Efeito protetor da atividade física nos sintomas depressivos em idosos: Revisão Sistemática e Meta-Análise
Notice bibliographique
Résumé
Introduction: Population aging and high life expectancy are a problem in current times, with increasing importance being given to maintaining a good quality of life during aging, including not only physical aspects, but also mental health.Depression is an important mental health problem in the elderly, which often goes by untreated, or is treated only with medication.Physical activity has been gradually gaining importance, not only as a form of treatment, but also as prevention for this type of symptoms.However, physical activity has not yet been consistently established in protocols for the prevention of depressive symptoms.Thus, to synthetize the findings in longitudinal studies, we proposed to write a systematic review and meta-analysis, in order to verify if physical activity prevents depressive symptoms in the elderly, and what are the best physical activity levels to achieve this effect.Methods: Potential studies were searched on Pubmed, Scopus and Ebsco between January the 13 th and the 27 th of 2021.Demographic data, data on physical activity and depressive symptoms assessment, and odds ratio with 95% confidence intervals were extracted.Random-effects meta-analysis and a sensitivity analysis were conducted, and the potential sources of heterogeneity were explored using Open Meta-Analyst.Study quality was assessed using the Newcastle-Ottawa Scale.Results: From 2812 studies found, a total of 12 prospective studies were eligible for data extraction, with a total sample of 3987 participants.We found that those engaged in physical activity had lower odds of developing depressive symptoms (OR=0.69,95% CI=0.59, 0.81, p<0.01;I=69.95%) in the long term when compared to inactive participants or those with low physical activity.On the other hand, we also found that moderate physical activity levels (OR=0.51,95% CI=0.33, 0.79, p<0.01;I=0%) seem to be more effective in reducing the odds having depressive symptoms than high levels (OR=0.43,95% CI=0.18, 1.04, p=0.06;I=75.98%,Heterogeneity p value=0.02).Despite this, heterogeneity was high, however the use of valid physical activity questionnaires, moderate level of VII physical activity and studies in East asian culture were of non-significant heterogeneity. Conclusion:The results suggest that being active reduces the odds of developing depressive symptoms in the elderly, so the development and promotion of regular PA programs in this population are of vital importance in preventing this increasingly common disorder.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,002 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,002 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,004 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».