The Moderating Effect of Physical Activity on the Association Between Cognition and Depression Among Middle-Aged and Older Adults: A Differential Analysis by European Regions.

IF 2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-08-11 DOI:10.1177/07334648251364013

Marcelo de Maio Nascimento, Adilson Marques, Gerson Ferrari, Élvio Rúbio Gouveia, Andreas Ihle

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Abstract

This study aimed to investigate the moderating effect of moderate-to-vigorous physical activity (MVPA) on the association between cognition and depression in individuals aged 50 years or older living in 27 European countries and to explore differences between four European regions (West, North, South, East). Categorical moderation analysis was performed with 41,878 individuals using data from the SHARE database. The variables analyzed were depression (EURO-D scale), Cognition Index (CogId), and self-reported MVPA. Western and Northern European regions indicated higher CogId and MVPA scores and lower depression than those in the South and East. MVPA frequency proved to be a significant moderator on the association between cognition and depression, with notable differences between regions. Especially in Southern and Eastern Europe, it would be important to create strategies that promote MVPA, which is fundamental to the mental and cognitive health of middle-aged and older adult populations.

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体力活动对中老年认知与抑郁关系的调节作用：欧洲地区的差异分析

本研究旨在探讨中高强度体力活动（MVPA）对27个欧洲国家50岁以上老年人认知与抑郁之间关系的调节作用，并探讨欧洲4个地区（西、北、南、东）的差异。使用SHARE数据库中的数据对41,878名个体进行分类调节分析。分析的变量包括抑郁（EURO-D量表）、认知指数（CogId）和自我报告的MVPA。西欧和北欧地区的CogId和MVPA得分高于南欧和东欧地区，抑郁程度较低。MVPA频率对认知与抑郁之间的关系有显著调节作用，区域间差异显著。特别是在南欧和东欧，重要的是制定促进老年痴呆症的战略，因为老年痴呆症对中老年人口的心理和认知健康至关重要。

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

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.