Physical activity and depressive symptoms in Taiwanese older adults: A seven-year follow-up study

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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PHYSICAL ACTIVITY AND DEPRESSIVE SYMPTOMS: THE NHANES I EPIDEMIOLOGIC FOLLOW-UP STUDY

American Journal of Epidemiology ◽

10.1093/oxfordjournals.aje.a115087 ◽

1988 ◽

Vol 128 (6) ◽

pp. 1340-1351 ◽

Cited By ~ 320

Author(s):

MARY E. FARMER ◽

BEN Z. LOCKE ◽

EVE K. MOŚCICKI ◽

ANDREW L. DANNENBERG ◽

DAVID B. LARSON ◽

...

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Follow Up Study ◽

Nhanes I

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Depressive symptoms, cardiovascular morbidity and loneliness have risk increasing effects on one another in aging, a 13-year follow-up study among Dutch older adults

American Journal of Geriatric Psychiatry ◽

10.1016/j.jagp.2021.01.061 ◽

2021 ◽

Vol 29 (4) ◽

pp. S69-S70

Author(s):

Elisabeth Maria van Zutphen ◽

Almar Kok ◽

Didi Rhebergen ◽

Judith Rijnhart ◽

Martijn Huisman ◽

...

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Cardiovascular Morbidity ◽

Follow Up Study

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Combined health risks of cigarette smoking and low levels of physical activity: a prospective cohort study in England with 12-year follow-up

BMJ Open ◽

10.1136/bmjopen-2019-032852 ◽

2019 ◽

Vol 9 (11) ◽

pp. e032852

Author(s):

Sarah E Jackson ◽

Jamie Brown ◽

Michael Ussher ◽

Lion Shahab ◽

Andrew Steptoe ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Depressive Symptoms ◽

Chronic Disease ◽

Cigarette Smoking ◽

Synergistic Effects ◽

Additive Effects ◽

Self Rated Health ◽

Low Levels

ObjectivesTo (1) estimate the combined risks of cigarette smoking and physical inactivity for chronic disease, disability and depressive symptoms and (2) determine whether risks associated with these behaviours are additive or synergistic.Design and settingLongitudinal observational population study using data from Waves 2 (2004/2005) through 8 (2016/2017) of the English Longitudinal Study of Ageing, a prospective study of community-dwelling older adults in England.Participants6425 men and women aged ≥52 years (mean (SD) 65.88 (9.34) years) at baseline.Main outcome measuresSmoking status (never, former, current) and level of physical activity (high, defined as moderate/vigorous physical activity (MVPA) more than once a week; low, defined as MVPA once a week or less) were self-reported at Wave 2 baseline. Self-rated health, limiting long-standing illness, chronic conditions (coronary heart disease (CHD), stroke, cancer, chronic lung disease) and depressive symptoms were reported in each biennial wave.ResultsBoth smoking and low levels of physical activity were associated with increased risk of incident health problems over the 12-year follow-up period. Current smokers with low levels of physical activity had especially high risks of developing fair/poor self-rated health, CHD, stroke, cancer and chronic lung disease compared with highly active never smokers (adjusted relative risk range 1.89–14.00). While additive effects were evident, tests of multiplicative interactions revealed no evidence of large synergistic effects of smoking and low physical activity (Bayes factor range 0.04–0.61), although data were insensitive to detect smaller effects.ConclusionsAmong older adults in England, there was no evidence of large synergistic effects of smoking and low levels of physical activity on risk of developing chronic disease or depressive symptoms over 12 years. However, additive effects of smoking and low levels of physical activity were evident, underscoring the importance of each of these lifestyle risk behaviours for disease onset.

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The Association between Leisure and Physical Activity Level with Depressive Symptoms after 5-years of follow-up

Innovation in Aging ◽

10.1093/geroni/igab046.2886 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 788-788

Author(s):

Milan Chang ◽

Hrafnhildur Eymundsdottir ◽

Alfons Ramel ◽

Sigurveig Sigurdardottir ◽

Vilmundur Gudnasson ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Depressive Symptoms ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Leisure Activity ◽

Community Dwelling ◽

Activity Level ◽

Community Dwelling Older Adults

Abstract Background Depressive symptoms in older adults are associated with socioeconomic status (SES), medical care, and physical activity. However, there is little evidence on the longitudinal association between level of leisure activity (LA) and physical activity (PA) with depressive symptoms among community-dwelling older adults in Iceland. The study examined an association of LA and PA at baseline with high depressive symptoms (HGDS) assessed after 5 years of follow-up among community-dwelling older adults. Methods A large community-based population residing in Reykjavik, Iceland participated in a longitudinal study with 5 years of follow-up (n=2957, 58% women, 74.9±4.8 yrs). Those with HGDS or dementia at baseline were excluded from the analysis. The reported activity was categorized into 2 groups as no-activity versus any-activity. Depressive symptoms were assessed by the 15-item Geriatric Depression Scale (GDS) on average 5 years later. Results After adjusting for demographic and health-related risk factors, those who reported having any LA had significantly fewer HGDS after the follow-up of 5 years (6 or higher GDS scores, Odds Ratio (OR) = 0.46, 95% Confidence Interval (CI): 0.27 ~ 0.76, P = 0.003). However, reporting any PA at baseline was not significantly associated with HGDS (OR = 0.71, 95% CI: 0.51 ~ 1.00, P = 0.053). Conclusion Our study shows that any LA among older adults is associated with having less depressive symptoms 5 years later among community-dwelling older adults while having any PA was not associated with depressive symptoms after 5 years of follow-up.

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