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Aging Ment Health. 2019 Jun;23(6):680-685. doi: 10.1080/13607863.2018.1450833. Epub 2018 Apr 2.

The impact of exercise on depressive symptoms in older Hispanic/Latino adults: results from the '¡Caminemos!' study.

Author information

1
a School of Social Work , University of Illinois at Urbana-Champaign , Urbana , IL , United States.
2
b Department of Kinesiology and Community Health , University of Illinois at Urbana-Champaign , Urbana , IL , United States.
3
c Department of Medicine , David Geffen School of Medicine at UCLA and VA Greater Los Angeles Geriatric Research Education and Clinical Center , Los Angeles , CA , United States.

Abstract

OBJECTIVES:

We examined the prospective effects of an evidence-based exercise intervention on depressive symptoms in older Hispanics/Latinos and the potential synergistic effects (if any) of an attribution-retraining component to counter negative ascriptions to the aging process.

METHOD:

We analyzed baseline, 1-, 12-, 24-month data collected from Hispanics/Latinos ≥ 60 years participating in an exercise intervention ("¡Caminemos!") across 27 senior centers (N = 572). All participants were given 4 weekly 1-hour group-based exercise classes targeting strength training, endurance, balance and flexibility. In addition, they were randomly assigned to one of two conditions: a) treatment group-a 1-hour attribution retraining session where participants were taught that aging does not mean one inevitably becomes sedentary, or b) control group-generic health education. The Geriatric Depression Scale was used to assess depressive symptoms. Covariates included age, sex, education, income, marital status, acculturation, and number of chronic conditions.

RESULTS:

In prospective analyses, participants in both trial arms displayed lower scores for depressive symptoms at 12- (β1 = -0.17, p = 0.04) and 24-months (β2 = -0.33, p < 0.001) when compared to baseline values.

CONCLUSION:

Given expected growth of the older Hispanic/Latino adult population, exercise programs are a promising strategy in promoting favorable mental health.

KEYWORDS:

Older Hispanic/Latino adults; age reattribution; depressive symptoms; exercise intervention; randomized trial

PMID:
29608340
PMCID:
PMC6494707
[Available on 2020-06-01]
DOI:
10.1080/13607863.2018.1450833

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