Beyond METs: Types of physical activity and depression among older adults

Spruha Joshi, Stephen J. Mooney, Gary J. Kennedy, Ebele O. Benjamin, Danielle Ompad, Andrew G. Rundle, John R. Beard, Magdalena Cerdá

Research output: Contribution to journalArticle

Abstract

Background/Objectives: physical activity may be beneficial in reducing depression incidence among the elderly. A key unanswered question is whether certain types of physical activity are particularly associated with decreased depression incidence. We examined the relationship between quantity and type of physical activity and subsequent depression using longitudinal data from elderly adults in New York City (NYC). Methods: we followed 3,497 adults aged 65-75 living in NYC for three years. Total physical activity was measured using the Physical Activity Scale for the Elderly (PASE) and type of physical activity was measured using a latent class analysis of PASE item responses. We used generalised estimating equations to measure the relationship between quantity and latent class of physical activity at waves 1-2 and depression at waves 2-3, controlling for wave-1 depression. Results: individuals in the second highest quartile (50-75%) (odds ratio (OR) = 0.45; 95% confidence interval (CI) = 0.23, 0.88) and highest quartile of activity (OR = 0.31; 95% CI = 0.16, 0.63) had lower odds of depression. Among all subjects, athletic types (OR = 0.25; 95% CI = 0.12, 0.51) and walker types (OR = 0.58; 95% CI = 0.34, 0.99) had lower odds of depression. Among non-disabled participants, walkers (OR = 0.36; 95% CI = 0.18, 0.73), athletic types (OR = 0.14; 95% CI = 0.06, 0.32), domestic/gardening types (OR = 0.29; 95% CI = 0.12, 0.73) and domestic/gardening athletic types (OR = 0.13; 95% CI = 0.02, 0.75) had lower odds of depression. Conclusion: respondents who practised the highest levels of physical activity and who performed athletic activities were at lower risk for depression. Interventions aimed at promoting athletic physical activity among older adults may generate benefits for mental health.

Original languageEnglish (US)
Article numberafv164
Pages (from-to)103-109
Number of pages7
JournalAge and Ageing
Volume45
Issue number1
DOIs
StatePublished - Jan 1 2016

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Exercise
Odds Ratio
Confidence Intervals
Sports
Depression
Gardening
Walkers
Incidence
Mental Health

Keywords

  • Depression
  • Latent classes
  • Older people
  • Physical activity

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

Cite this

Joshi, S., Mooney, S. J., Kennedy, G. J., Benjamin, E. O., Ompad, D., Rundle, A. G., ... Cerdá, M. (2016). Beyond METs: Types of physical activity and depression among older adults. Age and Ageing, 45(1), 103-109. [afv164]. https://doi.org/10.1093/ageing/afv164

Beyond METs : Types of physical activity and depression among older adults. / Joshi, Spruha; Mooney, Stephen J.; Kennedy, Gary J.; Benjamin, Ebele O.; Ompad, Danielle; Rundle, Andrew G.; Beard, John R.; Cerdá, Magdalena.

In: Age and Ageing, Vol. 45, No. 1, afv164, 01.01.2016, p. 103-109.

Research output: Contribution to journalArticle

Joshi, S, Mooney, SJ, Kennedy, GJ, Benjamin, EO, Ompad, D, Rundle, AG, Beard, JR & Cerdá, M 2016, 'Beyond METs: Types of physical activity and depression among older adults', Age and Ageing, vol. 45, no. 1, afv164, pp. 103-109. https://doi.org/10.1093/ageing/afv164
Joshi S, Mooney SJ, Kennedy GJ, Benjamin EO, Ompad D, Rundle AG et al. Beyond METs: Types of physical activity and depression among older adults. Age and Ageing. 2016 Jan 1;45(1):103-109. afv164. https://doi.org/10.1093/ageing/afv164
Joshi, Spruha ; Mooney, Stephen J. ; Kennedy, Gary J. ; Benjamin, Ebele O. ; Ompad, Danielle ; Rundle, Andrew G. ; Beard, John R. ; Cerdá, Magdalena. / Beyond METs : Types of physical activity and depression among older adults. In: Age and Ageing. 2016 ; Vol. 45, No. 1. pp. 103-109.
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abstract = "Background/Objectives: physical activity may be beneficial in reducing depression incidence among the elderly. A key unanswered question is whether certain types of physical activity are particularly associated with decreased depression incidence. We examined the relationship between quantity and type of physical activity and subsequent depression using longitudinal data from elderly adults in New York City (NYC). Methods: we followed 3,497 adults aged 65-75 living in NYC for three years. Total physical activity was measured using the Physical Activity Scale for the Elderly (PASE) and type of physical activity was measured using a latent class analysis of PASE item responses. We used generalised estimating equations to measure the relationship between quantity and latent class of physical activity at waves 1-2 and depression at waves 2-3, controlling for wave-1 depression. Results: individuals in the second highest quartile (50-75{\%}) (odds ratio (OR) = 0.45; 95{\%} confidence interval (CI) = 0.23, 0.88) and highest quartile of activity (OR = 0.31; 95{\%} CI = 0.16, 0.63) had lower odds of depression. Among all subjects, athletic types (OR = 0.25; 95{\%} CI = 0.12, 0.51) and walker types (OR = 0.58; 95{\%} CI = 0.34, 0.99) had lower odds of depression. Among non-disabled participants, walkers (OR = 0.36; 95{\%} CI = 0.18, 0.73), athletic types (OR = 0.14; 95{\%} CI = 0.06, 0.32), domestic/gardening types (OR = 0.29; 95{\%} CI = 0.12, 0.73) and domestic/gardening athletic types (OR = 0.13; 95{\%} CI = 0.02, 0.75) had lower odds of depression. Conclusion: respondents who practised the highest levels of physical activity and who performed athletic activities were at lower risk for depression. Interventions aimed at promoting athletic physical activity among older adults may generate benefits for mental health.",
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