Background: Depression and osteoporosis are two chronic diseases that affect many people and have a significant impact on incidence, mortality, and quality of life. An association between osteoporosis and depression has been described in the literature. However, few studies have reported the correlation between depression and physical activity in elderly patients with osteoporosis in China.
Methods: This cross-sectional study was conducted from August 1, 2020, to January 29, 2021. Eligible participants were aged ≥60 years and identified as having osteoporosis. One hundred and seventy-three patients were recruited in the outpatient department of West China Hospital. A self-designed demographic data questionnaire, self-rating anxiety scale (SAS), self-rating depression scale (SDS), and physical activity scale in the elderly (PASE) were used to evaluate anxiety and depression status and physical activity of the participants. Multivariate linear regression was performed to evaluate the factors affecting physical activity. Spearman’s correlation coefficient was used to analyze the correlation among physical activity, anxiety, and depression in elderly patients with osteoporosis.
Results: Of the 173 participants with osteoporosis, 114 (65.9%) were aged 60-75 years. The physical activity scores were 78.17±3.03.131 (75.72%) for participants with anxiety and 122 (70.52%) for participants with depression. Multiple linear regression showed that age, education, smoking, participation in social activity, activity of daily life, frailty phenotype, SAS, and SDS were independent risk factors for physical activity in elderly patients with osteoporosis. Physical activity was negatively correlated with anxiety and depression. This means that the higher the physical activity score was, the lower the incidence of anxiety and depression.
Conclusions: We found that anxiety and depression were prevalent, and physical activity was negatively correlated with anxiety and depression in elderly patients with osteoporosis in China. Medical staff should focus on the factors that influence anxiety and depression among elderly patients with osteoporosis and reduce the incidence of anxiety and depression.