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老年人身体活动与抑郁及认知缺陷关系的横断面研究

A Cross-Sectional Study of the Relationship of Physical Activity with Depression and Cognitive Deficit in Older Adults.

作者信息

Paulo T R S, Tribess Sheilla, Sasaki Jeffer Eidi, Meneguci Joilson, Martins Cristiane A, Freitas Ismael F, Romo-Perez Vicente, Virtuoso Jair S

机构信息

Department of Physical Education, Federal University of Amazonas, Manaus, Brazil.

出版信息

J Aging Phys Act. 2016 Apr;24(2):311-21. doi: 10.1123/japa.2014-0253. Epub 2015 Oct 6.

Abstract

The aim of this study was to examine the association of physical activity with depression and cognition deficit, separately and combined, in Brazilian older adults. We analyzed data from 622 older adults. Physical activity was assessed using the International Physical Activity Questionnaire. Depressive symptoms were assessed using the Geriatric Depression Scale, while cognitive deficit was assessed using the Mini-Mental State Examination. Multinomial logistic regressions were used to assess associations of depression and cognitive deficit with sociodemographic, health, and behavioral variables. Prevalence of physical inactivity (< 150 min of moderate-to-vigorous physical activity/ week), depression, and cognitive deficit were 35.7%, 37.4%, and 16.7%. Physical inactivity was associated with depression (OR: 1.83, 95% CI: 1.14-2.94) and with depression and cognitive deficit combined (OR: 4.23, 95% CI: 2.01-8.91). Physically inactive participants were also more likely to present limitations in orientation and language functions. Physical inactivity was associated with depression and also with depression and cognitive deficit combined in older adults.

摘要

本研究旨在分别及综合考察巴西老年人身体活动与抑郁及认知缺陷之间的关联。我们分析了622名老年人的数据。使用国际身体活动问卷评估身体活动情况。使用老年抑郁量表评估抑郁症状,同时使用简易精神状态检查表评估认知缺陷。采用多项逻辑回归分析抑郁和认知缺陷与社会人口统计学、健康及行为变量之间的关联。身体活动不足(每周中度至剧烈身体活动少于150分钟)、抑郁和认知缺陷的患病率分别为35.7%、37.4%和16.7%。身体活动不足与抑郁相关(比值比:1.83,95%置信区间:1.14 - 2.94),且与抑郁和认知缺陷合并存在相关(比值比:4.23,95%置信区间:2.01 - 8.91)。身体活动不足的参与者在定向和语言功能方面也更有可能存在受限情况。在老年人中,身体活动不足与抑郁相关,也与抑郁和认知缺陷合并存在相关。

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