Department of Exercise Science, Donna & Allan Lansing School of Nursing & Health Sciences, Bellarmine University, Louisville, KY, USA.
Aging Ment Health. 2013;17(7):801-5. doi: 10.1080/13607863.2013.801066. Epub 2013 Jun 3.
We have a limited understanding of the epidemiological association between objectively measured physical activity and depression among older adults. Therefore, the purpose of this study was to examine the association between accelerometer-assessed physical activity and depression symptoms among a nationally representative sample of US older adults.
Data from the 2005-2006 National Health and Nutrition Examination Survey was used. 708 older adults (65+ years) wore an ActiGraph 7164 accelerometer for at least 4 days, and completed data on the study covariates along with depression, as assessed by the Patient Health Questionnaire-9.
After controlling for age, gender, race-ethnicity, body mass index, marital status, education, comorbidity index, and physical functioning, for every 60-minute increase in light-intensity physical activity, participants were 20% (OR = 0.80; 95% CI: 0.67-0.95; p = 0.01) less likely to be depressed. Moderate-to-vigorous physical activity was also inversely associated with depression (OR = 0.78; 95% CI: 0.64-0.94; p = 0.01).
These findings suggest that promoting physical activity, even light-intensity physical activity, may have positive mental health effects among older adults. Future prospective and experimental studies are warranted.
我们对老年人中客观测量的身体活动与抑郁之间的流行病学关联了解有限。因此,本研究的目的是检验美国老年人群体中,加速度计评估的身体活动与抑郁症状之间的关联。
使用了 2005-2006 年国家健康和营养检查调查的数据。708 名老年人(65 岁以上)佩戴 ActiGraph 7164 加速度计至少 4 天,并完成了研究协变量以及抑郁的相关数据,抑郁情况由患者健康问卷-9 进行评估。
在控制了年龄、性别、种族-民族、体重指数、婚姻状况、教育程度、合并症指数和身体功能后,与低强度体力活动每增加 60 分钟相比,参与者抑郁的可能性降低 20%(OR=0.80;95%CI:0.67-0.95;p=0.01)。中度到剧烈的体力活动也与抑郁呈负相关(OR=0.78;95%CI:0.64-0.94;p=0.01)。
这些发现表明,促进身体活动,即使是低强度体力活动,也可能对老年人的心理健康产生积极影响。未来需要进行前瞻性和实验性研究。