6533b7defe1ef96bd12767ea

RESEARCH PRODUCT

Correlates of physical activity among depressed older people in six low-income and middle-income countries: A community-based cross-sectional study

Ai KoyanagiAi KoyanagiJames MugishaNicola VeroneseBrendon StubbsBrendon StubbsNathalie SwinnenDavy Vancampfort

subject

MaleGerontologyCross-sectional studyHealth StatusHealth BehaviorPhysical fitnessPsychological interventionphysical activityComorbidityBody Mass Index0302 clinical medicineRisk FactorsPrevalenceBack painMass index030212 general & internal medicineDepression (differential diagnoses)older adultsAged 80 and overFamily Characteristics*correlatesexercise*exerciseMiddle Agedcorrelates; depression; exercise; older adults; physical activityPsychiatry and Mental healthdepressionAnxietyFemaleIndependent Livingmedicine.symptomPsychology*older adultsmedicine.medical_specialtyPaincorrelates depression exercise older adults physical activity03 medical and health sciences*physical activitymedicineHumansSocial BehaviorDeveloping CountriesAgedDepressive Disorderbusiness.industryPublic healthcorrelatesCross-Sectional StudiesLogistic ModelsUnemploymentSedentary BehaviorGeriatrics and Gerontologybusiness030217 neurology & neurosurgery*depression

description

Objective Despite the benefits of physical activity (PA) in older people with depression, many do not comply with the International PA guidelines. Thus, we investigated what factors influence PA participation among 915 community-dwelling older adults (aged ≥65 years) with depression in 6 low-income and middle-income countries (LMICs). Methods Cross-sectional data were analyzed from the World Health Organization's Study on Global Ageing and Adult Health. The sample was restricted to those with DSM-IV depression or receiving depression treatment in the last 12 months. PA was assessed by the Global Physical Activity Questionnaire. Participants were dichotomized into low (ie, not meeting 150 minutes of moderate PA per week) and moderate-to-high physically active groups. Associations between PA and a range of correlates were examined using multivariable logistic regressions. Results The prevalence of low PA was 40.4% (95%CI = 34.8%–46.1%). After adjusting for age, sex, and country, larger household size and unemployment were significant sociodemographic correlates of low PA. Former smoking (vs never), anxiety, mild cognitive impairment (MCI), lower body mass index, bodily pain, asthma, chronic back pain, chronic obstructive pulmonary disease, hearing problems, stroke, slow gait, poor self-rated health, higher levels of disability, and lower levels of social cohesion were identified as significant negative correlates of PA. Conclusions The current data provide guidance for future interventions across LMICs to assist older people with depression engage in regular PA. The promotion of social cohesion may increase the efficacy of future public health initiatives, while from a clinical perspective, somatic co-morbidities, MCI, pain, and slow gait need to be considered. Key points More than 40% of older people with depression in low-income and middle-income countries do not meet physical activity guidelines. Somatic co-morbidities, lower body mass index, pain, and slow gait need to be considered. The promotion of social cohesion may increase the efficacy of future public health initiatives.

10.1002/gps.4796http://hdl.handle.net/10447/567083