Frequency and pattern of exercise and depression after two years in older Japanese adults: the JAGES longitudinal study.

Frequency and pattern of exercise and depression after two years in older Japanese adults: the JAGES longitudinal study.
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DOI:
10.1038/s41598-018-29053-x
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发表时间:
2018-07-25
期刊:
影响因子:
4.6
通讯作者:
Kondo K
Kondo K
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Kanamori S;Takamiya T;Inoue S;Kai Y;Tsuji T;Kondo K

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很少有人阐明什么样的运动频率和模式(例如单独或与他人一起)对预防老年人抑郁症有效。我们研究了两年后日本老年人运动的总频率和/或模式与抑郁风险之间的关系。我们使用了2011年和2013年进行的日本老年学评估研究(JAGES)的子样本。用于分析的样本是2011年1422名年龄在65岁及以上、没有抑郁症和体力低下的成年人。所有变量都通过问卷进行评估,包括老年抑郁症筛查量表(GDS-15)。采用二项logistic回归分析检验2011年运动与2013年抑郁之间的关系(0 =无抑郁,1 =抑郁)。与不运动的人相比,每周运动两次或两次以上的人患后期抑郁症的校正优势比(OR)为0.52(95%可信区间:0.33-0.81)。与不运动的人相比,与他人一起运动的人(2人)的OR为0.53(0.34-0.84)。在频率和模式的组合中,与不锻炼的人相比,每周锻炼两次或两次以上的人的OR为0.40(0.24-0.68)。每周至少锻炼两次和/或与其他人一起锻炼可能有助于预防老年人的抑郁症。
Few have clarified what exercise frequencies and patterns (e.g. alone or with others) are effective for preventing depression in older adults. We examined the relationship between total frequency and/or pattern of exercise and the risk of depression after two years in older Japanese adults. We used a sub-sample of the Japan Gerontological Evaluation Study (JAGES) performed in 2011 and 2013. The sample for analysis was 1,422 adults aged 65 years or older without depression and low physical strength in 2011. All variables were assessed with a questionnaire including the geriatric depression screening scale (GDS-15). Binomial logistic regression analysis was used to examine the relationships between exercise in 2011 and depression in 2013 (0 = non-depression, 1 = depression). The adjusted odds ratio (OR) for later depression was 0.52 (95% confidence intervals: 0.33–0.81) for exercise two or more times a week compared to non-exercisers. The OR for exercisers who exercise with others even a little (Ewo) was 0.53 (0.34–0.84) compared to non-exercisers. Among combinations of frequency and pattern, the OR for Ewo who exercise two or more times a week was 0.40 (0.24–0.68) compared to non-exercisers. Exercising at least twice a week and/or with others may be useful in preventing depression in older adults.
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