Exploring the feasibility of a community-based strength training program for older people with depressive symptoms and its impact on depressive symptomsReportar como inadecuado




Exploring the feasibility of a community-based strength training program for older people with depressive symptoms and its impact on depressive symptoms - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Geriatrics

, 6:18

First Online: 30 November 2006Received: 29 May 2006Accepted: 30 November 2006

Abstract

BackgroundDepression is a disabling, prevalent condition. Physical activity programs may assist depression management in older people, ameliorate co-morbid conditions and reduce the need for antidepressants. The UPLIFT pilot study assessed the feasibility of older depressed people attending a community-based progressive resistance training PRT program. The study also aimed to determine whether PRT improves depressive status in older depressed patients.

MethodsA randomised controlled trial was conducted. People aged ≥ 65 years with depressive symptoms were recruited via general practices. Following baseline assessment, subjects were randomly allocated to attend a local PRT program three times per week for 10 weeks or a brief advice control group. Follow-up assessment of depressive status, physical and psychological health, functional and quality of life status occurred post intervention and at six months.

ResultsThree hundred and forty six people responded to the study invitation, of whom 22% had depressive symptoms Geriatric Depression Scale, GDS-30 score ≥ 11. Thirty two people entered the trial. There were no significant group differences on the GDS at follow-up. At six months there was a trend for the PRT intervention group to have lower GDS scores than the comparison group, but this finding did not reach significance p = 0.08. More of the PRT group 57% had a reduction in depressive symptoms post program, compared to 44% of the control group. It was not possible to discern which specific components of the program influenced its impact, but in post hoc analyses, improvement in depressive status appeared to be associated with the number of exercise sessions completed r = -0.8, p < 0.01.

ConclusionThe UPLIFT pilot study confirmed that older people with depression can be successfully recruited to a community based PRT program. The program can be offered by existing community-based facilities, enabling its ongoing implementation for the potential benefit of other older people.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2318-6-18 contains supplementary material, which is available to authorized users.

Download fulltext PDF



Autor: Jane Sims - Keith Hill - Sandra Davidson - Jane Gunn - Nancy Huang

Fuente: https://link.springer.com/



DESCARGAR PDF




Documentos relacionados