Associations between Physical Activity, Depression, and Quality of Life in Elderly: Meta-Analysis

Fatchurrohmah Ines Prabandari, Bhisma Murti, Hanung Prasetya

Abstract

Background: The aging process is associated with a greater prevalence of long-term health problems. One of them is a significant increase in problems including mental health problems in the elderly demographic. The World Health Organization (WHO) estimates that about one in every ten elderly people suffer from depress­ion, which is a factor that can reduce the quality of life (QOL) of the elderly. QOL can be concep­tualized as a set of harmonious satis­factions that individuals get in their daily lives by taking into account the physical, psycho­logical and social aspects of life. Good QOL for the elderly can be interpreted as feeling better in carrying out basic daily activities (Activity of Daily Living/ ADLs) properly and living inde­pen­dently. One of the aspects that play an import­ant role in improving the quality of life of the elderly is physical activity. This study aims to determine the average strength of the relation­ship between physical activity and depression and quality of life in the elderly based on the results of previous research.

Subjects and Method: This study is a syste­matic review and meta-analysis using a cross-sectional design. The articles used in this study were obtained from several databases including PubMed, Google Scholar, Springerlink, and Sciencedirect. The articles used in this study are those published from 2010-2020. The arti­cle search was carried out by considering the eligibility criteria defined using the PICO model. P: Male and female aged ≥ 60 years, I: Physical activity, C: sedentary behavior O: Depression and Quality of Life. The keywords to search for articles were as follows: "physical activity", "depression", "quality of life", "elder­ly", "cross-sectional" and "adjusted odds ratio". The articles included in this study are full text articles with a cross-sectional study design. Articles were collected using PRISMA flow dia­grams and analyzed using the Review Manager 5.3 application.

Results: A total of 16 articles were reviewed in this study. The meta-analysis showed that phy­sical activity can reduce the risk of depression in the elderly (aOR= 0.72; 95% CI= 0.52 to 1.00; p<0.001). The meta-analysis also showed that physical activity can improve the quality of life of the elderly (aOR= 1.25; 95% CI= 1.05 to 1.48; p<0.001).

Conclusion: Physical activity can reduce the risk of depression and can improve the quality of life among elderly.

Keywords: physical activity, depression, quality of life, elderly, cross-sectional

Correspondence: Fatchurrohmah Ines Prabandari. Masters Pro­gram in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: inesfatchur@gmail.com.

Journal of Epidemiology and Public Health (2020), 05(04): 420-434
https://doi.org/10.26911/jepublichealth.2020.05.04.04.

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References

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders 540 (5th ed.). Wash-ington, DC: Author.


Bhamani MA, Khan MM, Karim MS, Mir MU (2015). Depression and its asso-ciation with functional status and physical activity in the elderly in Karachi, Pakistan. Asian J Psychiatr. 14:46-51. https://doi.org/10.1016/j.a-jp.2014.12.004.


Byeon H (2019). Relationship between physical activity level and depression of elderly people living alone: Results from a nationally representative sample of elderly in South Korea. Int J Environ Res Public Health. 16(20): 4051. https://doi.org/10.3390/ijerph-16204051.


Cho KO (2014). The positive effect of physical activity on health and health-related quality of life in elderly korean people−evidence from the Fifth Korea National Health and Nutrition Examination Survey. J Lifestyle Med. 4(2): 86-94. https://doi.org/10.1528-0/jlm.2014.4.2.86.


Damayanthi HDWT, Moy FM, Abdullah KL, Dharmaratne SD (2018). Health related quality of life and its associated factors among community dwelling older people in Sri Lanka: A cross-sectional study. Arch Gerontol Geriat. 76(2018): 215-220. https://doi.org/10.1016/j.archger.2018.03.009.


Da Silva MR, Ferreti F, Pinto SS, Filho OFT (2018). Depressive symptoms in the elderly and its relationship with chronic pain, chronic diseases, sleep quality and physical activity level. Br J Pain São Paulo. 1(4):293-298. http://dx.doi.org/10.5935/2595-0118.20180056.


Miller KJ, Mesagno C, McLaren S, Grace F, Yates M, Gomez R (2019). Exercise, mood, self-efficacy, and social support as predictors of depressive symptoms in older adults: Direct and interaction effects. Front Psychol. 10: 2145. https://dx.doi.org/10.3389%2Ffpsyg.2019.02145.


Murti B (2018). Prinsip dan Metode Riset Epidemiologi (Epidemiological Research Principles and Methods). Edisi IV. Cetakan I. Program Studi Ilmu Kesehatan Masyarakat, Program Pascasarjana, Universitas Sebelas Maret. Surakarta.


Oliveira LSSCB, Souya CE, Rodrigues RAS, Fet CA, Piva AB (2019). The effects of physical activity on anxiety, depression, and quality of life in elderly people living in the community. Trends Psychiatry Psychother. 41 (1):1-7. https://doi.org/10.1590/2237-6089-2017-0129.


Sampaio PYS, Ito E (2013). Activities with higher influence on quality of life in older adults in Japan. Occup Ther Int. 20(1): 1-10. https://doi.org/10.1002/-oti.1333.


Teixeira CM, Vasconcelos Raposo J, Helder MF, Brustad RJ (2013). Physical activity, depression and anxiety among the elderly. Soc Indic Res. 113: 307–318. https://doi.org/10.1007/s11205-012-0094-9.


Vagetti CG, Moreira NB, Filho VB, Oliveira V (2014). Association between physical activity and quality of life in the elderly: A systematic review 2000-2012. Rev Bras Psiquiatr. 36(1): 76-88. https://doi.org/10.1590/1516-44-46-2012-0895.


World Health Organization (WHO). 2018. Ageing and Health. Viewed August 21 2020, from http://www.who.int/me-diacentre/factsheets/fs404/en/.


Yuenyongchaiwa K, Pongpanit K, Hanma-nop S (2018). Physical activity and depression in older adults with and without cognitive impairment. De-ment Neuropsychol. 12(1):12-18. https://doi.org/10.1590/1980-5764-2018dn12-010002.

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