Cited by 76Physical Activity and HealthTreatment of Major DepressionAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Effectiveness of Physical Exercise in Older Adults With Mild to Moderate Depression

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Hidalgo, Jesús López-Torres, Sotos, Joseba Rabanales, DEP-EXERCISE Group·2021·The Annals of Family Medicine

Abstract

PURPOSE We sought to compare the effectiveness of physical exercise with that of treatment with antidepressant drugs routinely used in clinical practice, in terms of decreasing depressive symptomatology in patients aged ≥65 years who present with clinical criteria of a depressive episode. METHODS We conducted a randomized clinical trial in a primary care setting. A total of 347 patients aged ≥65 years with a clinically significant depressive episode were randomized to participation in a supervised physical exercise program or to receive antidepressant treatment by their general practitioners. RESULTS Intention-to-treat analysis showed that the cumulative incidence of improvement in depressive symptomatology (Montgomery-Åsberg Depression Rating Scale score <10) in the physical activity (PA) group after 1 month was not significantly different from that in the antidepressant treatment (AT) group. However, the proportion of those who showed improvement was significantly greater (P <.01) in the AT group (60.6% and 49.7%) compared to the PA group (45.6% and 32.9%) at the end of 3 and 6 months, respectively. The number of withdrawals was greater in the PA group (39.2% and 58.2%) compared to the AT group (22.6% and 40.0%) at 3 and 6 months, respectively, yet the proportion of participants with adverse side effects was greater in the AT group (8.9% vs 22.5%; P = .007). CONCLUSION Although improvement was initially similar in both treatment groups, AT was superior in the medium term, despite giving rise to a greater number of adverse effects.

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Research works printed but not linked: 3

  1. Blumenthal JA, Smith PJ, Hoffman BM. Is exercise a viable treat- ment for depression? ACSMs Health Fit J. 2012; 16(4): 14-21.
  2. ANNALS OF FAMILY MEDICINE ✦ WWW.ANNFAMMED.ORG ✦ VOL. 19, NO. 4 ✦ JULY/AUGUST 2021
  3. Lobo A, Chamorro L, Luque A, Dal-Ré R, Badia X, Baró E; Grupo de Validación en Español de Escalas Psicométricas (GVEEP). [Validation of the Spanish versions of the Montgomery-Asberg depression and Hamilton anxiety rating scales]. Med Clin (Barc). 2002; 118(13): 493- 499. [Article in Spanish]

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Authors
Hidalgo, J. L.-T., Sotos, J. R., & DEP-EXERCISE Group
Venue
The Annals of Family Medicine
Published
2021-07
Volume
19
Issue
4
Pages
302-309
ISSN
  • 1544-1709 (ISSN-L)
  • 1544-1717
OpenAlex
W3177800321
Cited by
76
References
43
Citations by year
2026: 15 · 2025: 22 · 2024: 20 · 2023: 11 · 2022: 8
FWCI
6.12
Type
journal article
Language
en
Open access
Locations
  • The Annals of Family Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • RUIdeRA - Institutional University Repository (University of Castilla-La Mancha) (submittedVersion, other-oa)
Funders
European Regional Development Fund
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
physical activity, depression, older adults, antidepressants, depressive symptoms, exercise therapy, primary care, adverse effects, treatment withdrawal, antidepressant efficacy
MeSH terms
Aged, Aged, 80 and over, Antidepressive Agents, Depression, Exercise Therapy, Female, Humans, Male, Primary Health Care, Exercise, Treatment Outcome, Intention to Treat Analysis

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