Identifying Community-Built Environment’s Effect on Physical Activity and Depressive Symptoms Trajectories among Middle-aged and Older Adults: A Chinese National Longitudinal Study (Preprint)

JMIR Public Health and Surveillance, Journal Year: 2024, Volume and Issue: 11, P. e64564 - e64564

Published: Dec. 11, 2024

Background The effects of physical activity (PA) across different domains and intensities on depressive symptoms remain inconclusive. Incorporating the community-built environment (CBE) into longitudinal analyses PA’s impact is crucial. Objective This study aims to examine PA at intensities—low-intensity (eg, walking activities) moderate-to-vigorous-intensity activities requiring substantial effort causing faster breathing or shortness breath)—across leisure-time occupational symptom trajectories among middle-aged older adults. Additionally, it investigated how CBEs influence trajectories. Methods included 6865 adults from China Health Retirement Longitudinal Survey. A CBE variable system was developed using a community questionnaire assess attributes built environment. Depressive were measured Center for Epidemiologic Studies Depression Scale. Latent growth curve modeling applied analyze 3 waves cohort data (2015, 2018, 2020) explore differential role CBE. Results In 2015 2018 waves, higher low-intensity (LTPA) associated with lower (β=–.025, P=.01 β=–.027, P=.005, respectively). Across all LTPA showed no significant predictive (P=.21 in 2015, P=.57 P=.85 2020, However, (OPA), particularly moderate-to-vigorous intensities, consistently symptoms. Parallel process latent revealed that initial level total negatively predicted (β=–.076, P=.01). OPA exhibited dual effects, positively predicting (β=.108, P<.001) but their upward trajectory (β=–.136, P=.009). Among variables, better infrastructure conditions (β=–.082, greater accessibility public facilities (β=–.036, P=.045) (β=.083, P=.04). Better (β=.100, P=.002) transport (β=.060, P=.01) LTPA. Meanwhile, (β=–.281, (β=–.073, OPA. declining P=.004). Conclusions underscores importance considering policies guidelines. Given symptoms, targeted measures should be implemented.

Language: Английский

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Association of daily physical activity with hypertension, depressive symptoms, loneliness, and poor sleep quality in aged 60–79 older adults

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Dec. 28, 2024

This study aimed to assess its relationship between physical activity with health-related indicators in older population of the China. Cross-sectional data 1,327 individuals aged 60–79 years were analyzed. Based on Fifth National Physical Fitness Monitoring Program, depressive symptom and loneliness measured using Patient Health Questionnaire-9 Emotional versus Social Loneliness Scales, respectively. Sleep quality was evaluated through self-designed questionnaire hypertension defined as blood pressure > 140/90 mmHg. International Activity Questionnaire-Long Form conducted (minutes frequency) different domains (domestic, transport, work, leisure). Multivariable-adjusted binary logistic regression models estimated for prevalence indicators, considering PA level, duration, frequency, combinations PA. In study, favorable associations observed moderate high level reductions 4 especially active frequency. Moreover, a combination domestic, leisure found be general protective factor indicators. summary, this highlights positive impact adults' health provides valuable insights into role patterns, offering theoretical basis developing guidelines, policies, interventions.

Language: Английский

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Prática de diferentes tipos de atividades físicas e sua associação com transtornos mentais comuns e depressão em adultos residentes em São Paulo, Brasil

Published: March 28, 2023

Introdução: A vida nos grandes conglomerados urbanos fez crescer problemas relacionados à saúde mental, principalmente a depressão, que figura entre um dos transtornos mentais mais prevalentes na população mundial e se agravou após pandemia de COVID-19.Estudos países renda alta apontam prática atividade física colabora para diminuir prevenir porém, estudos epidemiológicos em média ainda são escassos, com desenhos longitudinais estudando influências diferentes tipos atividades físicas mental adultos.Objetivo: Verificar associação domínios comuns depressão adultos residentes no município São Paulo.Método: Estudo epidemiológico observacional envolvendo recorte transversal acompanhamento longitudinal coorte.Esta tese faz parte do estudo "Inquérito Saúde Paulo (ISA), Atividade Física Ambiente" utilizou amostra (n=3,145) avaliada longitudinalmente (n=1

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