Independent relationships between different domains of physical activity and depressive symptoms among 60,202 Brazilian adults

Author(s)

Werneck, Andre O. ^[1] ; Stubbs, Brendon ^{[2, 3]} ; Szwarcwald, Celia L. ^[4] ; Silva, Danilo R. ^[5]

Affiliation

^[1] Univ Estadual Paulista Julio de Mesquita Filho UN, Dept Phys Educ, Rua Roberto Simonsen 305, BR-19060900 Presidente Prudente, SP - Brazil

^[2] South London & Maudsley NHS Fdn Trust, London - England

^[3] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychol Med, Crespigny Pk, London SE5 8AF - England

^[4] Fundacao Oswaldo Cruz Fiocruz, ICICT, Rio De Janeiro - Brazil

^[5] Fed Univ Sergipe UFS, Dept Phys Educ, Sao Cristovao - Brazil

• Document type: Journal article
• Source: GENERAL HOSPITAL PSYCHIATRY; v. 64, p. 26-32, MAY-JUN 2020.
• Web of Science Citations: 0

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 {[}beta:-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 {[}beta-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 {[}beta: 0.003 (95% CI: 0.002 to 0.005); OR: 1.62 (95% CI: 1.38 to 1.91)] and household PA {[}beta: 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. (AU)

• FAPESP's process: 17/27234-2 - Longitudinal association between biological maturation, body fatness and sports participation predicting the risk of metabolic syndrome and C-reactive protein: structural equation modelling (ABCD - growth study)
• Grantee: André de Oliveira Werneck
• Support Opportunities: Scholarships in Brazil - Master