The interplay of depression symptoms and physical activity: Bidirectional insights from 25-years of the Americans' changing lives panel

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-03-01 DOI:10.1016/j.mhpa.2024.100599
Soli Dubash
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Abstract

Background

Depression symptomology (DSx) and insufficient Physical Activity (PA) are among the leading causes of illness, and major contributors to global public health burden. Reviews and meta-analyses indicate that DSx and PA cause each other, yet most studies conducted use data and analyses which cannot specify their bidirectional associations across the life course.

Method

The present study estimates dynamic panel models with fixed effects through structural equation models with full-information maximum likelihood estimation (ML-SEM) based on 5 waves (1986–2011) of the Americans' Changing Lives (ACL) panel. This is a nationally representative probability sample of 3499 non-institutionalized U.S. adults ages 25 and older in 1986. Respondents participated in an average of 3.29 waves, with 67.84% participating in at least 3 waves, and 27.26% participating in all 5 waves. Models adjust for age, partner status, social integration, activity limitations, and serious financial problems. Data are available from the ICPSR (4690).

Results

Estimates from ML-SEM reveal negative and significant bidirectional cross-sectional associations between DSx and PA. Models also indicate a negative and significant cross-lagged association from DSx to PA, but not from cross-lagged PA to DSx. On both sides, earlier levels are significantly associated with future levels of PA and DSx.

Conclusions

This study is the first to use a causal inference technique which adjusts for all time-invariant confounders while modelling the bidirectional linkages between depression symptoms and physical activity over 25-years of adulthood. It supports literature showing a consistent cross-sectional relationship, and advances understanding on how DSx earlier in the adult life course may influence PA as people age.

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抑郁症状与体育锻炼的相互作用:美国人生活变化小组 25 年来的双向洞察力
背景抑郁症状(DSx)和体力活动不足(PA)是导致疾病的主要原因之一,也是造成全球公共卫生负担的主要因素。方法本研究基于美国人改变生活(ACL)面板的 5 个波次(1986-2011 年),通过全信息最大似然估计(ML-SEM)的结构方程模型,对具有固定效应的动态面板模型进行估计。这是一个具有全国代表性的概率样本,包含了 1986 年年龄在 25 岁及以上的 3499 名非机构化美国成年人。受访者平均参加了 3.29 次调查,其中 67.84% 的受访者至少参加了 3 次调查,27.26% 的受访者参加了全部 5 次调查。模型对年龄、伴侣状况、社会融合、活动限制和严重经济问题进行了调整。结果ML-SEM的估计结果显示,DSx和PA之间存在负向和显著的双向关联。模型还显示,DSx 与 PA 之间存在显著的负向跨滞后关系,但 PA 与 DSx 之间不存在跨滞后关系。结论 本研究首次使用因果推断技术,在对成年后 25 年间抑郁症状与体育锻炼之间的双向联系建模的同时,调整了所有时间不变混杂因素。它支持了显示出一致的横截面关系的文献,并加深了人们对成年期早期的抑郁症状如何随着年龄的增长而影响体育锻炼的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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