Exercise as medicine! Physical activity mitigated the impact of the COVID-19 pandemic on depressive symptoms in adults with depression.

Autor: Cassuriaga J; Postgraduate Program Multicenter in Physiological Sciences, Universidade Federal de Pelotas, Brazil; Postgraduate Program in Physical Education, School of Physical Education, Universidade Federal de Pelotas, Pelotas, Brazil., Feter N; Postgraduate Program in Epidemiology, School of Medicine, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil. Electronic address: natanfeter@hotmail.com., da Silva LS; Postgraduate Program in Epidemiology, School of Medicine, Universidade Federal de Pelotas, Pelotas, Brazil., Feter J; Postgraduate Program in Health Sciences, School of Medicine, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil., Delpino FM; Postgraduate Program in Nursing, Universidade Federal de Pelotas, Pelotas, Brazil., Rocha JQS; Postgraduate Programme in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil., Vieira YP; Postgraduate Programme in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil., Caputo EL; Postgraduate Programme in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil., Reichert FF; Postgraduate Program in Physical Education, School of Physical Education, Universidade Federal de Pelotas, Pelotas, Brazil., da Silva MC; Postgraduate Program in Physical Education, School of Physical Education, Universidade Federal de Pelotas, Pelotas, Brazil., Rombaldi AJ; Postgraduate Program in Physical Education, School of Physical Education, Universidade Federal de Pelotas, Pelotas, Brazil.
Jazyk: angličtina
Zdroj: Journal of psychiatric research [J Psychiatr Res] 2024 Jul; Vol. 175, pp. 153-159. Date of Electronic Publication: 2024 May 09.
DOI: 10.1016/j.jpsychires.2024.05.031
Abstrakt: We investigated the longitudinal association between physical activity (PA) and symptoms of depression and anxiety in people with depression during the COVID-19 pandemic. We used data from baseline (June 2020) to wave 3 (June 2021) of the PAMPA Cohort, an ambispective cohort with adults in south Brazil. The Hospital Anxiety and Depression Scale assessed depressive and anxiety symptoms in all waves. Participants reported frequency (minutes), type (aerobic, strength, combined), and place (out of home, at home) of physical activity at baseline. Generalized linear models were used to investigate the interaction between time and PA, adjusting for possible confounding variables. Subjective memory decline was assessed using multivariate Cox proportional hazard regression models to obtain adjusted hazard ratio (HR) and respective 95% confidence interval (CI). Participants (n = 424) with self-reported clinically diagnosed depression were included. We observed a non-linear increase trajectory of depression during the first year of the COVID-19 pandemic. PA was associated with a slower trajectory of depressive (slope: -1.89; 95%CI: -3.34, -0.43 points) but not anxiety (slope: -1.33; 95%CI: -2.93, 0.25 points) symptoms during the COVID-19 pandemic. Participants who continued physically active from pre-pandemic in wave 1 showed a lower risk of subjective memory decline during follow-up than those who persisted inactive in the same period (HR: 0.52; 95%CI: 0.30, 0.89). PA attenuated the impact of the COVID-19 pandemic on depressive symptoms in adults living with depression in south Brazil. Regularity of physical activity was associated with fewer depression and anxiety symptoms and a lower risk of subjective memory decline.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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