Physically Active Lifestyles Research Group (USQ-PALs), Institute for Resilient Regions, Center for Health Research, University of Southern Queensland, Toowoomba, Australia.
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
Depress Anxiety. 2021 Sep;38(9):950-960. doi: 10.1002/da.23157. Epub 2021 Apr 13.
Physical activity is often associated with better mental health. However, there is evidence that the domain of physical activity influences the strength and direction of this association. Therefore, this study aimed to examine the associations between different domains of physical activity and depression among a large sample of adults living in the European Union.
Cross-sectional analyses were conducted on 261,121 adults, recruited in the European Health Interview Survey (wave 2). Validated items were used to assess physical activity domains (i.e., work-related, transport-related, leisure-time aerobic, and muscle-strengthening) and depression symptom severity (8-item personal health questionnaire). Generalized linear models with Poisson regressions provided adjusted prevalence ratios (APR) of depressive symptom severity categories across the physical activity domains.
Compared to doing no physical activity, any physical effort at work (APR: 0.82-0.86), moderate, high, and very high levels of transport-related (APR: 0.69-0.83) and aerobic leisure-time activity (APR: 0.78-0.87), and 3 days/week of muscle-strengthening (APR: 0.93) were associated with a lower prevalence of mild depressive symptom severity. Moreover, doing any level of physical activity in any domain was mostly associated with a lower prevalence of moderate (APR: 0.43-0.80), moderate-severe (APR: 0.34-0.82), and severe (APR: 0.26-0.56) depressive symptoms.
Favorable associations were seen between any domain (leisure-time, transport- and work-related) of physical activity and depressive symptom severity. The more severe the symptoms, the stronger the associations. Both modalities of leisure-time physical activity (aerobic and muscle-strengthening) demonstrated beneficial associations with depression, but slightly more so for aerobic physical activity.
身体活动通常与更好的心理健康相关。然而，有证据表明身体活动的领域会影响这种关联的强度和方向。因此，本研究旨在调查在欧盟生活的大量成年人中，不同身体活动领域与抑郁之间的关联。
对欧洲健康访谈调查（第 2 波）中的 261121 名成年人进行了横断面分析。使用经过验证的项目来评估身体活动领域（即与工作相关、与交通相关、休闲时间有氧运动和肌肉强化）和抑郁症状严重程度（8 项个人健康问卷）。广义线性模型与泊松回归提供了在身体活动领域中，不同抑郁症状严重程度类别的调整后患病率比（APR）。
与不进行任何身体活动相比，任何工作中的体力活动（APR：0.82-0.86）、中等到高强度的交通相关（APR：0.69-0.83）和休闲时间有氧运动（APR：0.78-0.87）以及每周 3 天的肌肉强化（APR：0.93）与轻度抑郁症状严重程度的低患病率相关。此外，在任何领域进行任何水平的身体活动与中度（APR：0.43-0.80）、中重度（APR：0.34-0.82）和重度（APR：0.26-0.56）抑郁症状的低患病率相关。
任何领域（休闲时间、交通和工作相关）的身体活动与抑郁症状严重程度之间都存在有利的关联。症状越严重，关联越强。两种休闲时间身体活动模式（有氧运动和肌肉强化）均与抑郁呈有益关联，但有氧运动的关联略强。
