Cross-sectional associations of leisure and transport related physical activity with depression and anxiety

Author(s)

Schuch, Felipe B. ^[1] ; Werneck, Andre O. ^[2] ; Vancampfort, Davy ^[3] ; Stubbs, Brendon ^{[4, 5]} ; Teychene, Megan ^[6] ; Lotufo, Paulo A. ^{[7, 8]} ; Bensenor, Isabela ^{[7, 8]} ; Brunoni, Andre R. ^{[7, 8, 9]}

Affiliation

^[1] Univ Fed Santa Maria, Dept Sports Methods & Tech, Santa Maria, RS - Brazil

^[2] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo - Brazil

^[3] Katholieke Univ Leuven, Dept Rehabil Sci, Leuven - Belgium

^[4] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychol Med, London - England

^[5] South London & Maudsley Natl Hlth Serv Fdn Trust, Physiotherapy Dept, London - England

^[6] Deakin Univ, Inst Phys Act & Nutr IPAN, Sch Exercise & Nutr Sci, Geelong, Vic - Australia

^[7] Univ Sao Paulo, Univ Hosp, Sao Paulo - Brazil

^[8] Univ Sao Paulo, Fac Med, Dept Clin Med, Sao Paulo - Brazil

^[9] Univ Sao Paulo, Fac Med, Hosp Clin, Lab Neurosci LIM 27, Inst Psychiat, Sao Paulo - Brazil

• Document type: Journal article
• Source: JOURNAL OF PSYCHIATRIC RESEARCH; v. 140, p. 228-234, AUG 2021.
• Web of Science Citations: 0

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. (AU)

• FAPESP's process: 19/24124-7 - Prospective association of ultra-processed food consumption and physical inactivity in the prediction of depressive symptoms among adults
• Grantee: André de Oliveira Werneck
• Support Opportunities: Scholarships in Brazil - Doctorate