Physical (in)activity and depression in older people

Wassink-Vossen, Sanne; Collard, Rose M.; Voshaar, Richard C. Oude; Comijs, Hannie C.; Vocht, Hilde M. de; Naarding, Paul

doi:10.1016/j.jad.2014.03.001

Cited by 63 publications

(44 citation statements)

References 53 publications

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“…Although depression is not a significant predictor of PA in older men, it was significantly correlated with PA in the bivariate analysis. This result is similar to those of previous studies (Perrino et al., ; Wassink‐Vossen et al., ). Depressive symptoms limit PA engagement.…”

Section: Discussionsupporting

confidence: 93%

Gender Differences in the Predictors of Physical Activity Among Assisted Living Residents

Chen

Yen

2015

J of Nursing Scholarship

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Section: Discussionsupporting

confidence: 93%

Gender Differences in the Predictors of Physical Activity Among Assisted Living Residents

Chen

Yen

2015

J of Nursing Scholarship

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“…The association between low physical activity and incident depression is in line with previous studies. 31 …”

Section: Discussionmentioning

confidence: 99%

“…Shared mechanisms include low-graded inflammation, nutritional deficits among which vitamin D deficiency, lack of exercise and sarcopenia, and/or age-related hormonal changes, which all have been associated with frailty as well as depression. 31,33–40 These pathophysiological mechanisms add to the multifacetted pathways to both frailty and depression. Moreover, when depression and frailty are simultaneously present, disentangling causes and consequences of either one from another becomes challenging.…”

Section: Discussionmentioning

confidence: 99%

Frailty as a Predictor of the Incidence and Course of Depressed Mood

Collard¹,

Comijs²,

Naarding³

et al. 2015

Journal of the American Medical Directors Association

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Background Late-life depression and physical frailty are supposed to be reciprocally associated, however, longitudinal studies are lacking. Objectives This study examines whether physical frailty predicts a higher incidence of depression, as well as a less favorable course of depression. Methods A population-based cohort study of 888 people aged 65 years and over with follow-up measures at 3, 6, and 9 years. Cox proportional hazards models adjusted for age, sex, education, smoking, alcohol usage, and global cognitive functioning were applied to calculate the incidence of depressed mood in those nondepressed at baseline (n = 699) and remission in those with depressed mood at baseline (n = 189). Depressed mood onset or remission was defined as crossing the cut-off score of 20 points on the Center for Epidemiological Studies-Depression Scale combined with a relevant change in this score. Physical frailty was based on the presence of ≥3 out of 5 components (ie, weight loss, weakness, slowness, exhaustion, and low physical activity level). Results A total of 214 out of 699 (30.6%) nondepressed persons developed depressed mood during follow-up. Physical frailty predicted the onset of depressed mood with a hazard rate of 1.26 (95% confidence interval 1.09–1.45, P = .002). Of the 189 persons with depressed mood at baseline, 96 (50.8%) experienced remission during follow-up. Remission was less likely in the presence of a higher level of physical frailty (hazard rate = 0.72, 95% confidence interval 0.58–0.91, P = .005). Conclusions Because physical frailty predicts both the onset and course of late-life depressed mood, physical frailty should receive more attention in mental health care planning for older persons as well as its interference with treatment. Future studies into the pathophysiological mechanisms may guide the development of new treatment opportunities for these vulnerable patients.

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“…The IPAQ-SF is validated for use on adults aged 18–65 [69]. Validity is not established for older adults but the questionnaire has been used in recent studies on older adults [70,71]. Table 1 reports the characteristics of the sample.…”

Section: Methodsmentioning

confidence: 99%

One bout of open skill exercise improves cross-modal perception and immediate memory in healthy older adults who habitually exercise

et al. 2017

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One single bout of exercise can be associated with positive effects on cognition, due to physiological changes associated with muscular activity, increased arousal, and training of cognitive skills during exercise. While the positive effects of life-long physical activity on cognitive ageing are well demonstrated, it is not well established whether one bout of exercise is sufficient to register such benefits in older adults. The aim of this study was to test the effect of one bout of exercise on two cognitive processes essential to daily life and known to decline with ageing: audio-visual perception and immediate memory. Fifty-eight older adults took part in a quasi-experimental design study and were divided into three groups based on their habitual activity (open skill exercise (mean age = 69.65, SD = 5.64), closed skill exercise, N = 18, 94% female; sedentary activity-control group, N = 21, 62% female). They were then tested before and after their activity (duration between 60 and 80 minutes). Results showed improvement in sensitivity in audio-visual perception in the open skill group and improvements in one of the measures of immediate memory in both exercise groups, after controlling for baseline differences including global cognition and health. These findings indicate that immediate benefits for cross-modal perception and memory can be obtained after open skill exercise. However, improvements after closed skill exercise may be limited to memory benefits. Perceptual benefits are likely to be associated with arousal, while memory benefits may be due to the training effects provided by task requirements during exercise. The respective role of qualitative and quantitative differences between these activities in terms of immediate cognitive benefits should be further investigated. Importantly, the present results present the first evidence for a modulation of cross-modal perception by exercise, providing a plausible avenue for rehabilitation of cross-modal perception deficits, which are emerging as a significant contributor to functional decline in ageing.

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Physical (in)activity and depression in older people

Cited by 63 publications

References 53 publications

Gender Differences in the Predictors of Physical Activity Among Assisted Living Residents

Gender Differences in the Predictors of Physical Activity Among Assisted Living Residents

Frailty as a Predictor of the Incidence and Course of Depressed Mood

One bout of open skill exercise improves cross-modal perception and immediate memory in healthy older adults who habitually exercise

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