The Association Between Depressive Symptoms and the Weekly Duration of Physical Activity Subset by Intensity and Domain: Population-Based, Cross-Sectional Analysis of the National Health and Nutrition Examination Survey From 2007 to 2018.

IF 1.9 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Interactive Journal of Medical Research Pub Date : 2024-07-05 DOI:10.2196/48396
Josheil K Boparai, Sarah Dunnett, Michelle Wu, Vanessa K Tassone, Sophie F Duffy, Valentina Zuluaga Cuartas, Ziming Chen, Hyejung Jung, Catherine M Sabiston, Wendy Lou, Venkat Bhat
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Abstract

Background: Prior literature suggests a dose-response relationship between physical activity (PA) and depressive symptoms. The intensity and domain of PA are suggested to be critical to its protective effect against depression; however, existing literature has shown mixed results.

Objective: The purpose of this population-based study is to examine the associations between depressive symptoms and weekly duration of (1) total PA and (2) PA subset by intensity, domain, or both.

Methods: A cross-sectional analysis of National Health and Nutrition Examination Survey data from 2007 to 2018 was conducted using multivariable logistic and linear regression models and survey weights. Participants (N=29,730) were 20 years and older and completed the Physical Activity Questionnaire and Depression Screener. The primary outcome was the presence of depressive symptoms, and the secondary outcomes were cognitive-affective and somatic symptoms of depression.

Results: Participants (N=29,730) had a weighted mean age of 47.62 (SD 16.99) years, and 15,133 (51.34%) were female. On average, participants without depressive symptoms engaged in 10.87 hours of total PA per week, whereas participants with depressive symptoms engaged in 8.82 hours (P<.001). No significant associations were seen between the weekly duration of total PA and depressive symptom odds, somatic, or cognitive-affective symptoms (all P>.05). Participants with an increased weekly duration of recreational PA had decreases in depressive symptom odds (adjusted odds ratio [aOR] 0.965, 95% CI 0.944-0.986) and in somatic (adjusted coefficient [aβ]=-0.016, 95% CI -0.022 to -0.009) and cognitive-affective (aβ=-0.015, 95% CI -0.023 to -0.007) symptoms. When recreational PA was subset by intensity, participants with an increased weekly duration of vigorous-intensity recreational PA had decreases in depressive symptom odds (aOR 0.926, 95% CI 0.883-0.972) and in somatic (aβ=-0.021, 95% CI -0.032 to -0.010) and cognitive-affective (aβ=-0.022, 95% CI -0.035 to -0.009) symptoms. However, significant associations were not seen for the weekly duration of work-related, moderate- or vigorous-intensity PAs (all P>.05).

Conclusions: Findings suggest that recreational, not work-related PA is associated with reduced symptoms of depression. Future studies should explore the impact of the different types and contexts of PA on depressive symptomatology.

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抑郁症状与按强度和领域分列的每周体育锻炼时间之间的关系:基于2007年至2018年全国健康与营养调查的人群横截面分析。
背景:先前的文献表明,体力活动(PA)与抑郁症状之间存在剂量-反应关系。体育锻炼的强度和领域被认为对抑郁症的保护作用至关重要;然而,现有文献显示的结果不一:这项基于人群的研究旨在探讨抑郁症状与每周(1)总体育锻炼时间和(2)体育锻炼强度、领域或两者的子集之间的关系:采用多变量逻辑和线性回归模型以及调查权重,对 2007 年至 2018 年的美国国家健康与营养调查数据进行了横截面分析。参与者(N=29,730)年龄在 20 岁及以上,完成了体育活动问卷和抑郁筛查。主要结果是是否存在抑郁症状,次要结果是抑郁症的认知情感症状和躯体症状:参与者(N=29,730)的加权平均年龄为 47.62 岁(SD 16.99),女性 15,133 人(51.34%)。无抑郁症状的参与者平均每周进行 10.87 小时的体育锻炼,而有抑郁症状的参与者每周进行 8.82 小时的体育锻炼(P.05)。每周休闲娱乐时间增加的参与者抑郁症状几率下降(调整后的几率比 [aOR] 0.965,95% CI 0.944-0.986),躯体症状(调整后的系数 [aβ]=-0.016,95% CI -0.022--0.009)和认知情感症状(aβ=-0.015,95% CI -0.023--0.007)也有所下降。当按强度对娱乐性业余活动进行细分时,每周剧烈强度娱乐性业余活动持续时间增加的参与者的抑郁症状几率(aOR 0.926,95% CI 0.883-0.972)以及躯体症状(aβ=-0.021,95% CI -0.032至-0.010)和认知情感症状(aβ=-0.022,95% CI -0.035至-0.009)均有所下降。然而,与工作相关的每周持续时间、中等强度或剧烈强度的PA均无明显关联(均为P>.05):研究结果表明,娱乐性而非与工作相关的活动与抑郁症状的减轻有关。今后的研究应探讨不同类型和环境的业余爱好对抑郁症状的影响。
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来源期刊
Interactive Journal of Medical Research
Interactive Journal of Medical Research MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
0.00%
发文量
45
审稿时长
12 weeks
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