Skip to main content
Log in

Husbands’ and Wives’ Physical Activity and Depressive Symptoms: Longitudinal Findings from the Cardiovascular Health Study

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

When examining older adults’ health behaviors and psychological health, it is important to consider the social context.

Purpose

The purpose of this study was to examine in older adult marriages whether each spouse’s physical activity predicted changes in their own (actor effects) and their partner’s (partner effects) depressive symptoms. Gender differences were also examined.

Method

Each spouse within 1260 married couples (at baseline) in the Cardiovascular Health Study completed self-report measures at wave 1 (1989–1990), wave 3 (1992–1993), and wave 7 (1996–1997). Dyadic path analyses were performed.

Results

Husbands’ physical activity significantly predicted own decreased depressive symptoms (actor effect). For both spouses, own physical activity did not significantly predict the spouse’s depressive symptoms (partner effects). However, husbands’ physical activity and depressive symptoms predicted wives’ physical activity and depressive symptoms (partner effects), respectively. Depressive symptoms did not predict physical activity.

Conclusion

Findings suggest that husbands’ physical activity is particularly influential for older married couples’ psychological health.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Loprinzi PD. Objectively measured light and moderate-to-vigorous physical activity is associated with lower depression levels among older US adults. Aging Ment Health. 2013; 17(7): 801-805.

    Article  PubMed  Google Scholar 

  2. Teychenne M, Ball K, Salmon J. Physical activity and likelihood of depression in adults: A review. Prev Med. 2008; 46(5): 397-411.

    Article  PubMed  Google Scholar 

  3. Kerse N, Hayman KJ, Moyes SA, et al. Home-based activity program for older people with depressive symptoms: DeLLITE–a randomized controlled trial. Ann Fam Med. 2010; 8(3): 214-223.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Blumenthal JA, Babyak MA, Moore KA, et al. Effects of exercise training on older patients with major depression. Arch Intern Med. 1999; 159(19): 2349-2356.

    Article  CAS  PubMed  Google Scholar 

  5. Phillips WT, Kiernan M, King AC. Physical activity as a nonpharmacological treatment for depression: A review. Complement Health Pract Rev. 2003; 8(2): 139-152.

    Google Scholar 

  6. Roberts RE, Kaplan GA, Shema SJ, Strawbridge WJ. Does growing old increase the risk for depression? Am J Psychiatr. 1997; 154(10): 1384-1390.

    Article  CAS  PubMed  Google Scholar 

  7. Stewart AL, Hays RD, Wells KB, Rogers WH, Spritzer KL, Greenfield S. Long-term functioning and well-being outcomes associated with physical activity and exercise in patients with chronic conditions in the medical outcomes study. J Clin Epidemiol. 1994; 47(7): 719-730.

    Article  CAS  PubMed  Google Scholar 

  8. Meyler D, Stimpson JP, Peek MK. Health concordance within couples: A systematic review. Soc Sci Med. 2007; 64(11): 2297-2310.

    Article  PubMed  Google Scholar 

  9. Li K-K, Cardinal BJ, Acock AC. Concordance of physical activity trajectories among middle-aged and older married couples: Impact of diseases and functional difficulties. J Gerontol B Psychol Sci Soc Sci. 2013; 68(5): 794-806.

    Article  PubMed  Google Scholar 

  10. Ayotte BJ, Yang FM, Jones RN. Physical health and depression: A dyadic study of chronic health conditions and depressive symptomatology in older adult couples. J Gerontol B Psychol Sci Soc Sci. 2010; 65(4): 438-448.

    Article  PubMed  Google Scholar 

  11. Hoppmann C, Gerstorf D. Spousal interrelations in old age–a mini-review. Gerontology. 2009; 55(4): 449-459.

    Article  PubMed  Google Scholar 

  12. Hoppmann CA, Gerstorf D, Hibbert A. Spousal associations between functional limitation and depressive symptom trajectories: Longitudinal findings from the study of Asset and Health Dynamics Among the Oldest Old (AHEAD). Health Psychol. 2011; 30(2): 153.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Ryan LH, Wan WH, Smith J. Spousal social support and strain: Impacts on health in older couples. J Behav Med. 2014; 37: 1108-1117.

  14. Samios C, Pakenham KI, O’Brien J. A Dyadic and longitudinal investigation of adjustment in couples coping with multiple sclerosis. Ann Behav Med. 2014; 49: 74-83.

  15. Cesari M, Vellas B, Hsu F-C, et al. A physical activity intervention to treat the frailty syndrome in older persons—results from the LIFE-P study. J Gerontol A Biol Sci Med Sci. 2014; 70(2): 216-222.

  16. Martire LM, Schulz R, Helgeson VS, Small BJ, Saghafi EM. Review and meta-analysis of couple-oriented interventions for chronic illness. Ann Behav Med. 2010; 40(3): 325-342.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Conn V, Valentine J, Cooper H. Interventions to increase physical activity among aging adults: A meta-analysis. Ann Behav Med. 2002; 24(3): 190-200.

    Article  PubMed  Google Scholar 

  18. Pettee KK, Brach JS, Kriska AM, et al. Influence of marital status on physical activity levels among older adults. Med Sci Sports Exerc. 2006; 38(3): 541-546.

    Article  PubMed  Google Scholar 

  19. Townsend AL, Miller B, Guo S. Depressive symptomatology in middle-aged and older married couples a dyadic analysis. J Gerontol Ser B Psychol Sci Soc Sci. 2001; 56(6): S352-S364.

    Article  CAS  Google Scholar 

  20. Umberson D. Gender, marital status and the social control of health behavior. Soc Sci Med. 1992; 34(8): 907-917.

    Article  CAS  PubMed  Google Scholar 

  21. Troped PJ. SRP. Gender differences in social influence on physical activity at different stages of exercise adoption. Am J Health Promot. 1998; 13: 112-115.

    Article  CAS  PubMed  Google Scholar 

  22. Kelley HH, Thibaut JW. Interpersonal Relations: A theory of Interdependence. New York: Wiley; 1978.

    Google Scholar 

  23. Hatfield E, Cacioppo JT. Emotional Contagion. New York: Cambridge University Press; 1994.

    Google Scholar 

  24. Aron A, Aron EN, Tudor M, Nelson G. Close relationships as including other in the self. J Pers Soc Psychol. 1991; 60(2): 241-253.

    Article  Google Scholar 

  25. Graham JM. Self-expansion and flow in couples’ momentary experiences: An experience sampling study. J Pers Soc Psychol. 2008; 95(3): 679.

    Article  PubMed  Google Scholar 

  26. Moschny A, Platen P, Klaaßen-Mielke R, Trampisch U, Hinrichs T. Barriers to physical activity in older adults in Germany: A cross-sectional study. Int J Behav Nutr Phys Act. 2011; 8(8): 121.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Monin JK, Clark MS. Why do men benefit more from marriage than do women? Thinking more broadly about interpersonal processes that occur within and outside of marriage. Sex Roles. 2011; 65(5-6): 320-326.

    Article  Google Scholar 

  28. Belle D. Gender Differences in the Social Moderators of Stress. Stress and Coping: An Anthology. 3rd ed. New York, NY: Columbia University Press; 1991: 258-274.

    Google Scholar 

  29. Uchino BN, Cacioppo JT, Kiecolt-Glaser JK. The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychol Bull. 1996; 119(3): 488.

    Article  CAS  PubMed  Google Scholar 

  30. Kiecolt-Glaser JK, Newton TL. Marriage and health: His and hers. Psychol Bull. 2001; 127(4): 472.

    Article  CAS  PubMed  Google Scholar 

  31. Roshanaei-Moghaddam B, Katon WJ, Russo J. The longitudinal effects of depression on physical activity. Gen Hosp Psychiatry. 2009; 31(4): 306-315.

    Article  PubMed  Google Scholar 

  32. Weyerer S, Kupfer B. Physical exercise and psychological health. Sports Med. 1994; 17(2): 108-116.

    Article  CAS  PubMed  Google Scholar 

  33. Fried LP, Borhani NO, Enright P, et al. The cardiovascular health study: Design and rationale. Ann Epidemiol. 1991; 1(3): 263-276.

    Article  CAS  PubMed  Google Scholar 

  34. Orme JG, Reis J, Herz EJ. Factorial and discriminant validity of the center for epidemiological studies depression (CES‐D) scale. J Clin Psychol. 1986; 42(1): 28-33.

    Article  CAS  PubMed  Google Scholar 

  35. Ainsworth BE, Haskell WL, Leon AS, et al. Compendium of physical activities: Classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993; 25(1): 71-80.

    Article  CAS  PubMed  Google Scholar 

  36. Miller ME, Rejeski WJ, Reboussin BA, Ten Have TR, Ettinger WH. Physical activity, functional limitations, and disability in older adults. J Am Geriatr Soc. 2000; 48(10): 1264-1272.

  37. McAuley E, Blissmer B, Marquez DX, Jerome GJ, Kramer AF, Katula J. Social relations, physical activity, and well-being in older adults. Prev Med. 2000; 31(5): 608-617.

    Article  CAS  PubMed  Google Scholar 

  38. Cohen S, Mermelstein R, Kamarck T, Hoberman HM. Measuring the functional components of social support. In Social support: Theory, research and applications. Netherlands: Springer; 1985: 73-94.

  39. Newsom JT, Schulz R. Caregiving from the recipient’s perspective: Negative reactions to being helped. Health Psychol. 1998; 17(2): 172.

    Article  CAS  PubMed  Google Scholar 

  40. Kenny DA, Kashy DA, Cook WL. Dyadic Data Analysis. New York: Guilford Press; 2006.

    Google Scholar 

  41. Kim Y, Kashy DA, Wellisch DK, Spillers RL, Kaw CK, Smith TG. Quality of life of couples dealing with cancer: Dyadic and individual adjustment among breast and prostate cancer survivors and their spousal caregivers. Ann Behav Med. 2008; 35(2): 230-238.

    Article  PubMed  Google Scholar 

  42. Bollen KA. A new incremental fit index for general structural equation models. Sociol Method Res. 1989; 17(3): 303-316.

    Article  Google Scholar 

  43. Lt H, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model Multidiscip J. 1999; 6(1): 1-55.

    Article  Google Scholar 

  44. Blair SL. The Division of Household Labor. Handbook of Marriage and the Family. 3rd ed. New York, NY: Springer Science + Business Media; 2013: 613-635.

    Book  Google Scholar 

  45. Hochschild A, Machung A. The Second Shift: Working Families and the Revolution at Home. New York: Penguin Books; 2012.

  46. Freedman VA, Cornman JC, Carr D. Is spousal caregiving associated with enhanced well-being? New evidence from the panel study of income dynamics. J Gerontol B Psychol Sci Soc Sci. 2014; 69(6): 861-9.

  47. Benenson JF. Gender differences in social networks. J Early Adolesc. 1990; 10(4): 472-495.

    Article  Google Scholar 

  48. Graham H. Caring: A labour of love. In: Finch J, Groves D, eds. A Labour of Love: Women, Work and Caring. London: Routledge & Kegan Paul; 1983: 13-30, esp. 17.

  49. Fowler JH, Christakis NA. Dynamic spread of happiness in a large social network: Longitudinal analysis over 20 years in the Framingham Heart Study. BMJ. 2008;337.

  50. Monin I, Schulz R. Interpersonal effects of suffering in older adult caregiving relationships. Psychol Aging. 2009; 24(3): 681.

    Article  PubMed Central  PubMed  Google Scholar 

  51. Harada ND, Chiu V, King AC, Stewart AL. An evaluation of three self-report physical activity instruments for older adults. Med Sci Sports & Exerc. 2001; 33(6): 962-970.

  52. Jackson S, Steptoe A, Wardle J. The influence of partner's behavior on health behavior change: The English Longitudinal Study of Ageing. JAMA Intern Med. 2015; 175(3): 385-392.

Download references

Authors’ Statement of Conflict of Interest and Adherence to Ethical Standards

There are no conflicts of interest relevant to this work. Funding sources include a career development award to Joan Monin from the National Institute on Aging, National Institutes of Health (K01 AG042450-01A1) and an award from Yale’s Pepper Center (P30AG021342). This research was also supported by contracts HHSN268201200036C, HHSN268200800007C, N01 HC55222, N01HC85079, N01HC85080, N01HC85081, N01HC85082, N01HC85083, N01HC85086, and grant HL080295 from the National Heart, Lung, and Blood Institute (NHLBI), with additional contribution from the National Institute of Neurological Disorders and Stroke (NINDS). Additional support was provided by AG023629 from the National Institute on Aging (NIA). A full list of principal CHS investigators and institutions can be found at CHS-NHLBI.org. Support was also provided to Becca Levy from the National Institute on Aging (R01AG023993), National Heart, Lung and Blood Institute (R01HL089314).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joan K. Monin Ph.D..

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Monin, J.K., Levy, B., Chen, B. et al. Husbands’ and Wives’ Physical Activity and Depressive Symptoms: Longitudinal Findings from the Cardiovascular Health Study. ann. behav. med. 49, 704–714 (2015). https://doi.org/10.1007/s12160-015-9705-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12160-015-9705-4

Keywords

Navigation