Physical activity as a protective factor against depressive symptoms in older Chinese veterans in the community: result from a national cross-sectional study

Wen-Jin Du,1 Ji-Ping Tan,1 Fang Yi,1 Yong-Ming Zou,1 Ya Gao,1 Yi-Ming Zhao,2 Lu-Ning Wang1 1Department of Geriatric Neurology, Clinical Division of South Building, Chinese PLA General Hospital, 2Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, People’s...

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Autores principales: Du WJ, Tan JP, Yi F, Zou YM, Gao Y, Zhao YM, Wang LN
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Lenguaje:EN
Publicado: Dove Medical Press 2015
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Acceso en línea:https://doaj.org/article/dfafda764f58440b9639d8fcfab64201
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spelling oai:doaj.org-article:dfafda764f58440b9639d8fcfab642012021-12-02T00:15:48ZPhysical activity as a protective factor against depressive symptoms in older Chinese veterans in the community: result from a national cross-sectional study1178-2021https://doaj.org/article/dfafda764f58440b9639d8fcfab642012015-03-01T00:00:00Zhttp://www.dovepress.com/physical-activity-as-a-protective-factor-against-depressive-symptoms-i-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Wen-Jin Du,1 Ji-Ping Tan,1 Fang Yi,1 Yong-Ming Zou,1 Ya Gao,1 Yi-Ming Zhao,2 Lu-Ning Wang1 1Department of Geriatric Neurology, Clinical Division of South Building, Chinese PLA General Hospital, 2Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, People’s Republic of China Background: Physical activity is generally considered to be effective in reducing the prevalence of depression and promoting remission of its symptoms. However, large-scale epidemiological research on this issue is lacking in older Chinese adults. We performed a nationwide epidemiological survey to determine the relationship between physical activity and depressive symptoms in older Chinese veterans in the community, with adjustment for potential confounders.Methods: A cross-sectional study was conducted in a representative sample of 9,676 community-dwelling older Chinese veterans. Depressive symptoms were identified using the Center for Epidemiological Studies Depression Scale. Physical activity was self-reported using a one-year physical activity questionnaire. Information about covariates was obtained by questionnaire-based interview. Relationships between study variables and symptoms of depression were estimated using unadjusted and adjusted analyses.Results: The median age was 82.29 (interquartile range 80.25–84.60) years. In total, 81.84% of the study participants engaged in physical activity that was predominantly light in intensity. In unadjusted analyses, physical activity was associated with a significantly decreased likelihood of depressive symptoms (5.43% versus 18.83%, P<0.0001). Multivariate logistic regression with adjustment and controlling for confounders, physical activity was still inversely associated with depressive symptoms and was the only independent protective factor (odds ratio 0.57, 95% confidence interval 0.44–0.72, P<0.0001) among the associated factors in this study. In a univariate general linear model, there was a significant difference in Center for Epidemiological Studies Depression Scale score between subjects participating in active physical activity and those who did not (F=59.07, P<0.0001).Conclusion: This study found an inverse relationship between physical activity and symptoms of depression in older Chinese veterans in the community. It was also indicated that the antidepressant effect of physical activity probably extended to the oldest-old, and the light-intensity physical activity was probably available for the same protective effect. This information could be used to devise further interventions to prevent or ameliorate symptoms of depression. Keywords: physical activity, depression, protective factor, older adults, Chinese veteranDu WJTan JPYi FZou YMGao YZhao YMWang LNDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 803-813 (2015)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Du WJ
Tan JP
Yi F
Zou YM
Gao Y
Zhao YM
Wang LN
Physical activity as a protective factor against depressive symptoms in older Chinese veterans in the community: result from a national cross-sectional study
description Wen-Jin Du,1 Ji-Ping Tan,1 Fang Yi,1 Yong-Ming Zou,1 Ya Gao,1 Yi-Ming Zhao,2 Lu-Ning Wang1 1Department of Geriatric Neurology, Clinical Division of South Building, Chinese PLA General Hospital, 2Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, People’s Republic of China Background: Physical activity is generally considered to be effective in reducing the prevalence of depression and promoting remission of its symptoms. However, large-scale epidemiological research on this issue is lacking in older Chinese adults. We performed a nationwide epidemiological survey to determine the relationship between physical activity and depressive symptoms in older Chinese veterans in the community, with adjustment for potential confounders.Methods: A cross-sectional study was conducted in a representative sample of 9,676 community-dwelling older Chinese veterans. Depressive symptoms were identified using the Center for Epidemiological Studies Depression Scale. Physical activity was self-reported using a one-year physical activity questionnaire. Information about covariates was obtained by questionnaire-based interview. Relationships between study variables and symptoms of depression were estimated using unadjusted and adjusted analyses.Results: The median age was 82.29 (interquartile range 80.25–84.60) years. In total, 81.84% of the study participants engaged in physical activity that was predominantly light in intensity. In unadjusted analyses, physical activity was associated with a significantly decreased likelihood of depressive symptoms (5.43% versus 18.83%, P<0.0001). Multivariate logistic regression with adjustment and controlling for confounders, physical activity was still inversely associated with depressive symptoms and was the only independent protective factor (odds ratio 0.57, 95% confidence interval 0.44–0.72, P<0.0001) among the associated factors in this study. In a univariate general linear model, there was a significant difference in Center for Epidemiological Studies Depression Scale score between subjects participating in active physical activity and those who did not (F=59.07, P<0.0001).Conclusion: This study found an inverse relationship between physical activity and symptoms of depression in older Chinese veterans in the community. It was also indicated that the antidepressant effect of physical activity probably extended to the oldest-old, and the light-intensity physical activity was probably available for the same protective effect. This information could be used to devise further interventions to prevent or ameliorate symptoms of depression. Keywords: physical activity, depression, protective factor, older adults, Chinese veteran
format article
author Du WJ
Tan JP
Yi F
Zou YM
Gao Y
Zhao YM
Wang LN
author_facet Du WJ
Tan JP
Yi F
Zou YM
Gao Y
Zhao YM
Wang LN
author_sort Du WJ
title Physical activity as a protective factor against depressive symptoms in older Chinese veterans in the community: result from a national cross-sectional study
title_short Physical activity as a protective factor against depressive symptoms in older Chinese veterans in the community: result from a national cross-sectional study
title_full Physical activity as a protective factor against depressive symptoms in older Chinese veterans in the community: result from a national cross-sectional study
title_fullStr Physical activity as a protective factor against depressive symptoms in older Chinese veterans in the community: result from a national cross-sectional study
title_full_unstemmed Physical activity as a protective factor against depressive symptoms in older Chinese veterans in the community: result from a national cross-sectional study
title_sort physical activity as a protective factor against depressive symptoms in older chinese veterans in the community: result from a national cross-sectional study
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/dfafda764f58440b9639d8fcfab64201
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