scholarly journals Lower Grip Strength and Insufficient Physical Activity Can Increase Depressive Symptoms Among Middle-Aged and Older European Adults

2021 ◽  
Author(s):  
Han Zheng ◽  
Chongqi Jia
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Grip Strength ◽  
Physical Inactivity ◽  
Study Group ◽  
Middle Aged ◽  
High Group ◽  
Strength Group ◽  
Insufficient Physical Activity ◽  
Lower Grip

Abstract Objectives: The present study aimed to explore the interaction between grip strength and physical activity on depression, and investigate the association of physical activity with the change in depression by different grip strength groups among middle-aged and older European adults.Methods: A total of 13936 participants aged 50 years or older from the Survey of Health, Ageing and Retirement in Europe 2007-2017 were included in this study. Group-based trajectory modeling was used to identify the low, middle and high group of grip strength by gender. Generalized estimated equations were fitted to analyze the interaction effect.Results: Significant interactions between grip strength group and physical inactivity were found (O interaction=16.70, p<0.001). Significant interactions between physical inactivity and time on depression were identified in low (b interaction=22.15, p<0.001) and moderate (j interaction=22.85, p<0.001) grip strength, but a similar result was not found in high grip strength (e interaction=3.20, p=0.526). Participants in the physical inactivity group had higher depression scores in the low and moderate grip strength group.Conclusions: Grip strength and physical inactivity have interaction with depression. Lower grip strength and insufficient physical activity could increase depressive symptoms. People with lower grip strength and physical inactivity should pay special attention to the prevention of depression.

scholarly journals Physical Activity Dimensions and Its Association with Risk of Diabetes in Middle and Older Aged Chinese People

2020 ◽  
Vol 17 (21) ◽  
pp. 7803 ◽  
Author(s):  
Zixin Zeng ◽  
Yuqian Bian ◽  
Yiran Cui ◽  
Donghui Yang ◽  
Yafeng Wang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Inactivity ◽  
Diabetes Risk ◽  
Multivariate Logistic Regression ◽  
Middle Aged ◽  
Diabetes Group ◽  
Aged Group ◽  
Insufficient Physical Activity ◽  
Different Dimensions ◽  
Reported Data

Background: Diabetes and physical inactivity are prevalent worldwide. Risk of diabetes is known to be related with insufficient physical activity (PA), but associations with the respective dimensions of PA is unclear. Objective: To describe the patterns of physical activity among Chinese middle- and older-aged individuals and figure out their associations with diabetes risk in different dimensions. Methods: Extracting self-reported data from China Health and Retirement Longitudinal Study (CHARLS, 2015), this study included 6196 participants. Multivariate logistic regression was conducted to determine the association between diabetes risk and PA dimensions such as intensity, frequency, duration, and volume. Results: Concerning frequency, lower diabetes risk was associated with performing vigorous PA at any frequency overall. For duration, smaller odds of diabetes were observed in performing vigorous PA 2–4 h/day (OR 0.46, 95%CI 0.30 to 0.71), moderate PA ≥4 h/day (OR 0.59, 95%CI 0.42 to 0.82) and light PA ≥4 h/day (OR 0.59, 95%CI 0.41 to 0.85) overall. For volume, lower diabetes risk was associated with performing moderate-to-vigorous PA (MVPA) ≥2250 METs/week (OR 0.58, 95%CI 0.42 to 0.81) in middle-aged group (45–64 years), whereas no significant associations between MVPA and diabetes risk were found in older aged group (≥65 years). Conclusions: Our results revealed that physical inactivity is prevalent in China, with a greater proportion in the diabetes group. Lower risk of diabetes was associated with higher frequency, longer duration and longer volume of PA at higher intensity in middle-aged respondents and similar associations at lower intensity for the older adults. Additionally, further well-designed prospective studies are needed to confirm our findings.

scholarly journals Associations of physical performance and physical activity with mental well-being in middle-aged women

2020 ◽  
Author(s):  
Dmitriy Bondarev ◽  
Sarianna Sipilä ◽  
Taija Finni ◽  
Urho M. Kujala ◽  
Pauliina Aukee ◽  
...  
Keyword(s):  
Physical Activity ◽  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Physical Performance ◽  
Well Being ◽  
Walking Distance ◽  
Satisfaction With Life Scale ◽  
Middle Aged ◽  
Positive Affectivity ◽  
Mental Well Being

Abstract Purpose To investigate the associations of physical performance with positive and negative dimensions of mental well-being in middle-aged women and to explore the role of physical activity (PA) in these associations. Methods Women aged 47–55 (n = 909) participated in measurements of physical performance (handgrip force, knee extension force, vertical jumping height, maximal walking speed, and six-minute walking distance). Both mental well-being (the Centre for Epidemiologic Studies Depression Scale, the International Positive and Negative Affect Schedule Short Form and the Satisfaction with Life Scale) and PA were self-reported. Associations between variables were analysed using multivariate linear regression modelling adjusted for body height, fat mass, menopausal status and symptoms, marital status, parity, employment status, self-reported mental disorders, and use of psycholeptics and psychoanaleptics. PA was then entered into a separate model to explore its role in the associations. Results In the adjusted models, significant positive associations of six-minute walking distance with positive affectivity (B = 0.12, p = 0.002) and life satisfaction (B = 0.15, p = 0.033) were observed. No significant associations were observed between physical performance and depressive symptoms or negative affectivity. PA was positively associated with positive affectivity and life satisfaction and negatively with depressive symptoms across all the physical performance predictors. Conclusion Of the physical performance measures, six-minute walking distance was associated with positive mental well-being independently of PA level. In addition to PA, aerobic component of physical performance is especially beneficial for positive mental well-being in middle-aged women.

scholarly journals Why Are Individuals With Diabetes Less Active? The Mediating Role of Physical, Emotional, and Cognitive Factors

2021 ◽  
Author(s):  
Boris Cheval ◽  
Silvio Maltagliati ◽  
Stefan Sieber ◽  
David Beran ◽  
Aïna Chalabaev ◽  
...  
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Physical Inactivity ◽  
Sleep Problems ◽  
Cognitive Factors ◽  
Activity Levels ◽  
Cognitive Disability ◽  
Cognitive Changes ◽  
Linear Evolution

Abstract Background Despite the key role of physical activity in the management of diabetes, many individuals with diabetes do not engage in the recommended levels of physical activity. However, our knowledge of the mechanisms underlying the relationship between diabetes and physical inactivity is limited. Purpose To investigate the associations between diabetes and the levels and evolution of physical activity across aging, and to determine whether physical, emotional, and cognitive factors mediate these associations. Methods Data from 105,622 adults aged 50–96 years from the Survey of Health, Ageing and Retirement in Europe (SHARE) were used in adjusted linear mixed models to examine whether diabetes was associated with physical activity levels and variations across aging. The potential mediators were subjective energy, muscle strength, physical and cognitive disability, sleep problems, depressive symptoms, and cognitive functions. The variables were measured up to seven times over a 13-year period. Results Individuals with diabetes demonstrated a lower level and a steeper decrease in physical activity across aging than individual without diabetes. Mediators explained ~53% and 94% of the association of diabetes with the level of physical activity and with the linear evolution of physical activity across aging, respectively. All mediators were significantly associated with physical activity. Physical and cognitive disability as well as depressive symptoms were the strongest mediators, while sleep was the lowest one. Conclusions These findings suggest that the etiology of physical inactivity in individuals with diabetes can result from several physical, emotional, and cognitive changes associated with the emergence of this disease.

Impact of obesity and physical inactivity on the long-term change in grip strength among middle-aged and older European adults

2019 ◽  
Vol 73 (7) ◽  
pp. 619-624 ◽  
Author(s):  
Tianyu Wang ◽  
Wenjing Feng ◽  
Suyun Li ◽  
Qihua Tan ◽  
Dongfeng Zhang ◽  
...  
Keyword(s):  
Grip Strength ◽  
Chronic Conditions ◽  
Physical Inactivity ◽  
Middle Aged ◽  
Physically Active ◽  
Term Change ◽  
All Cause Mortality ◽  
Gender Specific

BackgroundGrip strength is a well-established predictor of various chronic conditions and all-cause mortality. Body weight and physical activity (PA) are considered potential determinants of muscle strength. This study aimed to investigate gender-specific associations of baseline obesity and physical inactivity with long-term changes in grip strength among middle-aged and older European adults.MethodsData from the Survey of Health, Ageing and Retirement in Europe 2004–2015 which was conducted in 12 countries were analysed. Grip strength was repeatedly measured at five follow-up visits with average 2-year intervals. Obesity and physical inactivity at baseline were primary exposures. Generalised estimated equations stratified by gender were fitted.ResultsThis study included 8616 males and 10 088 females with a median follow-up of 9.42 years. Significant interactions between obesity and time with grip strength were identified in both males (χ2interaction=16.65, p = 0.002) and females (χ2interaction=10.80, p = 0.029). No significant interaction between physical inactivity and time with grip strength was identified in males (χ2interaction=9.42, p = 0.051) or females (χ2interaction=5.62, p = 0.230). Those who were less physically active at baseline had weaker grip strength from the beginning at baseline (β = −2.753, p < 0.001 for males and β = −1.529, p < 0.001 for females) to Visit 6 (β = −2.794, p < 0.001 for males and β = −1.550, p < 0.001 for females). Further combined analysis suggested a trend that exposure to both obesity and physical inactivity was related to the fastest decline rate of grip strength.ConclusionsThis study provides the additional evidence that PA and obesity prevention earlier in life play an important role in maintaining grip strength during ageing.

scholarly journals Physical inactivity: productivity losses and healthcare costs 2002 and 2016 in Sweden

2018 ◽  
Vol 4 (1) ◽  
pp. e000451
Author(s):  
Kristian Bolin
Keyword(s):  
Physical Activity ◽  
Healthcare Costs ◽  
Physical Inactivity ◽  
Productivity Loss ◽  
Healthcare Utilisation ◽  
Registry Data ◽  
Exercise Habits ◽  
Productivity Losses ◽  
Relative Risks ◽  
Insufficient Physical Activity

ObjectivesTo estimate the costs associated with physical inactivity in Sweden for the year 2016.MethodsThe costs associated with insufficient physical activity was calculated employing population attributable fractions (PAFs) and register information on healthcare utilisation, mortality and disability pensions. The PAFs were calculated using information on exercise habits and morbidity-specific relative risks. The healthcare cost components were calculated based on registry data on inpatient-care, outpatient-care and primary care utilisation. Registry data on cause-specific mortality and granted disability pensions were used to calculate the productivity loss components. Costs associated with pharmaceutical utilisation were not included due lack of data.ResultsPhysical exercise habits improved somewhat between 2002 and 2016. Thus, the associated morbidity-specific PAFs decreased over the same time period.ConclusionsThe economic costs attributable to insufficient physical activity decrease between the year 2002 and 2016. Healthcare costs attributable to insufficient physical activity as share of total healthcare expenses increased from 0.86 % in 2002 to 0.91 % in 2016.

scholarly journals Exploring grip strength as a predictor of depression in middle-aged and older adults

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Adilson Marques ◽  
Duarte Henriques-Neto ◽  
Miguel Peralta ◽  
Priscila Marconcin ◽  
Élvio R. Gouveia ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Grip Strength ◽  
Regression Models ◽  
Area Under The Curve ◽  
Age Group ◽  
Middle Aged ◽  
Logistic Regression Models ◽  
Depression Risk ◽  
Group Data

AbstractGrip strength (GS) is an indicator of health and vulnerability and inversely associated with depressive symptoms. The aim of this study was to explore GS discrimination capacity for depression; and possible GS cut-off values for depression by sex and age group. Data from 2011 and 2015 on 20,598 (10,416 women) middle-aged and older adults from 14 European countries was analysed. GS was assessed by dynamometer, and depressive symptoms using the EURO-D scale. GS cut-off values for depression were calculated and logistic regression models were used to quantify the odds of having depression in 2011 and in 2015 according to being bellow or above the cut-off value. GS had a weak discriminant capacity for depression, with the area under the curve varying between 0.54 and 0.60 (p < 0.001). Sensitivity varied between 0.57 and 0.74; specificity varied between 0.46 and 0.66. GS cut-off values for discriminating depression were 43.5 kg for men and 29.5 kg for women aged 50–64 years, 39.5 kg for men and 22.5 kg for women aged ≥ 65 years. Having GS above the cut-off represents significant lower odds of depression in 2011 and 4 years later, in 2015. Healthcare practitioners and epidemiologic researchers may consider the low GS cut-off values to screen for potential depression risk. However, due to its weak discriminant values these cut-offs should not be used to identify depression.

scholarly journals Impact of problematic mobile phone use and insufficient physical activity on depression symptoms: a college-based follow-up study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Haibo Xie ◽  
Shuman Tao ◽  
Yukun Zhang ◽  
Fangbiao Tao ◽  
Xiaoyan Wu
Keyword(s):  
Physical Activity ◽  
College Students ◽  
Depressive Symptoms ◽  
Mobile Phone ◽  
Joint Effect ◽  
Depression Symptoms ◽  
Mobile Phone Use ◽  
Problematic Mobile Phone Use ◽  
Insufficient Physical Activity

Abstract Background Insufficient physical activity (IPA) and mobile phone dependence are common coexisting behaviors among college students. However, the impact of the synergies between the two behaviors on depression has yet to be validated. Therefore, this study evaluated independent and interactive associations of problematic mobile phone use (PMPU) and IPA with depression symptoms and increased depressive symptoms among Chinese college students. Methods In total, 2134 college students participated in this follow-up study, which was conducted between June 2014 (wave 1) and December 2014 (wave 2) at Anhui Medical University. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use and the Center for Epidemiologic Studies Depression Scale were used to assess PMPU and depression symptoms, respectively. Physical activity (PA) was assessed with a reliable question from the Youth Risk Behavior Survey. Joint effects of PMPU and PA were calculated, and increased depressive symptoms were assessed. We used multivariable-adjusted odds ratios (OR) with 95% confidence intervals (CI) to evaluate associations between depression symptoms and PMPU, IPA, and the PMPU/IPA joint effect, estimated by binary logistic regression models. Results PMPU and high PMPU/IPA joint effect scores were significantly associated with depression symptoms in waves 1 (OR 7.36, 95% CI: 5.09, 10.66) and 2 (OR 3.74, 95% CI: 2.56, 5.48). IPA was significantly associated with depression symptoms in wave 1 (OR 1.40, 95% CI: 1.09, 1.79) but not wave 2 (OR 1.24, 95% CI: 0.95, 1.62). PMPU and high PMPU/IPA joint effect scores were also significantly associated with increased depressive symptoms (OR 2.36, 95% CI: 1.55, 3.60). Conclusions These results suggest that PMPU is an important factor for depression in college students, and IPA may be a synergistic factor.

Promoting Physical Activity among Middle-Aged and Older Adults in Health Care Settings

2001 ◽  
Vol 9 (s1) ◽  
pp. S29-S37 ◽  
Author(s):  
Elizabeth Eakin
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Physical Inactivity ◽  
Public Health Issue ◽  
Middle Aged ◽  
Health Care Settings ◽  
Physical Activity Interventions ◽  
Effective Interventions ◽  
Social Environmental

Physical inactivity continues to be a significant public health issue for middle-aged and older adults. This review focuses on physical activity interventions targeting older adults in health care settings. The literature in this area is limited and the results to date disappointing. Much remains to be done to develop effective interventions targeting older adults, especially those from underserved groups. Attention also needs to be paid to maintenance of initial treatment gains and to linking primary-care-based physical activity interventions to community-based resources. Recognition in the social and behavioral sciences of the importance of social-environmental influences on health and health behaviors mandates both a multidisciplinary and a multilevel intervention approach to the problem of physical inactivity.

scholarly journals Physical Activity and the Emotional State of Physiotherapy Students Who Finish Their Education

2021 ◽  
Vol 18 (9) ◽  
pp. 4572
Author(s):  
Joanna Kowalska ◽  
Dorota Wójtowicz ◽  
Joanna Szczepańska-Gieracha
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Mood Disorders ◽  
Perceived Stress ◽  
Sense Of Coherence ◽  
Emotional State ◽  
Protective Role ◽  
Study Group ◽  
Prevention And Treatment ◽  
Physiotherapy Students

This study aimed to evaluate the emotional state and the level of the sense of coherence in the context of physical activity among physiotherapy students and investigate how the participating students’ emotional state changed after two years of studying and what factors were associated with the mood disorders. The study group consisted of 110 students—79 female and 31 male. The Back Depression Inventory (BDI), the Sense of Coherence Questionnaire (SOC-29) and the Perceived Stress Questionnaire (PSQ) were used. The results presented an increase in depressive symptoms during the studies of a group of physiotherapy students. Physical activity can play a protective role in the prevention and treatment of mood disorders. The students who regularly engaged in physical activity exhibited better mood, a lower perceived stress level and a higher level of the sense of coherence as compared to the physically inactive students.

scholarly journals Substitutions of physical activity, sedentary behaviour and sleep: associations with mental health in middle-aged and elderly persons

2021 ◽  
pp. jech-2020-215883
Author(s):  
Amy Hofman ◽  
Trudy Voortman ◽  
M. Arfan Ikram ◽  
Annemarie I Luik
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Sedentary Behaviour ◽  
Vigorous Physical Activity ◽  
Population Based ◽  
Elderly Persons ◽  
Accelerometer Data ◽  
Middle Aged

BackgroundPhysical activity, sedentary behaviour and sleep are potential risk factors of mental health disorders, but previous studies have not considered the dependency between these activity domains. Therefore, we examined the associations of reallocations of time among older adults’ physical activity, sedentary behaviour and sleep with depressive and anxiety symptoms using compositional isotemporal substitution analyses.MethodsWe included 1943 participants (mean age 71 years, SD: 9; 52% women) from the population-based Rotterdam Study. Between 2011 and 2016, we collected accelerometer data (mean duration 5.8 days, SD: 0.4) on physical activity, sedentary behaviour and sleep and self-reported data on depressive symptoms and anxiety.ResultsA reallocation of 30 min more moderate-to-vigorous physical activity was associated with a −0.55 (95% CI −1.04 to −0.06) points lower depressive symptoms score when replacing sleep and a −0.59 (95% CI −1.06 to −0.12) points lower score when replacing sedentary behaviour, but not when replacing light physical activity (−0.70, 95% CI −1.63 to 0.24). No associations were found for anxiety.ConclusionReplacing sedentary behaviour or sleep with more moderate-to-vigorous physical activity was associated with less depressive symptoms, suggesting that mainly intensive types of physical activity are important for middle-aged and older adults in relation to depressive symptoms.

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