The purpose of this systematic review was to assess the characteristics and effectiveness of community-based interventions designed to increase physical activity participation in older adults (aged 65 years or more) living in rural or regional areas. Relevant peer-reviewed literature was obtained, using four primary electronic search engines, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The initial search identified 4,690 articles. After removal of duplicates and excluded articles, seven articles were included in the review. Few consistencies existed between intervention types, duration, outcome measures, and follow-up. Results provide some evidence to support the effectiveness of community-based interventions that include low- to moderate-intensity exercise to increase physical activity, physical function, and psychological state. However, without more rigorous studies it is difficult to identify the most critical characteristics of community-based interventions for older adults in rural and regional settings.
Melissa Moore, Jeni Warburton, Paul D. O’Halloran, Nora Shields and Kingsley
Kathleen A. Moore, Michael A. Babyak, Carrie E. Wood, Melissa A. Napolitano, Parinda Khatri, W. Edward Craighead, Steve Herman, Ranga Krishnan and James A. Blumenthal
Previous studies of younger, healthy individuals have demonstrated an inverse relationship between physical activity and depression. The present study addressed the relation between self-reported physical activity and symptoms of depression in 146 men and women aged 50 years and older with major depressive disorder (MDD). Patients who met clinical criteria for MDD completed the Beck Depression Inventory (BDI) and the Minnesota Leisure-Time Activity Questionnaire (MQ). Multiple regression analysis indicated that lower levels of physical activity were associated with more severe depressive symptoms (p = .04), after adjusting for age and gender. The implications of these findings for the treatment and prevention of depression are discussed.