ASSOCIATIONS BETWEEN PHYSICAL ACTIVITY, DEPRESSION AND COGNITIVE FUNCTION

İlhan A., Bilgiç P., Varlı M.

The European Society for Clinical Nutrition and Metabolism (ESPEN) 2017, The Hague, Hollanda, 9 - 12 Eylül 2017, ss.166

  • Yayın Türü: Bildiri / Özet Bildiri
  • Doi Numarası: 10.1016/s0261-5614(17)30659-3
  • Basıldığı Şehir: The Hague
  • Basıldığı Ülke: Hollanda
  • Sayfa Sayıları: ss.166
  • Van Yüzüncü Yıl Üniversitesi Adresli: Hayır

Özet

Rationale: The burden of dementia among older individuals is an important public health problem, considering the increasing number of elderly population in Turkey. The prevalence of depression has also grown in Turkish older adults. Therefore, the aim of this study was to investigate the relationship between physical activity level, depression and cognitive function in community-dwelling older adults living in Ankara, Turkey.

Methods: A sample of 200 functionally independent patients (111 women and 89 men) aged 65 years or older (mean age: 74.97 ± 7.44) was selected from Medicine Faculty of Ankara University. Standardized Mini Mental State Examination (SMMSE) was used to evaluate cognitive function, Geriatric Depression Scale (GDS) to assess depression status for all patients. 24-hours physical activity records were obtained to assess physical activity level (PAL). Patients with advanced visual and auditory impairment, delirium, cancer and disabled were excluded.

Results: Thirty eight of two hundred (%19) patients were diagnosed with dementia. Those with dementia and without dementia were divided into two groups. The dementia group’s mean scores of S-MMSE, GDS and PAL were 17.63 ± 3.93, 8.81±.41 and 1.2 ± 0.14, respectively. Non-demented group’s mean scores of S-MMSE and GDS were 25.61 ± 3.43, 5.37 ± 2.9 and 1.49 ± 0.26, respectively. In all groups; S-MMSE, GDS and PAL scores of men were significantly higher than women (p < 0.05). When we analyzed the relationship between S-MMSE values and the results of the PAL and GDS, we found significant positive correlation for S-MMSE versus PAL (n = 200, r = 0.56, p < 0.001) and negative correlation S-MMSE versus GDS (n = 200, r = −0.55, p < 0.001).

Conclusion: The study revealed that the cognitive impairment was significantly associate with depression. This may be due to the association between depression and physical disability or depression may have been reduced their active lifestyles.