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dc.contributor.authorPfaff, J.
dc.contributor.authorAlfonso, Helman
dc.contributor.authorNewton, R.
dc.contributor.authorSim, M.
dc.contributor.authorFlicker, L.
dc.contributor.authorAlmeida, O.
dc.date.accessioned2017-01-30T11:58:35Z
dc.date.available2017-01-30T11:58:35Z
dc.date.created2015-10-29T04:08:50Z
dc.date.issued2014
dc.identifier.citationPfaff, J. and Alfonso, H. and Newton, R. and Sim, M. and Flicker, L. and Almeida, O. 2014. 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): pp. 226-232.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/16931
dc.identifier.doi10.1136/bjsports-2013-092510
dc.description.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.

dc.titleACTIVEDEP: A randomised, controlled trial of a home-based exercise intervention to alleviate depression in middle-aged and older adults
dc.typeJournal Article
dcterms.source.volume48
dcterms.source.number3
dcterms.source.startPage226
dcterms.source.endPage232
dcterms.source.issn0306-3674
dcterms.source.titleBritish Journal of Sports Medicine
curtin.departmentEpidemiology and Biostatistics
curtin.accessStatusFulltext not available


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