Cargando…
Worsened Ability to Engage in Social and Physical Activity During the COVID-19 Pandemic and Older Adults’ Mental Health: Longitudinal Analysis From the Canadian Longitudinal Study on Aging
BACKGROUND AND OBJECTIVES: Restrictions implemented to mitigate the transmission of coronavirus disease 2019 (COVID-19) affected older adults’ ability to engage in social and physical activities. We examined mental health outcomes of older adults reporting worsened ability to be socially and physica...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10533203/ https://www.ncbi.nlm.nih.gov/pubmed/37771714 http://dx.doi.org/10.1093/geroni/igad086 |
_version_ | 1785112141900021760 |
---|---|
author | Cosco, Theodore D Wister, Andrew Best, John R Riadi, Indira Kervin, Lucy Hopper, Shawna Basta, Nicole E Wolfson, Christina Kirkland, Susan A Griffith, Lauren E McMillani, Jacqueline M Raina, Parminder |
author_facet | Cosco, Theodore D Wister, Andrew Best, John R Riadi, Indira Kervin, Lucy Hopper, Shawna Basta, Nicole E Wolfson, Christina Kirkland, Susan A Griffith, Lauren E McMillani, Jacqueline M Raina, Parminder |
author_sort | Cosco, Theodore D |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Restrictions implemented to mitigate the transmission of coronavirus disease 2019 (COVID-19) affected older adults’ ability to engage in social and physical activities. We examined mental health outcomes of older adults reporting worsened ability to be socially and physically active during the pandemic. RESEARCH DESIGN AND METHODS: Using logistic regression, we examined the relationship between positive screen for depression (10-item Center for Epidemiological Studies—Depression Scale) or anxiety (7-item Generalized Anxiety Scale) at the end of 2020 and worsened ability to engage in social and physical activity during the first 6–9 months of the pandemic among older adults in Canada. Interactions between ability to participate in social and physical activity and social participation pre-COVID (2015–2018) and physical activity were also examined. We analyzed data collected before and during the COVID pandemic from the Canadian Longitudinal Study on Aging, a nationally representative longitudinal cohort: pre-pandemic (2015–2018), COVID-Baseline survey (April to May 2020), and COVID-Exit survey (September to December 2020). RESULTS: Of the 24,108 participants who completed the COVID-Exit survey, 21.96% (n = 5,219) screened positively for depression and 5.04% (n = 1,132) for anxiety. Worsened ability to participate in social and physical activity was associated with depression (odds ratio [OR] = 1.85 [95% confidence interval {CI} 1.67–2.04]; OR = 2.46 [95% CI 2.25–2.69]), respectively, and anxiety (OR = 1.66 [95% CI 1.37–2.02] and OR = 1.96 [95% CI 1.68–2.30]). Fully adjusted interaction models identified a buffering effect of social participation and the ability to participate in physical activity on depression (χ(2) [1] = 8.86, p = .003 for interaction term). DISCUSSION AND IMPLICATIONS: Older adults reporting worsened ability to participate in social and physical activities during the COVID-19 pandemic had poorer mental health outcomes than those whose ability remained the same or improved. These findings highlight the importance of fostering social and physical activity resources to mitigate the negative mental health impacts of future pandemics or other major life stressors that may affect the mental health of older adults. |
format | Online Article Text |
id | pubmed-10533203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-105332032023-09-28 Worsened Ability to Engage in Social and Physical Activity During the COVID-19 Pandemic and Older Adults’ Mental Health: Longitudinal Analysis From the Canadian Longitudinal Study on Aging Cosco, Theodore D Wister, Andrew Best, John R Riadi, Indira Kervin, Lucy Hopper, Shawna Basta, Nicole E Wolfson, Christina Kirkland, Susan A Griffith, Lauren E McMillani, Jacqueline M Raina, Parminder Innov Aging Original Report BACKGROUND AND OBJECTIVES: Restrictions implemented to mitigate the transmission of coronavirus disease 2019 (COVID-19) affected older adults’ ability to engage in social and physical activities. We examined mental health outcomes of older adults reporting worsened ability to be socially and physically active during the pandemic. RESEARCH DESIGN AND METHODS: Using logistic regression, we examined the relationship between positive screen for depression (10-item Center for Epidemiological Studies—Depression Scale) or anxiety (7-item Generalized Anxiety Scale) at the end of 2020 and worsened ability to engage in social and physical activity during the first 6–9 months of the pandemic among older adults in Canada. Interactions between ability to participate in social and physical activity and social participation pre-COVID (2015–2018) and physical activity were also examined. We analyzed data collected before and during the COVID pandemic from the Canadian Longitudinal Study on Aging, a nationally representative longitudinal cohort: pre-pandemic (2015–2018), COVID-Baseline survey (April to May 2020), and COVID-Exit survey (September to December 2020). RESULTS: Of the 24,108 participants who completed the COVID-Exit survey, 21.96% (n = 5,219) screened positively for depression and 5.04% (n = 1,132) for anxiety. Worsened ability to participate in social and physical activity was associated with depression (odds ratio [OR] = 1.85 [95% confidence interval {CI} 1.67–2.04]; OR = 2.46 [95% CI 2.25–2.69]), respectively, and anxiety (OR = 1.66 [95% CI 1.37–2.02] and OR = 1.96 [95% CI 1.68–2.30]). Fully adjusted interaction models identified a buffering effect of social participation and the ability to participate in physical activity on depression (χ(2) [1] = 8.86, p = .003 for interaction term). DISCUSSION AND IMPLICATIONS: Older adults reporting worsened ability to participate in social and physical activities during the COVID-19 pandemic had poorer mental health outcomes than those whose ability remained the same or improved. These findings highlight the importance of fostering social and physical activity resources to mitigate the negative mental health impacts of future pandemics or other major life stressors that may affect the mental health of older adults. Oxford University Press 2023-08-19 /pmc/articles/PMC10533203/ /pubmed/37771714 http://dx.doi.org/10.1093/geroni/igad086 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Report Cosco, Theodore D Wister, Andrew Best, John R Riadi, Indira Kervin, Lucy Hopper, Shawna Basta, Nicole E Wolfson, Christina Kirkland, Susan A Griffith, Lauren E McMillani, Jacqueline M Raina, Parminder Worsened Ability to Engage in Social and Physical Activity During the COVID-19 Pandemic and Older Adults’ Mental Health: Longitudinal Analysis From the Canadian Longitudinal Study on Aging |
title | Worsened Ability to Engage in Social and Physical Activity During the COVID-19 Pandemic and Older Adults’ Mental Health: Longitudinal Analysis From the Canadian Longitudinal Study on Aging |
title_full | Worsened Ability to Engage in Social and Physical Activity During the COVID-19 Pandemic and Older Adults’ Mental Health: Longitudinal Analysis From the Canadian Longitudinal Study on Aging |
title_fullStr | Worsened Ability to Engage in Social and Physical Activity During the COVID-19 Pandemic and Older Adults’ Mental Health: Longitudinal Analysis From the Canadian Longitudinal Study on Aging |
title_full_unstemmed | Worsened Ability to Engage in Social and Physical Activity During the COVID-19 Pandemic and Older Adults’ Mental Health: Longitudinal Analysis From the Canadian Longitudinal Study on Aging |
title_short | Worsened Ability to Engage in Social and Physical Activity During the COVID-19 Pandemic and Older Adults’ Mental Health: Longitudinal Analysis From the Canadian Longitudinal Study on Aging |
title_sort | worsened ability to engage in social and physical activity during the covid-19 pandemic and older adults’ mental health: longitudinal analysis from the canadian longitudinal study on aging |
topic | Original Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10533203/ https://www.ncbi.nlm.nih.gov/pubmed/37771714 http://dx.doi.org/10.1093/geroni/igad086 |
work_keys_str_mv | AT coscotheodored worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT wisterandrew worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT bestjohnr worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT riadiindira worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT kervinlucy worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT hoppershawna worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT bastanicolee worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT wolfsonchristina worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT kirklandsusana worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT griffithlaurene worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT mcmillanijacquelinem worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging AT rainaparminder worsenedabilitytoengageinsocialandphysicalactivityduringthecovid19pandemicandolderadultsmentalhealthlongitudinalanalysisfromthecanadianlongitudinalstudyonaging |