The relationship between physical activity and depressive symptoms is domain-specific, age-dependent, and non-linear: An analysis of the Brazilian national health survey.

Autor: Lopes MVV; Sports Center, Federal University of Santa Catarina, Florianópolis, 88040-900, Brazil. Electronic address: marcuslopes.author@gmail.com., Matias TS; Sports Center, Federal University of Santa Catarina, Florianópolis, 88040-900, Brazil., da Costa BGG; Sports Center, Federal University of Santa Catarina, Florianópolis, 88040-900, Brazil; School of Physical and Health Education, Nipissing University, North Bay, Canada., Schuch FB; Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, 97105-900, Brazil; Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile., Chaput JP; Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada., Samara Silva K; Sports Center, Federal University of Santa Catarina, Florianópolis, 88040-900, Brazil.
Jazyk: angličtina
Zdroj: Journal of psychiatric research [J Psychiatr Res] 2023 Mar; Vol. 159, pp. 205-212. Date of Electronic Publication: 2023 Jan 29.
DOI: 10.1016/j.jpsychires.2023.01.041
Abstrakt: Although there is consistent evidence of the beneficial effects of leisure physical activity (PA) on mental health, the role of PA in the domestic, transport, and occupational domains is inconclusive. This study aimed to analyze the relationship between domain-specific PA and depressive symptoms and examine whether the association is moderated by age in a representative sample of the Brazilian population. Cross-sectional data of 89,923 (52.4% female) individuals aged ≥15 years were analyzed. Depressive symptoms were assessed using the Patient Health Questionnaire-9. Physical activity (min/week) performed in different domains (domestic, transport, occupation, and leisure) was self-reported. Generalized additive models with penalized splines were used to explore associations. Lower leisure-time PA and higher levels of PA in the domestic, occupational, and transport domains at distinct PA thresholds were associated with higher depressive symptoms. Leisure PA, even at lower levels, was associated with lower depressive symptoms compared to no PA at all. The increase in depressive symptoms as a function of occupational PA was observed only at PA levels higher than 40 h/week. Although non-leisure PA levels were related to higher depressive symptoms among the total sample, higher domestic and transport PA levels were related to lower depressive symptoms among older adults. This study provides insights into the non-linearity and age-group dependence of the relationship between domain-specific PA and depressive symptoms in a middle-income country. The evidence suggests that care should be taken on recommending PA regardless of context or domain.
Competing Interests: Declaration of competing interest The authors declare they have no competing interests.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE