Search

Introduction: There is high evidence that chronic exercise benefits overall depression severity in older adults. However, late-life depression is characterized by considerable heterogeneity in clinical manifestation emphasizing the need for more individualized exercise intervention programs. Therefore, the objective of the proposed review is to investigate the effects of chronic exercise on overall depression severity and on different symptoms of depression in randomized controlled trials (RCTs) including older adults with a mean age of at least 60 years, and by considering the moderating effects of intervention characteristics and individual characteristics. Methods: This protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P). We will use the Population-Intervention-Comparator-Outcomes-Study design (PICOS) criteria for study inclusion and will search the following database sources for relevant RCTs: Web of Science, Academic Search Complete, CINAHL, APA Psycinfo, SPORTDiscuss, Cochrane. Two independent reviewers will conduct the study selection, data extraction, and quality assessment. Disagreement will be solved by a third reviewer. Primary outcome will be changes in overall depression severity and secondary outcomes will encompass changes in symptoms of depression as defined by the DSM-5, such as sleep quality, fatigue, anxiety, mood, apathy, changes in weight, information processing speed, and executive functions, from baseline until the end of the intervention and to any available intermediary measurement or follow up. Meta-analysis will be undertaken to synthesize the effects of chronic exercise on primary and secondary outcomes. Subgroup analysis will investigate the moderating effects of intervention characteristics (frequency, intensity, duration, type of exercise, cognitive demand, social interactions, exercise supervision, behavioral change techniques, compliance, study design, dropout-rate, type of control group) and individual characteristics (age, sex, education, functional capacity, global cognition, population) on primary and secondary outcomes. Additionally, we plan to assess quality of evidence and publication bias, and to carry out sensitivity analysis. Conclusion: The results of the proposed review are anticipated to have a substantial impact on research and clinical practice. On the one hand, the review's conclusions could form the foundation for developing evidence-based recommendations for individualized exercise programs that alleviate depression in older adults. On the other hand, by revealing research gaps, the review results could encourage the formulation of research questions for further RCTs. Protocol registration number: This protocol has been published in the Prospero repository (PROSPERO 2022 CRD42022361418, available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022361418) [ABSTRACT FROM AUTHOR]

Purpose: This study was planned to examine the effects of exercise on quality of life, body awareness, kinesiophobia and falling risk among young older adults. Materials and Methods: The study was performed with 74 participants (aged between 65-74) in Trabzon. Age, gender, body mass index, educational status, family structure, living with people and chronic illness were all included in the sociodemographic data form.They were divided into two groups: one exercised group of 36 people (group I) and non-exercised of 38 subjects (group II). A 12-week exercise program was applied to the study group. The SF-36 Quality of Life Questionnaire was used to evaluate the quality of life, the Body Awareness Questionnaire (BAQ) for comparing awareness conditions, the Tampa Kinesiophobia Scale (TSK-11) for the perception of kinesiophobia, and the Denn Falling Risk Scale (DENN) to determine falling risk level. Results: The mean age of the participants was 69.45 years. There were differences in terms of quality of life in all subscales between two groups. While there was a corelation between quality of life, body awareness and falling fisk in exercise group, there was no corelation in non-exercise group. There was a positive correlation between falling risk and kinesophobia in two groups. There was a negative correlation between falling risk and body awareness in exercise group. Conclusion: The presence of positive effects on the quality of life and body awareness in the older adults will shed light on planning geriatric rehabilitation programs for health professions. [ABSTRACT FROM AUTHOR]