We assessed the associations between: 1) depressive symptoms and physical inactivity (n=2184); and 2) aging and physical inactivity (n= 4726), using the patient data from Dutch primary care populations participating in CVRM.
Activity levels were measured by the patient reported Rapid Assessment of Physical Activity (RAPA) questionnaire. Symptoms of depression were determined using the Patient Health Questionnaire (PHQ-9).
To assess the association between depressive symptomatology we performed a multilevel linear regression analysis (95%CIs), using random slopes and intercepts, adjusting for the following potential confounders: score on the patient activation measure (PAM) questionnaire, age and smoking, gender and whether or not suffering a cardiovascular disease.
Also a multilevel regression analysis was used to explore the association between aging and physical inactivity, adjusting for confounders that modified the regression coefficient for age by more than 10%.
These studies support the identification of physical inactivity levels and tailoring CVRM interventions to individual patients’ needs and capacities. Multidisciplinary lifestyle interventions should aim at the increase of physical activity levels, while emphasizing on improving symptoms of depression. They do not support the notion that extra emphasis should be put in targeting men or women, or people with or without a history of cardiovascular disease.
> From: Achttien et al., BMC Cardiovasc Disord 19 (2019) 95 . All rights reserved to The Author(s). Click here for the online summary.
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On top of that, the additional reference for this summary is:
Achttien RJ, Lieshout JV, Wensing M, Nijhuis-van der Sanden M, Staal JB. The decline in physical activity in aging people is not modified by gender or the presence of cardiovascular disease. Eur J Public Health. 2019 [Epub ahead of print] (Click here for the Pubmed abstract!)
