患有多种慢性病的老年人身体活动频率和时长与抑郁症之间的关系。
The Relationship between the Frequency and Duration of Physical Activity and Depression in Older Adults with Multiple Chronic Diseases.
作者信息
Lee Jae-Moo, Ryan Edward J
机构信息
Department of Sport Science, Sungkyunkwan University, Suwon 16419, Korea.
Department of Exercise Science, Chatham University, Pittsburgh, PA 15232, USA.
出版信息
J Clin Med. 2022 Oct 27;11(21):6355. doi: 10.3390/jcm11216355.
Research has demonstrated that older adults with multiple chronic diseases (CD) are particularly vulnerable to depression. Meeting current recommendations for physical activity (PA) may help ameliorate the impact of depression on this population. Nonetheless, the impact of frequency versus duration of PA on depression in older adults remains to be explored. Therefore, the purpose of the present study was to determine the combined effect of PA and multiple CD on depression and the combined effect of the frequency, duration, and multiple CD on depression in older adults. Methods: The present study utilized data from the 2017 and 2020 Living Profiles of Older People Surveys. Data from a total of 19,907 older adults (10,042 older adults from 2017 and 9865 older adults from 2020) were included in the present study. Depression was assessed using the Korean version of the Short Form of Geriatric Depression Scale (K-SGDS) and CD included cardiovascular disease, respiratory diseases, thyroid syndromes, orthopedic complications, and diabetes. Participants who participated in PA ≥ 150 min/week were categorized as the high PA group, and those who participated in PA < 150 min/week were categorized as the low PA group. Furthermore, the frequency of PA (FRE) was divided into high FRE (≥5 times/week) and low FRE (<5 times/week), and duration (DUR) was divided into DUR30 (≥30 min/bout) and DUR0 (<30 min/bout). Results: The high PA group exhibited a lower risk of depression relative to the low PA group (p < 0.001). Furthermore, the risk of depression was consistently lower at DUR30 than DUR0 regardless of FRE in all CD categories and this result was maintained after adjusting for age, gender, BMI, height, weight, income, education levels, smoking status, and cognitive function. Conclusion: These results interestingly demonstrated that it is important for older adults to participate in a longer duration of PA to impact and prevent depression symptoms regardless of FRE.
研究表明，患有多种慢性疾病（CD）的老年人特别容易患抑郁症。达到当前身体活动（PA）的建议量可能有助于减轻抑郁症对该人群的影响。尽管如此，PA的频率与持续时间对老年人抑郁症的影响仍有待探索。因此，本研究的目的是确定PA和多种CD对老年人抑郁症的综合影响，以及PA的频率、持续时间和多种CD对老年人抑郁症的综合影响。方法：本研究利用了2017年和2020年老年人生活状况调查的数据。本研究纳入了总共19907名老年人的数据（2017年的10042名老年人和2020年的9865名老年人）。使用韩国版老年抑郁量表简表（K-SGDS）评估抑郁症，CD包括心血管疾病、呼吸系统疾病、甲状腺综合征、骨科并发症和糖尿病。每周参加PA≥150分钟的参与者被归类为高PA组，每周参加PA<150分钟的参与者被归类为低PA组。此外，PA的频率（FRE）分为高FRE（≥5次/周）和低FRE（<5次/周），持续时间（DUR）分为DUR30（≥30分钟/次）和DUR0（<30分钟/次）。结果：与低PA组相比，高PA组患抑郁症的风险较低（p<0.001）。此外，在所有CD类别中，无论FRE如何，DUR30时抑郁症的风险始终低于DUR0，在调整年龄、性别、BMI、身高、体重、收入、教育水平、吸烟状况和认知功能后，这一结果仍然成立。结论：这些结果有趣地表明，对于老年人来说，无论FRE如何，参与更长时间的PA对影响和预防抑郁症状都很重要。
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