Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-28T12:36:57.126Z Has data issue: false hasContentIssue false

Exercise, physical activity and mental well-being in later life

Published online by Cambridge University Press:  19 November 2014

Gill Windle*
Affiliation:
Dementia Services Development Centre, Bangor University, UK
*
Address for correspondence: Gill Windle, Senior Research Fellow in Gerontology, Ardudwy, Holyhead Road, Bangor, Gwynedd, Wales, UK. Email: [email protected]

Summary

Exercise and physical activity are thought to be among the most important lifestyle factors for the maintenance of health and prevention of premature disease and mortality. Yet sedentary lifestyles are common. Many people avoid exercise, and have done so across their lifespan. Exercise and physical activity are also considered important for positive psychological functioning; however, this has received limited research attention. This mini-review discusses the effects of exercise and physical activity on mental health and well-being in later life. It draws on international peer reviewed research, summarized in systematic reviews and/or meta-anlaysis, and presents the key findings. Systematic reviews and meta-analyses generally confirm the importance of exercise for mental well-being; however, there is a lack of good quality research. The review discusses some of the barriers to exercise, and identifies strategies that may facilitate uptake and adherence in later life. Limitations in the current evidence are discussed. Based on the current evidence, it is recommended that health practitioners should encourage exercise or physical activity of low to moderate intensity, and leisure time activity such as walking, especially at retirement. Future intervention research would benefit by focusing on people who have not self-selected into studies so as to understand the causal direction, and include theory driven approaches to behaviour change.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2014 

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

1World Health Organisation. Mental health, resilience and inequalities. Copenhagen, WHO 2009. Available at: http://www.euro.who.int/document/e92227.pdf.Google Scholar
2Windle, G, Hughes, D, Linck, P, Russell, I, Morgan, R, Woods, Bet al. Public health interventions to promote mental well-being in people aged 65 and over: systematic review of effectiveness and cost-effectiveness. London: National Institute of Health and Clinical Excellence; 2007.Google Scholar
3Jahoda, M. Current concepts of positive mental health. New York, Basic Books, 1958.CrossRefGoogle Scholar
4New Economics Foundation. Five Ways to Well-being: The Evidence; 2008. Available at: http://www.neweconomics.org/publications/entry/five-ways-to-well-being-the-evidence.Google Scholar
5Age Concern. Promoting mental health and well-being in later life. London, Age Concern; 2006. Available at: www.mentalhealth.org.uk/content/assets/PDF/publications/promoting_mh_wb_later_life.pdf?view=Standard.Google Scholar
6Rowe, JW, Kahn, RL. Successful Aging. Gerontologist 1997; 37: 433–40.CrossRefGoogle ScholarPubMed
7Ezzati, M, Hoorn, SV, Rodgers, A, Lopez, AD, Mathers, CD, Murray, CJ. Estimates of global and regional potential health gains from reducing multiple major risk factors. Lancet 2003; 362: 271–80.CrossRefGoogle ScholarPubMed
8Gillespie, LD, Robertson, MC, Gillespie, WJ, Lamb, SE, Gates, S, Cumming, RGet al.Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2009; 2: CD007146. doi: 10.1002/14651858.CD007146.pub2.Google Scholar
9Rees, K, Taylor, RRS, Singh, S, Coats, AJS, Ebrahim, S. Exercise based rehabilitation for heart failure. Cochrane Database Syst Rev 2004; 3: CD003331. doi: 10.1002/14651858.CD003331.pub2.Google Scholar
10Koeneman, M, Verheijden, MW, Chinapaw, MJM, Hopman-Rock, M. Determinants of physical activity and exercise in healthy older adults: a systematic review. Int J Behavioural Nutrition Physical Activity 2011; 8: 142.CrossRefGoogle ScholarPubMed
11Windle, G, Hughes, D, Linck, P, Russell, I, Woods, R. Is exercise effective in promoting mental well-being in later life? A systematic review. Aging Mental Health 2010; 14: 652–69.CrossRefGoogle ScholarPubMed
12Arent, SM, Landers, DM, Etnier, JL. The effects of exercise on mood in older adults: a meta-analytic review. J Aging Physical Activity 2008; 4: 407–30.Google Scholar
13Netz, Y, Wu, MJ, Becker, BJ, Tenenbaum, G. Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies. Psychol Aging 2005; 20: 272–84.CrossRefGoogle ScholarPubMed
14Netz, Y. Type of activity and fitness benefits as moderators of the effect of physical activity on affect in advanced age: a review. Eur Rev Aging Phys Act 2009; 6: 1927.CrossRefGoogle Scholar
15Bridle, C, Spanjers, K, Patel, S, Atherton, NM, Lamb, SE. Effect of exercise on depression severity in older people: systematic review and meta-analysis of randomised controlled trials. Br J Psychiatry 2012; 201: 180–85.CrossRefGoogle ScholarPubMed
16Forsman, A, Schierenbeck, I, Wahlbeck, K. Psychosocial interventions for the prevention of depression in older adults: Systematic review and meta-analysis. J Aging Health 2011; 23: 387416.CrossRefGoogle ScholarPubMed
17Potter, R, Ellard, D, Rees, K, Thorogood, M. A systematic review of the effects of physical activity on physical functioning, quality of life and depression in older people with dementia. Int J Geriatr Psychiatry 2011; 26: 1000–11.CrossRefGoogle ScholarPubMed
18Moschny, A, Platen, P, Klaaßen-Mielke, R, Trampisch, U, Hinrichs, T. Barriers to physical activity in older adults in Germany: a cross-sectional study. Int J Behavioral Nutrition Physical Activity 2011; 8: 121.CrossRefGoogle ScholarPubMed
19Hardcastle, S, Taylor, AH. Looking for more than weight loss and fitness gain: psychosocial dimensions among older women in a primary-care exercise-referral program. J Aging Physical Activity 2001; 9: 313–28.CrossRefGoogle Scholar
20Hirvensalo, M, Linuten, T. Life course perspective for physical activity and sports participation. Eur Rev Phys Act 2011; 8: 1322.CrossRefGoogle Scholar
21Pavey, TG, Taylor, AH, Fox, KR, Hillsdon, M, Anokye, N, Campbell, JL, Foster, C, Green, C, Moxham, T, Mutrie, N, Searle, J, Trueman, P, Taylor, RS. Effects of exercise referral schemes in primary care on physical activity and improving health outcomes: systematic review and meta-analysis. BMJ 2011; 343: d6462. doi:10.1136/bmj.d6462.CrossRefGoogle ScholarPubMed
22Bandura, A. Social Foundations of Thought and Action. New York, Prentice-Hall, 1986.Google Scholar
23Williams, NH, Hendry, M, France, B, Lewis, R, Wilkinson, C. Effectiveness of exercise-referral schemes to promote physical activity in adults: a systematic review. Br J Gen Pract 2007; 57: 979–86.CrossRefGoogle Scholar
24Taylor, AH. The role of primary care in promoting physical activity. In Perspectives in Health and Exercise, Biddle, SJH, Fox, KR, Boutcher, SH (eds), pp. 1045. London, Palgrave Macmillan, 2003:Google Scholar
25World Health Organisation. Global recommendations on physical activity for health, 2010. Available at: http://whqlibdoc.who.int/publications/2010/9789241599979_eng.pdfGoogle Scholar
26Lahti, J, Laaksonen, M, Lahelma, E, Rahkonen, O. Changes in leisure-time physical activity after transition to retirement: a follow-up study. Int J Behavioral Nutrition Physical Activity 2011; 8: 36.CrossRefGoogle ScholarPubMed
27Schechtman, KB, Ory, MG. The effects of exercise on the quality of life of frail older adults: a preplanned meta-analysis of the FICSIT trials. Ann Behav Med 2001; 23: 186–97.CrossRefGoogle ScholarPubMed
28Munro, JF, Nicholl, JP, Brazier, JE, Davey, R, Cochrane, T. Cost effectiveness of a community-based exercise programme in over 65 year olds: cluster randomised trial. J Epidemiol Community Health 2004; 58: 1004–10.CrossRefGoogle ScholarPubMed
29Fisher, KJ, Li, F. A community-based walking trial to improve neighborhood quality of life in older adults: a multilevel analysis. Ann Behav Med 2004; 28: 186–94.CrossRefGoogle ScholarPubMed
30Larson, E, Wang, L, Bowen, JD, McCormick, WC, Teri, L, Crane, P, Kukull, W. Exercise is associated with reduced risk for incident dementia among persons aged 65 years of age and older. Ann Int Med 2006; 144: 7381.CrossRefGoogle ScholarPubMed
31Strawbridge, WJ, Deleger, S, Roberts, RE, Kaplan, GA. Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol 2002; 156; 328–34.CrossRefGoogle ScholarPubMed