rospective associations between multiple lifestyle behaviors and depressive symptom

Author(s)

Werneck, Andre O. ^[1] ; Vancampfort, Davy ^[2] ; Stubbs, Brendon ^{[3, 4]} ; Silva, Danilo R. ^[5] ; Cucato, Gabriel G. ^[6] ; Christofaro, Diego G. D. ^[7] ; Santos, Raul D. ^{[8, 9]} ; Ritti-Dias, Raphael M. ^[10] ; Bittencourt, Marcio S. ^{[8, 11, 12]}

Affiliation:Show less -

^[1] Univ Sao Paulo, Ctr Epidemiol Res Nutr & Hlth, Sch Publ Hlth, Dept Nutr, Av Dr Arnaldo 715 Cerqueira Cesar, BR-01246904 Sao Paulo - Brazil

^[2] Univ Leuven, Dept Rehabil Sci, KU Leuven, Leuven - Belgium

^[3] Kings Coll London, Inst Psychiat, Dept Psychol Med Psychol & Neurosci, London - England

^[4] South London & Maudsley NHS Fdn Trust, De Crespigny Pk, Box SE5 8AF, London - England

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

^[6] Northumbria Univ, Dept Sport Exercise & Rehabil, Newcastle Upon Tyne, Tyne & Wear - England

^[7] Univ Estadual Paulista, Dept Phys Educ, Presidente Prudente - Brazil

^[8] Hosp Israelita Albert Einstein, Sao Paulo - Brazil

^[9] Univ Sao Paulo, Med Sch Hosp, Heart Inst InCor, Sao Paulo - Brazil

^[10] Univ Nove de Julho, Postgrad Program Rehabil Sci, Sao Paulo - Brazil

^[11] Univ Sao Paulo, Univ Hosp, Ctr Clin & Epidemiol Res, Sao Paulo - Brazil

^[12] Fac Israelita Ciencias Saude Albert Einstein, Sao Paulo - Brazil

• Document type: Journal article
• Source: Journal of Affective Disorders; v. 301, p. 233-239, MAR 15 2022.
• Web of Science Citations: 0

Abstract

Background: Our aim was to analyze the associations between multiple lifestyle behaviors and depressive symptoms. Methods: We included 4,725 adults (18-59y), that provided data in routine health evaluations of a hospital in Brazil, followed for a mean period of 3.1 +/- 1.6 years. Physical activity, alcohol consumption (measured using Alcohol Use Disorders Identification Test) and tobacco smoking were categorized as: (1) absence of the behavior (inactivity i.e. not complying with 150 min of moderate-to-vigorous PA/week, not smoking, no risky drinking, i. e. AUDIT<5) during baseline and follow-up; (2) Absence during baseline and presence during follow-up; (3) Presence during baseline and absence during follow-up; (4) Presence during both time points. Depressive symptoms were measured with the Beck Inventory was adopted to analyze patterns of depressive symptoms over time (as exposure). C-reactive protein {[}HS-CRP]) was assessed and its role in the association was tested. Incidence indicators of behaviors and depressive symptoms were created and used as outcomes. We used crude and adjusted Poisson regression analysis. Results: Fully adjusted models revealed that persistently physical inactive participants (RR:1.71;95% CI:1.33-2.21), those who became physically inactive (1.68;1.19-2.26), with consistently risky drinking (1.62;1.15-2.30), and who became risky drinkers (1.62;1.15-2.30) had higher risk for incidence of elevated depressive symptoms. Vice versa participants with incidence of depressive symptoms over time presented higher risk for physical inactivity (1.44;1.11-1.87) and risky drinking (1.65;1.16-2.34) incidence. HS-CRP did not influence the associations. Limitations: Self-reported physical activity, binary tobacco smoking, and non-probabilistic sampling. Conclusions: There is a prospective relationship between elevated depressive symptoms and adverse lifestyle behaviors. (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