Intervention using a community-based walking program is effective for elderly adults with depressive tendencies

Intervention using a community-based walking program is effective for elderly adults with depressive tendencies
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使用基于社区的步行计划进行干预对有抑郁倾向的老年人有效

DOI:
10.1111/j.1532-5415.2012.04091.x
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发表时间:
2012
期刊:
影响因子:
6.3
通讯作者:
Yamaguchi H
Yamaguchi H
中科院分区:
医学1区
文献类型:
--
作者:
Maki Y;Ura C;Yamaguchi T;Takahashi R;Yamaguchi H

文献摘要

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在本研究中,117名老年人(平均年龄±标准差,72.4±4.3岁;受教育年限11.9±2.6年; 36名男性和81名女性)入组了一项基于社区的步行计划[日本;未给出日期]。在这些参与者中,根据老年抑郁量表(GDS),79、31和7人最初分别被分类为具有正常情绪(NM)、轻度抑郁情绪倾向(MDM)和重度抑郁情绪倾向(SDM)。在步行干预后,三组之间的单词流畅性测试结果显示出显著差异(F(2,111)=5.345,P=0.006)。此外,受试者内事后分析显示,只有SDM组有显著改善。参与者的整体出席率均超过80%,抑郁情绪得到改善。同时,干预后GDS结果在两组之间存在显著差异(F(2,111)=8.304,P<0.001),参与者内事后分析显示MDM和SDM改善。这些结果表明,这种以社区为基础的步行计划提供了双重好处,在认知功能和改善抑郁情绪的社区居民的抑郁倾向。
In this study, 117 elderly adults (mean age±standard deviation, 72.4±4.3 years; 11.9±2.6 years of education; 36 male and 81 female) were enrolled in a community-based walking program [Japan; date not given]. Of these participants, 79, 31 and 7 were initially categorized as having normal mood (NM), mild tendency toward depressed mood (MDM) and severe tendency toward depressed mood (SDM), respectively, based on the Geriatric Depression Scale (GDS). Following the walking intervention, results of the word fluency test showed significant differences between the three groups (F(2,111)=5.345, P=0.006). Also, within-subject post hoc analysis showed significant improvement only in the SDM group. Overall attendance rate of each SDM participant was greater than 80%, and depressive mood was ameliorated. In parallel, post-intervention GDS results were significantly different between the groups (F(2,111)=8.304, P<0.001), and within-participant post hoc analysis showed amelioration in MDM and SDM. These results suggest that this community-based walking program provides dual benefits in cognitive function and amelioration of depressive mood in community residents with depressive tendencies.