P1-604: PHYSICAL ACTIVITY LEVELS ARE ASSOCIATED WITH SPECTROSCOPIC MARKERS OF OXIDATIVE STRESS AND NEURONAL INTEGRITY IN OLDER ADULTS WITH MILD DEPRESSIVE SYMPTOMS

AimThe aim of our study was to analyze physical activity levels, sitting time, physical fitness, and their relationship with depressive symptoms after home confinement in previously active older adults.MethodsThis cross-sectional study sample comprised 68 older adults (74.24 ± 5.67 years) from a community-based exercise program conducted in Porto, Portugal. After home confinement, participants were assessed in person for lower-body strength (30-s chair stand test), cardiorespiratory fitness (6-min walking test), agility/dynamic balance (8-ft up-and-go test), handgrip strength, and anthropometry. Telephone interviews were performed to evaluate depressive symptoms with the Geriatric Depression Scale – 15 items (GDS-15) and physical activity levels through the International Physical Activity Questionnaire (IPAQ-SV). Individuals were also asked to self-report changes in their physical activity levels and time spent sitting.ResultsNinety percent of older adults self-reported a decrease in overall physical activity levels, and nearly 65% increased daily sitting time during the home confinement. However, previously active older adults still presented high levels of physical fitness (scores above 50th compared with Portuguese normative values) after 11 weeks of home confinement. Overall, 52.9% of participants scored 5 or more points on GDS-15, which is suggestive of depression. Higher levels of moderate-to-vigorous physical activity (MVPA) and cardiorespiratory fitness were found in the non-depressed group compared with the depressed group. Finally, results from multiple regression analysis revealed that MVPA was negatively associated with depression. This model explained 16.4% of the variability seen in depression score, controlled for age, gender, and education.ConclusionEven reporting a decline in physical activity, older adults who previously participated in a formal exercise program, still presented high levels of physical fitness after 11 weeks of home confinement. However, MVPA, but not physical fitness, seems to be an associated depression score in previously active older adults. These results reinforce the importance of older adults to remain physically active, since higher levels of MVPA may have a protective effect on depressive symptoms and, therefore, mitigate the negative impact of home confinement on mental health. Future longitudinal research studies are needed to ascertain these results.

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Understanding temporal relationships between depression, falls, and physical activity in a cohort of post-hospitalized older adults – a breakthrough or a conundrum?

International Psychogeriatrics ◽

10.1017/s104161021700103x ◽

2017 ◽

Vol 29 (10) ◽

pp. 1681-1692 ◽

Cited By ~ 6

Author(s):

Den-Ching A. Lee ◽

Aislinn F. Lalor ◽

Grant Russell ◽

Rene Stolwyk ◽

Ted Brown ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Depressive Symptoms ◽

Community Dwelling ◽

Baseline Survey ◽

Activity Levels ◽

Negatively Associated ◽

Temporal Relationships ◽

Physical Activity Levels

ABSTRACTBackground:Clinical depression affects approximately 15% of community-dwelling older adults, of which half of these cases present in later life. Falls and depressive symptoms are thought to co-exist, while physical activity may protect an older adult from developing depressive symptoms. This study investigates the temporal relationships between depressive symptoms, falls, and participation in physical activities amongst older adults recently discharged following extended hospitalization.Methods:A prospective cohort study in which 311 older adults surveyed prior to hospital discharge were assessed monthly post-discharge for six months. N = 218 completed the six-month follow-up. Participants were recruited from hospitals in Melbourne, Australia. The survey instrument used was designed based on Fiske's behavioral model depicting onset and maintenance of depression. The baseline survey collected data on self-reported falls, physical activity levels, and depressive symptoms. The monthly follow-up surveys repeated measurement of these outcomes.Results:At any assessment point, falls were positively associated with depressive symptoms; depressive symptoms were negatively associated with physical activity levels; and, physical activity levels were negatively associated with falls. When compared with data in the subsequent assessment point, depressive symptoms were positively associated with falls reported over the next month (unadjusted OR: 1.20 (1.12, 1.28)), and physical activity levels were negatively associated with falls reported over the next month (unadjusted OR: 0.97 (0.96, 0.99) household and recreational), both indicating a temporal relationship.Conclusion:Falls, physical activity, and depressive symptoms were inter-associated, and depressive symptoms and low physical activity levels preceded falls. Clear strategies for management of these interconnected problems remain elusive.

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Associations Between Depressive Symptoms and Physical Activity Intensity in an Older Adult Population During COVID-19 Lockdown

Frontiers in Psychology ◽

10.3389/fpsyg.2021.644106 ◽

2021 ◽

Vol 12 ◽

Author(s):

Ana Lage ◽

Susana Carrapatoso ◽

Elzier Sampaio de Queiroz Neto ◽

Sérgio Gomes ◽

Luísa Soares-Miranda ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Depressive Symptoms ◽

Depressive Symptomatology ◽

Vigorous Physical Activity ◽

Depression Score ◽

Self Report ◽

Sitting Time ◽

Activity Levels ◽

Physical Activity Levels

IntroductionThe COVID-19 pandemic led to the implementation of physical–social distancing measures–including self-isolation, home confinement, and quarantine around the world, with psychological consequences such as depression. Older adults are especially likely to develop depressive symptomatology. This study aims to investigate the association between physical activity intensities and sedentary behavior with depression levels among previously active older adults during the COVID-19 lockdown.MethodsA total of 1,123 physically active older Brazilian adults (67.68 ± 5.91 years, 91.00% female) were interviewed by telephone in regard to sociodemographic, general health status, depression (GDS-15), and physical activity (IPAQ-SV) after being home-confined for 11.59 ± 2.42 weeks. Participants were also asked to self-report changes in their physical activity levels and time spent sitting. Descriptive statistics (mean, frequencies), between-groups comparisons (t-tests and chi-square), and hierarchical regression analysis were used.ResultsAbout 83.80% of older adults self-reported a decrease in daily physical activity levels and 73.90% increased sitting time. Overall, depressive symptoms were observed in 30.40, and 20.80% met physical activity recommendations. Daily moderate (β = −0.174; 95% CI = −0.026; -0.012) and moderate-to-vigorous (β = −0.183; 95% CI = −0.023; 0.011) physical activity intensities were negatively associated with depression score explaining 2.6 and 2.9% of depression variability, respectively, after adjusting for age, gender, education level, body mass index, and polypharmacy. Daily walking and sitting time were not associated with the depression score (p > 0.05).ConclusionThe results provide empiric suggestion supporting moderate to vigorous physical activity as a way to reduce depressive levels among older adults during COVID-19 confinement. Supervised home-based exercise programs, specifically designed for older adults, might be an important strategy to maintain and improve older adults’ mental health.

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Physical activity levels in older adults with ID are extremely low

European Geriatric Medicine ◽

10.1016/j.eurger.2012.07.053 ◽

2012 ◽

Vol 3 ◽

pp. S48-S49

Author(s):

T. Hilgenkamp ◽

R. Van Wijck ◽

H. Evenhuis

Keyword(s):

Physical Activity ◽

Older Adults ◽

Activity Levels ◽

Physical Activity Levels

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Impact of pain characteristics and fear-avoidance beliefs on physical activity levels among older adults with chronic pain: a population-based, longitudinal study

BMC Geriatrics ◽

10.1186/s12877-016-0224-3 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 33

Author(s):

Caroline Larsson ◽

Eva Ekvall Hansson ◽

Kristina Sundquist ◽

Ulf Jakobsson

Keyword(s):

Physical Activity ◽

Older Adults ◽

Chronic Pain ◽

Longitudinal Study ◽

Population Based ◽

Activity Levels ◽

Fear Avoidance ◽

Fear Avoidance Beliefs ◽

Physical Activity Levels ◽

Pain Characteristics

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Walking Cadence to Exercise at Moderate Intensity for Adults: A Systematic Review

Journal of Sports Medicine ◽

10.1155/2017/4641203 ◽

2017 ◽

Vol 2017 ◽

pp. 1-12 ◽

Cited By ~ 9

Author(s):

J. Slaght ◽

M. Sénéchal ◽

T. J. Hrubeniuk ◽

A. Mayo ◽

D. R. Bouchard

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Leisure Activity ◽

Moderate Intensity ◽

Activity Levels ◽

Physical Activity Guidelines ◽

Aerobic Activity ◽

Physical Activity Levels

Background. Most adults choose walking as a leisure activity. However, many do not reach the international physical activity guidelines for adults, which recommend moderate intensity aerobic activity for at least 150 minutes/week in bouts of 10 minutes. Purpose. This systematic review provides an update on the walking cadence required to reach moderate intensity in adults and older adults, identifies variables associated with reaching moderate intensity, and evaluates how walking cadence intensity should be measured, but the main purpose is to report the interventions that have been attempted to prescribe walking cadence to increase time spent at moderate intensity or other outcomes for adults and older adults. Methods. SportDISCUS, Scopus, and PubMed databases were searched. We identified 3,917 articles and 31 were retained for this systematic review. Only articles written in English were included. Results. In general, 100 steps/minute is prescribed for adults to achieve moderate intensity, but older adults may require a higher cadence. Currently, few studies have explored using walking cadence prescription as an intervention to increase physical activity levels. Conclusion. Prescribing walking cadence as a way to increase physical activity levels has potential as a practical and useful strategy, but more evidence is required to assess its ability to increase physical activity levels at moderate intensity.

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Physical activity levels in older adults with intellectual disabilities are extremely low

Research in Developmental Disabilities ◽

10.1016/j.ridd.2011.10.011 ◽

2012 ◽

Vol 33 (2) ◽

pp. 477-483 ◽

Cited By ~ 93

Author(s):

Thessa I.M. Hilgenkamp ◽

Debora Reis ◽

Ruud van Wijck ◽

Heleen M. Evenhuis

Keyword(s):

Physical Activity ◽

Older Adults ◽

Intellectual Disabilities ◽

Activity Levels ◽

Physical Activity Levels ◽

Adults With Intellectual Disabilities

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Are Covid-19 Pandemic Physical Activity Levels Affect Balance, Gait, Cognitive Functions and Fear of Covid-19 of Older Adults?

OSMANGAZİ JOURNAL OF MEDICINE ◽

10.20515/otd.982243 ◽

2021 ◽

Author(s):

Elvan ÖZCAN GÜLŞEN ◽

Çağrı GÜLŞEN ◽

Fatih SOKE ◽

Melahat SAYAN ◽

Öznur TUNCA

Keyword(s):

Physical Activity ◽

Older Adults ◽

Cognitive Functions ◽

Activity Levels ◽

Affect Balance ◽

Physical Activity Levels

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Perceived Barriers to Walking in the Neighborhood Environment: A Survey of Middle-Aged and Older Adults

Journal of Aging and Physical Activity ◽

10.1123/japa.15.3.318 ◽

2007 ◽

Vol 15 (3) ◽

pp. 318-335 ◽

Cited By ~ 27

Author(s):

Jill Dawson ◽

Melvyn Hillsdon ◽

Irene Boller ◽

Charlie Foster

Keyword(s):

Physical Activity ◽

Older Adults ◽

Neighborhood Environment ◽

Perceived Barriers ◽

Activity Levels ◽

Environmental Attributes ◽

Physical Activity Levels ◽

Health Related ◽

Low Levels ◽

The Uk

The authors investigated whether low levels of walking among older adults in the UK were associated with demographic and health characteristics, as well as perceived environmental attributes. Survey data were obtained from self-administered standard questionnaires given to 680 people age 50+ (mean age 64.4 yr) attending nationally led walking schemes. Items concerned with demographic characteristics and perceived barriers to neighborhood walking were analyzed using multiple logistic regression. Citing more than 1 environmental barrier to walking, versus not, was associated with significantly reduced levels of (leisure) walking (MET/hr) in the preceding week (Z = –2.35, p = .019), but physical activity levels overall did not differ significantly (Z = –0.71, p = .48). Citing a health-related barrier to walking significantly adversely affected overall physical activity levels (Z = –2.72, p = .006). The authors concluded that, among older people who favor walking, health problems might more seriously affect overall physical activity levels than perceived environmental barriers.

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