BACKGROUND: Promoting the mental well-being of older people has been neglected. AIM: To examine the clinical and cost-effectiveness of exercise and physical activity interventions on mental well-being in people aged 65+. DESIGN: Systematic review, meta-analysis, economic model. METHODS: Reports published in English, identified by searching 25 databases, 11 websites and references lists of systematic reviews. Eligible studies were those with a comparison or control group or offering qualitative evidence; exercise and physical activity interventions for people aged 65 and above living at home, in the community, in supported housing or in residential care homes; including outcome measures of mental well-being, not simply measures of depression or anxiety. Low-quality studies were excluded from the data synthesis. RESULTS: An overall effect of exercise on mental well-being was found (standardised effect size = 0.27; CI = 0.14-0.40). The included interventions were designed for older people, targeted those who are sedentary and delivered in a community setting, primarily through a group-based approach led by trained leaders. As a minimum, the evidence would suggest two exercise sessions per week, each of 45 min duration. There is some indication that exercise can also improve the mental well-being of frail elders. Economic evidence indicated incremental cost-effectiveness ratios (compared with minimal intervention) of pound 7300 and pound 12,100 per quality adjusted life year gained for community-based walking and exercise programmes, respectively. CONCLUSIONS: Mental well-being in later life is modifiable through exercise and physical activity. To generalise the findings, there is a need for more evidence of effectiveness from older people in the UK.
BACKGROUND: Promoting the mental well-being of older people has been neglected. AIM: To examine the clinical and cost-effectiveness of exercise and physical activity interventions on mental well-being in people aged 65+. DESIGN: Systematic review, meta-analysis, economic model. METHODS: Reports published in English, identified by searching 25 databases, 11 websites and references lists of systematic reviews. Eligible studies were those with a comparison or control group or offering qualitative evidence; exercise and physical activity interventions for people aged 65 and above living at home, in the community, in supported housing or in residential care homes; including outcome measures of mental well-being, not simply measures of depression or anxiety. Low-quality studies were excluded from the data synthesis. RESULTS: An overall effect of exercise on mental well-being was found (standardised effect size = 0.27; CI = 0.14-0.40). The included interventions were designed for older people, targeted those who are sedentary and delivered in a community setting, primarily through a group-based approach led by trained leaders. As a minimum, the evidence would suggest two exercise sessions per week, each of 45 min duration. There is some indication that exercise can also improve the mental well-being of frail elders. Economic evidence indicated incremental cost-effectiveness ratios (compared with minimal intervention) of pound 7300 and pound 12,100 per quality adjusted life year gained for community-based walking and exercise programmes, respectively. CONCLUSIONS: Mental well-being in later life is modifiable through exercise and physical activity. To generalise the findings, there is a need for more evidence of effectiveness from older people in the UK.
Authors: Michelle J Naughton; Robert L Brunner; Patricia E Hogan; Suzanne C Danhauer; Gretchen A Brenes; Deborah J Bowen; Beverly M Snively; Joseph S Goveas; Nazmus Saquib; Oleg Zaslavsky; Sally A Shumaker Journal: J Gerontol A Biol Sci Med Sci Date: 2016-03 Impact factor: 6.053
Authors: David X Marquez; Susan Aguiñaga; Priscilla M Vásquez; David E Conroy; Kirk I Erickson; Charles Hillman; Chelsea M Stillman; Rachel M Ballard; Bonny Bloodgood Sheppard; Steven J Petruzzello; Abby C King; Kenneth E Powell Journal: Transl Behav Med Date: 2020-10-12 Impact factor: 3.046