Effectiveness and maintenance of behavior change and exercise programs on depressive symptoms in older adults

 The aim of the study was to compare the effectiveness and maintenance of two health promotion programs on depressive symptoms (DS) of older adults. The research was conducted with the network of primary health care in a southern capital of Brazil. In total, 119 older adult participants were alloca...

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Main Authors: Lucelia Borges, Simone Meurer, Tânia Benedetti
Format: Article
Language:English
Published: Sociedade Brasileira de Atividade Física e Saúde 2017-03-01
Series:Revista Brasileira de Atividade Física e Saúde
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Online Access:https://rbafs.org.br/RBAFS/article/view/8392
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author Lucelia Borges
Simone Meurer
Tânia Benedetti
author_facet Lucelia Borges
Simone Meurer
Tânia Benedetti
author_sort Lucelia Borges
collection DOAJ
description  The aim of the study was to compare the effectiveness and maintenance of two health promotion programs on depressive symptoms (DS) of older adults. The research was conducted with the network of primary health care in a southern capital of Brazil. In total, 119 older adult participants were allocated into different groups: behavior change (BCG; n=40), exercise (EG; n=51) and control (CG; n=28), assessed at baseline (A1) and followed-up at three (A2), six (A3) and twelve months (A4). BCG attended "VAMOS – Vida Ativa Melhorando a Saúde” (in English, Active Living Improving Health) program while EG attended aerobic gymnastic sessions. The DS were measured by the Geriatric Depression Scale (GDS-15) and level of physical activity (LPA) through accelerometers. Results show that only BCG reduced the number of older adults with high DS (A1=9; A2=4) and this reduction was maintained after six (A3=3) and twelve months (A4=4). Six older adults became physically active (BCG=3; EG=2; CG=1) after the intervention. However, there was no LPA maintenance after six and twelve months, once the frequency of insufficiently active older adults increased or was similar to baseline. When comparing DS, an interaction was found between group and assessment (F=2.94, p=0.01) for BCG, highlighting the reduction (A1=4.0; A2=2.5) and maintenance (A3=2.6; A4=2.8) of mean DS in this group. The results indicate that behavior change programs may bring benefits to the mental health of older adults and the VAMOS program seems to be a viable option for older adults in the community.
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spelling doaj-art-873263c0f5404db2b45e191598dd2be22025-01-03T01:01:04ZengSociedade Brasileira de Atividade Física e SaúdeRevista Brasileira de Atividade Física e Saúde1413-34822317-16342017-03-0122210.12820/rbafs.v.22n2p127-136Effectiveness and maintenance of behavior change and exercise programs on depressive symptoms in older adultsLucelia Borges0Simone Meurer1Tânia Benedetti2UFPRUFSCUFSC  The aim of the study was to compare the effectiveness and maintenance of two health promotion programs on depressive symptoms (DS) of older adults. The research was conducted with the network of primary health care in a southern capital of Brazil. In total, 119 older adult participants were allocated into different groups: behavior change (BCG; n=40), exercise (EG; n=51) and control (CG; n=28), assessed at baseline (A1) and followed-up at three (A2), six (A3) and twelve months (A4). BCG attended "VAMOS – Vida Ativa Melhorando a Saúde” (in English, Active Living Improving Health) program while EG attended aerobic gymnastic sessions. The DS were measured by the Geriatric Depression Scale (GDS-15) and level of physical activity (LPA) through accelerometers. Results show that only BCG reduced the number of older adults with high DS (A1=9; A2=4) and this reduction was maintained after six (A3=3) and twelve months (A4=4). Six older adults became physically active (BCG=3; EG=2; CG=1) after the intervention. However, there was no LPA maintenance after six and twelve months, once the frequency of insufficiently active older adults increased or was similar to baseline. When comparing DS, an interaction was found between group and assessment (F=2.94, p=0.01) for BCG, highlighting the reduction (A1=4.0; A2=2.5) and maintenance (A3=2.6; A4=2.8) of mean DS in this group. The results indicate that behavior change programs may bring benefits to the mental health of older adults and the VAMOS program seems to be a viable option for older adults in the community. https://rbafs.org.br/RBAFS/article/view/8392DepressionOlder AgeBehaviorLifestyleMotor Activity
spellingShingle Lucelia Borges
Simone Meurer
Tânia Benedetti
Effectiveness and maintenance of behavior change and exercise programs on depressive symptoms in older adults
Revista Brasileira de Atividade Física e Saúde
Depression
Older Age
Behavior
Lifestyle
Motor Activity
title Effectiveness and maintenance of behavior change and exercise programs on depressive symptoms in older adults
title_full Effectiveness and maintenance of behavior change and exercise programs on depressive symptoms in older adults
title_fullStr Effectiveness and maintenance of behavior change and exercise programs on depressive symptoms in older adults
title_full_unstemmed Effectiveness and maintenance of behavior change and exercise programs on depressive symptoms in older adults
title_short Effectiveness and maintenance of behavior change and exercise programs on depressive symptoms in older adults
title_sort effectiveness and maintenance of behavior change and exercise programs on depressive symptoms in older adults
topic Depression
Older Age
Behavior
Lifestyle
Motor Activity
url https://rbafs.org.br/RBAFS/article/view/8392
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AT simonemeurer effectivenessandmaintenanceofbehaviorchangeandexerciseprogramsondepressivesymptomsinolderadults
AT taniabenedetti effectivenessandmaintenanceofbehaviorchangeandexerciseprogramsondepressivesymptomsinolderadults