Evidence map›Paper›PMID 40517525›Full record

ArticlePsychoneuroendocrinology2025

Physical activity, low-grade inflammation, and psychological responses to the COVID-19 pandemic among older adults in England.

Martin N Danka, Andrew Steptoe, Eleonora Iob

Abstract read
PubMed Publisher
In one paragraph

Article in Psychoneuroendocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Martin N DankaCentre for Longitudinal Studies, UCL Social Research Institute, University College London, UK; Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, UK. Electronic address: martin.danka.21@ucl.ac.uk.
Andrew SteptoeDepartment of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, UK.
Eleonora IobDepartment of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, UK.

Funding

Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
NIA NIH HHS R01 AG017644
6 · The paper itself

Abstract

objectiveDepression and anxiety impose a significant burden on older adults. While the protective effects of physical activity (PA) are well-documented, less is known about the interplay between PA, low-grade inflammation, and mental health. Biobehavioural mechanisms underpinning mental health may become more prominent when encountering novel stressors, which were particularly prevalent during the COVID-19 pandemic. Leveraging data of a national sample of older adults from England, this study tested (1) if pre-pandemic PA and its changes during the pandemic were associated with mental health responses; (2) if older adults with low-grade inflammation experienced greater increases in depression and anxiety, compared to pre-pandemic levels; (3) if PA attenuated the inflammation-mental health associations.

methodsThe study used data from the English Longitudinal Study of Ageing, a cohort study following a national sample aged 50 + (N = 5829). Information on mental health and PA was collected before the pandemic (2016/17 and 2018/19) and during November and December 2020. Inflammation was ascertained using pre-pandemic C-reactive protein (CRP). Analyses were adjusted for sociodemographic and health-related factors and pre-pandemic mental health.

resultsIncreasing PA from before to during the pandemic was linked to reduced odds of depression (OR = 0.955, 95 % CI [0.937; 0.974]) and anxiety (OR = 0.954, 95 % CI [0.927; 0.982]). Higher pre-pandemic PA was associated with reduced odds of depression (OR = 0.964, 95 % CI [0.948; 0.981]) and anxiety (OR = 0.976, 95 % CI [0.953; 1.000]), whereas elevated CRP was associated with 1.343 times higher odds of depression (95 % CI [1.100; 1.641]). PA did not attenuate the inflammation-depression association.

conclusionsThe findings suggest that PA may contribute to psychological resilience against stressful life events among older adults but does not appear to mitigate the adverse effects of systemic inflammation on mental health. Further research is needed to explore the psychobiological pathways underlying this protective mechanism.

Indexed as

COVID-19ExerciseInflammationAgedAged, 80 and overAgingAnxietyC-Reactive ProteinDepressionEnglandFemaleHumansLongitudinal StudiesMaleMental HealthMiddle AgedC-Reactive ProteinAnxietyCOVID-19C-reactive proteinDepressionOlder adultsPhysical activity

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.