Changes in intensity of physical exercise as predictors of depressive symptoms among older adults: An eight-year follow-up
Changes in intensity of physical exercise as predictors of depressive symptoms among older adults: An eight-year follow-up
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DOI：
10.1006/pmed.2000.0641
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发表时间：
2000-05-01
影响因子：
5.1
通讯作者：
Ruoppila, I
中科院分区：
文献类型：
--
作者：
Lampinen, P;Heikkinen, RL;Ruoppila, I
背景。流行病学研究表明，定期进行体力活动可能与减轻抑郁症状有关。本研究调查了 8 年期间 65 岁以上成年人样本中体育锻炼对抑郁症状的预测价值。方法。选择参与基线（1988 年）和后续（1996 年）访谈的受试者（N = 663）进行分析。因变量抑郁症状通过贝克 13 项抑郁量表的芬兰修改版进行评估。自变量是体育锻炼的强度。结果。老年男性和女性的体育锻炼强度有所下降。那些在 8 年期间减少体育锻炼强度的人在随访中比那些保持活跃或增加体育锻炼的人报告了更多的抑郁症状。抑郁症状是通过基线体育锻炼的强度、早期抑郁症状、年龄、性别、患有三种或更多慢性躯体疾病以及进行 ADL 活动的困难来预测的。结论。与年龄相关的体育锻炼强度下降会增加老年人出现抑郁症状的风险。这就需要采取有效措施来维持和支持老年人口的充分体育锻炼水平，(C) 2000 美国健康基金会和学术出版社。
Background. Epidemiological research suggests that regular physical activity may be associated with reduced depressive symptoms. The present study examines the predictive value of physical exercise in relation to depressive symptoms among samples of adults aged 65+ during an 8-year period.Methods. The subjects (N = 663) who participated both at the baseline (1988) and the follow-up (1996) interviews were selected for the analyses. The dependent variable depressive symptoms was assessed by the Finnish modified version of Beck's 13-item depression scale. The independent variable was the intensity of physical exercise.Results. The intensity of physical exercise decreased among the older men and women. Those who had reduced their intensity of physical exercise during the 8 years reported more depressive symptoms at the follow-up than those who had remained active or increased their physical activity. Depressive symptoms were predicted by the intensity of baseline physical exercise, earlier depressive symptoms, older age, gender, having three or more chronic somatic conditions, and difficulties in performing ADL activities.Conclusions. Age-related decrease in the intensity of physical exercise increases the risk of depressive symptoms among older adults. This calls for effective measures in maintaining and supporting an adequate level of physical exercise among the aging population, (C) 2000 American Health Foundation and Academic Press.