Department of Physical Education, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Presidente Prudente, Brazil.
Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, Box SE5 8AF, London, United Kingdom; South London and Maudsley NHS Foundation Trust, London, United Kingdom.
Gen Hosp Psychiatry. 2020 May-Jun;64:26-32. doi: 10.1016/j.genhosppsych.2020.01.007. Epub 2020 Jan 31.
To analyze the association between four key different physical activity (PA) domains and depressive symptoms among Brazilian adults.
Data from the Brazilian National Health Survey (n = 60,202; ≥18 years) were used. PA across four different domains (leisure, transport, occupational and household) was collected through specific questionnaires. The cutoff point adopted in each domain was 150 min/week. Depression was evaluated through the Patient Health Questionnaire-9. Multivariable adjusted linear and logistic regression models were applied.
Leisure PA was associated with lower depressive symptoms [β: -0.008 (95% CI: -0.010 to -0.005); OR: 0.69 (95% CI: 0.59 to 0.81)]. Transport PA was also associated with lower depressive symptoms among older adults [β -0.008 (-0.012 to -0.003); OR: 0.70 (95% CI: 0.53-0.94)] but not middle-aged adults. On the other hand, occupational PA [β: 0.003 (95% CI: 0.002 to 0.005); OR: 1.62 (95% CI: 1.38 to 1.91)] and household PA [β: 0.009 (95% CI: 0.006 to 0.012); OR: 1.57 (95% CI: 1.37 to 1.79)] were associated with higher depressive symptoms.
The association between PA and depression symptoms varies according to the domains of PA and some appear independent from each other. While leisure PA is associated with fewer depressive symptoms; occupational and household PA appear to be associated with an increased depression risk.
分析巴西成年人中四个关键的不同身体活动（PA）领域与抑郁症状之间的关联。
使用巴西国家健康调查（n=60202；≥18 岁）的数据。通过特定问卷收集了四个不同领域（休闲、交通、职业和家庭）的 PA。每个领域采用的截定点为 150 分钟/周。抑郁通过患者健康问卷-9 进行评估。应用多变量调整线性和逻辑回归模型。
休闲 PA 与较低的抑郁症状相关 [β：-0.008（95%CI：-0.010 至-0.005）；OR：0.69（95%CI：0.59 至 0.81）]。交通 PA 也与老年人较低的抑郁症状相关 [β：-0.008（-0.012 至-0.003）；OR：0.70（95%CI：0.53 至 0.94）]，但与中年成年人无关。另一方面，职业 PA [β：0.003（95%CI：0.002 至 0.005）；OR：1.62（95%CI：1.38 至 1.91）]和家庭 PA [β：0.009（95%CI：0.006 至 0.012）；OR：1.57（95%CI：1.37 至 1.79）]与更高的抑郁症状相关。
PA 与抑郁症状之间的关联因 PA 的领域而异，有些似乎彼此独立。虽然休闲 PA 与较少的抑郁症状相关；职业和家庭 PA 似乎与增加的抑郁风险相关。
