Physical activity and depressive symptoms in community-dwelling elders from southern Brazil

OBJECTIVE: To determine the existence of a relationship between physical activity and depressive symptoms in community-dwelling elders. METHOD: This is a cross-sectional, population-based study, which included 379 community-dwelling elders from Novo Hamburgo, state of RS, Brazil. The level of physical activity was estimated using the International Physical Activity Questionnaire and depressive symptoms were diagnosed according to the Yesavage Geriatric Depression Scale. The association between the level of physical activity and depressive symptoms was analyzed by logistic regression. RESULTS: A tendency towards a lower prevalence of depressive symptoms was observed in individuals with higher levels of physical activity, both in the sample as a whole as well as among men, but not among women (p for linear trend 0.04, 0.03 and 0.36, respectively). The odds ratio of the presence of depressive symptoms in the very active group, as compared against that of the insufficiently active group was 0.32 (95% CI: 0.12-0.86) for men and 0.76 (95% CI: 0.39-1.46) for women. CONCLUSION: In this population of aged individuals, more intense physical activity is related to a lower prevalence of depressive symptoms. As shown by gender stratification, physical activity is inversely related to depressive symptoms in men, albeit not in women.

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Low-grade inflammation differentiates between symptoms of apathy and depression in community-dwelling older individuals

International Psychogeriatrics ◽

10.1017/s1041610214002683 ◽

2014 ◽

Vol 27 (4) ◽

pp. 639-647 ◽

Cited By ~ 16

Author(s):

Lisa S. M. Eurelings ◽

Edo Richard ◽

Piet Eikelenboom ◽

Willem A. van Gool ◽

Eric P. Moll van Charante

Keyword(s):

Depressive Symptoms ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Population Based ◽

Community Dwelling ◽

Low Grade ◽

Older Individuals ◽

Cross Sectional ◽

Low Grade Inflammation

ABSTRACTBackground:Systemic low-grade inflammation has repeatedly been associated with depression in old age, but the relationship with apathy is less clear. The present study assessed whether C-reactive protein (CRP) is differentially associated with symptoms of apathy and depression.Methods:A population-based cohort study was carried-out. At baseline and after two and four years of follow-up, CRP levels were assessed and symptoms of apathy and depression were measured using the 15-item Geriatric Depression Scale. Logistic regression analysis was used to investigate the cross-sectional and longitudinal associations of CRP with symptoms of apathy and depression.Results:Two thousand forty-seven community-dwelling participants (70–78 years) without a history of cardiovascular disease or stroke were studied. A cross-sectional association was found between CRP and apathy symptoms at three time points (odds ratio (OR) per natural log unit increase in CRP: baseline visit = 1.40, 95% CI = 1.12–1.75; two-year follow-up visit = 1.62, 95% CI = 1.17–2.25; four-year follow-up visit = 1.51, 95% CI = 1.03–2.21). This did not change after adjustment for demographics and depressive symptoms, and was slightly attenuated after adjustment for cardiovascular risk factors. No cross-sectional association was found with depressive symptoms. Baseline CRP did not predict incident apathy or depressive symptoms during four years of follow-up.Conclusions:Increased CRP levels are associated with apathy symptoms but not with depressive symptoms. This suggests a differential effect of inflammation on apathy and depression. In older persons, symptoms of apathy may be a behavioral manifestation of concurrent low-grade inflammation.

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Identifying the Factors Related to Depressive Symptoms Amongst Community-Dwelling Older Adults with Mild Cognitive Impairment

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16183449 ◽

2019 ◽

Vol 16 (18) ◽

pp. 3449 ◽

Cited By ~ 1

Author(s):

Dan Song ◽

Doris S.F. Yu ◽

Polly W.C. Li ◽

Qiuhua Sun

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Mild Cognitive Impairment ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Community Dwelling ◽

Cross Sectional ◽

Increased Risk ◽

Community Dwelling Older Adults

High-level depressive symptoms have been reported in individuals with mild cognitive impairment (MCI), resulting in increased risk of progression to dementia. However, studies investigating the correlates of depressive symptoms among this population are scarce. This study aimed to investigate the significant socio-demographic, lifestyle-related and disease-related correlates of depressive symptoms among this cohort. Cross-sectional data were obtained from a sample of 154 Chinese community-dwelling older adults with MCI. MCI subjects were screened by the Montreal Cognitive Assessment. Depressive symptoms were measured by the Geriatric Depression Scale. Possible correlates of depressive symptoms in individuals with MCI were explored by multiple linear regressions. The prevalence of depressive symptoms among Chinese older adults with MCI was 31.8%. In multiple regression analysis, poor perceived positive social interaction, small social network, low level of physical activity, poor functional status, subjective memory complaint, and poor health perception were correlated with depressive symptoms. The findings highlight that depressive symptoms are sufficient to warrant evaluation and management in older adults with MCI. Addressing social isolation, assisting this vulnerable group in functional and physical activities, and cultivating a positive perception towards cognitive and physical health are highly prioritized treatment targets among individuals with MCI.

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Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults

Journal of Clinical Medicine ◽

10.3390/jcm9030795 ◽

2020 ◽

Vol 9 (3) ◽

pp. 795

Author(s):

Michio Maruta ◽

Hyuma Makizako ◽

Yuriko Ikeda ◽

Hironori Miyata ◽

Atsushi Nakamura ◽

...

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Community Dwelling ◽

Cross Sectional ◽

Significant Difference ◽

Japanese Older Adults ◽

And Performance

The aim of this cross-sectional study was to investigate relationships between individuals’ ratings of satisfaction and performance of activities that they found meaningful and depressive symptoms. Data was obtained from 806 older adults (mean age 74.9 ± 6.3 years, women = 63.0%) who participated in a community-based health check survey (Tarumizu Study 2018). Participants selected meaningful activities from 95 activities using the Aid for Decision-Making in Occupation Choice and evaluated their satisfaction and performance. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15) and defined by a GDS-15 score of ≥5. Non-linear logistic regression analyses were used separately by gender to examine the association between satisfaction and performance of meaningful activities and depressive symptoms. The prevalence of depressive symptoms was 15.8%. We found no significant difference between meaningful activity choice between older adults with depressive symptoms and those without, in both men and women. After adjusting for potential covariates, satisfaction was associated with depressive symptoms in both men (OR 0.52, 95% CI 0.35–0.77) and women (OR 0.67, 95% CI 0.49–0.91), but performance was limited in women (OR 0.87, 95% CI 0.77–0.99). Our findings suggest that depressive symptoms are associated with satisfaction in meaningful activities regardless of activity categories.

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Active aging is associated with low prevalence of depressive symptoms among Brazilian older adults

Revista Brasileira de Epidemiologia ◽

10.1590/1980-5497201600020008 ◽

2016 ◽

Vol 19 (2) ◽

pp. 307-316 ◽

Cited By ~ 7

Author(s):

Rosangela Galli ◽

Emílio Hideyuki Moriguchi ◽

Neide Maria Bruscato ◽

Rogerio Lessa Horta ◽

Marcos Pascoal Pattussi

Keyword(s):

Depressive Symptoms ◽

Elderly People ◽

White Women ◽

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Active Aging ◽

Lower Prevalence ◽

Cross Sectional ◽

Manual Work

ABSTRACT: Introduction: Active aging is the process of optimizing opportunities for health, participation and security, aiming to improve quality of life as people age. A series of studies had demonstrated that a lower prevalence of depression is found among more active elderly. Objective: To evaluate the association between indicators of active aging and depressive symptoms among the elderly (aged 60 years or more). Method: A population-based cross-sectional study was conducted with 1,006 elderly people (aged 60 years or over) from a small-sized Brazilian municipality. Depressive symptoms were assessed using the Geriatric Depression Scale - 15, with cutoff point ≥ 6 symptoms. Active aging was evaluated using indicators such as: active occupational situation, manual work, reading and physical activities. Data analyses used modified Poisson regression to obtain crude and adjusted prevalence ratios (PR). Results: Most of the elderly people were: white, women and aged between 60 and 74 years. All the indicators of active aging were associated with the outcome. After controlling for socioeconomic, demographic and health variables, elderly people who worked, participated in groups, did manual work and maintained interests such as reading and talking to friends had lower prevalence of depressive symptoms compared to those not doing these activities. Conclusions: Active aging approaches may serve as a valuable mental health promotion strategy aimed at the elderly.

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Physical activity and depression in older adults with and without cognitive impairment

Dementia & Neuropsychologia ◽

10.1590/1980-57642018dn12-010002 ◽

2018 ◽

Vol 12 (1) ◽

pp. 12-18 ◽

Cited By ~ 7

Author(s):

Kornanong Yuenyongchaiwat ◽

Khajonsak Pongpanit ◽

Somrudee Hanmanop

Keyword(s):

Physical Activity ◽

Older Adults ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Older Individuals ◽

Cross Sectional ◽

Increased Risk

ABSTRACT Low physical activity and depression may be related to cognitive impairment in the elderly. Objetive: To determine depression and physical activity (PA) among older adults with and without cognitive impairment. Methods: 156 older adults, both males and females, aged ≥60 years, were asked to complete the Thai Mini-Mental State Examination (Thai-MMSE), a global cognitive impairment screening tool. Seventy-eight older adults with cognitive impairment and 78 older adults without cognitive impairment were then separately administered two questionnaires (i.e., the Thai Geriatric Depression Scale; TGDS and Global Physical Activity Questionnaire; GPAQ). Logistic regression analysis was used to determine the risk of developing cognitive impairment in the groups of older individuals with and without cognitive impairment. Results: A cross-sectional study of elderly with a mean age of 74.47 ± 8.14 years was conducted. There were significant differences on the depression scale and in PA between older adults with and without cognitive impairment. Further, participants with low PA and high level of depressive symptoms had an increased risk of cognitive impairment (Odds ratio = 4.808 and 3.298, respectively). Conclusion: Significant differences were noted in PA and on depression scales between older adults with and without cognitive impairment. Therefore, increased PA and decreased depressive symptoms (i.e., having psychological support) are suggested to reduce the risks of cognitive impairment in older adults.

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Differences in Objectively Measured Daily Physical Activity Patterns Related to Depressive Symptoms in Community Dwelling Women - mPED Trial

10.21203/rs.3.rs-41435/v1 ◽

2020 ◽

Author(s):

Caroline Figueroa ◽

Eric Vittinghof ◽

Adrian Aguilera ◽

Yoshimi Fukuoka

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Activity Patterns ◽

Depression Scale ◽

Final Analysis ◽

Epidemiological Studies ◽

Community Dwelling ◽

Cross Sectional ◽

Day Of The Week ◽

Objectively Measured

Abstract Background:Physical activity(PA) has been identified as an effective depression treatment.However, knowledge on how variation in day-to-day PA relates to depression is lacking. Purpose:The purposes of this cross-sectional analysis were to 1) compare overall objectively measured baseline daily steps and duration of moderate to vigorous PA (MVPA) and 2) examine differences in steps and MVPA on days of the week between women with high and low depressive symptoms, enrolled in the mobile phone based physical activity education (mPED) trial.Methods:The Center for Epidemiological Studies Depression Scale was used to categorize low and high depressive symptom groups.We used linear mixed-effects models to examine the associations between steps and MVPA and depression-status both overall and by day of the week,adjusting for selected demographic variables and their interactions with day of the week.Results:275 women were included in the final analysis, of which 217 had low and 58 had high depressive symptoms. We found that day of the week modified the associations of depression with both daily steps and MVPA. Women with high depressive symptoms were characterized by reduced activity at the end of the week (Friday: 832 fewer steps, 95% CI:116 to 1548, p=0.023; 8.9 lower MVPA, 95% CI:2.2 to 15.5, p=0.009), whereas women with low depression showed an increase in physical activity.Conclusions:Day of the week might be an important target for personalization of physical activity interventions. Future work should evaluate potential causes of alterations in daily activity patterns in depression.Trial RegistrationClinicalTrials.gov#:NCTO1280812registered January 21, 2011

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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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The Relationship Between Perceived Barriers for Physical Activity and Depression in Low Active Community-Dwelling Women

10.21203/rs.3.rs-135211/v1 ◽

2021 ◽

Author(s):

Caroline Figueroa ◽

Adrian Aguilera ◽

Thomas Hoffmann ◽

Yoshimi Fukuoka

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Social Influence ◽

Controlled Trial ◽

Depression Scale ◽

Community Dwelling ◽

Perceived Barriers ◽

Effect Estimate ◽

Cross Sectional ◽

The Relationship

Abstract Background: Women are less physically active, report greater perceived barriers for exercise and show higher levels of depression. This contributes to high global disability. The relationship between perceived barriers for physical activity and depressive symptoms in women remains largely unexplored. The aims of this cross-sectional analysis were to examine the association between physical activity barriers and depressive symptoms, and identify types of barriers in low active community dwelling women. Methods: 318 physically inactive women aged 25-65 years completed the Barriers to Being Active Quiz (BBAQ) developed by the Centers for Disease Control and Prevention, and the Center for Epidemiological Studies Depression Scale (CES-D) at the baseline visit of the mobile phone based physical activity education (mPED) trial. The BBAQ consists of 6 subscales (lack of time, social influence, lack of energy, lack of willpower, fear of injury, lack of skill, and lack of resources). We used multivariate regression analyses, correcting for sociodemographics. Results: Higher physical activity barriers were associated with greater depression scores (linear effect, estimate=0.75, 95% CI: 0.39 – 1.12, p<0.001). This effect appeared to taper off for the higher barrier scores (quadratic effect, estimate: -0.02, 95% CI: -0.03 – -0.01, p=0.002). Exploratory analyses indicated that score differences were most driven by the social influence (p=0.027) and lack of energy subscales (p=0.017).Conclusions: Higher depression scores were associated with higher physical activity barriers. Social influence and lack of energy were particularly important barriers. Thus, addressing these barriers may improve the efficacy of physical activity interventions in women with higher depressive symptoms. However, a randomized controlled trial is warranted. Trial Registration ClinicalTrials.gov#: NCTO1280812 registered January 21, 2011

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Associations between depressive symptoms and geriatric syndromes in community-dwelling older adults in Japan: a cross-sectional study

10.21203/rs.3.rs-63598/v1 ◽

2020 ◽

Author(s):

Masakazu Imaoka ◽

Hidetoshi Nakao ◽

Misa Nakamura ◽

Fumie Tazaki ◽

Mitsumasa Hida ◽

...

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Community Dwelling ◽

Geriatric Syndromes ◽

Sectional Study ◽

Cross Sectional ◽

Community Dwelling Older Adults

Abstract Background It is estimated that 7.2% of community-dwelling older adults in worldwide have major depression. This cross-sectional study aimed to investigate the relationship between geriatric syndromes and depressive symptoms. Methods Data were obtained from 363 older adults (mean age 73.6 ± 6.6 years; women = 75.8%) who participated in a community-based health check. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15). Depression was defined as a GDS-15 score of ≥ 5. Further, geriatric syndromes in participants—such as frailty, sarcopenia, and locomotive syndrome—were assessed. Results There was a 28.1% prevalence of depressive symptoms. In a logistic regression analysis with depressive symptoms as the dependent variable, both pre-frailty (odds ratio [OR] 1.85, 95% confidence interval [CI] 1.09–3.01) and frailty (OR 5.45, 95% CI 2.23–13.31) were found to be significantly higher in the depressive group. Conclusions Our findings suggest that depressive symptoms are associated with frailty and pre-frailty in community-dwelling older adults in Japan.

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Physiological Levels of Melatonin Relate to Cognitive Function and Depressive Symptoms: The HEIJO-KYO Cohort

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jc.2015-1859 ◽

2015 ◽

Vol 100 (8) ◽

pp. 3090-3096 ◽

Cited By ~ 23

Author(s):

Kenji Obayashi ◽

Keigo Saeki ◽

Junko Iwamoto ◽

Nobuhiro Tone ◽

Kunihiko Tanaka ◽

...

Keyword(s):

Cognitive Impairment ◽

Depressive Symptoms ◽

Cognitive Function ◽

Confidence Interval ◽

Depressed Mood ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Community Dwelling ◽

Cross Sectional

Context: In contrast with randomized controlled trials, observational studies have suggested that physiological levels of melatonin are reduced in patients with dementia or depression, but the relationship has not been evaluated in large populations. Objective: The objective was to determine the relationships between physiological levels of melatonin and cognitive function and depressive symptoms. Design and Participants: A cohort of 1105 community-dwelling elderly individuals was enrolled in this cross-sectional study (mean age, 71.8 ± 7.1 y). Measures: Urinary 6-sulfatoxymelatonin excretion (UME) and Mini-Mental State Examination (MMSE; n = 935) and Geriatric Depression Scale (GDS; n = 1097) scores were measured as indices of physiological melatonin levels, cognitive function, and depressive symptoms, respectively. Results: With increases in UME quartiles, the prevalence of cognitive impairment (MMSE score ≤ 26) and depressed mood (GDS score ≥ 6) significantly decreased (P for trend = .003 and .012, respectively). In multivariate logistic regression models, after adjusting for confounders such as age, gender, socioeconomic status, physical activity, and sleep/wake cycles, higher UME levels were significantly associated with lower odds ratios (ORs) for cognitive impairment and depressed mood (ORs: Q1 = 1.00; Q2 = 0.88 and 0.76; Q3 = 0.66 and 0.85; Q4 = 0.67 and 0.53; P for trend = .023 and .033, respectively). In addition, the highest UME group showed a significantly lower OR for depressed mood than the lowest UME group (Q4 vs Q1: OR, 0.53; 95% confidence interval, 0.32–0.89; P = .033). UME levels above the median value were significantly associated with a lower OR for cognitive impairment, even after further adjustment for depressive symptoms (OR = 0.74; 95% confidence interval, 0.55–0.99; P = .043). Conclusions: Significant associations of higher physiological melatonin levels with lower prevalence of cognitive impairment and depressed mood were revealed in a large general elderly population. The association between physiological melatonin levels and cognitive function was independent of depressive symptoms.

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