Sedentary behavior and depression among community-dwelling adults aged ≥50 years: Results from the irish longitudinal study on Ageing

Autor: Lee Smith, Davy Vancampfort, Ai Koyanagi, Tine Van Damme, Simon Rosenbaum, Brendon Stubbs, Felipe Barreto Schuch, Joseph Firth, Mats Hallgren
Rok vydání: 2020
Předmět:
Male
Aging
Longitudinal study
Ireland/epidemiology
Social Networking
Exercise/psychology
0302 clinical medicine
Risk Factors
Medicine
Aging/psychology
Longitudinal Studies
Social isolation
Depression (differential diagnoses)
education.field_of_study
Depression
Loneliness/psychology
Loneliness
Middle Aged
Center for Epidemiologic Studies Depression Scale
Psychiatry and Mental health
Clinical Psychology
Anxiety
Female
Independent Living
medicine.symptom
Depression/epidemiology
Population
03 medical and health sciences
Humans
Disabled Persons
Risk factor
education
Exercise
Aged
Independent Living/psychology
Mediation Analysis
business.industry
Disabled Persons/psychology
030227 psychiatry
Cross-Sectional Studies
Logistic Models
Chronic Disease
Self Report
Sedentary Behavior
business
Ireland
030217 neurology & neurosurgery
Demography
Zdroj: Vancampfort, D, Hallgren, M, Schuch, F, Stubbs, B, Smith, L, Rosenbaum, S, Firth, J, Van Damme, T & Koyanagi, A 2020, ' Sedentary behavior and depression among community-dwelling adults aged ≥50 years : Results from the irish longitudinal study on Ageing ', Journal of Affective Disorders, vol. 262, pp. 389-396 . https://doi.org/10.1016/j.jad.2019.11.066
ISSN: 0165-0327
1573-2517
DOI: 10.1016/j.jad.2019.11.066
Popis: Background : Sedentary behavior (SB) may be a risk factor for depression in middle- and old age adults. The aim of this study was to examine cross-sectional and longitudinal relationships between SB and depression in a large national sample of Irish people aged 50 and older taking into account a wide range of previously identified influential factors. Methods : Data from the Irish Longitudinal Study on Ageing survey were analyzed (wave 1: 2009–2011, wave 2: 2012–2013). Depression was assessed with the Center for Epidemiologic Studies Depression scale. Total weekday SB and control variables were self-reported. Multivariable logistic regression and mediation analysis were conducted to assess the associations. Results : The final sample consisted of 6903 individuals aged ≥50 years (63.6 ± 9.2years; 52.1% female). After full adjustment for age, gender, social class, current smoking, physical activity, mobility, pain, cognition, chronic physical conditions, disability, anxiety, loneliness, and social network, the association between SB and depression was not statistically significant (OR=1.06; 95%CI=0.60–1.89). Mediation analysis showed that the association is explained by social network (mediated percentage 23.1%), physical activity (20.3%), loneliness (13.2%), chronic physical conditions (11.1%), and disability (7.9%). Cross-sectional analysis showed that SB is significantly associated with depression even after full adjustment. Limitations : SB was self-reported. Conclusions : Factors closely linked with SB such as social isolation, loneliness, physical inactivity, chronic physical conditions, and disability may play a major role in depression among middle-aged and older people. Lifestyle interventions focusing on reductions in depression in this population need to consider these factors.
Databáze: OpenAIRE
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