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Home All Specialties Chronic Disease

Exercise program does not reduce depression in the elderly

bys25qthea
May 4, 2013
in Chronic Disease, Psychiatry
Reading Time: 3 mins read
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Image: PD

1. Elderly residents living in care homes with an opt-in exercise program were no less likely to be depressed than those living in care homes without a program. 

2. Among residents depressed at baseline, an exercise program produced no change in symptoms. 

Evidence Rating Level: 2 (Good) 

Study Rundown: Availability of a yearlong exercise program did not reduce depression in elderly care home residents, even among those reporting depression at baseline. Given that 49% of care home residents in this study were depressed at baseline, there remains a substantial unmet need exists for effective depression interventions in this population. Strengths of the study included randomization and use of a validated geriatric depression scale, though study results are limited by the sensitivity of outcome measures (depression scale) and investigators did not assess other outcomes such as health-related quality of life indicators. Future investigations could examine whether subsets of residents, such as younger or more physically fit individuals, derive mental health benefits from exercise-based interventions and whether opt-out exercise programs are more effective.

Click to read the study in The Lancet

Relevant Reading: Effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people living in residential care facilities: a cluster-randomized controlled trial

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In-Depth [cluster randomized trial]: This study examined the effect of a yearlong, opt-in exercise program on depression symptoms among 891 British elderly care home residents (age ≥65 years). Care homes were randomized by location, size, and type of home provider to receive the program (intervention group: 35 homes, n=398) or not (control group: 43 homes, n=493). Intervention group homes held two optional 45-minute exercise sessions per week, encouraged additional physical activity in residents, and received staff depression awareness training. Control group homes received depression awareness training only. Outcomes included number of depressive symptoms on a validated geriatric depression scale, recorded at baseline, 6 months, and 12 months.

Among all participants, there were no between-group differences in depression scores at 12 months (p=0.58). Among participants depressed at baseline, the intervention had no effect on depression scores at 6 months (p=0.57).

By Caroline Huang and Leah Hawkins

More from this author: Integrated 2D/3D mammography improves breast cancer detection, One third of breast cancer survivors report pain 5-7 years after treatment, Varenicline reduces post-quit smoking relapses, Severe maternal childhood abuse associated with autism in offspring, 233 million women projected to lack modern contraceptives by 2015, Reminder intervention increases colorectal cancer screening rates, After-school program increases physical activity in overweight children, School-based therapy reduces asthma symptoms

© 2013 2minutemedicine.com. All rights reserved. No works may be reproduced without written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. Content is produced in accordance with fair use copyrights solely and strictly for the purpose of teaching, news and criticism. No benefit, monetary or otherwise, is realized by any participants or the owner of this domain. 

Tags: depressionelderlyexercise
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