Relationships of leisure-time and non-leisure-time physical activity with depressive symptoms: a population-based study of Taiwanese older adults

International Journal of Behavioral Nutrition and Physical Activity

Da-Chen Chu⁴  Yu-Kai Chang²  Po-Wen Ku¹  Clare Stevinson³  Li-Jung Chen⁵ 

[1] Institute of Public Health, National Yang-Ming University, No.155, Sec.2, Linong Street, Taipei 112, Taiwan;Graduate Institute of Coaching Science, National Taiwan Sport University, No.250, Wenhua 1st Rd., Guishan Shiang, Taoyuan County 333, Taiwan;School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire LE11 3TU, UK;Department of Neurosurgery, Taipei City Hospital, No.145, Zhengzhou Rd., Datong District, Taipei 103, Taiwan;Department of Exercise Health Science, National Taiwan University of Physical Education and Sport, No. 16, Section 1, Shuang-Shih Rd, Taichung 404, Taiwan

关键词: Non leisure-time physical activity;    Intensity;    Aging;    Depression;    Exercise;   

Others  :  828319
DOI  :  10.1186/1479-5868-9-28

 received in 2011-09-18, accepted in 2012-03-14,  发布年份 2012

【 摘 要 】

Background

Limited research has explored the relationship between non-leisure-time physical activity (NLTPA), including domestic and work-related physical activities, with depressive symptoms. This study was designed to elucidate independent associations between leisure-time physical activity (LTPA), NLTPA, and specific parameters of physical activity (frequency, duration and intensity) with depressive symptoms in older adults.

Methods

A total of 2,727 persons aged ≥ 65 years participating in the 2005 Taiwan National Health Interview Survey were studied. Depressive symptoms were measured by the Center for Epidemiological Studies Depression Scale. Information regarding energy parameters for each type of LTPA and NLTPA during the past 2-week period was analyzed. After adjusting for socio-demographic variables, lifestyle behaviors and health status, multivariate logistic regression models were used to compute adjusted odds ratios (AOR) for LTPA and NLTPA for predicting depressive symptoms.

Results

LTPA but not NLTPA was significantly associated with depressive symptoms. Compared with participants expending 2000+ kcal/week through LTPA, the risk of experiencing depressive symptoms was significantly higher for those expending 1-999 kcal/week (AOR = 2.06, 95% CI: 1.25-3.39), and those who expending 0 kcal/week (AOR = 3.72, 95%CI: 2.28-6.06). Among the three parameters of LTPA (intensity, duration and frequency) examined, only intensity was independently associated with depressive symptoms.

Conclusions

These findings imply that exercise recommendations for older adults should emphasize the importance of higher intensity activity, rather than frequency or duration, for improved mental well-being. However, well-designed prospective cohort studies or intervention trials are needed to confirm these findings.

【 授权许可】

   
2012 Chen et al; licensee BioMed Central Ltd.

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