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Werneck AO, Schuch FB, Vancampfort D, Stubbs B, Lotufo PA, Benseñor I, Teychenne M, Brunoni AR. Physical activity domains and incident clinical depression: A 4-year follow-up analysis from the ELSA-Brasil cohort. J Affect Disord 2023; 329:385-393. [PMID: 36841300 DOI: 10.1016/j.jad.2023.02.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 02/16/2023] [Accepted: 02/18/2023] [Indexed: 02/25/2023]
Abstract
AIM To analyze the prospective dose-response relationships between total and domain-specific physical activity (PA) with incident clinical depression. METHODS We used data from two waves (Wave 1: August/2008-December 2010; Wave 2: September/2012-December/2014) of the Brazilian Longitudinal Health Study (ELSA-Brasil) cohort study. Self-reported PA (total, transport, and leisure-time) was the main exposure. Incident clinical depression (new cases of depression between waves) was assessed through the Clinical Interview Schedule-Revised (CIS-R). Poisson regression models, adjusting for potential confounders, were used for data analysis. RESULTS In 12,709 adults (53.8 % women, mean age: 51.9 ± 9.0), moderate and high volumes of total PA (1-149 min/week: RR = 0.81, 0.58-1.13, 150-299 min/week: RR = 0.55, 95%CI: 0.40-0.76; ≥300 min/week: RR = 0.64, 95%CI: 0.52-0.80), and any volume of leisure-time PA (1-149 min/week: RR = 0.65, 95%CI: 0.50-0.83; 150-299 min/week: RR = 0.67, 95%CI: 0.52-0.88; RR = 0.61, 95%CI: 0.45-0.82) were associated with a lower risk of incident clinical depression. Transport PA protective only in the lower category (0.1-4.4 mMET-h/wk) (RR = 0.71, 95%CI: 0.54-0.94). LIMITATIONS Other PA domains such as occupational and domestic were not assessed; the use of self-report measures for PA which may be subject to bias and recall issues; lack of assessment of additional potential confounders, such as sedentary behavior and family history of depression. CONCLUSION Total and leisure-time PA were associated with lower incidence of clinical depression, even at lower doses. Low, moderate, and high volumes of total and leisure-time PA were associated with lower risk of incident clinical depression. Public health PA interventions aiming to prevent development of clinical depression should consider focusing on leisure-time PA.
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Affiliation(s)
- André O Werneck
- Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, Universidade de São Paulo (USP), São Paulo, Brazil.
| | - Felipe B Schuch
- Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil; Institute of Psychiatry, Federal Unversity of Rio de Janeiro, Rio de Janeiro, Brazil; Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
| | - Davy Vancampfort
- KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium
| | - Brendon Stubbs
- Physiotherapy Department, South London and Maudsley National Health Services Foundation Trust, London, UK; Department of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK
| | - Paulo A Lotufo
- Departamento de Clínica Médica, Faculdade de Medicina da USP & Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil
| | - Isabela Benseñor
- Departamento de Clínica Médica, Faculdade de Medicina da USP & Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil
| | - Megan Teychenne
- Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Geelong, Australia
| | - André R Brunoni
- Departamento de Clínica Médica, Faculdade de Medicina da USP & Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil; Laboratory of Neurosciences (LIM-27), Institute of Psychiatry, Hospital das Clínicas da Faculdade de Medicina da USP, Brazil
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Prevalence and Associated Factors of Physical Activity among Medical Students from the Western Balkans. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137691. [PMID: 35805346 PMCID: PMC9265687 DOI: 10.3390/ijerph19137691] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 06/18/2022] [Accepted: 06/20/2022] [Indexed: 02/01/2023]
Abstract
The student population includes young adults who need nutrition and regular physical activity (PA) for mental, cognitive, and physical development. It is estimated that, globally, only 25–40% of the university student population is involved in regular PA. To date, no research has been conducted in the Western Balkans to address the PA of medical students. The aim of this study was to investigate the prevalence and factors influencing PA among medical students from the Western Balkans. A cross-sectional study included 2452 students from 14 medical faculties in five countries (Slovenia, Croatia, Bosnia and Herzegovina, North Macedonia and Serbia). There were significantly more students who engaged than those who did not engage in some type of regular (daily) PA. Gender, overweight or obesity, and household income are significantly associated with students’ PA. Students who are more often involved in regular daily PA and have higher daily PA levels are more likely to be males whose household income is above average. In order to improve the health of the student population, the public health authorities need to continuously investigate the PA of students and introduce appropriate activities to increase their level of PA.
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Effects of a Physically Active Lifestyle Modification (PALM) Program for Independent Taiwanese Older Adults. TOPICS IN GERIATRIC REHABILITATION 2022. [DOI: 10.1097/tgr.0000000000000356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Werneck AO, Peralta M, Tesler R, Marques A. Cross-sectional and prospective associations of lifestyle risk behaviors clustering with elevated depressive symptoms among middle-aged and older adults. Maturitas 2021; 155:8-13. [PMID: 34876251 DOI: 10.1016/j.maturitas.2021.09.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 08/06/2021] [Accepted: 09/22/2021] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To investigate the cross-sectional and prospective associations of lifestyle risk behaviors clustering with elevated depressive symptoms and to explore synergic prospective associations of different combinations of lifestyle risk behaviors with subsequent depressive symptoms. STUDY DESIGN Prospective cohort study. Data on 31,190 middle-aged and older adults from waves 4 (2011) and 6 (2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE) were used. MAIN OUTCOME MEASURES Elevated depressive symptoms were estimated using the EURO-D 12-item scale. Lifestyle risk behaviors composing the cluster included physical inactivity, inadequate consumption of fruit and/or vegetables, binge drinking, and tobacco smoking. Gender, age group, education, place of residence, country, number of chronic diseases and body mass index were considered as confounders. RESULTS With the exception of binge drinking, all lifestyle risk behaviors were associated with higher odds of elevated depressive symptoms in cross-sectional and prospective analyses. The clustering of unhealthy lifestyle behaviors was cross-sectionally associated with elevated depressive symptoms and the clustering of two [odds ratio [OR]: 1.39; 95%CI: 1.28-1.51) and three or four (OR: 1.60; 95%CI: 1.38-1.85) were prospectively associated with elevated depressive symptoms. There were no interactions between the pairs of behaviors in the association with later elevated depressive symptoms. CONCLUSIONS Our findings support the need for interventions integrating multiple health behaviors to prevent elevated depressive symptoms among middle-aged and older adults.
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Affiliation(s)
- André O Werneck
- Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, University of São Paulo (USP), São Paulo, Brazil.
| | - Miguel Peralta
- CIPER, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal; ISAMB, University of Lisbon, Lisbon, Portugal
| | - Riki Tesler
- Department of Health Systems Management, Ariel University, Ariel, Israel
| | - Adilson Marques
- CIPER, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal; ISAMB, University of Lisbon, Lisbon, Portugal
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Schuch FB, Werneck AO, Vancampfort D, Stubbs B, Teychene M, Lotufo PA, Benseñor I, Brunoni AR. Cross-sectional associations of leisure and transport related physical activity with depression and anxiety. J Psychiatr Res 2021; 140:228-234. [PMID: 34118641 DOI: 10.1016/j.jpsychires.2021.05.053] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 05/10/2021] [Accepted: 05/21/2021] [Indexed: 01/26/2023]
Abstract
BACKGROUND Previous evidence supports the notion that the physical activity (PA) domain (leisure-time or transport), and the amount of time spent in PA, influence the association of PA with depressive and anxiety symptoms. However, no study evaluated the associations of different volumes of leisure-time PA (LTPA) and transport PA (TPA) with prevalent depression, anxiety, and co-occurring depression and anxiety (D&A) disorders. AIM To investigate the associations between different volumes of LTPA and TPA with prevalent depression, anxiety, and D&A. METHODS Cross-sectional study using baseline data of the ELSA-Brasil cohort. The International Physical Activity Questionnaire (IPAQ) long-form was used to assess PA levels in each domain. The Clinical Interview Scheduled Revised (CIS-R) was used to diagnose prevalent depressive, anxiety, and D&A disorders. Logistic regressions, adjusting for confounding factors, were employed. Results are expressed as adjusted odds ratios (aOR) and 95% confidence intervals (CI). RESULTS A total of 14,381 adults (54.5% female, 67.5% aged 45-64 years) were assessed. Time spent in LTPA was associated with a lower prevalence of depression in low, and high volumes (60-89min/weekaOR = 0.47, 95%CI = 0.29-0.76, p = 0.002, >300min/weekaOR = 0.43, 95%CI = 0.31-0.59, p < 0.001). High volumes of LTPA were associated with a lower prevalence D&A (270-299min/weekaOR = 0.55, 95%CI 0.38-0.79, p = 0.001; >300 minutesaOR = 0.63, 95%CI 0.54-0.74, p < 0.001). Low (60-89min/weekaOR = 0.56,95%CI = 0.40-0.79, p = 0.001) volumes of TPA were associated with lower prevalence of depression. LIMITATIONS Cross-sectional design and self-reported PA. Lack of assessment of sedentary behaviour or occupational PA. CONCLUSIONS The present study highlights the importance of contextual factors in the association between PA and mental health, particularly at higher levels.
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Affiliation(s)
- Felipe B Schuch
- Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil.
| | - André O Werneck
- Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil
| | - Davy Vancampfort
- KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium
| | - Brendon Stubbs
- Physiotherapy Department, South London and Maudsley National Health Services Foundation Trust, London, UK; Department of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK
| | - Megan Teychene
- Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Geelong, Australia
| | - Paulo A Lotufo
- Departmento de Clínica Médica, Faculdade de Medicina da USP & Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil
| | - Isabela Benseñor
- Departmento de Clínica Médica, Faculdade de Medicina da USP & Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil
| | - André R Brunoni
- Departmento de Clínica Médica, Faculdade de Medicina da USP & Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil; Laboratory of Neurosciences (LIM-27), Institute of Psychiatry, Hospital das Clínicas da Faculdade de Medicina da USP, Brazil
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6
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Marques A, Bordado J, Peralta M, Gouveia ER, Tesler R, Demetriou Y, Gomez Baya D. Cross-sectional and prospective relationship between physical activity and depression symptoms. Sci Rep 2020; 10:16114. [PMID: 32999306 PMCID: PMC7527477 DOI: 10.1038/s41598-020-72987-4] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 06/18/2020] [Indexed: 01/27/2023] Open
Abstract
This study aimed to analyse the cross-sectional and prospective relationship between moderate and vigorous physical activity (PA) and depression symptoms. This study analysed 32,392 European late middle-aged to older adults, from 14 European countries across a 4-year follow-up. Data was collected in the fourth (in 2011) and sixth (in 2015) wave, from the Survey of Health, Ageing and Retirement in Europe (SHARE). For the present analysis, participants were considered who responded to the EURO-D 12-item scale of depression symptoms and reported the intensity and frequency of PA. ANCOVAs were conducted to assess the cross-sectional and prospective associations. For both men and women, engaging in moderate or vigorous PA in 2011 was associated with a lower score of depression in 2011 and 2015. From the prospective analysis, moderate and vigorous PA in 2011 was inversely associated with the score of depression. This association remains significant in the fully adjusted for self-rated health, sociodemographic characteristics, and the presence of chronic diseases. Moderate and vigorous PA at least once a week is negatively related to the score of depression, both in men and women. PA is negatively associated with depression symptoms, and from prospective analysis PA predicts lower depression scores 4 years later.
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Affiliation(s)
- Adilson Marques
- CIPER, Faculdade de Motricidade Humana, Univerisdade de Lisboa, Estrada da Costa, Cruz Quebrada, 1499-002, Lisboa, Portugal. .,ISAMB, Faculdade de Medicina, Univerisdade de Lisboa, Lisboa, Portugal. .,University of Huelva, Huelva, Spain.
| | - Joana Bordado
- Faculdade de Motricidade Humana, Univerisidade de Lisboa, Lisboa, Portugal
| | - Miguel Peralta
- CIPER, Faculdade de Motricidade Humana, Univerisdade de Lisboa, Estrada da Costa, Cruz Quebrada, 1499-002, Lisboa, Portugal.,ISAMB, Faculdade de Medicina, Univerisdade de Lisboa, Lisboa, Portugal
| | - Elvio R Gouveia
- Interactive Technologies Institute, LARSyS, Funchal, Portugal
| | - Riki Tesler
- Department of Health Systems Management, Faculty of Health Sciences, Ariel University, Ariel, Israel
| | - Yolanda Demetriou
- Faculty of Sport and Health Sciences, Technical University of Munich, Munich, Germany
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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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Andrade-Lima A, Werneck AO, Szwarcwald CL, Schuch FB, Stubbs B, Bastos AA, Silva DR. The role of physical activity in the association between multimorbidity and depressive symptoms: Data from 60,202 adults from the Brazilian National Health Survey. J Psychosom Res 2020; 134:110122. [PMID: 32403057 DOI: 10.1016/j.jpsychores.2020.110122] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Revised: 04/18/2020] [Accepted: 04/19/2020] [Indexed: 02/08/2023]
Abstract
OBJECTIVE Depression is commonly associated to physical multimorbidity and there is an urgent need to identify modifiable risk factors. Physical activity (PA) is good for health, but the association between PA and multimorbidity with depressive symptoms is unclear. Thus, we investigated whether meeting weekly recommended PA guidelines influences the association between multimorbidity and depressive symptoms. METHODS Data were used from a national survey conducted in Brazil in 2013 with 60,202 adults (≥ 18 years). Information regarding depressive symptoms (PHQ-9), PA, and chronic disease was collected via interview-administered questionnaires. Data on covariates (age, educational status, employment status, tobacco smoking, alcohol consumption, and TV-viewing) were also assessed. Adjusted logistic regression models were used. RESULTS Overall, men and women with one or more chronic conditions who were inactive (engaging in <150 min PA per week) had higher odds of elevated depressive symptoms than active individuals with no chronic condition. However, only in men, physical inactivity interacts with heart disease (OR: 2.59; 95%CI: 1.10 to 6.09), cancer (OR: 21.54; 95%CI: 2.67 to 173.94) and chronic obstructive pulmonary disease (COPD) (OR: 8.26; 95%CI: 2.20 to 31.01) regarding elevated depressive symptoms. CONCLUSION Our data suggest that engaging in weekly recommended PA targets may attenuate association of heart disease, cancer and COPD with depressive symptoms among men.
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Affiliation(s)
- Aluísio Andrade-Lima
- Department of Physical Education, Federal University of Sergipe, Sergipe, Brazil.
| | - André O Werneck
- Scientific Research Group Related to Physical Activity (GICRAF), Laboratory of Investigation in Exercise (LIVE), Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | | | - Felipe B Schuch
- Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil
| | - Brendon Stubbs
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, Box SE5 8AF, United Kingdom; South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | - Afrânio A Bastos
- Department of Physical Education, Federal University of Sergipe, Sergipe, Brazil
| | - Danilo R Silva
- Department of Physical Education, Federal University of Sergipe, Sergipe, Brazil
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Miller MB, Roumanis MJ, Kakinami L, Dover GC. Chronic Pain Patients' Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day. J Pain Res 2020; 13:273-284. [PMID: 32099451 PMCID: PMC6999761 DOI: 10.2147/jpr.s230039] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Accepted: 12/24/2019] [Indexed: 01/15/2023] Open
Abstract
Purpose To examine the relationship between baseline kinesiophobia and baseline pain catastrophizing with the 4-day average activity intensity at different times of the day while accounting for different wake and sleep-onset times in chronic pain patients. Methods Twenty-one participants suffering from idiopathic chronic pain completed baseline questionnaires about kinesiophobia, catastrophizing, disability, depression, and pain. We measured the participants' activity using accelerometers and calculated activity intensity in the morning, afternoon, and evening. We performed a 2-way repeated measures ANOVA to compare activity levels at different times of the day, and multiple linear regressions. Results Baseline kinesiophobia was significantly associated with 4-day average evening light activity and sedentary activity at all time periods while baseline catastrophizing was significantly associated with increased 4-day average light activity in the evening and more moderate to vigorous activity in the morning. Our participants engaged in more light activity on average than sedentary activity, and very little moderate-vigorous activity. Participants were most active in the afternoon. Conclusion Baseline kinesiophobia and baseline catastrophizing were not associated with the 4-day average total daily activity; however, they were associated with 4-day average activity intensities at different times throughout the day. Segmenting daily activity into morning, afternoon, evening may influence the relationship between daily activity, and kinesiophobia and pain catastrophizing. Individuals with chronic pain are less sedentary than previously thought which may affect future interventions.
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Affiliation(s)
- Matthew B Miller
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Canada
| | - Melissa J Roumanis
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Canada
| | - Lisa Kakinami
- Department of Mathematics & Statistics, Concordia University, Montreal, Canada.,PERFORM Centre, Concordia University, Montreal, Canada
| | - Geoffrey C Dover
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Canada.,PERFORM Centre, Concordia University, Montreal, Canada.,Centre de Recherché Interdisciplinaire en Réadaptation du Montréal Metropolitain, Montreal, Canada
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Marques A, Peralta M, Gouveia ÉR, Martins J, Sarmento H, Gomez-Baya D. Leisure-time physical activity is negatively associated with depression symptoms independently of the socioeconomic status. Eur J Sport Sci 2019; 20:1268-1276. [PMID: 31800353 DOI: 10.1080/17461391.2019.1701716] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Objective: There are few studies evaluating the relationship between depression symptoms (DS) and physical activity (PA) considering peoples' sociodemographic characteristics. This study aimed to analyse the relationship between DS and PA, stratified by sociodemographic characteristics of European adults. Methods: Participants were 29,285 adults (13,943 men, 47.6%; 15,342 women, 52.4%), aged 50.9 ± 17.4 (50.6 ± 17.3 men, 51.1 ± 17.5 women) from the European Social Survey round 7. DS was assessed with the Centre for Epidemiological Studies Depression Scale (CES-D8). Leisure-time PA (LTPA) was self-reported. The analysed sociodemographic characteristics were sex, age, living place, household members, marital status, income, and educational level. The relationship between DS and PA, stratified by sociodemographic variables, was examined by linear regression models. Results: Engaging in LTPA was negatively and linearly related to DS, independently of being men or women, being younger, middle or older adult, living in an urban or rural area, having children or not, being single or married, being wealthy or poor, employment status, and to having a lower or a higher education level. Age was the variable with both the least and the greatest effect of LTPA on DS. The least effect of LTPA on DS was observed in younger adults (β = -0.08, 95% CI: -0.11, -0.05) and the greatest effect in retired people (β = -0.33, 95% CI: -0.36, -0.29). Conclusion: Independently of sociodemographic characteristics, LTPA is associated with DS and can benefit everyone. Public health policies for promoting mental health should include PA promotion as an important strategy for the prevention or treatment of DS.
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Affiliation(s)
- Adilson Marques
- Faculty of Human Kinetics, Interdisciplinary Centre for the Study of Human Performance, University of Lisbon, Lisbon, Portugal.,Environmental Health Institute, Lisbon Medical School, University of Lisbon, Lisbon, Portugal.,Escuela de Doctorado, University of Huelva, Huelva, Spain
| | - Miguel Peralta
- Faculty of Human Kinetics, Interdisciplinary Centre for the Study of Human Performance, University of Lisbon, Lisbon, Portugal.,Environmental Health Institute, Lisbon Medical School, University of Lisbon, Lisbon, Portugal
| | - Élvio R Gouveia
- Interactive Technologies Institute, LARSyS, Funchal, Portugal.,Department of Physical Education and Sport, University of Madeira, Funchal, Portugal
| | - João Martins
- Environmental Health Institute, Lisbon Medical School, University of Lisbon, Lisbon, Portugal.,Laboratório de Pedagogia, Faculdade de Motricidade Humana e UIDEF, Instituto de Educação, Universidade de Lisboa, Lisboa, Portugal
| | - Hugo Sarmento
- Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal
| | - Diego Gomez-Baya
- Escuela de Doctorado, University of Huelva, Huelva, Spain.,Department of Social, Developmental and Educational Psychology, University of Huelva, Huelva, Spain
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