was most beneficial for several types of well-being, and moderate intensity activity was the most beneficial activity level [4] . Moreover, Colcombe S et al also provided convincing evidence that aerobic fitness training in older persons improved cognitive function, especially executive-control processes.…”

Section: Exercise Induces Psychological and Cognitive Improvements Rementioning

confidence: 97%

Beneficial effects of moderate voluntary physical exercise and its biological mechanisms on brain health

2008

Neurosci. Bull.

128

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This article reviewed the beneficial effects of moderate voluntary physical exercise on brain health according to the studies on humans and animals, which includes improving psychological status and cognitive function, enhancing psychological well-being, decreasing the risks of Alzheimer's disease (AD) and dementia, and promoting the effects of antidepressant and anxiolytic. The possible underlying neurobiological mechanisms are involved up-active and down-active pathways. The up-active pathway is associated with enhancements of several neurotransmitters systems afferent to hippocampus, including norepinephrine (NE), serotonin (5-Hydroxytryptamine, 5-HT), acetylcholine (ACh) and γ-aminobutyric acid (GABA). The down-active pathway is mainly concerned with up-regulation of the brain-derived neurotrophic factor (BDNF) and neurogenesis. It is suggested that NE activation via β-adrenergic receptors may be essential for exercise-induced BDNF up-regulation. The possible intracellular signaling pathways of NE-mediated BDNF up-expression may be involved in GPCR-MAPK-PI-3K crosstalk and positive feedback.

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Section: Exercise Induces Psychological and Cognitive Improvements Rementioning

confidence: 97%

Beneficial effects of moderate voluntary physical exercise and its biological mechanisms on brain health

2008

Neurosci. Bull.

128

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“…In a meta-analysis of prospective cohort studies of patients with coronary heart disease, smoking cessation reduced total mortality by 36%. 69 The pleiotropic effects of physical activity (eg, improved lipid profiles, BP, glucose-insulin homeostasis, endothelial function, inflammatory markers, and psychological well-being) [70][71][72][73] likely account for 30% to 50% reductions in incident type 2 diabetes and coronary heart disease in physically active vs sedentary individuals. 72 Diet can reduce death from coronary heart disease by up to 36% and can improve many established risk factors.…”

Section: Treatment Additional Cardiovascular Evaluation and Referralmentioning

confidence: 99%

The Princeton III Consensus Recommendations for the Management of Erectile Dysfunction and Cardiovascular Disease

Nehra

Jackson

Miner

et al. 2012

Mayo Clinic Proceedings

421

341

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The Princeton Consensus (Expert Panel) Conference is a multispecialty collaborative tradition dedicated to optimizing sexual function and preserving cardiovascular health. The third Princeton Consensus met November 8 to 10, 2010, and had 2 primary objectives. The first objective focused on the evaluation and management of cardiovascular risk in men with erectile dysfunction (ED) and no known cardiovascular disease (CVD), with particular emphasis on identification of men with ED who may require additional cardiologic work-up. The second objective focused on reevaluation and modification of previous recommendations for evaluation of cardiac risk associated with sexual activity in men with known CVD. The Panel's recommendations build on those developed during the first and second Princeton Consensus Conferences, first emphasizing the use of exercise ability and stress testing to ensure that each man's cardiovascular health is consistent with the physical demands of sexual activity before prescribing treatment for ED, and second highlighting the link between ED and CVD, which may be asymptomatic and may benefit from cardiovascular risk reduction. T he Princeton Consensus Conference is a multispecialty collaborative tradition dedicated to optimizing sexual function and preserving cardiovascular health. The first conference convened in June 1999 to develop recommendations for clinical management of sexual dysfunction in men and women with known cardiovascular disease (CVD). This conference also provided a multidisciplinary forum for evaluation of the potential cardiovascular risk posed by sexual activity in atrisk patients. The first Princeton Consensus Conference recommendations 1 included stratification of patients by level of cardiac risk associated with sexual activity based on existing CVD. Those at low risk could initiate or resume sexual activity and be treated for sexual dysfunction. For those at high risk, sexual activity was deferred until the cardiac condition was stabilized. The second Princeton Consensus Conference convened in June 2004 and expanded the recommendations of the first conference to emphasize risk factor evaluation and lifestyle management for all men with erectile dysfunction (ED). 2 The second conference recommendations also incorporated new information on the appropriate use of phosphodiesterase type 5 (PDE5) inhibitors in men with ED and concomitant CVD.The third Princeton Consensus Conference took place November 8 to 10, 2010, in Miami Beach, Florida. The group revisited and updated their 2005 recommendations regarding the cardiovascular risk associated with sexual activity in men with known CVD. 2 In addition, the third conference focused on the predictive value of vasculogenic ED in assigning cardiovascular risk in men of all ages, with the primary objective being development of an approach to cardiovascular risk assessment in younger men with ED and no known CVD. The role of testosterone in erectile function and cardiovascular health and the utility of testosterone replacement...

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“…However, secondary analyses differ in their findings on which moderators influence the relation between exercise and SWB in which way. Schlicht's [6] meta-analysis, for example, found a stronger relation for women than men (r women 0.33 vs. r men 0.08), whereas Netz et al [7] found no impact of gender on effect sizes but an effect of age instead: Those aged 54-64 years profited more (d00.33) than those aged 65-74 years (d00.20), and these, in turn, more than the over-74s (d00.11). Nonetheless, both authors show more agreement over the type of exercise: Schlicht [6] reported the largest effect sizes for endurance sports (r00.22), and Netz et al [7] found comparatively high effect sizes for aerobic exercise (d00.29).…”

mentioning

confidence: 99%

“…Schlicht's [6] meta-analysis, for example, found a stronger relation for women than men (r women 0.33 vs. r men 0.08), whereas Netz et al [7] found no impact of gender on effect sizes but an effect of age instead: Those aged 54-64 years profited more (d00.33) than those aged 65-74 years (d00.20), and these, in turn, more than the over-74s (d00.11). Nonetheless, both authors show more agreement over the type of exercise: Schlicht [6] reported the largest effect sizes for endurance sports (r00.22), and Netz et al [7] found comparatively high effect sizes for aerobic exercise (d00.29).Eur Rev Aging Phys Act (2012) 9:87-102 DOI 10.1007/s11556The heterogeneity of findings in primary studies and the inconsistencies in meta-analyses hardly permit any clear statements on which forms of exercise promote well-being. As Ekkekakis and Backhouse [9] have shown for exemplary secondary analyses, a comparative inspection of the same literature can even lead to contradictory conclusions.…”

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confidence: 99%

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Subjective well-being and exercise in the second half of life: a critical review of theoretical approaches

Lehnert

Sudeck

Conzelmann

2012

Eur Rev Aging Phys Act

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Research has shown repeatedly that the "feeling better" effect of exercise is far more moderate than generally claimed. Examinations of subgroups in secondary analyses also indicate that numerous further variables influence this relationship. One reason for inconsistencies in this research field is the lack of adequate theoretical analyses. Well-being output variables frequently possess no construct definition, and little attention is paid to moderating and mediating variables. This article integrates the main models in an overview and analyzes how secondary analyses define well-being and which areas of the construct they focus on. It then applies a moderator and/or mediator framework to examine which person and environmental variables can be found in the existing explanatory approaches in sport science and how they specify the influence of these moderating and mediating variables. Results show that the broad understanding of well-being in many secondary analyses makes findings difficult to interpret. Moreover, physiological explanatory approaches focus more on affective changes in well-being, whereas psychological approaches also include cognitive changes. The approaches focus mostly on either physical or psychological person variables and rarely combine the two, as in, for example, the dual-mode model. Whereas environmental variables specifying the treatment more closely (e.g., its intensity) are comparatively frequent, only the social support model formulates variables such as the framework in which exercise is presented. The majority of explanatory approaches use simple moderator and/or mediator models such as the basic mediated (e.g., distraction hypothesis) or multiple mediated (e.g., monoamine hypotheses) model. The discussion draws conclusions for future research.Keywords Well-being . Exercise . Mediation . Moderation . Explanatory approaches Everyday assumptions about the effects of exercise on wellbeing are unanimously positive-as numerous popular science books confirm with promising titles such as The aerobics programs for total well-being [1] or Life skills: 225 ready-to-use health activities for success and well-being [2]. Even in the early years of scientific research in this field, few would have disagreed with the statement that "the 'feeling better' sensation that accompanies regular physical activity is so obvious that it is one of the few universally accepted benefits of exercise" ([3], p. 306). Nonetheless, a host of primary studies carried out between 1960 and the mid-1990s delivered no unequivocal confirmation of this hypothesis. As a result, studies since the 1990s have increasingly been integrated and compared in both narrative (e.g., [4,5]) and meta-analytic reviews (e.g., [6,7]).In contrast to popular science claims, quantitative secondary analyses reveal that the overall effects on (subjective) well-being (SWB) 1 are not only small but also show a great deal of variation. For example, McAuley and Rudolph ([8], p. 68) have written: "Although many studies extol the almost intui...

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Physical Activity and Psychological Well-Being in Advanced Age: A Meta-Analysis of Intervention Studies.

Cited by 773 publications

References 64 publications

Beneficial effects of moderate voluntary physical exercise and its biological mechanisms on brain health

Beneficial effects of moderate voluntary physical exercise and its biological mechanisms on brain health

The Princeton III Consensus Recommendations for the Management of Erectile Dysfunction and Cardiovascular Disease

Subjective well-being and exercise in the second half of life: a critical review of theoretical approaches

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