Recent Improvements in Sedentary Behavior and Depression in the Elderly

doi:10.12114/j.issn.1007-9572.2020.00.639

Abstract

Abstract: Sedentary behavior is extremely common in the elderly，which is a major factor causing physical and mental health problems in this population.Depression is the most common mental problem among the elderly and can be caused by lots of factors，among which sedentary behavior is a hot focus in recent years.We reviewed recent studies on sedentary behavior and depression in the elderly at home and abroad，and summarized the actions of possible causative mechanisms between the two，and brought forth insights into the guidance on related healthcare research as well as new ideas for the prevention of depression or reducing the risk of depression in the elderly.

Key words: Sedentary lifestyle, Depression, Aged, Review

摘要：

久坐行为在老年人中极为常见，是引起老年人身心健康问题的重要原因。抑郁作为老年人最常见的心理问题，影响因素较多，其中久坐行为是近年研究的热点。本文通过对国内外老年人久坐行为与抑郁的相关研究进行综述，并总结两者之间可能存在的作用机制，提出老年人久坐行为与抑郁的相关研究给医疗保健工作带来的启发和指导，为降低老年人抑郁的患病风险提供新的预防及干预思路。

关键词: 久坐生活方式, 抑郁, 老年人, 综述

JIANG Yan,CHU Aiqin. Recent Improvements in Sedentary Behavior and Depression in the Elderly　[J]. Chinese General Practice, 2021, 24(9): 1136-1139. DOI: 10.12114/j.issn.1007-9572.2020.00.639.
蒋燕,储爱琴. 老年人久坐行为与抑郁的相关性研究进展[J]. 中国全科医学, 2021, 24(9): 1136-1139. DOI: 10.12114/j.issn.1007-9572.2020.00.639.

References

［1］LI D，ZHANG D J，SHAO J J，et al．A meta-analysis of the prevalence of depressive symptoms in Chinese older adults［J］．Arch Gerontol Geriatr，2014，58（1）：1-9．DOI：10.1016/j.archger.2013.07.016.
［2］AMEGBOR P M，BRAIMAH J A，ADJAYE-GBEWONYO D，et al．Effect of cognitive and structural social capital on depression among older adults in Ghana：a multilevel cross-sectional analysis［J］．Arch Gerontol Geriatr，2020，89：104045．DOI：10.1016/j.archger.2020.104045.
［3］BOGA S M，SALTAN A.Identifying the relationship among sleep，mental status，daily living activities，depression and pain in older adults：a comparative study in Yalova，Turkey［J］．J Pak Med Assoc，2020，70（2）：236-242．DOI：10.5455/jpma.301384.
［4］KANEKO H.Association of respiratory function with physical performance，physical activity，and sedentary behavior in older adults［J］．J Phys Ther Sci，2020，32（2）：92-97．DOI：10.1589/jpts.32.92.
［5］MARIN K A，HERMSDORF H H M，CANAAN REZENDE F A，et al．A systematic review of cross-sectional studies on the association of sedentary behavior with cardiometabolic diseases and related biomarkers in South American adults［J］．Nutr Hosp，2020，37（2）：359-373．DOI：10.20960/nh.02740.
［6］LU J K，XU Y S，XU Y L，et al．Sedentary behavior associated with obesity in rural-to-urban migrant children by comparison of those in rural and urban area in China［J］．Ijph，2020．DOI：10.18502/ijph.v48i11.3530.
［7］HALLGREN M，NGUYEN T T，OWEN N，et al．Associations of sedentary behavior in leisure and occupational contexts with symptoms of depression and anxiety［J］．Prev Med，2020，133：106021．DOI：10.1016/j.ypmed.2020.106021.
［8］ROSENBERG D E，BELLETTIERE J，GARDINER P A，et al．Independent associations between sedentary behaviors and mental，cognitive，physical，and functional health among older adults in retirement communities［J］．J Gerontol A Biol Sci Med Sci，2016，71（1）：78-83．DOI：10.1093/gerona/glv103.
［9］MATSON T E，ANDERSON M L，RENZ A D，et al．Changes in self-reported health and psychosocial outcomes in older adults enrolled in sedentary behavior intervention study［J］．Am J Health Promot，2019，33（7）：1053-1057．DOI：10.1177/0890117119841405.
［10］叶孙岳.高职生久坐行为测量及其与抑郁水平关系［J］．中国健康心理学杂志，2015，23（7）：1107-1110．DOI：10.13342/j.cnki.cjhp.2015.07.042.
［11］TREMBLAY M S，AUBERT S，BARNES J D，et al．Sedentary behavior research network （SBRN）— terminology consensus project process and outcome［J］．Int J Behav Nutr Phys Activity，2017，14（1）：1-17．DOI：10.1186/s12966-017-0525-8.
［12］KOZEY-KEADLE S，LIBERTINE A，LYDEN K，et al．Validation of wearable monitors for assessing sedentary behavior［J］．Med Sci Sports Exerc，2011，43（8）：1561-1567．DOI：10.1249/mss.0b013e31820ce174.
［13］ROSENBERG D E，NORMAN G J，WAGNER N，et al．Reliability and validity of the Sedentary Behavior Questionnaire （SBQ） for adults［J］．J Phys Act Health，2010，7（6）：697-705．DOI：10.1123/jpah.7.6.697.
［14］LOU X W，HE Q.Validity and reliability of the international physical activity questionnaire in Chinese hemodialysis patients：a multicenter study in China［J］．Med Sci Monit，2019，25：9402-9408．DOI：10.12659/msm.920900.
［15］孙洁莹，张学桐，王竹影.基于加速度计客观测量的老年人体力活动、久坐行为与腰围的关系［J］．中国老年学杂志，2020，40（1）：197-200．DOI：10.3969/j.issn.1005-9202.2020.01.058.
［16］DE GREEF K P，DEFORCHE B I，RUIGE J B，et al．The effects of a pedometer-based behavioral modification program with telephone support on physical activity and sedentary behavior in type 2 diabetes patients［J］．Patient Educ Couns，2011，84（2）：275-279．DOI：10.1016/j.pec.2010.07.010.
［17］THORP A A，HEALY G N，WINKLER E，et al．Prolonged sedentary time and physical activity in workplace and non-work contexts：a cross-sectional study of office，customer service and call centre employees［J］．Int J Behav Nutr Phys Act，2012，9：128．DOI：10.1186/1479-5868-9-128.
［18］SACHSERICSSON N，HAJCAK G，SHEFFLER J L，et al．Putamen volume differences among older adults：depression status，melancholia，and age：［J］．J Geriatr Psychiatry Neurol，2018，31（1）：39-49．DOI：10.1177/0891988717747049.
［19］唐婧琼，雷阳，霍继荣，等．老年抑郁患者心理弹性研究进展［J］．中国老年学杂志，2018，38（3）：756-759．DOI：10.3969/j.issn.1005-9202.2018.03.094.
［20］BARNES R，VEITH R C，RASKIND M A.Depression in older persons：diagnosis and management［J］．West J Med，1981，135（6）：463-468.
［21］American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders［M］．5th ed.Washington：American Psychiatric Association Publishing，2017：706.
［22］中华医学会精神病学分会.中国精神障碍分类与诊断标准第三版（精神障碍分类）［J］．中华精神科杂志，2001，34（3）：184-188．DOI：10.3760/j:issn:1006-7884.2001.03.028.
［23］ZHANG H，WANG S，WANG L，et al．Comparison of the Geriatric Depression Scale-15 and the Patient Health Questionnaire-9 for screening depression in older adults［J］．Geriatr Gerontol Int，2020，20（2）：138-143．DOI：10.1111/ggi.13840.
［24］BECH P，KESSING L V，BUKH J D.The validity of dysthymia to predict clinical depressive symptoms as measured by the Hamilton Depression Scale at the 5-year follow-up of patients with first episode depression［J］．Nord J Psychiatry，2016，70（8）：563-566．DOI：10.1080/08039488.2016.1180712.
［25］VANDEPUTTE M，DE WEERD A.Sleep disorders and depressive feelings：a global survey with the Beck depression scale［J］．Sleep Med，2003，4（4）：343-345．DOI：10.1016/s1389-9457（03）00059-5.
［26］COSCO T D，PRINA M，STUBBS B，et al．Reliability and validity of the center for epidemiologic studies depression scale in a population-based cohort of middle-aged US adults［J］．J Nurs Meas，2017，25（3）：476-485．DOI：10.1891/1061-3749.25.3.476.
［27］PARK S，TH?GERSEN-NTOUMANI C，NTOUMANIS N，et al．
Profiles of physical function，physical activity，and sedentary behavior and their associations with mental health in residents of assisted living facilities［J］．Appl Psychol Health Well Being，2017，9（1）：60-80．DOI：10.1111/aphw.12085.
［28］KANG S Y，BASHAM R，KIM Y J.Contributing factors of depressive symptoms among elderly Korean immigrants in Texas［J］．J Gerontol Soc Work，2013，56（1）：67-82．DOI：10.1080/01634372.2012.734369.
［29］陈铭灵，李为翊，何丽华，等．体力活动与老年认知功能：抑郁的中介作用［J］．老年医学与保健，2018，24（2）：205-210．DOI：10.3969/j.issn.1008-8296.2018.02.032.
［30］LUCAS M，MEKARY R，PAN A.，et al．Relation between clinical depression risk and physical activity and time spent watching television in older women：a 10-year prospective follow-up study［J］．Am J Epidemiol，2011，174（9）：1017-1027．DOI：10.1093/aje/kwr218.
［31］LAMPINEN P，HEIKKINEN E.Reduced mobility and physical activity as predictors of depressive symptoms among community-dwelling older adults：an eight-year follow-up study［J］．Aging Clin Exp Res，2003，15（3）：205-211．DOI：10.1007/bf03324501.
［32］VAN GOOL C H，KEMPEN G I，PENNINX B W，et al．Relationship between changes in depressive symptoms and unhealthy lifestyles in late middle aged and older persons：results from the Longitudinal Aging Study Amsterdam［J］．Age Ageing，2003，
32（1）：81-87．DOI：10.1093/ageing/32.1.81.
［33］HAMER M，STAMATAKIS E.Prospective study of sedentary behavior，risk of depression，and cognitive impairment［J］．Med Sci Sports Exerc，2014，46（4）：718-723．DOI：10.1249/mss.0000000000000156.
［34］KRAUT R，PATTERSON M，LUNDMARK V，et al．Internet paradox.A social technology that reduces social involvement and psychological well-being?［J］．Am Psychol，1998，53（9）：1017-1031．DOI：10.1037//0003-066x.53.9.1017.
［35］DESJARDINS L，BARRERA M，SCHULTE F，et al．Predicting social withdrawal，anxiety and depression symptoms in pediatric brain tumor survivors［J］．J Psychosoc Oncol，2019，37（1）：22-36．DOI：10.1080/07347332.2018.1535531.
［36］WANG R，FENG Z，LIU Y，et al．Relationship between neighbourhood social participation and depression among older adults：a longitudinal study in China［J］．Health Soc Care Community，2020，28（1）：247-259．DOI：10.1111/hsc.12859.
［37］ROBINSON J P，GODBEY G.Time for life：the surprising ways Americans use their time［M］．University Park：Pennsylvania State University Press，1997.
［38］吴文汐，喻国明.竞争还是共生：移动互联网对当前媒介格局的影响——基于媒介接触时间的研究［J］．现代传播，2016，38（10）：1-7．DOI：10.3969/j.issn.1007-8770.2016.10.002.
［39］HOLTFRETER K，REISIG M D，TURANOVIC J J.Depression and infrequent participation in social activities among older adults：the moderating role of high-quality familial ties［J］．Aging Ment Health，2017，21（4）：379-388．DOI：10.1080/13607863.2015.1099036.
［40］LEAL L G，LOPES M A，BATISTA M L Jr.Physical exercise-induced myokines and muscle-adipose tissue crosstalk：a review of current knowledge and the implications for health and metabolic diseases［J］．Front Physiol，2018，9：1307．DOI：10.3389/fphys.2018.01307.
［41］PEDERSEN B K.Exercise-induced myokines and their role in chronic diseases［J］．Brain Behav Immun，2011，25（5）：811-816．DOI：10.1016/j.bbi.2011.02.010.
［42］SMITH K J，AU B，OLLIS L，et al．The association between C-reactive protein，interleukin-6 and depression among older adults in the community：a systematic review and meta-analysis［J］．Exp Gerontol，2018，102：109-132．DOI：10.1016/j.exger.2017.12.005.
［43］HAMER M，POOLE L，MESSERLI-BURGY N.Television viewing，C-reactive protein，and depressive symptoms in older adults［J］．Brain Behav Immun，2013，33：29-32．DOI：10.1016/j.bbi.2013.05.001.

[1]	FENG Xiaoyu, LI Wanling, LYU Siman, NI Cuiping, WANG Haocheng, LIU Yu. International Research Status and Hot Spot Analysis of InterRAI HC Based on Bibliometrics [J]. Chinese General Practice, 2023, 26(34): 4351-4358.
[2]	GU Hanxin, LIU Yang, LIU Yuanli. Falls Prevention Intervention for Community-dwelling Older Adults from the Perspective of Policy Tools: an International Comparative Study [J]. Chinese General Practice, 2023, 26(34): 4231-4238.
[3]	WANG Yue, CHEN Qing, LIU Lurong. Detection Rate of Depression and Its Influencing Factors in Chinese Elderly: a Meta-analysis [J]. Chinese General Practice, 2023, 26(34): 4329-4335.
[4]	WANG Xu, WEI Xu, ZHU Liguo, FENG Tianxiao, WANG Zhipeng, SHI Bin. Research Ideas of the Efficacy Mechanism and Prospect Analysis of Traditional Chinese Manipulative Therapy on Treating Spinal Degenerative Diseases with Combination of Medicine and Industry [J]. Chinese General Practice, 2023, 26(33): 4118-4124.
[5]	XIN Gongkai, CONG Xin, YUAN Lei, CHENG Yuetong, NI Cuiping, ZHANG Weiwei, ZHANG Pingping, LIU Yu. Research Progress on Comprehensive Assessment Tools for the Elderly with Dementia [J]. Chinese General Practice, 2023, 26(33): 4103-4109.
[6]	ZHANG Siyu, ZHOU Yuqiu, DU Xiaohui, WANG Zhengjun. Advances in Duration of Untreated Psychosis and Its Early Intervention [J]. Chinese General Practice, 2023, 26(33): 4110-4117.
[7]	YU Xinyan, ZHAO Jun, ZHAO Xiaoye, JIANG Qingru, CHEN Yatian, WANG Yan, ZHANG Haicheng. Application of Mobile Smart Healthcare in the Prevention and Control of Cardiovascular Diseases in Elderly Patients with Chronic Diseases in Primary Care [J]. Chinese General Practice, 2023, 26(33): 4167-4172.
[8]	JIAN Qiufeng, XU Ronghua, YAO Qian, ZHOU Yuanyuan. A Meta-analysis of the Prevalence and Influencing Factors of Post-stroke Cognitive Impairment in Chinese Elderly Patients [J]. Chinese General Practice, 2023, 26(32): 4070-4079.
[9]	ZHANG Shuai, LI Qin, LI Dongfeng, XIAO Jinping, LI Yunpeng. A Prospective Cohort Study of Solid Fuels Use and Risk of Hypertension in Chinese Older Adults [J]. Chinese General Practice, 2023, 26(32): 4001-4006.
[10]	MENG Jiangtao, YANG Siyu, SUN Lei, LEI Ruining, ZHAO Xiaoxia. Advances in the Prognostic Value of Diffusion Tensor Imaging with Motor Evoked Potential for Motor Function in Cerebral Infarction Patients with Hemiplegia [J]. Chinese General Practice, 2023, 26(32): 4098-4102.
[11]	CHEN Xi, ZHANG Juan, LI Lin, ZHANG Jiaqi, WU Yaoli, GUO Hui, WANG Chaoqun. Association between Physical Activity and Risk of All-cause Mortality in Middle-aged and Elderly People in China: a Prospective Cohort Study [J]. Chinese General Practice, 2023, 26(31): 3890-3895.
[12]	ZHANG Peng, GAO Ying, YANG Hongxi, WAN Chunxiao. Association between Serum Uric Acid Level and the Risk of Chronic Kidney Disease among the Elderly in Longevity Areas of China [J]. Chinese General Practice, 2023, 26(31): 3884-3889.
[13]	WANG Jiaxin, ZHAO Yali. Domestic and International Assessment Tools for Medical Teamwork: a Systematic Review [J]. Chinese General Practice, 2023, 26(31): 3951-3962.
[14]	DUAN Yanqin, PENG Ying, LIU Shenglan, LIU Haijiao, YANG Huiqiong, HU Haiqing. Prevalence and Associated Factors of Potentially Inappropriate Medication among Elderly Outpatients [J]. Chinese General Practice, 2023, 26(31): 3902-3907.
[15]	YUAN Xiwei, NAN Yuemin. Research Progress of Structure, Function and Mechanism of Action of Mitofusin 2 in Liver Diseases [J]. Chinese General Practice, 2023, 26(30): 3841-3846.