Evidence map›Paper›PMID 41126176›Full record

ArticleBMC public health2025

Psychological distress, psychosocial factors, and physical inactivity among older women and men in Sweden: a population-based study.

Susanne Nygård, Sanna Tiikkaja, Lena Lönnberg, Johnny Pellas, Michail Tonkonogi, Maria Liljeroos, Marina Arkkukangas

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Susanne NygårdDepartment of Medicine, School of Health and Welfare, Dalarna University, Falun, Sweden. susanne.nygard@fou.sormland.se.
Sanna TiikkajaDepartment of Public Health and Caring Sciences, Social Medicine/CHAP, Uppsala University, Uppsala, Sweden.
Lena LönnbergDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Johnny PellasDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Michail TonkonogiDepartment of Medicine, School of Health and Welfare, Dalarna University, Falun, Sweden.
Maria LiljeroosCentre of Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.
Marina ArkkukangasDepartment of Medicine, School of Health and Welfare, Dalarna University, Falun, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical inactivity is a major public health concern worldwide. Psychological distress is linked to physical inactivity, which increases the risk of several diseases. Women tend to be more physically inactive than men. Moreover, physical inactivity increases with age in both sexes. Therefore, this study aimed to investigate the association between psychological distress and physical inactivity in adults aged ≥ 65 years, the role of psychosocial factors and explore sex-based differences.

methodsThis study included 14,213 older adults, comprising 7,069 women (52%) (median age = 75 years), who responded to a survey questionnaire sent to a random population sample in Mid-Sweden in 2022. The response rate in the population aged ≥ 65 years was 61%. The association between psychological distress as defined by the Kessler-6 and physical inactivity (< 150 min/week of physical activity) was analyzed using binary logistic regression, adjusting for sex, age, country of birth, educational level, and psychosocial factors.

resultsOverall, 30% of the participants reported psychological distress, and 45% were physically inactive. Psychological distress and physical inactivity were significantly associated (p < 0.001), being more common among women (p < 0.001). In the fully adjusted model, the Odds Ratio (OR) for physical inactivity was 1.46 (95% confidence interval (CI) 1.43-1.50) for women and 1.70 (95% CI: 1.65-1.74) for men regarding moderate psychological distress and 2.87 (95% CI: 2.72-3.04) for women and 2.43 (95% CI: 2.28-2.58) for men regarding serious psychological distress. Not participating in social activities in the last 12 months was associated with physical inactivity in both women and men.

conclusionsPsychological distress is significantly associated with physical inactivity among older adults. Participation in social activities was identified as an essential factor in addressing physical inactivity. Social connections and physical inactivity are important factors to consider when supporting older adults' mental health. Public health interventions should promote and raise awareness of physical and mental health as well as the social dimensions of aging, while also considering age and sex-based differences.

Indexed as

ExercisePsychological DistressSedentary BehaviorStress, PsychologicalAgedAged, 80 and overFemaleHumansMaleSex FactorsSurveys and QuestionnairesSwedenExerciseKessler-6Mental healthPhysical activitySocial participation

Identifiers

PMID41126176
PMCPMC12542086

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LicenceCC BY
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Registered trials

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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.