Independent and combined associations of sugar-sweetened beverage consumption, TV viewing, and physical activity with severe depressive symptoms among 59,402 adults

Autor(es)

André O. Werneck ^[1] ; Felipe B. Schuch ^[2] ; Brendon Stubbs ; Adewale L. Oyeyemi ^[4] ; Célia L. Szwarcwald ^[5] ; Davy Vancampfort ^[6] ; Danilo R. Silva ^[7]

Afiliação do(s) autor(es)

^[1] Universidade de São Paulo (USP). Escola de Saúde Pública. Departamento de Nutrição - Brasil

^[2] Universidade Federal de Santa Maria. Departamento de Métodos e Técnicas Desportivas - Brasil

^[4] College of Medical Sciences, University of Maiduguri. Department of Physiotherapy - Nigéria

^[5] Fundação Oswaldo Cruz (Fiocruz). Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (ICICT) - Brasil

^[6] KU Leuven, University of Leuven. Department of Rehabilitation Sciences - Bélgica

^[7] Universidade Federal de Sergipe (UFS). Departamento de Educação Física - Brasil

• Tipo de documento: Artigo Científico
• Fonte: Revista Brasileira de Psiquiatria; v. 43, n. 6, p. 574-583, 2020-12-18.

Resumo

Objective: Our aim was to analyze the association between sugar-sweetened beverage consumption and depressive symptoms, as well as the extent to which TV viewing and physical activity moderate this association. Methods: We used cross-sectional data from the 2013 Brazilian National Survey (Pesquisa Nacional de Saúde) of 59,402 adults (33,482 women, mean age = 42.9 years, 95%CI 42.7-43.2 years). Depressive symptoms (Patient Health Questionnaire-9), physical activity, TV viewing, and sugar-sweetened beverage consumption, as well as potential confounders (chronological age, ethnicity, consumption of candy/sweets and fruit, multimorbidity, education, and employment status) were self-reported. Poisson regression models were used for association analyses. Results: The consumption of 16 or more glasses/week of sugar-sweetened beverages was associated with higher levels of severe depressive symptoms among women compared to no consumption (prevalence ratio [PR] 1.71 [95%CI 1.38-2.11]). Consistent interactions were observed between 1-5 glasses and TV viewing (PR 2.09 [95%CI 1.06-4.12]) and between 11-15 glasses and TV viewing (PR 2.90 [95%CI 1.29-6.50]) among men compared to no consumption, given that the co-occurrence of sugar-sweetened beverage consumption and elevated TV viewing was associated with higher odds of severe depressive symptoms. Sugar-sweetened beverage consumption did not interact with physical activity, only presenting an independent association. Conclusion: Sugar-sweetened beverage consumption was independently associated with severe depressive symptoms among women and interacted with TV viewing, but not with physical activity among men. (AU)

• Processo FAPESP: 19/24124-7 - Associação prospectiva do consumo de alimentos ultraprocessados e inatividade física na predição de sintomas depressivos em adultos
• Beneficiário: André de Oliveira Werneck
• Modalidade de apoio: Bolsas no Brasil - Doutorado