Change in physical activity and the risk of depressive symptoms in mid-older aged adults.

IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY
Yu-Tai Liu, Chien-Yu Lin, Yung Liao, Ai Shibata, Kaori Ishii, Koichiro Oka
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引用次数: 0

Abstract

Aim: Middle-age and older adults' physical activity participation changes may influence their depressive conditions. This study explores the associations between changes in physical activity levels over time and the likelihood of depressive symptoms based on a population-based survey.

Methods: This study included adults aged ≥50 years from the Taiwan Longitudinal Study in Aging (TLSA) survey. Physical activity levels from the 2003 and 2007 surveys were used to identify patterns of change across time. Multiple logistic regression was performed to examine the associations between changes in physical activity and the risk of depressive symptoms. Additional analyses were conducted to assess if the associations of change patterns varied by individuals' baseline physical activity levels.

Results: Of the 3439 participants, 12.9% newly developed a high risk of depression over 4 years. Compared with those with constant physical activity levels, adults with decreased physical activity levels showed a significantly higher risk of depressive symptoms at follow-up (odds ratio = 1.59, 95% confidence interval: 1.23-2.06). The deteriorative association was most pronounced among individuals who had high physical activity levels at baseline but later reduced their activity (odds ratio = 2.01, 95% confidence interval: 1.48-2.72) compared with those who kept highly active. No significant association was observed among individuals who reported increased physical activity during the study period.

Conclusion: These findings highlight the importance of middle-aged and older adults staying physically active and avoiding reducing physical activity levels to prevent depression. Geriatr Gerontol Int 2025; ••: ••-••.

中老年人身体活动的变化与抑郁症状的风险
目的:中老年人体育活动参与的变化可能影响其抑郁状况。本研究基于一项基于人群的调查,探讨了体力活动水平随时间变化与抑郁症状可能性之间的关系。方法:本研究纳入台湾老龄化纵向研究(TLSA)调查中年龄≥50岁的成年人。2003年和2007年调查的身体活动水平被用来确定随时间变化的模式。采用多元逻辑回归来检验体力活动变化与抑郁症状风险之间的关联。另外还进行了分析,以评估变化模式的关联是否因个体的基线体力活动水平而异。结果:在3439名参与者中,12.9%的人在4年内出现了抑郁症的高风险。与身体活动水平不变的成年人相比,身体活动水平下降的成年人在随访中出现抑郁症状的风险明显更高(优势比= 1.59,95%可信区间:1.23-2.06)。与那些保持高度运动的人相比,在基线时身体活动水平高但后来减少活动的人(优势比= 2.01,95%可信区间:1.48-2.72)中,这种恶化的关联最为明显。在研究期间报告体力活动增加的个体之间没有观察到显著的关联。结论:这些发现强调了中老年人保持体育锻炼和避免减少体育锻炼水平对预防抑郁症的重要性。Geriatr Gerontol 2025;••: ••-••.
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
CiteScore
5.50
自引率
6.10%
发文量
189
审稿时长
4-8 weeks
期刊介绍: Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.
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