Meeting the WHO Physical Activity Guidelines is Associated With Lower Odds of Depression in Older Adults: Potential Psychosomatic Mechanisms.

OBJECTIVES: Limited data exist on the association between physical activity (PA) and depression in older adults from low- and middle-income countries (LMICs). In this study, we examine the association between meeting the World Health Organization (WHO) PA guidelines and depression in adults aged ≥50 years in Ghana and investigate the psychosomatic factors explaining this association. METHODS: Cross-sectional data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana (2016-18) were analyzed. Depression was assessed with the Center for Epidemiological Studies Depression Scale (CES-D-10). PA was assessed using the International Physical Activity Questionnaire Short Form (IPAQ-SF). Multivariable logistic regression and Hayes PROCESS macro with bootstrapping mediation analyses were performed to evaluate the hypothesized associations. RESULTS: The study included 1201 individuals (mean [SD] age 66.1 [11.9] years; 63.3% women). The prevalence of meeting PA guidelines and depression was 36.7% and 29.5%, respectively. Meeting the WHO-recommended PA guidelines was associated with a 16% lower rate of developing depression even after adjusting for potential confounders (OR = 0.84, p <0.001). This association was much stronger among men and those aged 50-64 years. Loneliness, social isolation, sleep problems, functional limitations, and pain characteristics largely mediated the association of PA with depression. CONCLUSIONS: PA was negatively associated with depression among older adults in Ghana, and psychosocial and physical factors partially explained the association. The promotion of PA in old age may aid in the prevention of depression, especially in men and those aged 50-64 years. Longitudinal data may confirm our findings.

Water quality modeling of a prairie river-lake system.

Eutrophication of an under-ice river-lake system in Canada has been modeled using the Water Quality Analysis Simulation Program (WASP7). The model was used to assess the potential effect on water quality of increasing inter-basin transfer of water from an upstream reservoir into the Qu'Appelle River system. Although water is currently transferred, the need for increased transfer is a possibility under future water management scenarios to meet water demands in the region. Output from the model indicated that flow augmentation could decrease total ammonia and orthophosphate concentrations especially at Buffalo Pound Lake throughout the year. This is because the water being transferred has lower concentrations of these nutrients than the Qu'Appelle River system, although there is complex interplay between the more dilute chemistry, and the potential to increase loads by increasing flows. A global sensitivity analysis indicated that the model output for the lake component was more sensitive to input parameters than was the model output of the river component. Sensitive parameters included dissolved organic nitrogen mineralization rate, phytoplankton nitrogen to carbon ratio, phosphorus-to-carbon ratio, maximum phytoplankton growth rate, and phytoplankton death rate. Parameter sensitivities on output variables for the lake component were similar for both summer (open water) and winter (ice-covered), whereas those for the river component were different. The complex interplay of water quality, ice behaviors, and hydrodynamics of the chained river-lake system was all coupled in WASP7. Mean absolute error varied from 0.03-0.08 NH4-N/L for ammonium to 0.5 to1.7 mg/L for oxygen, and 0.04-0.13 NO3-N/L for nitrate.

Dynamic water quality modelling and uncertainty analysis of phytoplankton and nutrient cycles for the upper South Saskatchewan River.

The surface water quality of the upper South Saskatchewan River was modelled using Water Quality Analysis Simulation Program (WASP) 7.52. Model calibration and validation were based on samples taken from four long-term water quality stations during the period 2007-2009. Parametric sensitivities in winter and summer were examined using root mean square error (RMSE) and relative entropy. The calibration and validation results show good agreement between model prediction and observed data. The two sensitivity methods confirmed pronounced parametric sensitivity to model state variables in summer compared to winter. Of the 24 parameters examined, dissolved oxygen (DO) and ammonia (NH3-N) are the most influenced variables in summer. Instream kinetic processes including nitrification, nutrient uptake by algae and algae respiration induce a higher sensitivity on DO in summer than in winter. Moreover, in summer, soluble reactive phosphorus (SRP) and chlorophyll-a (Chla) variables are more sensitive to algal processes (nutrient uptake and algae death). In winter however, there exists some degree of sensitivity of algal processes (algae respiration and nutrient uptake) to DO and NH3-N. Results of this study provide information on the state of the river water quality which impacts Lake Diefenbaker and the need for additional continuous monitoring in the river. The results of the sensitivity analysis also provide guidance on most sensitive parameters and kinetic processes that affect eutrophication for preliminary surface water quality modelling studies in cold regions.