Physical Activity Participation Decreases the Risk of Depression in Older Adults: The ATHLOS Population-Based Cohort Study. Lima, R. A., Condominas, E., Sanchez-Niubo, A., Olaya, B., Koyanagi, A., De Miquel, C., & Haro, J. M. Sports Medicine - Open, 10(1):1, January, 2024.
Physical Activity Participation Decreases the Risk of Depression in Older Adults: The ATHLOS Population-Based Cohort Study [link]Paper  doi  abstract   bibtex   2 downloads  
Abstract Background To which extent physical activity is associated with depression independent of older adults’ physical and cognitive functioning is largely unknown. This cohort study using harmonised data by the EU Ageing Trajectories of Health: Longitudinal Opportunities and Synergies consortium, including over 20 countries, to evaluate the longitudinal association of physical activity (light-to-moderate or vigorous intensity) with depression in older adults (aged ≥ 50 years). Results We evaluated 56,818 participants (light-to-moderate models; 52.7% females, age 50–102 years) and 62,656 participants (vigorous models; 52.7% females, age 50–105 years). Compared to never, light-to-moderate or vigorous physical activity was associated with a lower incidence rate ratio (IRR) of depression (light-to-moderate model: once/week: 0.632, 95% CI 0.602–0.663; twice or more/week: 0.488, 95% CI 0.468–0.510; vigorous model: once/week: 0.652, 95% CI 0.623–0.683; twice or more/week: 0.591, 95% CI 0.566–0.616). Physical activity remained associated with depression after adjustment for the healthy ageing scale, which is a scale that incorporated 41 items of physical and cognitive functioning (light-to-moderate model: once/week: 0.787, 95% CI 0.752–0.824; twice or more/week: 0.711, 95% CI 0.682–0.742; vigorous model: once/week: 0.828, 95% CI 0.792–0.866; twice or more/week: 0.820, 95% CI 0.786–0.856). Conclusions Physical activity, of any intensity and weekly frequency, was a strong protective factor against depression, independent of physical and mental functioning. Health policies could stimulate the incorporation of lower physical activity intensity to protect against depression, which might be more feasible at the population level.
@article{lima_physical_2024,
	title = {Physical {Activity} {Participation} {Decreases} the {Risk} of {Depression} in {Older} {Adults}: {The} {ATHLOS} {Population}-{Based} {Cohort} {Study}},
	volume = {10},
	issn = {2198-9761},
	shorttitle = {Physical {Activity} {Participation} {Decreases} the {Risk} of {Depression} in {Older} {Adults}},
	url = {https://sportsmedicine-open.springeropen.com/articles/10.1186/s40798-023-00664-7},
	doi = {10.1186/s40798-023-00664-7},
	abstract = {Abstract
            
              Background
              To which extent physical activity is associated with depression independent of older adults’ physical and cognitive functioning is largely unknown. This cohort study using harmonised data by the EU Ageing Trajectories of Health: Longitudinal Opportunities and Synergies consortium, including over 20 countries, to evaluate the longitudinal association of physical activity (light-to-moderate or vigorous intensity) with depression in older adults (aged ≥ 50 years).
            
            
              Results
              We evaluated 56,818 participants (light-to-moderate models; 52.7\% females, age 50–102 years) and 62,656 participants (vigorous models; 52.7\% females, age 50–105 years). Compared to never, light-to-moderate or vigorous physical activity was associated with a lower incidence rate ratio (IRR) of depression (light-to-moderate model: once/week: 0.632, 95\% CI 0.602–0.663; twice or more/week: 0.488, 95\% CI 0.468–0.510; vigorous model: once/week: 0.652, 95\% CI 0.623–0.683; twice or more/week: 0.591, 95\% CI 0.566–0.616). Physical activity remained associated with depression after adjustment for the healthy ageing scale, which is a scale that incorporated 41 items of physical and cognitive functioning (light-to-moderate model: once/week: 0.787, 95\% CI 0.752–0.824; twice or more/week: 0.711, 95\% CI 0.682–0.742; vigorous model: once/week: 0.828, 95\% CI 0.792–0.866; twice or more/week: 0.820, 95\% CI 0.786–0.856).
            
            
              Conclusions
              Physical activity, of any intensity and weekly frequency, was a strong protective factor against depression, independent of physical and mental functioning. Health policies could stimulate the incorporation of lower physical activity intensity to protect against depression, which might be more feasible at the population level.},
	language = {en},
	number = {1},
	urldate = {2024-01-05},
	journal = {Sports Medicine - Open},
	author = {Lima, Rodrigo A. and Condominas, Elena and Sanchez-Niubo, Albert and Olaya, Beatriz and Koyanagi, Ai and De Miquel, Carlota and Haro, Josep Maria},
	month = jan,
	year = {2024},
	pmid = {38170286},
	pmcid = {PMC10764659},
	keywords = {ATHLOS, Ageing Trajectories of Health – Longitudinal Opportunities and Synergies, Data harmonisation, GEE, Generalized Estimating Equations, HM, Health Metric, HRS, Health and Retirement Study, KLOSA, Korean Longitudinal Study of Aging, Lifestyle behaviours, PA, Physical Activity, SHARE, Survey of Health, Ageing and Retirement in Europe, depression, longitudinal analysis, software:Stata},
	pages = {1},
}
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