
A recent study underscores the potent impact of dietary diversity and regular physical activity on the mental health of older adults in China. Researchers analyzed data from the Chinese Longitudial Healthy Longevity Survey, focusing on how variations in diet and exercise habits influence anxiety, depression, and their co-occurrence. They found that seniors who consumed a varied diet and engaged in regular physical activities significantly lowered their risk of experiencing these mental health issues.
The findings reveal that maintaining a diverse diet alone significantly reduces the risk of anxiety and depressive symptoms. When combined with consistent physical activity, the benefits are even more pronounced, offering a dual shield against mental health struggles. This suggests that a holistic approach involving both nutritional variety and physical activity can be a crucial strategy in promoting mental well-being among the elderly.
The implications of these results are profound, advocating for integrated health strategies that encompass both dietary and physical interventions. Health practitioners and policymakers may consider these insights to formulate targeted prevention strategies that enhance the quality of life for seniors, potentially reducing healthcare costs associated with mental health care in this demographic.
Article Information
Published in BMC Public Health. By Yu Dong et al.
Background: The joint association of dietary diversity (DD) and physical activity (PA) on anxiety, depressive symptoms, and their comorbidity have not been extensively explored. Hence, this study focused on examining this association.
Methods: Data in this cross-sectional study was derived from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Based on self-reported dietary diversity score (DDS) questions were used to assess DD, ranging from 0 to 8. DDS < 5 was defined as insufficient DD and DDS ≥ 5 was defined as sufficient DD. PA was based on a self-reported binary question. Anxiety was assessed using the Generalized Anxiety Disorder Scale-7 (GAD-7), and depressive symptoms were evaluated by the Center for Epidemiologic Studies Depression Scale-10 (CESD-10). The independent and joint associations of DD and PA on anxiety, depressive symptoms, and their comorbidity were examined by multivariable-adjusted binary logistic regression models.
Results: In this cross-sectional study, sufficient DD was independently associated with a decreased risk of anxiety (adjusted OR = 0.57, 95% CI = 0.50-0.65), depressive symptoms (adjusted OR = 0.69, 95% CI = 0.63-0.77), and their comorbidity (adjusted OR = 0.58, 95% CI = 0.49-0.68). Similarly, exposure to current exercise was also a significant protective factor for mental health. Importantly, co-exposure to sufficient DD and current exercise may amplify the protective effects on mental health (adjusted OR = 0.47, 95% CI = 0.38-0.57 for anxiety; adjusted OR = 0.36, 95% CI = 0.31-0.42 for depressive symptoms; adjusted OR = 0.37, 95% CI = 0.29-0.48 for their comorbidity). The robustness of these associations was demonstrated in four sensitivity analyses.
Conclusions: Our study found that sufficient DD and current exercise were associated with a decreased risk of mental health disorders. Importantly, the combination of both appeared to enhance this protective effect. Our findings promote the joint assessment of DD and PA to provide new insights into health-related behaviors for prevention strategies for mental health disorders in older adults.