Our friend James is concerned about his 82-year-old mother, who lost her husband and sister within a couple of months this year.
She’s showing signs of depression, which can be grave. Plus, she was recently diagnosed with AFib, or atrial fibrillation, and is working with her doctors to bring her heart to a proper, steady rate. AFib can lead to stroke, heart failure, and other problems.
James’ mother has friends and family to support her. She’s in good health and has been reasonably physically active. Working out with resistance bands at home, tracking her steps, and going to yoga classes before her husband began ailing a few years ago.
James has learned that depression and AFib are common, serious problems for people over 50.
“I’ve also learned we have a powerful tool to treat them,” he says. “Exercise.”
Depression Is A Serious Illness
The American Association of Geriatric Psychiatry says 15 percent of people over 65 have symptoms of depression that interfere with their physical, mental, and emotional health.
Researchers at the University of Washington say mature adults with significant depression have healthcare costs 50 percent higher than those without it. The World Health Organization says that by next year, depression will be the second leading cause of premature death and disability around the world.
The good news? Research proves that exercise:
- Improves mood
- Reduces anxiety
- Increases the ability to handle stress
- Improves sleep
Scientists at the Duke University Medical Center tested exercise against antidepressants in 156 outpatients 50 and older. The two treatments worked about the same in eliminating symptoms, and exercise was better than medication in keeping depression from recurring.
A Connection to Heart Disease
Depression brings a higher risk of heart disease and exercise improves fitness, of course, and helps lower the risk of both, according to a study published in the JAMA Network.
“Depression doesn’t exist in a vacuum,” said Dr. Madhukar Trivedi, who wrote the report.
“Especially for people who are older, depression has a complicated relationship with other major medical diseases.”
Among the findings:
- Fit people are 16 percent less likely to develop depression.
- Fit people are 61 percent less likely to die from heart disease.
- Even among people with depression, those who are fit have a 56 percent lower risk of dying from heart-related problems.
“Exercise not only reduces your risk of heart disease but also improves your depression, so I really see it as a bonafide treatment related to depression,” said Trivedi.
“I want primary care physicians to prescribe not only antidepressants but also prescribe a dose of exercise for the treatment of depression.”
Serious Issues We Can Fight
Experts say physical activity is usually good for people with AFib, according to WebMD.
“But before you start ramping up your workouts, ask your cardiologist (your heart doctor) if you need any tests.”
The Mayo Clinic says doctors routinely recommend exercise and a healthy diet for patients with AFib. Again, talk to your doctor.
And the American College of Cardiology says:
Studies show that compared with people with AFib who do not exercise, those who do:
- have fewer AFib episodes,
- go to the hospital less often, and
- report better quality of life
As for James’ mom, he’s going with her on doctor appointments, helping her maintain social routines – and encouraging her to exercise.
“These are serious issues,” he says. “But we can fight them.”
- See your doctor for more information about depression and heart disease, including AFib.
According to the statistics from the World Health Organization, about 12.9 million people worldwide died from some form of cardiovascular disease in 2004. And each year, the World Cancer Research Fund estimated that some eight million people died from cancer. Heart disease and cancer, the deadly manifestation of chronic inflammation, are expected to remain as the leading causes of death in developed countries for many years to come.
