Is overall and timing-specific physical activity associated with depression in older adults?

ObjectiveRegarding the circadian rhythm regulating an individual’s response to external stimulation, it remains unclear whether older adults engaged in physical activity at different times of day may be differently related to depression symptoms. Thus, this study aimed to investigate the association...

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Main Authors: Jiaren Chen, Ting-Fu Lai, Li-Jung Lin, Jong-Hwan Park, Yung Liao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1241170/full
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author Jiaren Chen
Ting-Fu Lai
Li-Jung Lin
Jong-Hwan Park
Yung Liao
author_facet Jiaren Chen
Ting-Fu Lai
Li-Jung Lin
Jong-Hwan Park
Yung Liao
author_sort Jiaren Chen
collection DOAJ
description ObjectiveRegarding the circadian rhythm regulating an individual’s response to external stimulation, it remains unclear whether older adults engaged in physical activity at different times of day may be differently related to depression symptoms. Thus, this study aimed to investigate the association between overall and timing-specific physical activity and depressive symptoms in older Taiwanese adults.MethodsThis cross-sectional study was conducted at a medical center in Taipei City, Taiwan, between September 2020 and December 2021. The participants were community-dwelling older adults aged ≥65 who could walk independently and were not at high risk of cognitive dysfunction. Physical activity was measured using a triaxial accelerometer (GT3X+, ActiGraph) and categorized into timing-specific periods (morning: 06:01–12:00; afternoon: 12:01–18:00; evening: 18:01–24:00) as well as overall physical activity, which included both light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA). A 15-item Geriatric Depression Scale was utilized to assess and measure depressive symptoms. Multivariate linear regression models were estimated for data analysis.ResultsA total of 180 older adults (55.0% female; 80.5 ± 7.1 years old; 18.3% at risk of depression) were included. On average, the participants spent 237.3 (± 85.7) minutes in LPA per day and 12.8 (± 17.0) minutes in MVPA per day. The results showed that overall MVPA engagement was associated with lower depressive-symptom scores [B = −1.357, 95% CI (−2.561, −0.153)] in older adults. However, no significant associations were observed between overall LPA, timing-specific MVPA and LPA, and depression in older adults.ConclusionTo prevent depression in older adults, it is advisable to accumulate a higher amount of MVPA throughout the entire day rather than engage in LPA. Further studies employing a prospective design are necessary to validate and strengthen our findings.
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spelling doaj.art-8218069375844589a483c48de3a5cb302024-03-14T10:51:23ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-09-011110.3389/fpubh.2023.12411701241170Is overall and timing-specific physical activity associated with depression in older adults?Jiaren Chen0Ting-Fu Lai1Li-Jung Lin2Jong-Hwan Park3Yung Liao4Graduate Institute of Sport, Leisure and Hospitality Management, National Taiwan Normal University, Taipei, TaiwanDepartment of Health Promotion and Health Education, National Taiwan Normal University, Taipei, TaiwanGraduate Institute of Sport, Leisure and Hospitality Management, National Taiwan Normal University, Taipei, TaiwanHealth Convergence Medicine Laboratory, Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of KoreaGraduate Institute of Sport, Leisure and Hospitality Management, National Taiwan Normal University, Taipei, TaiwanObjectiveRegarding the circadian rhythm regulating an individual’s response to external stimulation, it remains unclear whether older adults engaged in physical activity at different times of day may be differently related to depression symptoms. Thus, this study aimed to investigate the association between overall and timing-specific physical activity and depressive symptoms in older Taiwanese adults.MethodsThis cross-sectional study was conducted at a medical center in Taipei City, Taiwan, between September 2020 and December 2021. The participants were community-dwelling older adults aged ≥65 who could walk independently and were not at high risk of cognitive dysfunction. Physical activity was measured using a triaxial accelerometer (GT3X+, ActiGraph) and categorized into timing-specific periods (morning: 06:01–12:00; afternoon: 12:01–18:00; evening: 18:01–24:00) as well as overall physical activity, which included both light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA). A 15-item Geriatric Depression Scale was utilized to assess and measure depressive symptoms. Multivariate linear regression models were estimated for data analysis.ResultsA total of 180 older adults (55.0% female; 80.5 ± 7.1 years old; 18.3% at risk of depression) were included. On average, the participants spent 237.3 (± 85.7) minutes in LPA per day and 12.8 (± 17.0) minutes in MVPA per day. The results showed that overall MVPA engagement was associated with lower depressive-symptom scores [B = −1.357, 95% CI (−2.561, −0.153)] in older adults. However, no significant associations were observed between overall LPA, timing-specific MVPA and LPA, and depression in older adults.ConclusionTo prevent depression in older adults, it is advisable to accumulate a higher amount of MVPA throughout the entire day rather than engage in LPA. Further studies employing a prospective design are necessary to validate and strengthen our findings.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1241170/fulldifferent proportions of physical activityaccelerometercircadian rhythmdepressionmental health
spellingShingle Jiaren Chen
Ting-Fu Lai
Li-Jung Lin
Jong-Hwan Park
Yung Liao
Is overall and timing-specific physical activity associated with depression in older adults?
Frontiers in Public Health
different proportions of physical activity
accelerometer
circadian rhythm
depression
mental health
title Is overall and timing-specific physical activity associated with depression in older adults?
title_full Is overall and timing-specific physical activity associated with depression in older adults?
title_fullStr Is overall and timing-specific physical activity associated with depression in older adults?
title_full_unstemmed Is overall and timing-specific physical activity associated with depression in older adults?
title_short Is overall and timing-specific physical activity associated with depression in older adults?
title_sort is overall and timing specific physical activity associated with depression in older adults
topic different proportions of physical activity
accelerometer
circadian rhythm
depression
mental health
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1241170/full
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