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Centre for Policy on Ageing | |
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Is exercise effective in promoting mental well-being in older age?
— a systematic review | | Author(s) | Gill Windle, Dyfrig Hughes, Pat Linck |
| Journal title | Aging & Mental Health, vol 14, no 6, August 2010 |
| Publisher | Taylor & Francis, August 2010 |
| Pages | pp 652-669 |
| Source | http://www.tandfonline.com |
| Keywords | Exercise ; Well being ; Cost effectiveness ; Qualitative Studies ; Literature reviews. |
| Annotation | The clinical and cost-effectiveness of exercise and physical activity interventions on mental well-being in people aged 65+ is examined through a systematic review, meta-analysis, economic model. Reports published in English were 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 relating to exercise and physical activity interventions for people aged 65+ living at home, in the community, in supported housing or in residential care homes. Eligible studies included outcome measures of mental well-being, not simply measures of depression or anxiety; low-quality studies were excluded from the data synthesis. 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 minutes 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 £7300 and £12,100 per quality adjusted life year (QALY) gained for community-based walking and exercise programmes, respectively. 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. (KJ/RH). |
| Accession Number | CPA-101014208 A |
| Classmark | CEA: D:F:5HH: WEC: 3DP: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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