Effects of the MIND&GAIT physical exercise programme on depressive symptoms in institutionalised frail older adult: A Pilot Study
DOI:
https://doi.org/10.47197/retos.v53.101281Keywords:
depressive symptoms; frail older people; physical exerciseAbstract
The main purpose of this study was to analyse the effects of MIND&GAIT, a physical exercise programme, on depressive symptoms in frail institutionalised older people. Through a pilot study, thirty-five Portuguese frail older people (19 female, 16 male), with a mean age of 83.45 ± 9.73 years, participated in this study. The participants were randomly assigned into an experimental group (n = 19) and a control group (n = 16). Intervention was based on MIND&GAIT, physical exercise programme for frail older people. Depressive symptomatology was assessed using the Beck Depression Inventory (BDI-II) before and after 12 weeks of intervention. Results showed significant differences in depressive symptoms between the experimental group and the control group after the intervention. Depressive symptomatology decreased in the experimental group, while the participants in the control group had a significant increase in this indicator at the post-intervention moment. In general, the older people who were involved in the intervention group, improved their depressive symptoms, and the older who did not participate in the MIND&GAIT physical exercise programme, worsen this indicator. Considering the present results, we can conclude that this pilot study has presented initial findings that MIND&GAIT can contribute to improving depressive symptomatology in this population. This study has yielded essential data to construct subsequent randomized-controlled trials that can be effectively and feasibly executed within the community.
Keywords: physical exercise, depressive symptoms; frail older people
References
American College of Sports Medicine (2021). ACSM’s guidelines for exercise testing and prescription (11th ed.). Wolters Kluwer.
American Psychological Association (2019). Clinical practice guideline for the treatment of depression across three age cohorts. Retrieved from https://www.apa.org/depression-guideline/guideline.pdf
Aguirre, L. E., & Villareal, D. T. (2015). Physical Exercise as Therapy for Frailty. Nestle Nutrition Institute Workshop Se-ries, 83, 83–92. https://doi.org/10.1159/000382065
Angulo, J., El Assar, M., Álvarez-Bustos, A., & Rodríguez-Mañas, L. (2020). Physical activity and exercise: Strategies to manage frailty. Redox Biology, 35, 101513. https://doi.org/10.1016/j.redox.2020.101513
Apóstolo, J., Couto, F., Bobrowicz-Campos, E., Dixe, M. A., Ribeiro, J., Braúna, M., Camacho, T., Santos-Rocha, R., Parreira, P., Cruz, A., Malça, C., Dantas, C., Jegundo, L., Marcelino, L., Simões, M., & Almeida, M. (2019). An Interregional, Transdisciplinary and Good Practice-Based Approach for Frailty: the Mind&Gait Project. Translational Medicine @ UniSa, 19, 11–16.
Araque-Martínez, M. Á, Ruiz-Montero, P. J., & Artés-Rodríguez, E. M. (2021). Efectos de un programa de ejercicio físico multicomponente sobre la condición física, la autoestima, la ansiedad y la depresión de personas adultas-mayores (Effects of a multicomponent physical exercise program on fitness, self-esteem, anxiety and de-pres. Retos, 39, 1024–1028. https://doi.org/10.47197/retos.v0i39.83282
Aubertin-Leheudre, M., & Rolland, Y. (2020). The Importance of Physical Activity to Care for Frail Older Adults Dur-ing the COVID-19 Pandemic. Journal of the American Medical Directors Association, 21(7), 973–976. https://doi.org/10.1016/j.jamda.2020.04.022
Beck, A. T., Steer, R. A., & Brown, G. (1996). BDI-II: Beck Depression Inventory-II Manual. Psychological Corporation.
Blumenthal, J. A., Babyak, M. A., Doraiswamy, P. M., Watkins, L., Hoffman, B. M., Barbour, K. A., Herman, S., Craighead, W. E., Brosse, A. L., Waugh, R., Hinderliter, A., & Sherwood, A. (2007). Exercise and pharmacother-apy in the treatment of major depressive disorder. Psychosomatic Medicine, 69(7), 587–596. https://doi.org/10.1097/PSY.0b013e318148c19a
Borg, G. (1998). Borg's perceived exertion and pain scales. Human Kinetics.
Campos, R. C. & Gonçalves, B. (2011). The Portuguese version of the Beck Depression Inventory-II (BDI-II): Prelim-inary psychometric data with two nonclinical samples. European Journal of Psychological Assessment, 27(4), 258–264. https://doi.org/10.1027/1015-5759/a000072
Chodzko-Zajko, W. J., Proctor, D. N., Fiatarone Singh, M. A., Minson, C. T., Nigg, C. R., Salem, G. J., & Skinner, J. S. (2009). American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med-icine and Science in Sports and Exercise, 41(7), 1510-1530. https://doi.org/10.1249/MSS.0b013e3181a0c95c
Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., & Rockwood, K. (2013). Frailty in elderly people. Lancet (London, Eng-land), 381(9868), 752–762. https://doi.org/10.1016/S0140-6736(12)62167-9
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates, Publishers.
Dagnino, A. P. A., & Campos, M. (2022). Chronic Pain in the Elderly: Mechanisms and perspectives. Frontiers in Human Neuroscience, 16. https://doi.org/10.3389/fnhum.2022.736688
Ell K. (2006). Depression care for the elderly: reducing barriers to evidence-based practice. Home health care services quarterly, 25(1-2), 115–148. https://doi.org/10.1300/J027v25n01_07
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual Review of Clinical Psychology, 5, 363–389. https://doi.org/10.1146/annurev.clinpsy.032408.153621
Folstein, M. F., Folstein, S. E., McHugh, P. R., & Fanjiang, G. (2001). Mini-mental state examination user’s guide. Psychological Assessment Resources.
Gerber, M., Best, S., Meerstetter, F., Walter, M., Ludyga, S., Brand, S., Bianchi, R., Madigan, D. J., Isoard-Gautheur, S., & Gustafsson, H. (2018). Effects of stress and mental toughness on burnout and depressive symptoms: A pro-spective study with young elite athletes. Journal of Science and Medicine in Sport, 21(12), 1200–1205. https://doi.org/10.1016/j.jsams.2018.05.018
Hu, M. X., Turner, D., Generaal, E., Bos, D., Ikram, M. K., Ikram, M. A., Cuijpers, P., & Penninx, B. W. J. H. (2020). Exercise interventions for the prevention of depression: a systematic review of meta-analyses. BMC Public Health, 20(1), 1255. https://doi.org/10.1186/s12889-020-09323-y
IBM Corp. (2017). IBM SPSS Statistics for Windows, Version 25.0. IBM Corp.
Jin, Y., Kim, D., Hong, H., & Kang, H. (2019). A Long-Term Exercise Intervention Reduces Depressive Symptoms in Older Korean Women. Journal of Sports Science & Medicine, 18(3), 399–404
Kojima, G., Liljas, A. E. M., & Iliffe, S. (2019). Frailty syndrome: implications and challenges for health care poli-cy. Risk Management and Healthcare Policy, 12, 23–30. https://doi.org/10.2147/RMHP.S168750
Li, X., Zhang, Y., Tian, Y., Cheng, Q., Gao, Y., & Gao, M. (2022). Exercise interventions for older people with cogni-tive frailty-a scoping review. BMC Geriatrics, 22(1), 721. https://doi.org/10.1186/s12877-022-03370-3
Liu, L., Gou, Z., & Zuo, J. (2016). Social support mediates loneliness and depression in elderly people. Journal of health psychology, 21(5), 750–758. https://doi.org/10.1177/1359105314536941
Mahmoudi, A., Amirshaghaghi, F., Aminzadeh, R., & Turkmani, E. M. (2022). Effect of Aerobic, Resistance, and Combined Exercise Training on Depressive Symptoms, Quality of Life, and Muscle Strength in Healthy Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Biological Research for nursing, 24(4), 541–559. https://doi.org/10.1177/10998004221104850
Miller, K. J., Areerob, P., Hennessy, D., Gonçalves-Bradley, D. C., Mesagno, C., & Grace, F. (2020). Aerobic, re-sistance, and mind-body exercise are equivalent to mitigate symptoms of depression in older adults: A systematic review and network meta-analysis of randomised controlled trials. F1000Research, 9, 1325. https://doi.org/10.12688/f1000research.27123.2
Mikkelsen, K., Stojanovska, L., Polenakovic, M., Bosevski, M., & Apostolopoulos, V. (2017). Exercise and mental health. Maturitas, 106, 48–56. https://doi.org/10.1016/j.maturitas.2017.09.003
Moya, C. A. M., Soares, F. C., Lima, R. A., de Barros, M. V. G., & Bezerra, J. (2021). Depressive symptoms in older adults: the role of physical activity and social support. Trends in Psychiatry and Psychotherapy, 43(3), 185–192. https://doi.org/10.47626/2237-6089-2020-0093
Murray, C. J., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., Ezzati, M., Shibuya, K., Salomon, J. A., Abdalla, S., Aboyans, V., Abraham, J., Ackerman, I., Aggarwal, R., Ahn, S. Y., Ali, M. K., Alvarado, M., An-derson, H. R., Anderson, L. M., … Lopez, A. D. (2012). Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet (London, England), 380(9859), 2197–2223. https://doi.org/10.1016/S0140-6736(12)61689-4
National Institute on Aging (2019). Social isolation, loneliness in older people pose health risks. Retrieved from https://www.nia.nih.gov/news/social-isolation-loneliness-older-people-pose-health-risks.Overdorf, V., Kollia, B., Makarec, K., & Alleva Szeles, C. (2016). The Relationship Between Physical Activity and Depressive Symptoms in Healthy Older Women. Gerontology and Geriatric Medicine, 2, 1-8. https://doi.org/10.1177/2333721415626859
Preiss, M., & Vacíř, K. (1999). Beckova sebeposuzovací škála depresivity pro dospělé: BDI-II. Psychodiagnostika.
Recchia, F., Leung, C. K., Chin, E. C., Fong, D. Y., Montero, D., Cheng, C. P., & Yau, S. Y. (2022). Comparative effectiveness of exercise, antidepressants and their combination in treating non-severe depression: a systematic re-view and network meta-analysis of randomised controlled trials British Journal of Sports Medicine, 56(23), 1375-1380. https://doi.org/10.1136/bjsports-2022-105964
Ruiz-Comellas, A., Valmaña, G. S., Catalina, Q. M., Baena, I. G., Peña, J. M., Poch, P. R., Carrera, A. S., Pujol, I. C., Solà, À. C., Gamisans, M. F., Vila, C. S., Abanades, L. V., & Vidal-Alaball, J. (2022) Effects of Physical Activi-ty Interventions in the Elderly with Anxiety, Depression, and Low Social Support: A Clinical Multicentre Random-ised Trial. Healthcare, 10(11), 2203, 1-12. https://doi.org/10.3390/healthcare10112203
Santos-Rocha, R., Freitas, J., Ramalho, F., Couto, F., & Apóstolo, J. (2019). Programa de exercício físico para o idoso com fragilidade: Manual de apoio. Unidade de Investigação em Ciências da Saúde: Enfermagem - Escola Superior de Enfermagem de Coimbra. https://www.esenfc.pt/pt/download/1568/programa-de-exercicio-fisico-para-o-idoso-com-fragilidade-manual-de-apoio.pdf.
Santos-Rocha, R., Freitas, J., Ramalho, F., Pimenta, N., Costa Couto, F., & Apóstolo, J. (2019). Development and validation of a complex intervention: A physical exercise programme aimed at delaying the functional decline in frail older adults. Nursing Open, 7(1), 274–284. https://doi.org/10.1002/nop2.388.
Schuch, F. B., Vancampfort, D., Richards, J., Rosenbaum, S., Ward, PB, & Stubbs, B. (2016). Exercise as a treatment for depression: A meta-analysis adjusting for publication bias. Journal Psychiatric Research, 77, 42-51. https://doi.org/10.1016/j.jpsychires.2016.02.023
Segal, D. L., Coolidge, F. L., Cahill, B. S., & O'Riley, A. A. (2008). Psychometric properties of the Beck Depression Inventory II (BDI-II) among community-dwelling older adults. Behavior Modification, 32(1), 3–20. https://doi.org/10.1177/0145445507303833
Singh, N. A., Stavrinos, T. M., Scarbek, Y., Galambos, G., Liber, C., Singh, M. A. F., & Morley, J. E. (2005). A ran-domized controlled trial of high versus low intensity weight training versus general practitioner care for clinical de-pression in older adults. The Journals of Gerontology. Series A, 60(6), 768–776. https://doi.org/10.1093/gerona/60.6.768
Siviero, P., Limongi, F., Noale, M., Della Dora, F., Martini, A., Castiglione, A., Masiero, S., Sergi, G., Maggi, S., & Alvise Cornaro Center Study Group (2022). The prevalence of frailty and its associated factors in an Italian institu-tionalized older population: findings from the cross-sectional Alvise Cornaro Center Study. Aging Clinical and Exper-imental Research, 34(5), 1103–1112. https://doi.org/10.1007/s40520-021-02020-9
Team, R. (2015). Rstudio: Integrated Development for R. RStudio. http://www. rstudio.com.Thompson, M. Q., Theou, O., Tucker, G. R., Adams, R. J., & Visvanathan, R. (2020). FRAIL scale: Predictive validity and diagnostic test ac-curacy. Australasian Journal on Ageing, 39(4), e529–e536. https://doi.org/10.1111/ajag.12829
Torpy, J. M., Lynm, C., & Glass, R. M. (2006). JAMA patient page. Frailty in Older Adults. JAMA, 296(18), 2280. https://doi.org/10.1001/jama.296.18.2280
Vázquez, L. Á., Patón, R. N., Álvarez, O. R., Calvo, M. M., & Fuentes, C. L. (2023). Actividad física y calidad de vida de adultos mayores en Argentina: un estudio transversal (Physical activity and quality of life in Argentinian older adults: a cross-sectional study). Retos, 48, 86–93. https://doi.org/10.47197/retos.v48.93321
Wang, X., Hu, J., & Wu, D. (2022). Risk factors for frailty in older adults. Medicine, 101(34), e30169. https://doi.org/10.1097/MD.0000000000030169.
World Health Organization (2023). World Health Statistics 2023: Monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization. World Medical Association (2013). World Medical Association Dec-laration of Helsinki: Ethical Principles for Medical Research Involving Human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
Woo, J., Leung, J., & Morley, J. E. (2012). Comparison of frailty indicators based on clinical phenotype and the mul-tiple deficit approach in predicting mortality and physical limitation. Journal of the American Geriatrics Society, 60(8), 1478–1486. https://doi.org/10.1111/j.1532-5415.2012.04074.x
Zhao, W., Zhang, Y., Liu, X., Yue, J., Hou, L., Xia, X., Zuo, Z., Liu, Y., Jia, S., Dong, B., & Ge, N. (2020). Comorbid depressive and anxiety symptoms and frailty among older adults: Findings from the West China health and aging trend study. Journal of Affective Disorders, 277, 970–976. https://doi.org/10.1016/j.jad.2020.08.070
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