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Stratakis K, Terzić-Šupić Z, Todorović J, Nešić D, Novaković I. Physical activity and mental health of medical students. Cent Eur J Public Health 2024; 32:39-44. [PMID: 38669156 DOI: 10.21101/cejph.a8097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 03/29/2024] [Indexed: 04/28/2024]
Abstract
OBJECTIVE Medical students usually do not meet the recommendations on the minimum level of physical activity, despite knowing the impact that physical activity has on the prevention and treatment of various diseases. Medical students are considered to be insufficiently physically active. The aim of this study is to determine the prevalence of physically active fifth-year medical students at five universities in Serbia, as well as to identify factors associated with insufficient physical activity of students. METHODS A cross-sectional study was performed in the population of fifth-year medical students from five different universities in Serbia. The research instrument was a questionnaire specially designed based on similar research. Descriptive and analytical statistics methods were used in statistical analysis. RESULTS The study included a total of 573 fifth-year medical students from five universities in Serbia: 311 (54.3%) Belgrade; 86 (15.0%) Kragujevac; 58 (10.1%) Nis; 66 (11.5%) Kosovska Mitrovica; 52 (9.1%) Novi Sad. Insufficient physical activity was statistically significantly associated with studying at the University of Kosovska Mitrovica (OR = 3.98, 95% CI: 1.83-8.57). There was a statistically significant difference in the frequency of anti-anxiety medications use in the last 12 months between students with sufficient and insufficient physical activity (p = 0.040) as well as in the average number of cigarettes smoked per day between students with sufficient and those with insufficient physical activity (2.82 ± 6.35 vs. 4.50 ± 8.29, p = 0.043). There was also a statistically significant difference in the average score on the Beck's depression scale between students with sufficient and students with insufficient physical activity (6.51 ± 6.59 vs. 10.03 ± 9.37, p < 0.001) and in the average score on Zung's anxiety scale (34.86 ± 8.18 vs. 38.07 ± 8.71, p = 0.003). CONCLUSION A high percentage of medical faculty students (86.6%) are physically active. Differences in the level of physical activity were observed between students of these five universities as well as between students with different levels of physical activity.
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Affiliation(s)
| | - Zorica Terzić-Šupić
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | | | - Dejan Nešić
- Institute for Medical Physiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Ivana Novaković
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Lu Y, Li Z, Qin K, Chen J, Zeng N, Yan B, Liu D. Association between perceived neighborhood environment and depression among residents living in mega-communities in Guiyang, China: a cross-sectional study. BMC Public Health 2024; 24:343. [PMID: 38302930 PMCID: PMC10836001 DOI: 10.1186/s12889-024-17844-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 01/22/2024] [Indexed: 02/03/2024] Open
Abstract
BACKGROUND Little was known about the relationship between perceived neighborhood environment and depression among residents living in mega-communities. Furthermore, the mediating effects of physical activity (PA) and anxiety in this relationship have not been investigated. Thus, this study aimed to comprehensively examine the association between perceived neighborhood environment and depression among residents living in mega-communities, and test whether PA and anxiety mediated the association. METHODS A cross-sectional study on perceived neighborhood environment and depression was conducted among individuals who lived in mega-communities (n = 665) in Guiyang, China from July to August 2022. Perceived neighborhood environment was assessed from the following six aspects: traffic, building quality, accessibility, neighborhood, indoor, and pollution. Depression was measured by the Patients Health Questionnaire-9. Structural equation model was used to evaluate the association between perceived neighborhood environment and depression, and test the mediating effect of PA and anxiety in this association. RESULTS We found that neighborhood (β = -0.144, p = 0.002) and PA (β = -0.074, p < 0.001) were both negatively associated with depression, while anxiety was positively associated with depression (β = 0.447, p < 0.001). Married residents were less likely to experience depression than residents of other marital status. PA played a mediator role in the relationship between accessibility and depression (β = 0.014, p = 0.033). PA mediated the relationship between neighborhood and depression (β = -0.032, p = 0.015). The mediating effect of anxiety in the relationship between perceived neighborhood environment and depression was not significant. CONCLUSIONS This study demonstrated that neighborhood, which was assessed by satisfaction with safety, hygiene, parking, greening, lighting, and building shape, was negatively associated with depression, and PA mediated the relationship.
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Affiliation(s)
- Yong Lu
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China
| | - Zenglin Li
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China
| | - Kai Qin
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China
| | - Jiao Chen
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China
| | - Nana Zeng
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China
| | - Bo Yan
- Guangzhou Medical University Library, Guangzhou, China.
| | - Di Liu
- School of Public Health, Guangzhou Medical University, Guangzhou, China.
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Park JH, Lim NK, Park HY. Sex-based differences in the association of leisure-time physical activity with the risk of depression: the Ansan and Ansung study of the Korean Genome and Epidemiology Study (KoGES). Front Public Health 2023; 11:1176879. [PMID: 37397713 PMCID: PMC10311255 DOI: 10.3389/fpubh.2023.1176879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 05/30/2023] [Indexed: 07/04/2023] Open
Abstract
Objective Depression is a serious mental disorder which is the leading cause of suicide. This study investigated the association between incident depression and 4-year leisure-time physical activity (PA) levels and/or resistance training (RT). Methods This community-based Korean cohort included 3,967 participants without depression at baseline. The average PA-time (the total duration of moderate-intensity leisure-time PA) up to 4 years prior to baseline enrollment was calculated to evaluate the cumulative levels of PA. Participants were divided into four groups based on their average PA-time: "Non-PA," " <150 min/week," "150-299 min/week," and "≥300 min/week." Furthermore, based on compliance to PA guidelines (≥150 min/week of PA-time) and participation in RT, the participants were categorized into four subgroups: "Low-PA," "Low-PA+RT," "High-PA," and "High-PA+RT." A multivariate Cox proportional hazards regression model was used to assess the 4-year incidence of depression according to leisure-time PA levels and/or regularity of RT. Results During the mean 3.72 ± 0.69 years of follow-up, 432 participants (10.89%) developed depression. In women, performing 150-299 min/week of moderate-intensity leisure-time PA was associated with a 38% risk reduction for incident depression (HR, 0.62; CI, 0.43-0.89; p < 0.05), whereas more than 300 min/week of that was related to a 44% risk reduction for incident depression (HR, 0.56; CI, 0.35-0.89; p < 0.05) as compared to that in the Non-PA group. However, in men, there was no significant relationship between the amount of leisure-time PA per week and the risk of incident depression. Moreover, in both sexes, RT had no significant effect on depression in either the Low-PA or High-PA group. Conclusions There was an inverse dose-response association between leisure-time PA levels and incident depression only in women, whereas adding RT to high levels of PA had no significant effect on depression in either sex.
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Affiliation(s)
- Jae Ho Park
- Division of Population Health Research, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea
| | - Nam-Kyoo Lim
- Division of Population Health Research, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea
| | - Hyun-Young Park
- Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea
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Norris RJ, Oancea SC, Nucci LB. Self-Reported Chronic Back Pain and Current Depression in Brazil: A National Level Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5501. [PMID: 37107784 PMCID: PMC10138957 DOI: 10.3390/ijerph20085501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 03/26/2023] [Accepted: 04/07/2023] [Indexed: 05/11/2023]
Abstract
There is limited literature investigating the association between chronic back pain (CBP) and depression in Brazil. This study evaluates the association between CBP, CBP-related physical limitations (CBP-RPL), and self-reported current depression (SRCD), in a nationally representative sample of Brazilian adults. The data for this cross-sectional study came from the 2019 Brazilian National Health Survey (n = 71,535). The Personal Health Questionnaire depression scale (PHQ-8) was used to measure the SRCD outcome. The exposures of interest were self-reported CBP and CBP-RPL (none, slight, moderate, and high limitation). Multivariable weighted and adjusted logistic regression models were used to investigate these associations. The weighted prevalence of SRCD among CBP was 39.5%. There was a significant weighted and adjusted association between CBP and SRCD (weighted and adjusted odds ratio (WAOR) 2.69 (95% CI: 2.45-2.94). The WAOR of SRCD among individuals with high, moderate, and slight levels of physical limitation was significantly greater than for those without physical limitation due to CBP. Among Brazilian adults with high levels of CBP-RPL, there was over a five-fold increased risk of SRCD compared to those without CBP-RPL. These results are important for increasing awareness of the link between CBP and SRCD and for informing health services policies.
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Affiliation(s)
- Ryan J. Norris
- Department of Pathology, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND 58202, USA
- Department of Anesthesiology, School of Medicine, Wake Forest University, Winston-Salem, NC 27109, USA
| | - S. Cristina Oancea
- Department of Population Health, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND 58202, USA
| | - Luciana B. Nucci
- Health Sciences Post Graduate Program, School of Life Sciences, Pontifical Catholic University of Campinas (PUC-Campinas), Campinas 130869-00, SP, Brazil
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da Silva AS, Melo JCDN, Pereira ZS, dos Santos JC, Silva RJDS, Araújo RHDO, Sampaio RAC. Correlates of Physical Activity in Brazilian Older Adults: The National Health Survey 2019. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2463. [PMID: 36767827 PMCID: PMC9915002 DOI: 10.3390/ijerph20032463] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 01/27/2023] [Accepted: 01/28/2023] [Indexed: 06/18/2023]
Abstract
Engagement in physical activity (PA) depends on intrapersonal, interpersonal/cultural, organizational, physical environment and political factors. Considering that it is important to understand this phenomenon in different populational contexts, this study aimed to investigate the factors related to engagement in PA according to sociodemographic aspects, eating habits, self-rated health, activities of daily living, noncommunicable diseases, mental health and public policies in Brazilian older people. This study had a cross-sectional design and used data from the Brazilian National Health Survey, 2019. Sample size was composed of 22,726 participants, aged 60 years or older, of both sexes, and all the data were collected by interview/questionnaire. According to the adjusted logistic regression, males were more active than females (OR = 1.59 (95% CI 1.40-1.80)), and those living in northern and northeastern Brazil were more likely to be inactive when compared to the southeastern region. Moreover, those with a higher educational level and income (OR = 1.36 (1.06-1.73) and OR = 1.60 (1.22-2.11)); with healthy eating habits (OR = 1.05 (1.03-1.06)); with positive self-rated health (OR = 2.67 (95% CI 1.51-4.71)); with better functional autonomy (OR = 1.22 (1.17-1.27)); and who reported that there was some public place (square, park, closed street, beach) to go for a walk, exercise or practice sport close to their home were more likely to be active (OR = 1.49 (1.34-1.67)). Sociodemographic factors, healthy eating habits, positive self-rated health, higher functioning in activities of daily living and living close to places where PA is practiced were associated with regular engagement in PA (i.e., ≥150 min/week).
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Affiliation(s)
- Amanda Santos da Silva
- Postgraduate Program in Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
| | | | - Zainovan Serrão Pereira
- Postgraduate Program in Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
| | - Jullyane Caldas dos Santos
- Postgraduate Program in Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
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Mrejen M, Hone T, Rocha R. Socioeconomic and racial/ethnic inequalities in depression prevalence and the treatment gap in Brazil: A decomposition analysis. SSM Popul Health 2022; 20:101266. [PMID: 36281244 PMCID: PMC9587003 DOI: 10.1016/j.ssmph.2022.101266] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 09/09/2022] [Accepted: 10/10/2022] [Indexed: 11/05/2022] Open
Abstract
Depression is a major global health burden and there are stark socioeconomic inequalities in both the prevalence of depression and access to treatment for depression. In Brazil, racial/ethnic inequalities are of particular concern, but the factors contributing to these inequalities remain mostly unknown. This paper firstly explores determinants of depression and the treatment gap (i.e., untreated afflicted individuals) in Brazil and identifies if socio-economic and health system factors explain changes over time. Secondly, it analyses income and racial/ethnic inequalities in depression and the treatment gap and identifies factors explaining inequalities through decomposition methods. Data from two waves (2013 and 2019) of a representative household-based survey are used. In 2019, 10.8% of adults were depressed, but over 70% of depressed adults did not receive care. Black or brown/mixed Brazilians were more likely to have untreated depression, and region of residence was the most important determinant of these racial/ethnic inequalities. Notably, 44.6% of the difference in the treatment gap between white individuals and black and brown/mixed individuals was not explained by differences in observables, which could potentially be due to discrimination or difficulties in accessing treatment due to other non-observable characteristics. Employment, age, exposure to violence and physical activity are the main contributing factors to income inequalities in depression. These results suggest that policies aimed at improving the levels of exposure of lower-income individuals to risk factors may positively impact mental health and mental health inequalities, while addressing inequalities in service provision and resourcing for mental health and tackling barriers to access stemming from discrimination are essential to bridge the treatment gap equitably. In 2019, 10.8% of adults were depressed, but over 70% of depressed adults did not receive care. Lower income individuals were more likely to have depression. Black or brown/mixed individuals were more likely to have untreated depression. Region of residence was the most important determinant of racial/ethnic inequalities in the treatment gap. Exposure to violence and physical activity are relevant contributing factors to income inequalities in depression.
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Affiliation(s)
- Matías Mrejen
- Instituto de Estudos para Políticas de Saúde, São Paulo, Brazil,Corresponding author.
| | - Thomas Hone
- Public Health Policy Evaluation Unit, Imperial College London, London, UK
| | - Rudi Rocha
- São Paulo School of Business Administration (FGV EAESP) & Instituto de Estudos para Políticas de Saúde, São Paulo, Brazil
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Effects of Mood Regulation on Sociodemographic Status, Exercise Pattern, and Physical Conditions of Chinese Adults and the Elderly. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:2034957. [PMID: 35832131 PMCID: PMC9273414 DOI: 10.1155/2022/2034957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 06/06/2022] [Accepted: 06/17/2022] [Indexed: 11/25/2022]
Abstract
Objective This study focused on mood regulations and their association with sociodemographic status, exercise pattern, and physical conditions of adults and older adults in China who did not undergo interventions. Method Data were based on the 2016 to 2018 Guangdong National Physique Monitoring data, in which 5242 participants aged 20-69 years were recruited. Multiple statistical analysis methods, such as descriptive and logistic regression analyses, were used to study each exercise motivation and its association with influencing factors, including sociodemographic characteristics, exercise measurements, and physical conditions. An exercise index for mental health was also used to investigate the number and types of people who were more likely to meet the index. Results We observed that 44.9% (2355/5242) of participants did not engage in physical exercise in this study. Only older participants (40 to 69 years old) and those with an average level of education (high school/technical secondary school) showed a significant association with exercising for mood regulation. Few people met the index that is good for mental health (16.64% [872/5242] met index 1, and 2.84% (149/5242) met index 2), and higher education showed a significant association with a reduction in the mental health burden and the prevention of depression. Conclusion This study found that motivating people to be more active and educating them on the potential mental health benefits of exercise could help them to exercise more.
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Physical Activity and Depression/Anxiety Symptoms in Adolescents – the Young-HUNT Study. PHYSICAL ACTIVITY AND HEALTH 2022. [DOI: 10.5334/paah.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Bertuol C, Oliveira SND, Tozetto AVB, Duca GFD. Leisure-time physical activities and their association with active behavior in other domains and sociodemographic aspects: a population-based study with adults residing in the Brazilian state capitals and the Federal District. CIENCIA & SAUDE COLETIVA 2022; 27:2187-2196. [PMID: 35649008 DOI: 10.1590/1413-81232022276.16802021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 11/03/2021] [Indexed: 11/22/2022] Open
Abstract
This study aimed to identify the types of leisure-time physical activity (LTPA) most practiced and their association with active behavior in other domains and the sociodemographic aspects in Brazilian adults (≥ 18 years old). It was a cross-sectional study, using data from a population-based system (Vigitel, 2017). Binary logistic regression was used. In the 29,323 LTPA practitioners (51.3% men), the five types of activities most performed were: walking (36.6%), weight training (17.7%), soccer (11.7%), jogging (8.3%), and aerobics (6.7%). The LTPA that had the greatest associations with sociodemographic variables were soccer, walking, and aerobics, all with p-value ≤ 0.01. When considering the other domains of physical activity, participants who reported doing household physical activity were more likely to walk and less likely to practice weight training, soccer and aerobics. Those who did active commuting had more of a chance to walking and less of a chance to weight train, while individuals who practiced occupational physical activity were less likely to walk and more likely to play soccer. Important differences in sociodemographic aspects and active behavior in the other domains were found according to the LTPA type.
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Affiliation(s)
- Cecília Bertuol
- Departamento de Educação Física, Universidade Federal de Santa Catarina. Campus Universitário Reitor João David Ferreira Lima, Centro de Desportos. 88040-900 Florianópolis SC Brasil.
| | - Silas Nery de Oliveira
- Departamento de Educação Física, Universidade Federal de Santa Catarina. Campus Universitário Reitor João David Ferreira Lima, Centro de Desportos. 88040-900 Florianópolis SC Brasil.
| | - Alexandre Vinicius Bobato Tozetto
- Departamento de Educação Física, Universidade Federal de Santa Catarina. Campus Universitário Reitor João David Ferreira Lima, Centro de Desportos. 88040-900 Florianópolis SC Brasil.
| | - Giovani Firpo Del Duca
- Departamento de Educação Física, Universidade Federal de Santa Catarina. Campus Universitário Reitor João David Ferreira Lima, Centro de Desportos. 88040-900 Florianópolis SC Brasil.
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The effects of leisure time physical activity on depression among older women depend on intensity and frequency. J Affect Disord 2021; 295:822-830. [PMID: 34706452 DOI: 10.1016/j.jad.2021.08.142] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 07/22/2021] [Accepted: 08/27/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND Leisure time physical activity (LTPA) is beneficial for late-life depression (LLD). The main purpose of this study was to estimate the associations between LTPA parameters (intensity, duration, frequency) and LLD. METHODS Through the 2018 Women Health Needs Survey, data on 1,892 women aged 55-70 in Hunan, China, were studied. Depression was measured by the 9-item Patient Health Questionnaire (PHQ-9). Self-reported LTPA parameters were collected. Binary logistic regression models were used to compute odds ratios (OR) for LTPA for predicting depression. Sensitivity analyses were conducted to examine the effect of missing values. RESULTS Moderate LTPA volume (OR = 0.582, p = 0.027, 95% CI [0.360-0.941] for 150-299 min/week and OR = 0.392, p = 0.002, 95% CI [0.215-0.714] for ≥300 min/week) was associated with reduced depression, while vigorous LTPA could increase the risk (OR = 2.414, p = 0.029, 95% CI [1.095-5.325] for <75 min/week and OR = 3.824, p = 0.007, 95% CI [1.439-10.158] for ≥75 min/week). Frequent (6-7 days/week), moderate LTPA had a lower risk (OR = 0.570, p = 0.021, 95% CI [0.353-0.918]), while frequent (≥3 days/week), vigorous LTPA increased the risk (OR = 5.103, p = 0.001, 95% CI [1.977-13.172]). The adjusted relationship between the duration and depression was not observed. The results were supported by the sensitivity analysis based on missing value replacement. LIMITATIONS In this cross-sectional study, LTPA data were self-reported and no data on light LTPA were collected. CONCLUSIONS Moderate LTPA, associated with mental health benefits, should be recommended for older women instead of vigorous LTPA.
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Corrêa VP, Confortin SC, d'Orsi E, de Sá-Junior AR, de Oliveira C, Schneider IJC. Depressive symptoms as an independent risk factor for mortality. ACTA ACUST UNITED AC 2021; 43:247-253. [PMID: 32876136 PMCID: PMC8136396 DOI: 10.1590/1516-4446-2019-0749] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Accepted: 04/17/2020] [Indexed: 12/23/2022]
Abstract
OBJECTIVE To evaluate the relationship between presence of depressive symptoms and risk of death in older adults residing in a municipality in Southern Brazil. METHODS Between 2009 and 2014, 1,391 people participated in the EpiFloripa Aging Cohort Study, a population-based longitudinal study. Depressive symptoms were assessed through the Geriatric Depression Scale. The initial time was considered the age at the first interview, and the end time, the age at the last contact or death. Cox regression models were used to estimate the mortality risk associated with depressive symptoms, adjusted by sex, education, income, paid work, smoking status, alcohol consumption, morbidities, medication use, physical activity, disability, cognitive impairment, and body mass index. RESULTS The prevalence of depressive symptoms was 23.5% (95%CI 20.4-26.9). On crude analysis, the risk of mortality was 1.86 (95%CI 1.35-2.55) for individuals with depressive symptoms; in adjusted models, the risk of mortality was 1.67 (95%CI 1.15-2.40). CONCLUSION Depressive symptoms are an independent risk factor for mortality in older Brazilian adults. Our findings highlight the importance of screening this population for depression and the practice of preventive actions.
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Affiliation(s)
- Vanessa P Corrêa
- Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Santa Catarina (UFSC), Araranguá, SC, Brazil
| | - Susana C Confortin
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil
| | - Eleonora d'Orsi
- Programa de Pós-Graduação em Saúde Coletiva, UFSC, Florianópolis, SC, Brazil
| | | | - Cesar de Oliveira
- Senior Research, Department of Epidemiology and Public Health, University College London, Bloomsbury, London, England
| | - Ione J C Schneider
- Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Santa Catarina (UFSC), Araranguá, SC, Brazil.,Programa de Pós-Graduação em Saúde Coletiva, UFSC, Florianópolis, SC, Brazil
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Kim YM, Cho SI. Regular Exercise and Depressive Symptoms in Korean Older Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18010303. [PMID: 33401610 PMCID: PMC7796424 DOI: 10.3390/ijerph18010303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 12/29/2020] [Accepted: 12/29/2020] [Indexed: 11/23/2022]
Abstract
Prior studies have found that exercise has a positive effect on depressive symptoms in the general population. For older individuals, however, the association between exercise and depressive symptoms is conclusive. We examined whether regular exercise is related to depressive symptoms in 5379 Korean adults aged ≥55 years using data from a 2016 survey administered in the Korean Longitudinal Study of Aging. We used the 10-item Center for Epidemiological Studies–Depression scale to assess depressive symptoms. We performed a multivariate logistic regression analysis to investigate the relationship between regular exercise and depressive symptoms, adjusting for sociodemographic characteristics, self-rated health, number of chronic diseases, body mass index, hand-grip strength, physical disability, cognitive impairment, and health behavior. Interaction terms, including regular exercise and health-related factors, were also added. We found that a lack of regular exercise was significantly related to an increased frequency of depressive symptoms (OR = 1.18, 95% CI = 1.03–1.35). Moreover, hand-grip strength may increase the effect of regular exercise on depressive symptoms in individuals 65 years and older (OR = 1.01 vs. 1.70, 95% CI = 1.05–1.96). Our results suggest that it is important to encourage older individuals to exercise regularly as a means of relieving depressive symptoms.
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Marques A, Gaspar de Matos M, Bordado J, Gouveia ÉR, Peralta M, Gomez-Baya D. Different levels of physical activity and depression symptoms among older adults from 18 countries: A population-based study from the Survey of Health, Ageing and Retirement in Europe (SHARE). Eur J Sport Sci 2020; 21:887-894. [PMID: 32660358 DOI: 10.1080/17461391.2020.1795273] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Objective: Analyse the relationship between different levels of physical activity (PA) and depression symptoms in a representative sample of European older adults. Methods: Data on PA, depression symptoms and sociodemographic variables from 64688 (28015 men) older adults participating in SHARE wave 6 was collected through a face-to-face interview. The EURO-D 12-item scale was administered for depression symptoms. Participants reported the frequency they engaged in moderate-intensity PA (MPA) and vigorous-intensity PA (VPA). Results: Men and women engaging in MPA and VPA once or more than once a week had less depression symptoms than those who engage less than once a week. MPA and VPA once or more than once a week were inversely associated with the depression symptoms score. Furthermore, engaging in MPA and VPA decreased the odds of depression (cut-off point of ≥4 depression symptoms) compared to engaging in PA less than once a week. Conclusions: Policies for promoting mental health should include PA for the prevention or treatment of depression symptoms. PA presents physical and psychological benefits and can be used as an overall health-promoting strategy, facing numerous problems at a time.
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Affiliation(s)
- Adilson Marques
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal.,ISAMB, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.,Escuela de Doctorado, Universidad de Huelva, Huelva, Spain
| | - Margarida Gaspar de Matos
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal.,ISAMB, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - Joana Bordado
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal
| | - Élvio R Gouveia
- Interactive Technologies Institute, LARSyS, Lisboa, Portugal.,Department of Physical Education and Sport, University of Madeira, Funchal, Portugal
| | - Miguel Peralta
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal.,ISAMB, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - Diego Gomez-Baya
- Escuela de Doctorado, Universidad de Huelva, Huelva, Spain.,Department of Social, Developmental and Educational Psychology, University of Huelva, Huelva, Spain
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14
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Werneck AO, Stubbs B, Szwarcwald CL, Silva DR. Independent relationships between different domains of physical activity and depressive symptoms among 60,202 Brazilian adults. Gen Hosp Psychiatry 2020; 64:26-32. [PMID: 32086172 DOI: 10.1016/j.genhosppsych.2020.01.007] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 01/20/2020] [Accepted: 01/28/2020] [Indexed: 12/26/2022]
Abstract
OBJECTIVE To analyze the association between four key different physical activity (PA) domains and depressive symptoms among Brazilian adults. METHODS Data from the Brazilian National Health Survey (n = 60,202; ≥18 years) were used. PA across four different domains (leisure, transport, occupational and household) was collected through specific questionnaires. The cutoff point adopted in each domain was 150 min/week. Depression was evaluated through the Patient Health Questionnaire-9. Multivariable adjusted linear and logistic regression models were applied. RESULTS Leisure PA was associated with lower depressive symptoms [β: -0.008 (95% CI: -0.010 to -0.005); OR: 0.69 (95% CI: 0.59 to 0.81)]. Transport PA was also associated with lower depressive symptoms among older adults [β -0.008 (-0.012 to -0.003); OR: 0.70 (95% CI: 0.53-0.94)] but not middle-aged adults. On the other hand, occupational PA [β: 0.003 (95% CI: 0.002 to 0.005); OR: 1.62 (95% CI: 1.38 to 1.91)] and household PA [β: 0.009 (95% CI: 0.006 to 0.012); OR: 1.57 (95% CI: 1.37 to 1.79)] were associated with higher depressive symptoms. CONCLUSION The association between PA and depression symptoms varies according to the domains of PA and some appear independent from each other. While leisure PA is associated with fewer depressive symptoms; occupational and household PA appear to be associated with an increased depression risk.
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Affiliation(s)
- André O Werneck
- Department of Physical Education, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Presidente Prudente, Brazil.
| | - Brendon Stubbs
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, Box SE5 8AF, London, United Kingdom; South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | | | - Danilo R Silva
- Department of Physical Education, Federal University of Sergipe - UFS, São Cristóvão, Brazil
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15
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Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis. PLoS One 2019; 14:e0225940. [PMID: 31794582 PMCID: PMC6890238 DOI: 10.1371/journal.pone.0225940] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Accepted: 11/15/2019] [Indexed: 12/16/2022] Open
Abstract
Objectives To estimate the prevalence of leisure-time physical activity (LTPA) or sports in the Brazilian population according to demographic and income variables. Methods Data from 60,202 Brazilian individuals (18 years and over) were analyzed, belonging to the National Health Survey 2013 sample. The prevalence of different modalities of LTPA and sports was estimated according to age, sex, skin color and income. The adjusted prevalence ratios were estimated by Poisson regression. Results Of every thousand Brazilians, 695 do not practice LTPA or sports. Walking is the most practiced LTPA (98/1000), followed by soccer (68/1000) and weight training (45/1000). For poor and black men, the most frequent LTPA was soccer, and, for women, gymnastics and walking. The prevalence of weight training and gymnastics was higher for white people compared with black people. All LTPA practices were more prevalent in individuals with higher income, except for soccer. Running on a treadmill and weight training had, respectively, 24.7 and 6.4 times higher prevalence in the richer quartile. Conclusions The study allowed identifying the type of LTPA and sport reported as the most frequent by the Brazilian population according to age, sex, skin color, and income, detecting strong social disparities in these practices.
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16
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Gultyaeva VV, Zinchenko MI, Uryumtsev DY, Krivoschekov SG, Aftanas LI. [Exercise for depression treatment. Physiological mechanisms]. Zh Nevrol Psikhiatr Im S S Korsakova 2019; 119:112-119. [PMID: 31464298 DOI: 10.17116/jnevro2019119071112] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
This literature review considers meta-analyzes, systematic reviews and original research over the last decade addressing a comprehensive analysis of the antidepressant effect of targeted physical exercise and physical activity in general. Exercise is a promising non-pharmacological treatment for depression, showing effects that are comparable or may even exceed other first-line treatments of depression. The article introduces modern ideas about the mechanisms of depression and mechanisms of exercise effects on depression manifestations. The structures of the central nervous system, changing with the effective exercise-based treatment of depression, are indicated. Physical activity stimulates the secretion of growth factors, maintenance of angio-, synapto-, and neurogenesis. The regulation of antioxidant protection of neuronal mitochondria, a decrease in pro-inflammatory reactions and stress reactivity are also observed in response to regular exercise. Physical activity has a multimodal effect that stimulates biochemical pathways and restores neuronal structures disturbed in depression.
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Affiliation(s)
- V V Gultyaeva
- Research Institute of Physiology and Basic Medicine, Novosibirsk, Russia
| | - M I Zinchenko
- Research Institute of Physiology and Basic Medicine, Novosibirsk, Russia
| | - D Y Uryumtsev
- Research Institute of Physiology and Basic Medicine, Novosibirsk, Russia
| | - S G Krivoschekov
- Research Institute of Physiology and Basic Medicine, Novosibirsk, Russia
| | - L I Aftanas
- Research Institute of Physiology and Basic Medicine, Novosibirsk, Russia
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17
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Schuch FB, Stubbs B. The Role of Exercise in Preventing and Treating Depression. Curr Sports Med Rep 2019; 18:299-304. [DOI: 10.1249/jsr.0000000000000620] [Citation(s) in RCA: 67] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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18
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Physical activity attenuates the impact of poor physical, mental, and social health on total and cardiovascular mortality in older adults: a population-based prospective cohort study. Qual Life Res 2018; 27:3293-3302. [DOI: 10.1007/s11136-018-1974-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/20/2018] [Indexed: 12/18/2022]
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19
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Physical activity and depression: is 150 min/week of moderate to vigorous physical activity a necessary threshold for decreasing risk of depression in adults? Different views from the same data. Soc Psychiatry Psychiatr Epidemiol 2018; 53:323-324. [PMID: 29380025 DOI: 10.1007/s00127-018-1490-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Accepted: 01/21/2018] [Indexed: 12/16/2022]
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