Community-level Sports Group Participation and Older Individuals' Depressive Symptoms.
Community-level Sports Group Participation and Older Individuals' Depressive Symptoms.
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DOI：
10.1249/mss.0000000000001541
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发表时间：
2018-06
影响因子：
4.1
通讯作者：
Kondo K
中科院分区：
文献类型：
--
作者：
Tsuji T;Miyaguni Y;Kanamori S;Hanazato M;Kondo K
社区一级的群体参与是社会资本的一个结构方面，可能对个人的健康产生背景影响。在此，我们试图调查社区一级的运动群体参与和老年人的抑郁症状之间的关系。我们使用了2010年日本老年学评估研究的数据，这是一项基于人群的横断面研究，对象是日本65岁或65岁以上没有长期护理需求的人群。总共分析了516个社区的74，681名参与者。抑郁症状诊断为15项老年抑郁量表评分≥5。参加运动组1天·月-1或更频繁被定义为“参与”。在这项研究中，我们应用了两级多水平泊松回归分析，按性别分层，计算患病率（PR）和95%置信区间（CI）。总体而言，17，420人（23.3%）有抑郁症状，16，915人（22.6%）参加了运动组。较高的社区体育团体参与率与较低的抑郁症状可能性存在统计学显著关系（男性：PR，0.89（95% CI，0.85-0.92）;女性：PR，0.96（95%CI，0.92-0.99），按10%的参与比例估算）调整个人水平运动组参与、年龄、疾病、家庭形式、酒精、吸烟、教育、同等收入和人口密度。我们发现只有男性参与者的跨水平交互作用具有统计学显著性（PR，0.86; 95%CI，0.77-0.95）。我们发现，在老年人中，社区体育团体参与和抑郁症状之间存在背景预防关系。因此，在社区中推广体育团体可能是预防老年人抑郁症的有效策略。此外，这种好处可能有利于男性体育团体参与者。
Community-level group participation is a structural aspect of social capital that may have a contextual influence on an individual’s health. Herein, we sought to investigate a contextual relationship between community-level prevalence of sports group participation and depressive symptoms in older individuals. We used data from the 2010 Japan Gerontological Evaluation Study, a population-based, cross-sectional study of individuals 65 yr or older without long-term care needs in Japan. Overall, 74,681 participants in 516 communities were analyzed. Depressive symptoms were diagnosed as a 15-item Geriatric Depression Scale score of ≥5. Participation in a sports group 1 d·month−1 or more often was defined as “participation.” For this study, we applied two-level multilevel Poisson regression analysis stratified by sex, calculated prevalence ratios (PR), and 95% confidence intervals (CI). Overall, 17,420 individuals (23.3%) had depressive symptoms, and 16,915 (22.6%) participated in a sports group. Higher prevalence of community-level sports group participation had a statistically significant relationship with a lower likelihood of depressive symptoms (male: PR, 0.89 (95% CI, 0.85–0.92); female: PR, 0.96 (95% CI, 0.92–0.99), estimated by 10% of participation proportion) after adjusting for individual-level sports group participation, age, diseases, family form, alcohol, smoking, education, equivalent income, and population density. We found statistically significant cross-level interaction terms in male participants only (PR, 0.86; 95% CI, 0.77–0.95). We found a contextual preventive relationship between community-level sports group participation and depressive symptoms in older individuals. Therefore, promoting sports groups in a community may be effective as a population-based strategy for the prevention of depression in older individuals. Furthermore, the benefit may favor male sports group participants.