The Reciprocal Relationship Between Physical Activity and Depression in Older European Adults: A Prospective Cross-Lagged Panel Design Using SHARE Data
The Reciprocal Relationship Between Physical Activity and Depression in Older European Adults: A Prospective Cross-Lagged Panel Design Using SHARE Data
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DOI：
10.1037/a0023268
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发表时间：
2011-07-01
影响因子：
4.2
通讯作者：
Hagger, Martin S.
中科院分区：
文献类型：
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作者：
Lindwall, Magnus;Larsman, Pernilla;Hagger, Martin S.
目的：这项前瞻性研究的目的是调查来自11个欧洲国家的17，593名老年人（M年龄= 64.07，SD = 9.58）在两年随访期间身体活动-抑郁症状关系的相互性质。此外，性别和年龄被视为这种关系的潜在调节因素。方法：采用两波交叉滞后面板设计和结构方程模型的潜在变化评分模型对数据进行分析。在基线（T1）和随访（T2）时使用EURO-D量表测量抑郁症状，捕获情感痛苦和动机两个因素。在T1和T2测量身体活动，作为中度身体活动和剧烈身体活动的频率。结果如下：横截面潜变量分析显示，在T1和T2的较高水平的体力活动与较低水平的情感痛苦和动机在T1和T2。T1时的体力活动与T2时的情感痛苦和动机显著相关。T1时的抑郁症状与T2时的体力活动无显著相关。然而，交叉滞后模型显示最佳模型拟合，支持身体活动和老年人抑郁症状之间的相互前瞻性关系。抑郁症状因子的潜在变化与体力活动的潜在变化有关，表明随时间的推移存在复杂和动态的关联。结论：定期的身体活动可能是预防老年人未来抑郁症状的一个有价值的工具，抑郁症状也可能阻止老年人进行定期的身体活动。
Objective: The aim of this prospective study was to investigate the reciprocal nature of the physical activity-depressive symptoms relationship in 17,593 older adults from 11 European countries older adults (M age = 64.07, SD = 9.58) across two-year follow-up. Also, gender and age were examined as potential moderators of this relation. Method: A two-wave cross-lagged panel design and latent change score models with structural equation modeling was used to analyze data. Depressive symptoms were measured at baseline (T1) and follow-up (T2) using the EURO-D scale, capturing the two factors of affective suffering and motivation. Physical activity was measured at T1 and T2 as frequency of moderate physical activity and vigorous physical activity. Results: Cross-sectional latent variable analyses revealed that higher levels of physical activity at T1 and T2 were associated with lower levels of affective suffering and motivation at T 1 and T2. Physical activity at T1 was significantly associated with affective suffering and motivation at T2. The relations of depressive symptoms at T1 with physical activity at T2 were not significant. However, a cross-lagged model showed best model fit, supporting a reciprocal prospective relationship between physical activity and depressive symptoms in older adults. Latent change in depressive symptoms factors was related to latent change in physical activity indicating complex and dynamic associations across time. Conclusions: Regular physical activity may be a valuable tool in the prevention of future depressive symptoms in older adults, and depressive symptoms may also prevent older adults from engaging in regular physical activity.