The exercise effect on psychological well-being in older adults—a systematic review of longitudinal studies

Review
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Abstract

The aim of this systematic review was to investigate the longitudinal relationship between physical activity (PA) and the psychological domains of well-being in older adults and to identify possible moderators and mediators of this relationship. Twelve longitudinal investigations were included in this review. The results indicate that there seems to be a positive association between PA and psychological well-being over time. Thus PA may be one possible individual lifestyle factor for the long-term promotion of psychological well-being in older adults. Especially leisure time PA at light intensities conducted in group settings was identified to be beneficial for promoting psychological well-being. Furthermore, longitudinal results indicated that self-efficacy, self-esteem, affect, optimism, and pre-interventional motivation moderated/mediated the relationship between PA and psychological well-being in older adults.

Keywords

Physical activity Psychological well-being Quality of life Longitudinal association 

Der Effekt körperlicher Aktivität auf das psychische Wohlbefinden bei älteren Erwachsenen – ein systematisches Review längsschnittlicher Studien

Zusammenfassung

Ziel dieses systematischen Reviews war es, die längsschnittliche Assoziation zwischen körperlicher Aktivität und dem psychischen Wohlbefinden bei älteren Erwachsenen zu untersuchen und mögliche Moderatoren und Mediatoren dieser Beziehung zu identifizieren. Zwölf Längsschnittstudien konnten in das Review einbezogen werden. Die Ergebnisse deuten darauf hin, dass ein positiver Zusammenhang zwischen körperlicher Aktivität und dem psychischen Wohlbefinden über die Zeit besteht. Somit kann körperliche Aktivität als ein potenzieller individueller Lebensstilfaktor für die langfristige Förderung des psychischen Wohlbefindens bei älteren Erwachsenen angesehen werden. Es scheint, dass sich vor allem Freizeitaktivitäten mit niedriger Intensität, die in Gruppen durchgeführt werden, positiv auf das psychische Wohlbefinden auswirken. Des Weiteren zeigen die längsschnittlichen Ergebnisse, dass Selbstwirksamkeit, Selbstwertgefühl, Affekt, Optimismus und die Motivation vor Interventionsbeginn einen Einfluss auf die Beziehung zwischen körperlicher Aktivität und psychologischem Wohlbefinden bei älteren Personen haben.

Schlüsselwörter

Körperliche Aktivität Psychologisches Wohlbefinden Lebensqualität Längsschnittliche Assoziation 

Notes

Compliance with ethical guidelines

Conflict of interest

I. Bragina and C. Voelcker-Rehage declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors.

References

  1. Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: the model of selective optimization with compensation. Successful aging. Perspectives from the behavioral sciences, 1, 1–34.Google Scholar
  2. Beard, J. G., & Ragheb, M. G. (1980). Measuring leisure satisfaction. Journal of leisure Research, 12(1), 20.CrossRefGoogle Scholar
  3. Bilotta, C., Bowling, A., Case, A., Nicolini, P., Mauri, S., Castelli, M., & Vergani, C. (2010). Dimensions and correlates of quality of life according to frailty status: a cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy. Health and quality of life outcomes, 8, 56.  https://doi.org/10.1186/1477-7525-8-56.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Bilotta, C., Bowling, A., Nicolini, P., Case, A., Pina, G., Rossi, S. V., & Vergani, C. (2011). Older People’s Quality of Life (OPQOL) scores and adverse health outcomes at a one-year follow-up. A prospective cohort study on older outpatients living in the community in Italy. Health and quality of life outcomes, 9, 72.  https://doi.org/10.1186/1477-7525-9-72.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Buckworth, J., & Tomporowski, P. (2013). Exercise psychology: Human kinetics Google Scholar
  6. Carver, C. S., Scheier, M. F., & Segerstrom, S. C. (2010). Optimism. Clinical psychology review, 30(7), 879–889.  https://doi.org/10.1016/j.cpr.2010.01.006.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Clow, A., & Edmunds, S. (2014). Physical activity and mental health: human kinetics Google Scholar
  8. Diener, E. (2009). Subjective well-being. In A. C. Michalos & E. Diener (Eds.), The science of well-being vol. 37 (pp. 11–58). Dordrecht: Springer.CrossRefGoogle Scholar
  9. Dyrstad, S. M., Hansen, B. H., Holme, I. M., & Anderssen, S. A. (2014). Comparison of self-reported versus accelerometer-measured physical activity. Medicine & Science in Sports & Exercise, 46(1), 99–106.CrossRefGoogle Scholar
  10. Elavsky, S., McAuley, E., Motl, R. W., Konopack, J. F., Marquez, D. X., Hu, L., Jerome, G. J., & Diener, E. (2005). Physical activity enhances long-term quality of life in older adults: efficacy, esteem, and affective influences. Annals of Behavioral Medicine, 30(2), 138–145.CrossRefPubMedGoogle Scholar
  11. Friedman, E. M., Ruini, C., Foy, R., Jaros, L., Sampson, H., & Ryff, C. D. (2017). Lighten UP! A community-based group intervention to promote psychological well-being in older adults. Aging & mental health, 21(2), 199–205.  https://doi.org/10.1080/13607863.2015.1093605.CrossRefGoogle Scholar
  12. Gale, C. R., Cooper, C., Deary, I. J., & Sayer, A. A. (2014). Psychological well-being and incident frailty in men and women: the English Longitudinal Study of Ageing. Psychological medicine, 44(4), 697–706.  https://doi.org/10.1017/s0033291713001384.CrossRefPubMedGoogle Scholar
  13. Hagstromer, M., Ainsworth, B. E., Oja, P., & Sjostrom, M. (2010). Comparison of a subjective and an objective measure of physical activity in a population sample. Journal of Physical Activity and Health, 7(4), 541–550.CrossRefPubMedGoogle Scholar
  14. Han, W.-J., & Shibusawa, T. (2015). Trajectory of physical health, cognitive status, and psychological well-being among Chinese elderly. Archives of gerontology and geriatrics, 60(1), 168–177.CrossRefPubMedGoogle Scholar
  15. Heo, J., Culp, B., Yamada, N., & Won, Y. (2013). Promoting successful aging through competitive sports participation: insights from older adults. Qualitative health research, 23(1), 105–113.  https://doi.org/10.1177/1049732312457247.CrossRefPubMedGoogle Scholar
  16. Higgins, J. P., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions. Vol. 4. Hoboken: John Wiley & Sons.Google Scholar
  17. van Hoecke, A.-S., Delecluse, C., Bogaerts, A., & Boen, F. (2014a). Effects of need-supportive physical activity counseling on well-being: a 2-year follow-up among sedentary older adults. Journal of physical activity & health, 11(8), 1492–1502.  https://doi.org/10.1123/jpah.2012-0497.CrossRefGoogle Scholar
  18. van Hoecke, A.-S., Delecluse, C., Bogaerts, A., & Boen, F. (2014b). The long-term effectiveness of need-supportive physical activity counseling compared with a standard referral in sedentary older adults. Journal of aging and physical activity, 22(2), 186–198.  https://doi.org/10.1123/japa.2012-0261.CrossRefPubMedGoogle Scholar
  19. Kahana, E., Lawrence, R. H., Kahana, B., Kercher, K., Wisniewski, A., Stoller, E., Tobin, J., & Stange, K. (2002). Long-term impact of preventive proactivity on quality of life of the old-old. Psychosomatic medicine, 64(3), 382–394.CrossRefPubMedGoogle Scholar
  20. Kim, E. S., Kubzansky, L. D., Soo, J., & Boehm, J. K. (2016a). Maintaining healthy behavior: a prospective study of psychological well-being and physical activity. Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine.  https://doi.org/10.1007/s12160-016-9856-y.Google Scholar
  21. Kim, J., Lee, S., Chun, S., Han, A., & Heo, J. (2016b). The effects of leisure-time physical activity for optimism, life satisfaction, psychological well-being, and positive affect among older adults with loneliness. Annals of Leisure Research, 8(1), 1–10.  https://doi.org/10.1080/11745398.2016.1238308.Google Scholar
  22. Ku, P.-W., Fox, K. R., & McKenna, J. (2008). Assessing subjective well-being in Chinese older adults: the Chinese aging well profile. Social Indicators Research, 87(3), 445–460.CrossRefGoogle Scholar
  23. Ku, P.-W., Fox, K. R., Chang, C.-Y., Sun, W.-J., & Chen, L.-J. (2014). Cross-sectional and longitudinal associations of categories of physical activities with dimensions of subjective well-being in Taiwanese older adults. Social Indicators Research, 117(3), 705–718.  https://doi.org/10.1007/s11205-013-0394-8.CrossRefGoogle Scholar
  24. Ku, P.-W., Fox, K. R., & Chen, L.-J. (2016a). Leisure-Time Physical Activity, Sedentary Behaviors and Subjective Well-Being in Older Adults: An Eight-Year Longitudinal Research. Social Indicators Research, 127(3), 1349–1361.  https://doi.org/10.1007/s11205-015-1005-7.CrossRefGoogle Scholar
  25. Ku, P.-W., Fox, K. R., Liao, Y., Sun, W.-J., & Chen, L.-J. (2016b). Prospective associations of objectively assessed physical activity at different intensities with subjective well-being in older adults (pp. 2909–2919).  https://doi.org/10.1007/s11136-016-1309-3. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation, 25(11)Google Scholar
  26. Kunzmann, U., Little, T. D., & Smith, J. (2000). Is age-related stability of subjective well-being a paradox?: cross-sectional and longitudional evidence from the Berlin Aging Study. Psychology and aging, 15(3), 511–526.  https://doi.org/10.1037//0882-7974.15.3.511.CrossRefPubMedGoogle Scholar
  27. Lee, C., & Russell, A. (2003). Effects of physical activity on emotional well-being among older effects of physical activity on emotional well-being among older Australian women. Cross-sectional and longitudinal analyses. Journal of Psychosomatic Research, 54, 155–160.CrossRefPubMedGoogle Scholar
  28. Lu, L. (2011). Leisure experiences and depressive symptoms among Chinese older people: a national survey in Taiwan. Educational Gerontology, 37(9), 753–771.CrossRefGoogle Scholar
  29. Markides, K. S., Dickson, H. D., & Pappas, C. (1982). Characteristics of dropouts in longitudinal research on aging: a study of Mexican Americans and Anglos. Experimental Aging Research, 8(3), 163–167.CrossRefPubMedGoogle Scholar
  30. Mavrovouniotis, F. H., Argiriadou, E. A., & Papaioannou, C. S. (2010). Greek traditional dances and quality of old people’s life. Journal of bodywork and movement therapies, 14(3), 209–218.  https://doi.org/10.1016/j.jbmt.2008.11.005.CrossRefPubMedGoogle Scholar
  31. McAuley, E., & Morris, K. S. (2007). State of the art review: advances in physical activity and mental health: quality of life. American Journal of Lifestyle Medicine, 1(5), 389–396.  https://doi.org/10.1177/1559827607303243.CrossRefGoogle Scholar
  32. Netz, Y., Wu, M.-J., Becker, B. J., & Tenenbaum, G. (2005). Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies. Psychology and aging, 20(2), 272–284.  https://doi.org/10.1037/0882-7974.20.2.272.CrossRefPubMedGoogle Scholar
  33. Nordbakke, S., & Schwanen, T. (2013). Well-being and mobility: a theoretical framework and literature review focusing on older people. Mobilities, 9(1), 104–129.  https://doi.org/10.1080/17450101.2013.784542.CrossRefGoogle Scholar
  34. Olson, E. A., Fanning, J. T., Awick, E. A., Chung, H. D., & McAuley, E. (2014). Differential trajectories of well-being in older adult women: the role of optimism. Applied psychology. Health and well-being, 6(3), 362–380.  https://doi.org/10.1111/aphw.12033.CrossRefPubMedPubMedCentralGoogle Scholar
  35. Ostir, G. V., Ottenbacher, K. J., & Markides, K. S. (2004). Onset of frailty in older adults and the protective role of positive affect. Psychology and aging, 19(3), 402–408.  https://doi.org/10.1037/0882-7974.19.3.402.CrossRefPubMedGoogle Scholar
  36. Östlund, B. (2010). Watching television in later life: a deeper understanding of TV viewing in the homes of old people and in geriatric care contexts. Scandinavian journal of caring sciences, 24(2), 233–243.CrossRefPubMedGoogle Scholar
  37. Pasco, J. A., Williams, L. J., Jacka, F. N., Henry, M. J., Coulson, C. E., Brennan, S. L., Leslie, E., Nicholson, G. C., Kotowicz, M. A., & Berk, M. (2011). Habitual physical activity and the risk for depressive and anxiety disorders among older men and women. International psychogeriatrics, 23(2), 292–298.  https://doi.org/10.1017/s1041610210001833.CrossRefPubMedGoogle Scholar
  38. Rejeski, W. J., & Mihalko, S. L. (2001). Physical activity and quality of life in older adults. Journals of Gerontology: Series A, 56 A(Special Issue 11), 23–35.CrossRefGoogle Scholar
  39. Ryff, C. D., Dienberg, L. G., Urry, H. L., Muller, D., Rosenkranz, M. A., Friedman, E. M., Davidson, R. J., & Singer, B. (2006). Psychological well-being and ill-being: do they have distinct or mirrored biological correlates? Psychotherapy and psychosomatics, 75(2), 85–95.  https://doi.org/10.1159/000090892.CrossRefPubMedGoogle Scholar
  40. Schüz, B., Wurm, S., Warner, L. M., & Tesch-Römer, C. (2009). Health and subjective well-being in later adulthood: different health states-different needs? Applied Psychology: Health and Well-Being, 1(1), 23–45.  https://doi.org/10.1111/j.1745-7254.2007.00657.x-i1.Google Scholar
  41. Solberg, P. A., Halvari, H., Ommundsen, Y., & Hopkins, W. G. (2014). A 1‑year follow-up of effects of exercise programs on well-being in older adults. Journal of aging and physical activity, 22(1), 52–64.  https://doi.org/10.1123/japa.2012-0181.CrossRefPubMedGoogle Scholar
  42. Spirduso, W. W., & Cronin, D. L. (2001). Exercise dose-response effects on quality of life and independent living in older adults. Med. Sci. Sports Exerc, 33(6), S598–S608.CrossRefPubMedGoogle Scholar
  43. Tunstall-Pedoe, H. (2006). Preventing chronic diseases. A vital investment: WHO global report (p. 200). Geneva: World Health Organization. CHF 30.00. ISBN 92 4 1563001. Also published on http://www.who.int/chp/chronic_disease_report/en. International Journal of Epidemiology, 35(4), 1107.  https://doi.org/10.1093/ije/dyl098 Google Scholar
  44. Urry, H. L., Nitschke, J. B., Dolski, I., Jackson, D. C., Dalton, K. M., Mueller, C. J., Rosenkranz, M. A., Ryff, C. D., Singer, B. H., & Davidson, R. J. (2004). Making a life worth living: neural correlates of well-being. Psychological science, 15(6), 367–372.  https://doi.org/10.1111/j.0956-7976.2004.00686.x.CrossRefPubMedGoogle Scholar
  45. Vagetti, G. C., Barbosa Filho, V. C., Moreira, N. B., Oliveira, V. D., Mazzardo, O., & Campos, W. D. (2014). Association between physical activity and quality of life in the elderly: a systematic review, 2000–2012. Revista Brasileira de Psiquiatria, 36(1), 76–88.CrossRefPubMedGoogle Scholar
  46. Verbrugge, L. M., & Jette, A. M. (1994). The disablement process. Social Science & Medicine, 38(1), 1–14.CrossRefGoogle Scholar
  47. Wells, G., Shea, B., O’Connell, D., Peterson, J., Welch, V., Losos, M., & Tugwell, P. (2014). Newcastle-Ottawa quality assessment scale, cohort studies Google Scholar

Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Sports Psychology, Institute of Human Movement Science and Health, Faculty of Behavioral and Social SciencesChemnitz University of TechnologyChemnitzGermany

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