Investigating the effect of home-based physical activity schedule on the quality of life, sleep quality, and mood of the elderly at risk of depression as compared to the control group

Document Type : Original Article


Department of Community and Family Medicine, Isfahan University of Medical Sciences, Isfahan, Iran


Background: This study aimed at investigating the effect of home-based physical activity schedule on the quality of life (QOL), sleep quality, and mood of the elderly at risk of depression as compared to the control group. Materials and Methods: The open-label randomized controlled trial was performed on 61 elderly people at risk of depression who were divided into two groups. In addition to routine care provided by the health-care center (relaxation techniques), the elderly in the intervention group were given a home-based physical activity booklet. The control group only received the routine care of the health-care center. Moreover, before and after the intervention, the results of the QOL questionnaire, petersburg sleep quality questionnaire index (PSQI), and depression questionnaire were assessed and recorded. Results: The depression scores in the 1st and 3rd months during the intervention and 1 month after the intervention were significantly lower in the intervention group with the means of 3.60 ± 3.91, 2.03 ± 2.43, and 2.66 ± 3.37 as compared with the control group with the means of 5.39 ± 2.88, 4.96 ± 2.77, and 5.13 ± 3.14, respectively (P < 0.05). Furthermore, the QOL and total PSQI scores in the physical and mental dimensions in the 3rd months during and 1 month after the intervention were higher in the intervention group as compared with the control group (P < 0.05). Conclusion: According to the findings of the study, the addition of home-based physical activity schedule to the routine care of the elderly can play a significant role in reducing the severity of their depression and improving their physical–psychological quality and sleep quality.


Laleh P, Yaser KB, Bahram P, Mohammad AJ, Mohammad-Bagher KA. The survey of the relationship between quality of life of elderly with depression and physical activity in Tabriz, Iran. J Rehab Med 2013;2:39-46.  Back to cited text no. 1
Kang HW, Park M, Wallace Hernandez JP. The impact of perceived social support, loneliness, and physical activity on quality of life in South Korean older adults. J Sport Health Sci 2018;7:237-44.  Back to cited text no. 2
Mirzaei M, Sahaf R, Mirzaei S, Sepahvand E, Pakdel A, Shemshadi H. Depression and its associated factors in elderly nursing home residents: A screening study in Khorramabad. Iran J Ageing 2015;10:54-61.  Back to cited text no. 3
Majdi M, Ghayour-Mobarhan M, Salek M, Taghi M, Mokhber N. Prevalence of depression in an elderly population: A population-based study in Iran. Iran J Psychiatry Behav Sci 2011;5:17-21.  Back to cited text no. 4
Chi SH, Wang JY, Tsai AC. Combined association of leisure‐time physical activity and fruit and vegetable consumption with depressive symptoms in older Taiwanese: Results of a national cohort study. Geriatrics Gerontol Int 2016;16:244-51.  Back to cited text no. 5
Dinas P, Koutedakis Y, Flouris A. Effects of exercise and physical activity on depression. Irish J Med Sci 2011;180:319-25.  Back to cited text no. 6
Shabani M, Hovanloo F, Ebrahim K, Hedayati M. The effect of acute resistance exercise on BDNF, IGF-1 and IGFBP-3 in the elderly. Iran J Ageing 2014;9:218-26.  Back to cited text no. 7
De Mello MT, Lemos Vde A, Antunes HK, Bittencourt L, Santos-Silva R, Tufik S. Relationship between physical activity and depression and anxiety symptoms: A population study. J Affect Disord 2013;149:241-6.  Back to cited text no. 8
Schuch F, Dunn A, Kanitz A, Delevatti R, Fleck M. Moderators of response in exercise treatment for depression: A systematic review. J Affect Dis 2016;195:40-9.  Back to cited text no. 9
Khoshbin S, Farahani A, Motlagh MS, Ghosi A, Alavian SM. A Guide to Improving a Healthy Lifestyle in Old Age: An Active Life. Publication: Tandis; 2010. p. 1-74.  Back to cited text no. 10
Arman M. The comparison of depression, anxiety and stress between active and inactive old women in Isfahan. Rehabil Med 2014;3:10-5.  Back to cited text no. 11
Wu C, Su T, Fang C, Yeh CM. Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates. J Clin Med Assoc 2012;75:75-80.  Back to cited text no. 12
Ahmadi SH, Khanekeh HR, Mohammadi F, Fllahi Khoshkenab M, Rezasoltani P. Effectiveness of treatment with limitation on sleep quality of older adults. Salmand 2010;5:7-15.  Back to cited text no. 13
Gomeñuka NA, Oliveira HB, Silva ES, Costa RR, Kanitz AC, Liedtke GV, et al. Effects of Nordic walking training on quality of life, balance and functional mobility in elderly: A randomized clinical trial. PLoS One 2019;14:e0211472.  Back to cited text no. 14
Vanderlinden J, Boen F, van Uffelen JG. Effects of physical activity programs on sleep outcomes in older adults: A systematic review. Int J Behav Nutr Phys Act 2020;17:11.  Back to cited text no. 15
Wang F, Boros S. The effect of physical activity on sleep quality: A systematic review. Europ J Physiother 2019;1:1-8.  Back to cited text no. 16
Mokhtari M, Nezakatalhossaini M, Esfarjani F. The effect of 12-week pilates exercises on depression and balance associated with falling in the elderly. Procedia Soc Behav Sci 2013;70:1714-23.  Back to cited text no. 17
Wagner AK, Wyss K, Gandek B, Kilima PM, Lorenz S, Whiting D. A Kiswahili version of the SF-36 health survey for use in Tanzania: Translation and test of scaling assumptions. Quality Life Res 1999;8:101-10.  Back to cited text no. 18
Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item short form health survey (SF-12): Factor structure, internal consistency and construct validity. BMC Public Health 2009;9:341.  Back to cited text no. 19
Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193-213.  Back to cited text no. 20
Farrahi Moghaddam J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P). Sleep Breath 2012;16:79-82.  Back to cited text no. 21
De Craen AJ, Heeren TJ, Gussekloo J. Accuracy of the 15-item geriatric depression scale (GDS-15) in a community sample of the oldest old. Int J Geriatric Psychiatry 2003;18:63-6.  Back to cited text no. 22
Sohrabi M, Zolfaghari P, Mahdizade F, Aghayan S, Ghasemian-Aghmashhadi M, Shariati Z, et al. Evaluation and comparison of cognitive state and depression in elderly admitted in sanitarium with elderly sited in personal home. Knowledge Health 2008;3:27-31.  Back to cited text no. 23
Reid KJ, Baron KG, Lu B, Naylor E, Wolfe L, Zee PC. Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia. Sleep Med 2010;11:934-40.  Back to cited text no. 24
Vukotic M. The importance of physical activity and fitness programs in older people: A systemic review. J Anthropol Sport Phys Educ 2018;2:37-41.  Back to cited text no. 25
Falck RS, Davis JC, Best JR, Crockett RA, Liu-Ambrose T. Impact of exercise training on physical and cognitive function among older adults: A systematic review and meta-analysis. Neurobiol Aging 2019;79:119-30.  Back to cited text no. 26
Sadeghi H, Alireza F. The effect of a water exercise program on static and Dynamics balance in elder women. Iran J Aging 2008;2:402-9.  Back to cited text no. 27
Liu Y, Lachman ME. A group-based walking study to enhance physical activity among older adults: The role of social engagement. Res Aging 2020; 2 (1):164027520963613.  Back to cited text no. 28
Brandão GS, Gomes GS, Brandão GS, Callou Sampaio AA, Donner CF, Oliveira LV, et al. Home exercise improves the quality of sleep and daytime sleepiness of elderlies: A randomized controlled trial. Multidiscip Respir Med 2018;13:2.  Back to cited text no. 29
Saeidimehr S, Geravandi S, Izadmehr A, Mohammadi MJ. Relationship between the quality of life and symptoms of depression among older adults. Salmand: Iran J Ageing 2016;11:90-9.  Back to cited text no. 30
Cao W, Guo C, Ping W, Tan Z, Guo Y, Zheng J. A community-based study of quality of life and depression among older adults. Int J Environ Res Public Health 2016;13:693.  Back to cited text no. 31