Title

ACTIVEDEP: a randomised, controlled trial of a home-based exercise intervention to alleviate depression in middle-aged and older adults

Document Type

Journal Article

Publisher

B M J Publishing Group

Faculty

Faculty of Health, Engineering and Science

School

School of Medical Sciences/Systems and Intervention Research Centre for Health

RAS ID

15940

Comments

This article was originally published as: Pffaf, J., Alfonso, H., Newton, R. , Sim, M. G., Flicker, L., & Almeida, O. (2013). ACTIVEDEP: a randomised, controlled trial of a home-based exercise intervention to alleviate depression in middle-aged and older adults. British Journal of Sports Medicine, 48(3), 226-232. Original article available here

Abstract

Objective: To evaluate the efficacy of a home-based exercise programme added to usual medical care for the treatment of depression. Design: Prospective, two group parallel, randomised controlled study. Setting: Community-based. Patients: 200 adults aged 50 years or older deemed to be currently suffering from a clinical depressive illness and under the care of a general practitioner. Interventions: Participants were randomly allocated to either usual medical care alone (control) or usual medical care plus physical activity (intervention). The intervention consisted of a 12-week home-based programme to promote physical activity at a level that meets recently published guidelines for exercise in people aged 65 years or over. Main outcome measurements: Severity of depression was measured with the structured interview guide for the Montgomery-Asberg Depression Rating Scale (SIGMA), and depression status was assessed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Results: Remission of depressive illness was similar in both the usual care (59%) and exercise groups (63%; OR = 1.18, 95% CI 0.61 to 2.30) at the end of the 12-week intervention, and again at the 52-week follow-up (67% vs 68%) (OR=1.07, 95% CI 0.56 to 2.02). There was no change in objective measures of fitness over the 12-week intervention among the exercise group. Conclusions: This home-based physical activity intervention failed to enhance fitness and did not ameliorate depressive symptoms in older adults, possibly due to a lack of ongoing supervision to ensure compliance and optimal engagement.

DOI

10.1136/bjsports-2013-092510

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