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社区老年人运动能力与抑郁症状的关系。

Relationship between exercise capacity and depressive symptoms in community-dwelling older adults.

机构信息

Department of Cardiovascular Rehabilitation, National Cerebral and Cardiovascular Center, 6-1 Kishibeshinmach Suita, Osaka 564-8565, Japan; Department of Public Health, Kobe University Graduate School of Health Sciences, 7-10-2, Tomogaoka, Suma, Kobe 654-0142, Japan.

Department of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center, 6-1 Kishibeshinmach Suita, Osaka 564-8565, Japan.

出版信息

Arch Gerontol Geriatr. 2020 Jul-Aug;89:104084. doi: 10.1016/j.archger.2020.104084. Epub 2020 Apr 29.

Abstract

BACKGROUND

Depressive symptoms cannot be ignored when exercise intervention is performed. The purpose of this study was to clarify the association between depressive symptoms and exercise capacity in community-dwelling older adults.

METHODS

In this cross-sectional study, we analyzed 110 community-dwelling older adults (mean age [standard deviation] = 70.7 [4.0] years old; women: 55 %). Depressive symptoms were measured using a Japanese version of the Geriatric Depression Scale. We evaluated exercise capacity by measuring distance (2MWD) during a 2-minute walk test. Linear regression models were applied to analyze the association between 2MWD and depressive symptoms.

RESULTS

The results suggest that depressive symptoms are associated with low 2MWD (beta = -5.87, 95 % confidence interval = -11.18 to -0.57, p <  0.05) even after adjusting for age, gender, Body Mass Index, cigarette smoking, alcohol consumption, pain severity, and the number of comorbidities.

CONCLUSIONS

The results indicated that depressive symptoms are associated with decreased exercise capacity in older adults.

摘要

背景

在进行运动干预时,不能忽视抑郁症状。本研究旨在阐明社区老年人抑郁症状与运动能力之间的关系。

方法

在这项横断面研究中,我们分析了 110 名社区居住的老年人(平均年龄[标准差] = 70.7 [4.0] 岁;女性:55%)。使用日本版老年抑郁量表评估抑郁症状。我们通过测量 2 分钟步行测试中的距离(2MWD)来评估运动能力。应用线性回归模型分析 2MWD 与抑郁症状之间的关系。

结果

结果表明,即使在调整年龄、性别、体重指数、吸烟、饮酒、疼痛严重程度和共病数量后,抑郁症状与低 2MWD 相关(β = -5.87,95%置信区间 = -11.18 至-0.57,p < 0.05)。

结论

结果表明,抑郁症状与老年人运动能力下降有关。

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