Department of Preventive Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.
Sci Rep. 2020 Oct 26;10(1):18271. doi: 10.1038/s41598-020-75389-8.
Exercise has been considered as treatment and a preventive modality to alleviate depressive symptoms, but sex differences regarding specific types of exercise in association with depression have not been clearly elucidated. Here, we investigated sex differences in the association between exercise type and depression in Korean adults. Data from the Korea National Health and Nutrition Examination Survey (KNHANES) were used for this study. A total of 13,914 participants who had filled in a Patient Health Questionnaire-9 (PHQ-9) were included. The subjects' exercise status had been evaluated with questions on strength exercise and walking, and answers were analysed in the current study using multivariate logistic regression. Male participants who reported having done strength exercise more than once in a week were less likely to be depressed after adjusting for covariates assumed to affect depression levels [adjusted odds ratio (OR) 0.60, 95% CI 0.40-0.92]. In women, walking more than once during the previous week was associated with lower depression levels after covariate adjustments (adjusted OR 0.54, CI 0.34-0.87). This study identifies the relationship between exercise and the presence of depressive symptoms and finds sex differences in the types of exercise that correlate with depression in Korean adults.
锻炼被认为是缓解抑郁症状的一种治疗和预防方式,但特定类型的锻炼与抑郁之间的性别差异尚未得到明确阐明。在这里,我们研究了韩国成年人中锻炼类型与抑郁之间的性别差异。本研究使用了韩国国民健康营养调查(KNHANES)的数据。共有 13914 名填写了患者健康问卷-9(PHQ-9)的参与者被纳入研究。通过询问关于力量训练和散步的问题来评估受试者的运动状况,并用多元逻辑回归分析来分析本研究中的答案。在调整了可能影响抑郁程度的协变量后,报告每周进行一次以上力量训练的男性参与者不太可能抑郁[调整后的优势比(OR)0.60,95%可信区间(CI)0.40-0.92]。在女性中,在调整了协变量后,每周散步一次以上与较低的抑郁水平相关(调整后的 OR 0.54,95%CI 0.34-0.87)。本研究确定了锻炼与抑郁症状之间的关系,并发现了韩国成年人中与抑郁相关的锻炼类型存在性别差异。