En Movimiento: Un Estudio Transversal sobre la Actividad Física, el Comportamiento Sedentario y los Síntomas Depresivos en Ancianos de Zonas Rurales de Portugal (On the Move: A Cross-Sectional Study on Physical Activity, Sedentary Behavior, and Depressive Symptoms among Older People in Rural Portugal)

Autores/as

DOI:

https://doi.org/10.47197/retos.v53.100990

Palabras clave:

physical activity;, sedentarism;, depression;, older adults;, rural population

Resumen

La compleja relación entre los síntomas depresivos, la actividad física y el comportamiento sedentario tiene implicaciones importantes para la salud gerontológica. Este estudio exploró estas relaciones en una muestra de 54 adultos mayores no deprimidos (≥60 años) de zonas rurales de Portugal, divididos en dos grupos: uno que participó en actividades físicas autoiniciadas y estructuradas, y otro limitado solo a actividades autoiniciadas. Los niveles de actividad y los síntomas depresivos se evaluaron utilizando el Cuestionario Internacional de Actividad Física – Forma Corta y la Escala de Depresión Geriátrica-27. Los resultados mostraron una correlación positiva entre la actividad física y los síntomas depresivos en el grupo de actividad autoiniciada. En contraste, no hubo diferencias significativas en los síntomas depresivos en el grupo de actividad estructurada, lo que sugiere una posible función protectora de la actividad física estructurada contra la depresión. Este estudio destaca la compleja dinámica entre la actividad física, el comportamiento sedentario y los síntomas depresivos en adultos mayores y enfatiza la necesidad de enfoques de intervención personalizados. Las investigaciones futuras deberían centrarse en abordar los mecanismos protectores específicos de la actividad física estructurada contra la depresión y evaluar la eficacia a largo plazo de tales intervenciones en diferentes poblaciones de adultos mayores.

Palabras clave: actividad física, sedentarismo, depresión, adultos mayores, población rural

Abstract. In the field of gerontological health, depression is a major challenge that is often associated with decreased physical activity and an increase in sedentary behavior. This study explored these relationships in a sample of 54 non-depressed older adults (≥60 years) from rural Portugal who were divided into two groups: that engaged in both self-initiated and structured physical activity, and the other that was limited to self-initiated activity only. Activity levels and depressive symptoms were assessed using the International Physical Activity Questionnaire – Short Form and the Geriatric Depression Scale-27. The results showed a positive correlation between physical activity and depressive symptoms in the self-initiated activity group. In contrast, there were no significant differences in depressive symptoms in the structured activity group, suggesting a possible protective function of structured physical activity against depression. This study highlights the complex dynamics between physical activity, sedentary behavior and depressive symptoms in older adults and emphasizes the need for tailored intervention approaches. To further advance our understanding in this field, future research should focus on addressing the specific protective mechanisms of structured physical activity against depression and evaluating the long-term efficacy of such interventions in different older populations.

Keywords: physical activity, sedentarism, depression, older adults, rural population

 

Citas

Araque-Martínez, M. Ángel, Ruiz-Montero, P. J., & Artés-Rodríguez, E. M. (2021). Effects of a multicomponent physical exercise program on fitness, self-esteem, anxiety and depression on older adults. Retos, 39, 1024–1028. https://doi.org/10.47197/retos.v0i39.83282

Babyak, M., Blumenthal, J. A., Herman, S., Khatri, P., Doraiswamy, M., Moore, K., Craighead, W. E., Baldewicz, T. T., & Krishnan, K. R. (2000). Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months. Psychosomatic medicine, 62(5), 633–638. https://doi.org/10.1097/00006842-200009000-00006

Belvederi Murri, M., Ekkekakis, P., Magagnoli, M., Zampogna, D., Cattedra, S., Capobianco, L., Serafini, G., Cal-cagno, P., Zanetidou, S., & Amore, M. (2019). Physical exercise in major depression: Reducing the mortality gap while improving clinical outcomes. Frontiers in psychiatry, 9, 762. https://doi.org/10.3389/fpsyt.2018.00762

Cai, H., Jin, Y., Liu, R., Zhang, Q., Su, Z., Ungvari, G. S., Tang, Y. L., Ng, C. H., Li, X. H., & Xiang, Y. T. (2023). Global prevalence of depression in older adults: A systematic review and meta-analysis of epidemiological sur-veys. Asian journal of psychiatry, 80, 103417. https://doi.org/10.1016/j.ajp.2022.103417

Chastin, S. F., Buck, C., Freiberger, E., Murphy, M., Brug, J., Cardon, G., O'Donoghue, G., Pigeot, I., Oppert, J. M., & DEDIPAC consortium (2015). Systematic literature review of determinants of sedentary behaviour in older adults: A DEDIPAC study. The international journal of behavioral nutrition and physical activity, 12, 127. https://doi.org/10.1186/s12966-015-0292-3

Cheung, E. S. L., & Mui, A. C. (2021). Gender Variation and late-life depression: Findings from a National Survey in the USA. Ageing international, 1–18. Advance online publication. https://doi.org/10.1007/s12126-021-09471-5

Craft, L. L., & Perna, F. M. (2004). The benefits of exercise for the clinically depressed. Primary care companion to the Journal of clinical psychiatry, 6(3), 104–111. https://doi.org/10.4088/pcc.v06n0301

Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and va-lidity. Medicine and science in sports and exercise, 35(8), 1381–1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB

Cunningham, C., O' Sullivan, R., Caserotti, P., & Tully, M. A. (2020). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scandinavian journal of medicine & science in sports, 30(5), 816–827. https://doi.org/10.1111/sms.13616

Diaz, K. M., Howard, V. J., Hutto, B., Colabianchi, N., Vena, J. E., Safford, M. M., Blair, S. N., & Hooker, S. P. (2017). Patterns of sedentary behavior and mortality in U.S. Middle-aged and older adults: A national cohort study. Annals of internal medicine, 167(7), 465–475. https://doi.org/10.7326/M17-0212

Duclos, M., Gouarne, C., & Bonnemaison, D. (2003). Acute and chronic effects of exercise on tissue sensitivity to glucocorticoids. Journal of applied physiology, 94(3), 869–875. https://doi.org/10.1152/japplphysiol.00108.2002

Eriksson, M., Nääs, S., Berginström, N., Nordström, P., Hansson, P., & Nordström, A. (2020). Sedentary behavior as a potential risk factor for depression among 70-year-olds. Journal of affective disorders, 263, 605–608. https://doi.org/10.1016/j.jad.2019.11.035

Eurostat. (2020). Persons reporting a chronic disease, by disease, sex, age and educational attainment level. In Euro-stat – Data Browser [2019]. Retrieved November 2, 2023, from https://ec.europa.eu/eurostat/databrowser/view/hlth_ehis_cd1e__custom_8282416/default/table?lang=en&page=time:2019

Felez-Nobrega, M., Bort-Roig, J., Ma, R., Romano, E., Faires, M., Stubbs, B., Stamatakis, E., Olaya, B., Haro, J.M., Smith, L., Shin, J.I., Kim, M.S., & Koyanagi, A. (2021). Light-intensity physical activity and mental ill health: A systematic review of observational studies in the general population. International journal of behavioral nutrition and physical activity, 18(1), 123. https://doi.org/10.1186/s12966-021-01196-7

Garzón Mosquera, J. C., & Aragón Vargas, L. F. (2021). Sedentarismo, actividad física y salud: una revision narrativa (Sedentary lifestyle, physical activity and health: a narrative review). Retos, 42, 478–499. https://doi.org/10.47197/retos.v42i0.82644

Gianfredi, V., Ferrara, P., Pennisi, F., Casu, G., Amerio, A., Odone, A., Nucci, D., & Dinu, M. (2022). Association between daily pattern of physical activity and depression: A systematic review. International journal of environmental research and public health, 19(11), 6505. https://doi.org/10.3390/ijerph19116505

Girgus, J. S., Yang, K., & Ferri, C. V. (2017). The gender difference in depression: Are elderly women at greater risk for depression than elderly men?. Geriatrics (Basel, Switzerland), 2(4), 35. https://doi.org/10.3390/geriatrics2040035

Hallgren, M., Dunstan, D. W., & Owen, N. (2020a). Passive Versus Mentally active sedentary behaviors and depres-sion. Exercise and sport sciences reviews, 48(1), 20–27. https://doi.org/10.1249/JES.0000000000000211

Hallgren, M., Nguyen, T. T., Owen, N., Stubbs, B., Vancampfort, D., Lundin, A., Dunstan, D., Bellocco, R., & Lag-erros, Y. T. (2020b). Cross-sectional and prospective relationships of passive and mentally active sedentary behav-iours and physical activity with depression. The British journal of psychiatry: The journal of mental science, 217(2), 413–419. https://doi.org/10.1192/bjp.2019.60

Hallgren, M., Owen, N., Stubbs, B., Zeebari, Z., Vancampfort, D., Schuch, F., Bellocco, R., Dunstan, D., & Trolle Lagerros, Y. (2018). Passive and mentally-active sedentary behaviors and incident major depressive disorder: A 13-year cohort study. Journal of affective disorders, 241, 579–585. https://doi.org/10.1016/j.jad.2018.08.020

Harvey, S., Overland, S., Hatch, S., Wessely, S., Mykletun, A., & Hotopf, M. (2018). Exercise and the prevention of depression: Results of the HUNT cohort study. American journal of psychiatry, 175, 28–36. https://doi.org/10.1176/appi.ajp.2017.16111223

Healey, E. L., Allen, K. D., Bennell, K., Bowden, J. L., Quicke, J. G., & Smith, R. (2020). Self-report measures of physical activity. Arthritis care & research, 72(10), 717–730. https://doi.org/10.1002/acr.24211

Hu, T., Zhao, X., Wu, M., Li, Z., Luo, L., Yang, C., & Yang, F. (2022). Prevalence of depression in older adults: A systematic review and meta-analysis. Psychiatry research, 311, 114511. https://doi.org/10.1016/j.psychres.2022.114511

Huang, Y., Li, L., Gan, Y., Wang, C., Jiang, H., Cao, S., & Lu, Z. (2020). Sedentary behaviors and risk of depression: A meta-analysis of prospective studies. Translational psychiatry, 10(1), 26. https://doi.org/10.1038/s41398-020-0715-z

Instituto Nacional de Estatística. (2021). Estatísticas Demográficas: 2020. Lisboa: INE. Available from https://www.ine.pt/xurl/pub/442993507. ISSN 0377-2284. ISBN 978-989-25-0576-3.

Kikuchi, H., Inoue, S., Sugiyama, T., Owen, N., Oka, K., & Shimomitsu, T. (2013). Correlates of prolonged television viewing time in older Japanese men and women. BMC public health, 13, 213. https://doi.org/10.1186/1471-2458-13-213

Kim, Y., & Lee, E. (2019). The association between elderly people's sedentary behaviors and their health-related qual-ity of life: Focusing on comparing the young-old and the old-old. Health and quality of life outcomes, 17(1), 131. https://doi.org/10.1186/s12955-019-1191-0

Koo, K. M., & Kim, K. (2020). Effects of physical activity on the stress and suicidal ideation in Korean adult women with depressive disorder. International journal of environmental research and public health, 17(10), 3502. https://doi.org/10.3390/ijerph17103502

Köroğlu, F., Hüseyinsinoğlu, B. E., Uzun, N., Kurtaran, M., Şenyurt, M. V., & Abanoz, E. S. (2023). A comparison between healthy lifestyle behaviors and physical activity levels of elderly individuals residing in the city center and rural and analyzing their relationship with depression. Journal of basic and clinical health sciences, 7, 260-269. https://doi.org/10.30621/jbachs.1092493

Kritz-Silverstein, D., Barrett-Connor, E., & Corbeau, C. (2001). Cross-sectional and prospective study of exercise and depressed mood in the elderly: The Rancho Bernardo study. American journal of epidemiology, 153(6), 596–603. https://doi.org/10.1093/aje/153.6.596

Ku, P. W., Steptoe, A., Liao, Y., Sun, W. J., & Chen, L. J. (2018). Prospective relationship between objectively meas-ured light physical activity and depressive symptoms in later life. International journal of geriatric psychiatry, 33(1), 58–65. https://doi.org/10.1002/gps.4672

Lage, A., Carrapatoso, S., Sampaio de Queiroz Neto, E., Gomes, S., Soares-Miranda, L., & Bohn, L. (2021). Associa-tions Between depressive symptoms and physical activity intensity in an older adult population during COVID-19 lockdown. Frontiers in psychology, 12, 644106. https://doi.org/10.3389/fpsyg.2021.644106

Li, Y., Su, S., Luo, B., Wang, J., & Liao, S. (2022). Physical activity and depressive symptoms among community-dwelling older adults in the COVID-19 pandemic era: A three-wave cross-lagged study. International journal of dis-aster risk reduction: IJDRR, 70, 102793. https://doi.org/10.1016/j.ijdrr.2022.102793

Lucas, M., Mekary, R., Pan, A., Mirzaei, F., O'Reilly, E. J., Willett, W. C., Koenen, K., Okereke, O. I., & Ascherio, A. (2011). Relation between clinical depression risk and physical activity and time spent watching television in old-er women: A 10-year prospective follow-up study. American journal of epidemiology, 174(9), 1017–1027. https://doi.org/10.1093/aje/kwr218

Malhi, G. S., & Mann, J. J. (2018). Depression. Lancet (London, England), 392(10161), 2299–2312. https://doi.org/10.1016/S0140-6736(18)31948-2

Matthews, C. E., Chen, K. Y., Freedson, P. S., Buchowski, M. S., Beech, B. M., Pate, R. R., & Troiano, R. P. (2008). Amount of time spent in sedentary behaviors in the United States, 2003-2004. American journal of epidemiology, 167(7), 875–881. https://doi.org/10.1093/aje/kwm390

Mumba, M. N., Nacarrow, A. F., Cody, S., Key, B. A., Wang, H., Robb, M., Jurczyk, A., Ford, C., Kelley, M. A., & Allen, R. S. (2021). Intensity and type of physical activity predicts depression in older adults. Aging & mental health, 25(4), 664–671. https://doi.org/10.1080/13607863.2020.1711861

Moreno-Agostino, D., Wu, Y. T., Daskalopoulou, C., Hasan, M. T., Huisman, M., & Prina, M. (2021). Global trends in the prevalence and incidence of depression: a systematic review and meta-analysis. Journal of affective disor-ders, 281, 235–243. https://doi.org/10.1016/j.jad.2020.12.035

Moses, J., Steptoe, A., Mathews, A., & Edwards, S. (1989). The effects of exercise training on mental well-being in the normal population: a controlled trial. Journal of psychosomatic research, 33(1), 47–61. https://doi.org/10.1016/0022-3999(89)90105-0

Nyström, M., Hassmén, P., Eriksson Sörman, D., Wigforss, T., Andersson, G., & Carlbring, P. (2019). Are physical activity and sedentary behavior related to depression? Cogent psychology, 6(1). https://doi.org/10.1080/23311908.2019.1633810

Okely, J. A., Čukić, I., Shaw, R. J., Chastin, S. F., Dall, P. M., Deary, I. J., Der, G., Dontje, M. L., Skelton, D. A., Gale, C. R., & Seniors USP team (2019). Positive and negative well-being and objectively measured sedentary be-haviour in older adults: Evidence from three cohorts. BMC geriatrics, 19(1), 28. https://doi.org/10.1186/s12877-019-1026-1

Overdorf, V., Kollia, B., Makarec, K., & Alleva Szeles, C. (2016). The relationship between physical activity and de-pressive symptoms in healthy older women. Gerontology & geriatric medicine, 2, 2333721415626859. https://doi.org/10.1177/2333721415626859

Owen, N., Healy, G. N., Dempsey, P. C., Salmon, J., Timperio, A., Clark, B. K., Goode, A. D., Koorts, H., Ridgers, N. D., Hadgraft, N. T., Lambert, G., Eakin, E. G., Kingwell, B. A., & Dunstan, D. W. (2020). Sedentary behavior and public health: Integrating the evidence and identifying potential solutions. Annual review of public health, 41, 265–287. https://doi.org/10.1146/annurev-publhealth-040119-094201

Plante, T. G., & Rodin, J. (1990). Physical fitness and enhanced psychological health. Current psychology, 9, 3-24. https://doi.org/10.1007/BF02686764

Pocinho, M. T. S. S., Farate, C., Dias, C. A., Lee, T. T., & Yesavage, J. A. (2009). Clinical and psychometric validation of the Geriatric Depression Scale (GDS) for Portuguese elders. Clinical Gerontologist, 32(2), 223- 236. https://doi.org/10.1080/07317110802678680

Ramalho, A., & Petrica, J. (2023). Knowledge in motion: A comprehensive review of evidence-based human kinetics. International Journal of Environmental Research and Public Health, 20(11), 6020. https://doi.org/10.3390/ijerph20116020

Ramalho, A., Petrica, J., Serrano, J., Paulo, R., Duarte-Mendes, P., & Rosado, A. (2021). Consequências do comportamento sedentário no bem-estar psicossocial: Estudo qualitativo com idosos residentes em Portugal (Consequences of sedentary behavior on psychosocial well-being: A qualitative study with older adults living in Portugal). Retos, 42, 198–210. https://doi.org/10.47197/retos.v42i0.86299

Ramalho, A., Petrica, J., & Rosado, A. (2018). Sedentary behaviors and psychological outcomes among older adults: A systematic review. Motricidade, 14(1), 73-85. https://doi.org/10.6063/motricidade.12223

Ramalho, A., Petrica, J., & Rosado, A. (2020). As crenças de saúde compensatórias e o comportamento sedentário dos idosos: estudo qualitativo. Retos, 37, 264–272. https://doi.org/10.47197/retos.v37i37.71984

Rosenberg, D. E., Norman, G. J., Wagner, N., Patrick, K., Calfas, K. J., & Sallis, J. F. (2010). Reliability and validity of the Sedentary Behavior Questionnaire (SBQ) for adults. Journal of physical activity & health, 7(6), 697–705. https://doi.org/10.1123/jpah.7.6.697

Santos, D. A., Virtuoso, J. S., Meneguci, J., Sasaki, J. E., & Tribess, S. (2017). Combined associations of physical activ-ity and sedentary behavior with depressive symptoms in older adults. Issues in mental health nursing, 38(3), 272–276. https://doi.org/10.1080/01612840.2016.1263695

Smaradottir, B. R., Kristofersson, G. K., Sigurdardottir, A. K., & Arnadottir, S. A. (2020). Laeknabladid, 106(10), 453–459. https://doi.org/10.17992/lbl.2020.10.600

Ströhle A. (2009). Physical activity, exercise, depression and anxiety disorders. Journal of neural transmission (Vienna, Austria: 1996), 116(6), 777–784. https://doi.org/10.1007/s00702-008-0092-x

Sutapa , P., Pratama, K. W., & Mustapha, A. (2024). The relationship between the level of physical fitness and the level of depression in elderly age based on gender and marital status. Retos, 53, 36–44. https://doi.org/10.47197/retos.v53.102488

Tremblay, M. S., Aubert, S., Barnes, J. D., Saunders, T. J., Carson, V., Latimer-Cheung, A. E., Chastin, S. F. M., Altenburg, T. M., Chinapaw, M. J. M., & SBRN Terminology Consensus Project Participants (2017). Sedentary Behavior Research Network (SBRN) - Terminology Consensus Project process and outcome. The international jour-nal of behavioral nutrition and physical activity, 14(1), 75. https://doi.org/10.1186/s12966-017-0525-8

Veronese, N., Stubbs, B., Trevisan, C., Bolzetta, F., De Rui, M., Solmi, M., Sartori, L., Musacchio, E., Zambon, S., Perissinotto, E., Baggio, G., Crepaldi, G., Manzato, E., Maggi, S., & Sergi, G. (2017). Poor physical performance predicts future onset of depression in elderly people: Progetto Veneto anziani longitudinal study. Physical therapy, 97(6), 659–668. https://doi.org/10.1093/ptj/pzx017

Wang, J., Li, R., Zhang, L., Gao, X., Zhou, M., Zhang, X., & Ma, Y. (2022). Associations between sedentary behav-iour patterns and depression among people aged 60 and older in Hebei Province of China. BMC Public Health, 22(283). https://doi.org/10.1186/s12889-022-12727-7

Wheeler, M. J., Dempsey, P. C., Grace, M. S., Ellis, K. A., Gardiner, P. A., Green, D. J., & Dunstan, D. W. (2017). Sedentary behavior as a risk factor for cognitive decline? A focus on the influence of glycemic control in brain health. Alzheimer's & dementia (New York, N. Y.), 3(3), 291–300. https://doi.org/10.1016/j.trci.2017.04.001

WHO (2022). Ageing and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health (Re-trieved 09 February 2023)

WHO (2021). Depression. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health (Retrieved 09 February 2023)

Xie, Y., Wu, Z., Sun, L., Zhou, L., Wang, G., Xiao, L., & Wang, H. (2021). The effects and mechanisms of exercise on the treatment of depression. Frontiers in psychiatry, 12, 705559. https://doi.org/10.3389/fpsyt.2021.705559

Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of psychiatric research, 17(1), 37–49. https://doi.org/10.1016/0022-3956(82)90033-4

Descargas

Publicado

2024-04-01

Cómo citar

Ramalho, A., Fonseca, R., & Petrica, J. (2024). En Movimiento: Un Estudio Transversal sobre la Actividad Física, el Comportamiento Sedentario y los Síntomas Depresivos en Ancianos de Zonas Rurales de Portugal (On the Move: A Cross-Sectional Study on Physical Activity, Sedentary Behavior, and Depressive Symptoms among Older People in Rural Portugal). Retos, 53, 521–529. https://doi.org/10.47197/retos.v53.100990

Número

Sección

Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas

Artículos más leídos del mismo autor/a