The longitudinal relationship among physical activity, loneliness, and mental health in middle-aged and older adults: Results from the Edad con Salud cohort

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-12-21 DOI:10.1016/j.mhpa.2024.100667

Jordi Rodeiro , Beatriz Olaya , Josep Maria Haro , Aina Gabarrell-Pascuet , José Luis Ayuso-Mateos , Lea Francia , Cristina Rodríguez-Prada , Blanca Dolz-del-Castellar , Joan Domènech-Abella

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引用次数: 0

Abstract

Objectives

Existing research suggests there to be interrelated connections among physical activity, loneliness, and mental health. However, the possible mediating effects between them in middle-aged and older adults is unclear. This study aims to investigate the longitudinal relationship among physical activity, loneliness, and common mental disorders to clarify potential mediation effects.

Methods

We analysed longitudinal data from 1973 participants aged 50 and over, drawn from the Longitudinal Ageing and Health Study Spain (“Edad con Salud”, ageingandhealth.com). Loneliness was evaluated using the 3-item UCLA loneliness scale, while physical activity was measured with the Global Physical Activity Questionnaire version 2 (GPAQ v2). Common mental disorders were assessed by considering lifetime episodes of major depressive and generalized anxiety disorders (MDD and GAD) following the criteria outlined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Employing a crosslagged panel model (CLPM), cross-lagged and autoregressive longitudinal associations among loneliness, common mental disorders, and physical activity were examined.

Results

Physical inactivity predicted higher subsequent loneliness, which in turn predicted common mental disorders. The reverse pathways were statistically supported as well, suggesting bi-directional influences. All autoregressive associations were statistically significant.

Discussion

The improvement of mental health through physical activity is facilitated by the mediation of loneliness, indicating the potential of the social aspect of physical activity as a preventive measure for MDD and GAD, as well as the need to address feelings of loneliness in individuals with common mental disorders in order to facilitate their participation in physical activities.

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中老年人身体活动、孤独感和心理健康之间的纵向关系：来自Edad con Salud队列的结果

目的现有研究表明，体育活动、孤独感和心理健康之间存在相互联系。然而，在中老年人中，两者之间可能的中介作用尚不清楚。本研究旨在探讨体育活动、孤独感和常见精神障碍之间的纵向关系，以阐明潜在的中介作用。方法：我们分析了1973名50岁及以上参与者的纵向数据，这些数据来自西班牙纵向老龄化与健康研究（“Edad con Salud”，ageingandhealth.com）。孤独感采用UCLA孤独感量表进行评估，身体活动采用全球身体活动问卷第2版（GPAQ v2）进行测量。根据精神疾病诊断与统计手册（DSM-5）列出的标准，通过考虑重度抑郁症和广泛性焦虑症（MDD和GAD）的终生发作来评估常见精神障碍。采用交叉滞后面板模型（CLPM），研究了孤独感、常见精神障碍和身体活动之间的交叉滞后和自回归纵向关联。结果缺乏运动预示着更高的孤独感，进而预示着常见的精神障碍。相反的途径在统计上也得到支持，表明双向影响。所有自回归关联均具有统计学意义。孤独的调解促进了通过体育活动改善心理健康，这表明体育活动的社会方面有可能作为重度抑郁症和广泛性焦虑症的预防措施，以及有必要解决患有常见精神障碍的个体的孤独感，以促进他们参与体育活动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;