The Association between Participation in Physical Activity and Depressive Symptoms among Older Adults with Arthritis 公开

Abstract

BACKGROUND: Physical functioning and mental health are critical issues among the aging population. Literature has found a higher prevalence of depression and anxiety in people with arthritis. While evidence has supported the efficacy of participation in physical activity as a protective factor that could delay comorbid chronic diseases and improve mental health among older adults, as well as adults with arthritis, literature also shows that almost half of the adult arthritis patients do not participate in leisure time physical activity. There are sparse studies about the dose-response effect of physical activity on mental health among aging population with arthritis.

OBJECTIVES: This study was designed to analyze the association between physical activity participation among older adults with arthritis and psychological distress using secondary data. The study also examined whether there was difference in psychological distress among older adults who participated in light and moderate or vigorous physical activity, or strength activity.

METHODS: The study used cross-sectional data from the 2012 National Health Interview Survey, a nationally representative, in-person, household interview survey to estimate the prevalence of being psychologically distressed in adults aged 60 or older with arthritis (n =3,197). The association between psychological distress and demographic factors and participation in physical activity was also examined using multivariable logistic regression.

RESULTS: In the aging population with arthritis, psychological distress was significantly associated with younger age, gender, race, and current activity limitation due to arthritis. After controlling the covariates, those who reported being very actively participated in moderate- and vigorous physical activity were nearly 55 % less likely to report mild or severe psychological distress (AOR=0.45; 95%CI=0.30, 0.69; P<.001), than those who were inactive. Those who reported being active were 50% less likely (AOR=0.50; 95%CI=0.33, 0.76; P<.001), and those who reported being slightly active were 35% less likely (AOR=0.65; 95%CI=0.50,0.84; P<.01) to report mild or severe psychological distress. Respondents who reported doing strength training physical activity 3 to 5 times per week were 53 % less likely to have mild or severe psychological distress (AOR=0.47; 95%CI=0.26, 0.86; P<.05).

Table of Contents

Instruction............................................................................................................. 1 Literature Review.................................................................................................... 4 Method................................................................................................................. 12 Results................................................................................................................. 16 Table 1................................................................................................................. 16 Table 2................................................................................................................. 17 Table 3................................................................................................................. 19 Discussion............................................................................................................. 23 Conclusion............................................................................................................. 23 Limitations............................................................................................................. 26 Implications of the Study.......................................................................................... 27 Reference.............................................................................................................. 29

About this Master's Thesis

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School	Rollins School of Public Health
Department	Behavioral Sciences and Health Education
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
关键词	Physical Activity Arthritis NHIS Psychological Distress Older adults
Committee Chair / Thesis Advisor	Thompson, Nancy J, Emory University
Committee Members	Goldman, Allan Barry, Emory University Yang, Zhou, Emory University
Partnering Agencies	Does not apply (no collaborating organization)

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