scholarly journals Influence of a sedentary lifestyle on self-reported mental health status among community-dwelling older adults with depression: Implications for secondary prevention efforts

2011 ◽  
Vol 2 (1) ◽  
pp. 6
Author(s):  
Justin B. Dickerson ◽  
Matthew Lee Smith ◽  
Marcia G. Ory
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Primary Prevention ◽  
Secondary Prevention ◽  
Negative Binomial ◽  
Community Dwelling ◽  
Mental Illnesses ◽  
Moderate Physical Activity ◽  
Sedentary Behaviors

The relationship between sedentary behavior and mental health is documented in the primary prevention literature in the context of mental illnesses such as depression. However, these relationships have not been studied to the same extent for secondary prevention efforts, especially among at risk communitydwelling older adults. The Brazos Valley Health Assessment was administered to nearly 4000 adults. Respondents self-reported disease status, lifestyle behaviors such as physical activity and nutrition habits, perceptions of physical and mental health, and socio-demographics. The selection criteria for inclusion in our study sample were being at least 55 years old and having been diagnosed with depression by a healthcare provider. This criterion resulted in a sample of 545. Negative binomial regression was used to examine the association between number of the past 30 days where mental health days were not good and sedentary behaviors such as time spent watching television and time spent using a computer. For each day per week respondents did not engage in at least 10 min of moderate physical activity (such as fast walking) relative to their peers, they were 5% less likely to report positive mental health (IRR=0.95, P=0.036). For each additional hour per day respondents spent watching television relative to their peers, they were 12% more likely to report poorer mental health (IRR=1.12, P=0.033). Secondary prevention efforts should recognize the influence of sedentary behaviors and emphasize similar interventions used for primary prevention of depression.

scholarly journals Changes in Health Behaviors, Mental and Physical Health among Older Adults under Severe Lockdown Restrictions during the COVID-19 Pandemic in Spain

2021 ◽  
Vol 18 (13) ◽  
pp. 7067
Author(s):  
Esther García-Esquinas ◽  
Rosario Ortolá ◽  
Iago Gine-Vázquez ◽  
José A. Carnicero ◽  
Asier Mañas ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Social Isolation ◽  
Community Dwelling ◽  
Housing Conditions ◽  
Older Individuals ◽  
Lifestyle Risk Factors ◽  
Increased Risk ◽  
Lifestyle Risk

We used data from 3041 participants in four cohorts of community-dwelling individuals aged ≥65 years in Spain collected through a pre-pandemic face-to-face interview and a telephone interview conducted between weeks 7 to 15 after the beginning of the COVID-19 lockdown. On average, the confinement was not associated with a deterioration in lifestyle risk factors (smoking, alcohol intake, diet, or weight), except for a decreased physical activity and increased sedentary time, which reversed with the end of confinement. However, chronic pain worsened, and moderate declines in mental health, that did not seem to reverse after restrictions were lifted, were observed. Males, older adults with greater social isolation or greater feelings of loneliness, those with poorer housing conditions, as well as those with a higher prevalence of chronic morbidities were at increased risk of developing unhealthier lifestyles or mental health declines with confinement. On the other hand, previously having a greater adherence to the Mediterranean diet and doing more physical activity protected older adults from developing unhealthier lifestyles with confinement. If another lockdown were imposed during this or future pandemics, public health programs should specially address the needs of older individuals with male sex, greater social isolation, sub-optimal housing conditions, and chronic morbidities because of their greater vulnerability to the enacted movement restrictions.

Concurrent Validity Between Electronically Administered Physical Activity Questionnaires and Objectively Measured Physical Activity in Danish Community-Dwelling Older Adults

2020 ◽  
pp. 1-9
Author(s):  
Rasmus T. Larsen ◽  
Christoffer B. Korfitsen ◽  
Carsten B. Juhl ◽  
Henning Boje Andersen ◽  
Henning Langberg ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Concurrent Validity ◽  
Short Form ◽  
Community Dwelling ◽  
World Health ◽  
Moderate Physical Activity ◽  
Physical Activity Questionnaire ◽  
Objectively Measured ◽  
Activity Questionnaire

Aim: To investigate the concurrent validity of the International Physical Activity Questionnaire-short form (IPAQ-SF) and the Nordic Physical Activity Questionnaire-short (NPAQ-short) when compared with objectively measured daily steps among older adults. Methods: Spearman’s ρ between IPAQ-SF and NPAQ-short and objectively measured steps using Garmin Vivofit 3 physical activity monitors. Results: A total of 54 participants were included. The IPAQ-SF subscales’ moderate physical activity (PA), moderate to vigorous PA (MVPA), and sedentary time showed little or no correlation with daily steps. The NPAQ-short subscales’ vigorous PA, moderate PA, and MVPA showed little or no correlation. The IPAQ-SF subscales’ vigorous PA and walking showed fair correlation. Only the IPAQ-SF metabolic equivalent of task minutes showed moderate to good correlation with daily steps. The IPAQ-SF categories and NPAQ-short categorization of World Health Organization compliance were significantly different, but the magnitudes were small and distributions indicated problems with the categorization. Conclusion: The concurrent validity is low, as the scores did not reflect objectively measured daily steps.

Understanding the Relationship Between Pet Ownership and Physical Activity Among Older Community-Dwelling Adults—A Mixed Methods Study

2020 ◽  
Vol 28 (1) ◽  
pp. 131-139
Author(s):  
Mandy Peacock ◽  
Julie Netto ◽  
Polly Yeung ◽  
Joanne McVeigh ◽  
Anne-Marie Hill
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Mixed Methods ◽  
Lived Experience ◽  
Community Dwelling ◽  
Pet Ownership ◽  
Sedentary Behaviors ◽  
Daily Lives ◽  
Semistructured Interviews ◽  
Daily Step Count

Pet ownership is associated with increased levels of physical activity (PA) in older adults. Studies have mainly focused on the association between PA and dog walking; however, broader aspects of pet ownership may influence PA. The purpose of this study was to explore the association between pet ownership and incidental and purposeful PA using a mixed methods approach. Participants’ (N = 15) PA was measured for 7 days using accelerometers and diaries. Semistructured interviews explored participants’ perspectives regarding pet-related activities. Participants’ mean (SD) daily step count was 14,204 (5,061) steps, and mean (SD) sedentary time per day was 8.76 (1.18) hr. Participants strongly concurred that their pets were an integral part of their daily lives. Incidental and purposeful PA resulted from participants undertaking pet care and socially interacting with their pets. Pets may interrupt sedentary behaviors by nudging older adults to engage in PA as part of their daily lived experience.

The long-term effects of a primary care physical activity intervention on mental health in low-active, community-dwelling older adults

2013 ◽  
Vol 17 (6) ◽  
pp. 766-772 ◽  
Author(s):  
Asmita Patel ◽  
Justin W.L. Keogh ◽  
Gregory S. Kolt ◽  
Grant M. Schofield
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Primary Care ◽  
Physical Activity Intervention ◽  
Community Dwelling ◽  
Long Term Effects ◽  
Community Dwelling Older Adults

scholarly journals Changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the COVID-19 pandemic in Spain

2021 ◽  
Author(s):  
Esther García-Esquinas ◽  
Rosario Ortolá ◽  
Iago Gine-Vázquez ◽  
José A Carnicero ◽  
Asier Mañas ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Health Behaviors ◽  
Physical Health ◽  
Social Isolation ◽  
Community Dwelling ◽  
Viewing Time ◽  
Housing Conditions ◽  
Mental And Physical Health

AbstractBackgroundWe aimed to examine main changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the COVID-19.MethodsWe used prospective data from 3041 participants in four cohorts of community-dwelling individuals aged ≥65 years in Spain. Data were obtained using validated questionnaires through a pre-pandemic face-to-face interview and a telephone interview conducted between weeks 7 to 15 after the beginning the COVID-19 lockdown. Lineal or multinomial, as appropriate, regression models with adjustment for the main confounders were used to assess changes in the outcome variables from the pre-pandemic to the confinement period, and to identify their associated factors.ResultsOn average, the confinement was not associated with a deterioration in lifestyle risk factors (smoking, alcohol intake, diet or weight), except for a decreased physical activity and increased sedentary time, which reversed with the end of confinement. However, chronic pain worsened, and moderate declines in mental health, that did not seem to reverse after restrictions were lifted, were observed. Several subgroups of individuals were at increased risk of developing unhealthier lifestyles or mental health decline with confinement: (i)-males (for physical activity and sedentariness), (ii)-those with greater social isolation (for diet, physical activity, mental health), (iii)-feelings of loneliness (for diet, sleep quality, mental health), (iv)-poor housing conditions (for diet, physical activity, TV viewing time), (v)-unhealthy sleep duration (for physical activity and sedentariness), and (vi-worse overall health or chronic morbidities (for physical activity, screen time, mental health). On the other hand, previously having a greater adherence to the Mediterranean diet and doing more physical activity protected older adults from developing unhealthier lifestyles with confinement.ConclusionsThe lockdown during the first wave of the COVID-19 in Spain, which was one of the most restrictive in Europe, only led to minor average changes in health behaviors among older adults. However, mental health was moderately affected. If another lockdown were imposed on this or future pandemics, public health programs should specially address the needs of older individuals with male sex, greater social isolation, poor housing conditions and chronic morbidities, because of their greater vulnerability to the enacted movement restrictions

Risk of Psychological Distress Among Community-Dwelling Older Adults Experiencing Spousal Loss in Ghana

2019 ◽  
Vol 60 (3) ◽  
pp. 416-427 ◽  
Author(s):  
Razak M Gyasi ◽  
David R Phillips
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Social Support ◽  
Older Adults ◽  
Psychological Distress ◽  
Older Persons ◽  
Well Being ◽  
Community Dwelling ◽  
Full Sample ◽  
Spousal Loss

Abstract Background Spousal loss, common in older age, has been linked to negative mental health outcomes and well-being, yet the mechanisms linking spousal loss and mental health are still unclear. Objective To investigate whether physical activity, social support, and gender modify the psychological distress effects of marital loss among community-dwelling older persons in Ghana. Methods Data from a 2016/2017 Ageing, Health, Psychological Well-being, and Health-seeking Behavior Study (N = 1,200) were examined. OLS regression models examined associations between spousal loss and psychological distress outcomes and interaction terms. Results Spousal loss (widowhood and divorce/separation) was associated with psychological distress (measured by the Kessler Psychological Distress Scale [KPDS-10]) for the full sample (β = .798, p < .001), women (β = .831, p < .001) and for men (β = .533, p < .05). After adjusting for potential confounders, the associations between spousal loss and psychological distress persisted for the full sample (β = .727, p < .001) and females only (β = .730, p < .001). In particular, when experiencing spousal loss, those with meaningful social support (β = −.856, p < .005) and engaged in physical activity (β = −.258, p < .001) were less likely to be psychologically distressed. Conclusions Spousal loss precipitates an independent risk of psychological distress in older age particularly among women, but social support and physical activity engagements moderate the relationship. These findings support the premise that providing opportunities to improve social support and regular physical activity may buffer the effects of psychological distress among older persons experiencing spousal loss. Providing support for older adults in times of divorce and widowhood, and working towards changes in social attitudes towards divorce are important considerations.

scholarly journals Association Between Moderate Physical Activity Level and Subsequent Frailty Incidence Among Community-Dwelling Older Adults: A Population-Based Cohort Study

2021 ◽  
Author(s):  
Wenjing Zhao ◽  
Shigekazu Ukawa ◽  
Sachiko Sasaki ◽  
Emiko Okada ◽  
Tomoko Kishi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Evaluation Study ◽  
Population Based ◽  
Community Dwelling ◽  
Activity Level ◽  
Moderate Physical Activity ◽  
Age Related ◽  
Community Dwelling Older Adults ◽  
Walking Time

Abstract Background The evidence concerning longitudinal association between physical activity (PA) and frailty is scarce, and variation in the scales, tools, or modules of PA made it challenging to obtain consistent results. This association among the individules who reached an older age where age-related cumulative chronic diseases and physical function declines were common, was unclear. Our study aimed to demonstrate the association between PA and frailty incidence among Japanese community-dwelling older adults with narrow age range of 70–74 years. Mothods: About 485 participants aged 70–74 years from the Japan Gerontological Evaluation Study were included in this study. Frailty was assessed at baseline and 3 years later by using the Kaigo-Yobo Checklist. PA was assessed using the short-term International Physical Activity Questionnaire. Logistic regression was performed to calculate relative risk (RR) with 95% confidence intervals (CIs) after adjusting for potential confounders. Results After a 3-year follow-up, 46 new frailty cases were recorded. The association of frailty incidence with both PA volume and daily walking time presented a U-shaped curve, albeit statistically insignificant. After adjusting for potential confounders, walking for 0.5–1 h/d displayed a greater association with decreased frailty risk (OR, 0.35; 95% CI, 0.12–0.98) than higher levels of daily walking time. No association between PA volume and subsequent frailty was observed. Conclusions Incorporating moderate regular walking levels of 0.5–1 h/d in older adults may delay the onset of frailty and improve the aging process. Further studies are needed to investigate the effect of higher PA levels on frailty risk.

The Mediating Effects of Resilience, Morale, and Sense of Coherence Between Physical Activity and Perceived Physical/Mental Health Among Japanese Community-Dwelling Older Adults: A Cross-Sectional Study

2018 ◽  
Vol 26 (4) ◽  
pp. 544-552 ◽  
Author(s):  
Hiroko Kukihara ◽  
Niwako Yamawaki ◽  
Michiyo Ando ◽  
Yoshiko Tamura ◽  
Kumi Arita ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Sense Of Coherence ◽  
Short Form ◽  
Well Being ◽  
Community Dwelling ◽  
Mediating Effects ◽  
Community Dwelling Older Adults ◽  
The Relationship

The aim of this study was to examine the mediating effects of resilience, morale, and sense of coherence on the relationship between physical activity and respondents’ perceived physical/mental health and depression among community-dwelling older adults in Japan. The study included 369 participants with an average age of 74 years from Kasuishimohara District in Fukuoka Prefecture, Japan. They completed a survey that included the Resilience Scale, the Sense of Coherence Scale, the Medical Outcomes Short Form 8, the Philadelphia Geriatric Center Morale Scale, the Geriatric Depression Scale (Short Form), and a demographic questionnaire. The results of the path mediation analyses revealed that resilience and morale fully mediated the relationship between physical activity and perceived physical/mental health and depression. However, sense of coherence was not a significant mediator. Some intervention programs are suggested to maximize the effects of physical activity on one’s well-being. At-risk populations who need such programs are also discussed.

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