Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-25T05:32:47.346Z Has data issue: false hasContentIssue false
  • English
  • Français

Correlates of physical activity among community-dwelling individuals aged 65 years or older with anxiety in six low- and middle-income countries

Published online by Cambridge University Press:  08 November 2017

Davy Vancampfort Open the ORCID record for Davy Vancampfort [Opens in a new window] ,
Brendon Stubbs ,
Mats Hallgren ,
Nicola Veronese ,
James Mugisha ,
Michel Probst  and
Ai Koyanagi
Davy Vancampfort*
Affiliation:
KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium
Brendon Stubbs
Affiliation:
Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, UK Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
Mats Hallgren
Affiliation:
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
Nicola Veronese
Affiliation:
National Research Council, Neuroscience Institute, Aging Branch, Padova, Italy
James Mugisha
Affiliation:
Department of Sociology and Social Administration, Kyambogo University, Kampala, Uganda Butabika National Referral and Mental Health Hospital, Kampala, Uganda
Michel Probst
Affiliation:
KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium
Ai Koyanagi
Affiliation:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
*
Correspondence should be addressed to: Davy Vancampfort, KU Leuven, Department of Rehabilitation Sciences, Tervuursevest 101, 3001 Leuven, Belgium. Phone: +32 2 758 05 11; Fax: +32 2 759 9879. Email: [email protected].
Get access

Abstract

Background:

Given the important health benefits of physical activity (PA) and the higher risk for physical inactivity in people with anxiety, and the high prevalence of anxiety and low PA among the elderly, there is a need for research to investigate what factors influence PA participation among anxious older individuals. We investigated PA correlates among community-dwelling adults aged ≥ 65 years with anxiety symptoms in six low- and middle-income countries.

Methods:

Cross-sectional data from the World Health Organization's Study on Global Ageing and Adult Health were analyzed. PA level was assessed by the Global Physical Activity Questionnaire. 980 participants with anxiety (mean age 73.3 years; 62.4% females) were grouped into those who do and do not (low PA) meet the 150 minutes of moderate-to-vigorous PA per week recommendation. Associations between PA and the correlates were examined using multivariable logistic regressions.

Results:

The prevalence of low PA was 44.9% (95% CI = 39.2–50.7%). Older age, male gender, less consumption of alcohol, mild cognitive impairment, pain, a wide range of somatic co-morbidities, slow gait, weak grip strength, poor self-rated health, and lower levels of social cohesion were identified as significant positive correlates of low PA.

Conclusions:

Our data illustrate that a number of sociodemographic and health factors are associated with PA levels among older people with symptoms of anxiety. The promotion of social cohesion may increase the efficacy of public health initiatives, while from a clinical perspective, somatic co-morbidities, cognitive impairment, pain, muscle strength, and slow gait need to be considered.

Keywords

anxietyphysical activityexercise
Type
Research Article
Information
International Psychogeriatrics , Volume 30 , Issue 5: Issue Theme: Brain Imaging , May 2018 , pp. 705 - 714
Copyright
Copyright © International Psychogeriatric Association 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abellan van Kan, G. et al. (2009). Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. Journal of Nutrition, Health and Aging, 13, 881–889.Google Scholar
Ainsworth, B. E. et al. (2006). Comparison of the 2001 BRFSS and the IPAQ physical activity questionnaires. Medicine and Science in Sports and Exercise, 38, 1584–1592.Google Scholar
Almeida, O. P., Khan, K. M., Hankey, G. J., Yeap, B. B., Golledge, J. and Flicker, L. (2014). 150 minutes of vigorous physical activity per week predicts survival and successful ageing: a population-based 11-year longitudinal study of 12 201 older Australian men. British Journal of Sports Medicine, 48, 220–225.Google Scholar
Beaudart, C. et al. (2017). Nutrition and physical activity in the prevention and treatment of sarcopenia: systematic review. Osteoporosis International, 28, 1817–1833.CrossRefGoogle ScholarPubMed
Bryant, C., Jackson, H. and Ames, D. (2008). The prevalence of anxiety in older adults: methodological issues and a review of the literature. Journal of Affective Disorders, 109, 233–250.Google Scholar
Cohen-Mansfield, J., Hazan, H., Lerman, Y. and Shalom, V. (2016). Correlates and predictors of loneliness in older-adults: a review of quantitative results informed by qualitative insights. International Psychogeriatrics, 28, 557–576.Google Scholar
Cruz-Jentoft, A. J. et al. (2010). Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in Older People. Age Ageing, 39, 412–423.Google Scholar
Culpepper, L. (2009). Generalized anxiety disorder and medical illness. The Journal of Clinical Psychiatry, 70, 20–24.CrossRefGoogle ScholarPubMed
De Herdt, A., Knapen, J., Vancampfort, D., De Hert, M., Brunner, E. and Probst, M. (2013). Social anxiety in physical activity participation in patients with mental illness: a cross-sectional multicenter study. Depression and Anxiety, 30, 757–762.Google Scholar
Edwards, M. K. and Loprinzi, P. D. (2016). Experimentally increasing sedentary behavior results in increased anxiety in an active young adult population. Journal of Affective Disorders, 204, 166–173.CrossRefGoogle Scholar
Endrighi, R., Steptoe, A. and Hamer, M. (2016). The effect of experimentally induced sedentariness on mood and psychobiological responses to mental stress. The British Journal of Psychiatry, 208, 245–251.CrossRefGoogle ScholarPubMed
Finkel, D., Andel, R. and Pedersen, N. L. (2016). Gender differences in longitudinal trajectories of change in physical, social, and cognitive/sedentary leisure activities. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, doi:10.1093/geronb/gbw116.Google Scholar
Fung, A. W. T. et al. (2017). Prevalence of anxiety disorders in community dwelling older adults in Hong Kong. International Psychogeriatrics, 29, 259–267.CrossRefGoogle ScholarPubMed
Hiles, S., Lamers, F., Milaneschi, Y. and Penninx, B. (2017). Sit, step, sweat: longitudinal associations between physical activity patterns, anxiety and depression. Psychological Medicine, 47, 1466–1477.Google Scholar
Hull, S. L., Kneebone, I. I. and Farquharson, L. (2013). Anxiety, depression, and fall-related psychological concerns in community-dwelling older people. The American Journal of Geriatric Psychiatry, 21, 1287–1291.Google Scholar
Hupin, D. et al. (2015). Even a low-dose of moderate-to-vigorous physical activity reduces mortality by 22% in adults aged ≥ 60 years: a systematic review and meta-analysis. British Journal of Sports Medicine, 49, 1262–1267.CrossRefGoogle Scholar
Kassem, A. M. et al. (2017). Anxiety symptoms and risk of cognitive decline in older community-dwelling men. International Psychogeriatrics, 29, 1137–1145.CrossRefGoogle ScholarPubMed
Kumar, A. et al. (2016). Exercise for reducing fear of falling in older people living in the community: cochrane systematic review and meta-analysis. Age and Ageing, 45, 345–352.Google Scholar
Mochcovitch, M. D., Deslandes, A. C., Freire, R. C., Garcia, R. F. and Nardi, A. E. (2016). The effects of regular physical activity on anxiety symptoms in healthy older adults: a systematic review. Revista Brasileira de Psiquiatria, 38, 255–261.Google Scholar
Pasco, J. A. et al. (2011). Habitual physical activity and the risk for depressive and anxiety disorders among older men and women. International Psychogeriatrics, 23, 292–298.Google Scholar
Patel, V. et al. (2007). Treatment and prevention of mental disorders in low-income and middle-income countries. The Lancet, 370, 991–1005.Google Scholar
Pengpid, S., Peltzer, K., Kassean, H. K., Tsala, J. P. T., Sychareun, V. and Müller-Riemenschneider, F. (2015). Physical inactivity and associated factors among university students in 23 low-, middle- and high-income countries. International Journal of Public Health, 60, 539–549.CrossRefGoogle ScholarPubMed
Prina, A. M., Ferri, C. P., Guerra, M., Brayne, C. and Prince, M. (2011). Prevalence of anxiety and its correlates among older adults in Latin America, India and China: cross-cultural study. The British Journal of Psychiatry, 199, 485–491.Google Scholar
Rubin, K. H. and Burgess, K. B. (2001). Social withdrawal and anxiety. In Vasey, M. W. and Dadds, M. R. (eds.), The Developmental Psychopathology of Anxiety. Oxford: Oxford University Press.Google Scholar
Shimada, H. et al. (2015). Cognitive function and falling among older adults with mild cognitive impairment and slow gait. Geriatrics & Gerontology International, 15, 1073–1078.Google Scholar
Soundy, A., Roskell, C., Stubbs, B. and Vancampfort, D. (2014). Selection, use and psychometric properties of physical activity measures to assess individuals with severe mental illness: a narrative synthesis. Archives of Psychiatric Nursing, 28, 135–151.Google Scholar
Stubbs, B. et al. (2016). How much physical activity do people with schizophrenia engage in? A systematic review, comparative meta-analysis and meta-regression. Schizophrenia Research, 176, 431–440.Google Scholar
Stubbs, B. et al. (2017). Physical activity and anxiety: a perspective from the World Health Survey. Journal of Affective Disorders, 208, 545–552.Google Scholar
Stubbs, B., Patchay, S., Soundy, A. and Schofield, P. (2014). The avoidance of activities due to fear of falling contributes to sedentary behavior among community-dwelling older adults with chronic musculoskeletal pain: a multisite observational study. Pain Medicine, 15, 1861–1871.CrossRefGoogle ScholarPubMed
Teychenne, M., Costigan, S. A. and Parker, K. (2015). The association between sedentary behaviour and risk of anxiety: a systematic review. BMC Public Health, 15, 513.CrossRefGoogle ScholarPubMed
Vancampfort, D. et al. (2015). What are the factors that influence physical activity participation in individuals with depression? A review of physical activity correlates from 59 studies. Psychiatria Danubina, 27, 220–224.Google Scholar
World Health Organization (2010). Global Recommendations on Physical Activity for Health. Geneva: World Health Organization.Google Scholar
World Health Organization (2015). Aheing and Health. Geneva: World Health Organization.Google Scholar
Supplementary material: File

Vancampfort et al supplementary material

Tables S4-S5

Download Vancampfort et al supplementary material(File)
File 21.1 KB