노인의 추정 심폐체력과 정신건강과의 연관성 분석
The Association Between Estimated Cardiorespiratory Fitness and Mental Health in Older Adults
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
OBJECTIVE: This study examined the association between estimated cardiorespiratory fitness (eCRF) and mental health in Korean older adults. The present study was carried out using data from the 2008 Living Profiles of Older People Survey. METHODS: A total of 13,333 participants aged 60 years and older (57% women) completed the assessments (i.e., socioeconomic status, health behaviors and conditions, and mental health status) and were included for the final analyses. eCRF was assessed with sexspecific algorithms and classified as lower (lowest 25%), middle (middle 50%), and upper (highest 25%) categories. Korean version of Mini-Mental State Examine and short-form Geriatric Depression Scale were used to assess depressive symptoms and impaired cognition, respectively. Logistic regression analyses were conducted to estimate the odds ratio (OR) and 95% confidence interval (CI) for depressive symptoms and impaired cognition according to eCRF categories. RESULTS: In the total study samples, the risk of having depressive symptoms was 24% lower for the middle eCRF group (OR, 0.76; CI, 0.69-0.84) and 49% lower for the upper eCRF group (OR, 0.51; CI, 0.45-0.59) compared with the lower eCRF group (reference, OR=1) and remained statistically significant even after adjustments for all the covariates included in this study. The risk of having impaired cognition was 18% lower for the middle eCRF group (OR, 0.82; CI, 0.74-0.91) and 26% lower for the upper eCRF group (OR, 0.74 ; CI, 0.66-0.84) compared with the lower eCRF group (OR=1) and remained statistically even after adjustments for all the covariates. CONCLUSIONS: The current findings of the study suggest that eCRF may have an independent predictor of both depressive symptoms and impaired cognition in this Korean older adults, underscoring the importance of promoting physical fitness via regular exercise to maintain good mental health later in life.
Abstract
OBJECTIVE: This study examined the association between estimated cardiorespiratory fitness (eCRF) and mental health in Korean older adults. The present study was carried out using data from the 2008 Living Profiles of Older People Survey. METHODS: A total of 13,333 participants aged 60 years and older (57% women) completed the assessments (i.e., socioeconomic status, health behaviors and conditions, and mental health status) and were included for the final analyses. eCRF was assessed with sexspecific algorithms and classified as lower (lowest 25%), middle (middle 50%), and upper (highest 25%) categories. Korean version of Mini-Mental State Examine and short-form Geriatric Depression Scale were used to assess depressive symptoms and impaired cognition, respectively. Logistic regression analyses were conducted to estimate the odds ratio (OR) and 95% confidence interval (CI) for depressive symptoms and impaired cognition according to eCRF categories. RESULTS: In the total study samples, the risk of having depressive symptoms was 24% lower for the middle eCRF group (OR, 0.76; CI, 0.69-0.84) and 49% lower for the upper eCRF group (OR, 0.51; CI, 0.45-0.59) compared with the lower eCRF group (reference, OR=1) and remained statistically significant even after adjustments for all the covariates included in this study. The risk of having impaired cognition was 18% lower for the middle eCRF group (OR, 0.82; CI, 0.74-0.91) and 26% lower for the upper eCRF group (OR, 0.74 ; CI, 0.66-0.84) compared with the lower eCRF group (OR=1) and remained statistically even after adjustments for all the covariates. CONCLUSIONS: The current findings of the study suggest that eCRF may have an independent predictor of both depressive symptoms and impaired cognition in this Korean older adults, underscoring the importance of promoting physical fitness via regular exercise to maintain good mental health later in life.
참고문헌 (38)
- National Statistical Office, "2017 senior citizen total rate", National Statistical Office, ~ (2017)
- 박명호, "한국과 EU의 고령화 비교 연구", EU학 연구, 16(1), pp.99~126 (2011), 한국EU학회
- 신환호, "한국 노인에서 사회적 관계, 일상생활 수행능력 및 인지기능과 우울 증상과의 관련성 : 2014년 노인실태조사", 노인정신의학, 21(2), pp.47~54 (2017), 대한노인정신의학회
- Chung HJ, "Factors associated with depression in the Korean elderly", Korean Journal of Clinical Geriatrics, 2(2), pp.81~95 (2001)
- Kim DH, "Geriatric depression", Journal of Korean Geriatric Psychiatry, 8(2), pp.90~95 (2004)
- Read JR, "Multimorbidity and depression : A systematic review and meta-analysis", J Affect Disord, 221(1), pp.36~46 (2017)
- Chen JH, "Risk factors for dementia", J Formos Med Assoc, 108(10), pp.754~764 (2009)
- Cho MJ, "The Prevalence and risk factors of dementia in the Korean elderly.", Health and Welfare Policy Forum, 156, pp.43~48 (2009)
- Report on the Korean national older adults life survey 2017, "Ministry of Health Welfare", Ministry of Health Welfare, ~ (2019)
- The 2016 nationwide survey on dementia epidemiology of Korea, "Ministry of Health Welfare", Ministry of Health Welfare, ~ (2018)
- 이경규, "새로운 항우울제의 부작용과 약물학적 처치- 드물지 않지만 잘 인지되지 않는 부작용을 중심으로 -", 대한정신약물학회지, 25(1), pp.11~20 (2014), 대한정신약물학회
- 이동영, "Mini-Mental State Examination의 한국 노인 정상규준 연구", 신경정신의학, 41(3), pp.508~525 (2002), 대한신경정신의학회
- Cho MJ, "Validation of geriatric depression scale, Korean version(GDS) in the assessment of DSMIII-R major depression", J Korean Neuropsychiatr Assoc, 38(1), pp.48~63 (1999)
- Schuch FB, "Physical activity and incident depression : A meta-analysis of prospective cohort studies", Am J Psychiatry, 175(7), pp.631~648 (2018)
- Yangyang Liu, "Physical activity and incident dementia in older Japanese adults: The Okayama study", International Journal of Geriatric Psychiatry, 34(10), pp.1429~1437 (2019), Wiley[DOI]
- 배종진, "운동이 노인의 우울증에 미치는 영향", 한국체육학회지, 53(3), pp.549~567 (2014), 한국체육학회
- Pfaff JJ, "ACTIVEDEP : a randomised, controlled trial of a home-based exercise intervention to alleviate depression in middle-aged and older adults", Br J Sports Med, 48(3), pp.226~232 (2014)
- Abd El-Kader SM, "Aerobic exercise improves quality of life, psychological well-being and systemic inflammation in subjects with Alzheimer’s disease", Afr Health Sci, 16(4), pp.1045~1055 (2016)
- Karssemeijer EGA, "Positive effects of combined cognitive and physical exercise training on cognitive function in older adults with mild cognitive impairment or dementia : A meta-analysis", Ageing Res Rev, 40(1), pp.75~83 (2017)
- Yasunaga A, "Cross-sectional associations of sedentary behavior and physical activity on depression in Japanese older adults: an isotemporal substitution approach", BMJ Open, 8(9), pp.e022282~ (2018)
- Buchman AS, "Total daily physical activity and the risk of AD and cognitive decline in older adults", Neurology, 78(17), pp.1323~1329 (2012)
- He SB, "Exercise intervention may prevent depression", Int J Sports Med, 33(7), pp.525~530 (2012)
- Melancon MO, "Changes in markers of brain serotonin activity in response to chronic exercise in senior men", Appl Physiol Nutr Metab, 39(11), pp.1250~1256 (2014)
- Amadio EM, "The action of pre-exercise low-level laser therapy(LLLT)on the expression of IL-6 and TNF-α proteins and on the functional fitness of elderly rats subjected to aerobic training", Lasers Med Sci, 30(3), pp.1127~1134 (2015)
- Wu C, "Beneficial effects of exercise pretreatment in a Sporadic Alzheimer’s rat model", Med Sci Sports Exerc, 50(5), pp.945~956 (2018)
- Li X, "Exercise enhances the expression of brain-derived neurotrophic factor in the hippocampus accompanied by epigenetic alterations in senescence-accelerated mice prone 8", Neurosci Lett, 706, pp.176~181 (2019)
- Sui X, "Prospective study of cardiorespiratory fitness and depressive symptoms in women and men", J Psychiatr Res, 43(5), pp.546~552 (2009)
- Kurl S, "Cardiorespiratory fitness and risk of dementia: a prospective population-based cohort study", Age Ageing (2018)[DOI]
- Ying Wang, "Nonexercise Estimated Cardiorespiratory Fitness and All-Cancer Mortality: the NHANES III Study", Mayo Clinic Proceedings, 93(7), pp.848~856 (2018), Elsevier BV[DOI]
- Stamatakis E, "A non-exercise testing method for estimating cardiorespiratory fitness : associations with all-cause and cardiovascular mortality in a pooled analysis of eight population-based cohorts", Eur Heart J, 34(10), pp.750~758 (2013)
- McAuley E, "Non-exercise estimated cardiorespiratory fitness : Associations with brain structure, cognition, and memory complaints in older adults", Ment Health Phys Act, 4(1), pp.5~11 (2011)
- Shigdel R, "Cross-sectional and longitudinal association of non-exercise estimated cardiorespiratory fitness with depression and anxiety in the general population : The HUNT study", J Affect Disord, 252(1), pp.122~129 (2019)
- Report on the Korean National Older Adults life Survey 2008, "Ministry of Health Welfare", Ministry of Health Welfare, ~ (2009)
- Nes BM, "Estimating VO2peak from a non-exercise prediction model : The HUNT study", Norway Med Sci Sports Exerc, 43(11), pp.2024~2030 (2011)
- Schembre SM, "Non-exercise estimation of VO2max using the international physical activity questionnaire", Measurement in Physical Education and Exercise Science, 15(3), pp.168~181 (2011)
- Jackson AS, "Prediction of functional aerobic capacity without exercise testing", Med Sci Sports Exerc, 22(6), pp.863~870 (1990)
- Farrell SW, "The relationship between cardiorespiratory fitness and montreal cognitive assessment scores in older adults", Gerontology, 64(5), pp.440~445 (2018)
- Edwards MK, "Combined associations of sedentary behavior and cardiorespiratory fitness on cognitive function among older adults", Int J Cardiol, 229(1), pp.71~74 (2017)