Author: Po-Jung Chen1, Kuei-Min Chen2, Hui-Fen Hsu3, Frank Belcastro4
Affiliation: <sup>1</sup> Center for Long-Term Care Research, Kaohsiung Medical University; 100 Shih-Chuan 1(st) Rd., Sanmin District, Kaohsiung, Taiwan 80708. Electronic address: R090326@kmu.edu.tw.
<sup>2</sup> College of Nursing, Kaohsiung Medical University; 100 Shih-Chuan 1(st) Rd., Sanmin District, Kaohsiung, Taiwan 80708; Center for Long-Term Care Research, Kaohsiung Medical University; Department of Medical Research, Kaohsiung Medical University Hospital. Electronic address: kmc@kmu.edu.tw.
<sup>3</sup> Center for Long-Term Care Research, Kaohsiung Medical University; 100 Shih-Chuan 1(st) Rd., Sanmin District, Kaohsiung, Taiwan 80708. Electronic address: R080152@kmu.edu.tw.
<sup>4</sup> Department of Education and Psychology, University of Dubuque; 2000 University Ave., Dubuque, Iowa 52001, USA. Electronic address: fpbelcast@gmail.com.
Conference/Journal: Ageing Res Rev
Date published: 2022 Mar 23
Other:
Special Notes: doi: 10.1016/j.arr.2022.101613. , Word Count: 206
Background:
Depression is associated with a greater risk of disability, cognitive impairment, and suicide. Older adults in long-term care facilities (LTCFs) are more likely to develop depression due to changes in family roles and separation from family members. The aim of this study was to synthesize and analyze the effects of different types of exercise and training duration on depressive symptoms of older adults in LTCFs.
Methods:
Relevant peer-reviewed journal articles published in English were identified through a search of six electronic databases up to June 2021.
Results:
A total of 25 studies were included in the systematic review and 22 in the meta-analysis. The results of meta-analysis showed that exercise interventions reduced depression in cognitively intact older adults and in cognitively impaired older adults. Both exercising less than 150minutes per week or more than 150minutes per week, reduced depressive symptoms of older adults. In terms of exercise types, mind-body exercises, exergames, and strength training reduced depressive symptoms.
Conclusion:
Exercise has a positive effect on reducing depressive symptoms with mind-body exercises, exergames, and strength training producing the best effect. Regardless of cognitive impairment, older adults in LTCFs benefited from exercise in reducing depressive symptoms.
Keywords: Depression; Exercise; Long-term care facility; Meta-analysis; Older adults; Systematic review.
PMID: 35339704 DOI: 10.1016/j.arr.2022.101613