Department of Kinesiology, College of Health and Human Sciences, Kansas State University, Manhattan, Kansas (Dr Bridges Hamilton); Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, Texas (Drs Ylitalo, Wende, and Umstattd Meyer); and Professor Emeritus, Texas A&M University, College Station, Texas (Dr Sharkey).
Fam Community Health. 2024;47(1):20-31. doi: 10.1097/FCH.0000000000000388. Epub 2023 Sep 27.
The purpose of this study is to examine the longitudinal impact of depressive symptoms on physical activity (PA) levels, sedentary behavior, and screen time among first-generation, Mexican-heritage youth. Mexican-heritage families were recruited by promotoras de salud from colonias in Hidalgo County, Texas. Participants (n = 200 youth, 116 families in final sample) completed at-home, interviewer-administered surveys once during the summer (June-July) and once during the fall (August-December). Youth PA and sedentary behaviors were assessed using a validated 7-day recall instrument. The validated Center for Epidemiology Studies-Depression Child scale was used to assess depression symptoms. Linear mixed-effects models were used to analyze the relationships of PA and sedentary behavior with depressive symptoms. Results showed that those depression symptoms were significantly associated with decreased number of self-reported minutes of sitting and screen time over time in the full sample and among male youth. Depression symptoms also significantly decreased the number of self-reported active and moderate to vigorous PA minutes over time among male youth. Researchers can build on our findings by identifying the mechanisms driving the relationships between depression and PA/sedentary behavior. Public health-programing efforts should intentionally consider the impact that depressive symptoms have on PA.
本研究旨在考察抑郁症状对第一代墨西哥裔青年体力活动（PA）水平、久坐行为和屏幕时间的纵向影响。墨西哥裔家庭由德克萨斯州伊达尔戈县的社区健康推广员招募。参与者（n=200 名青少年，最终样本中有 116 个家庭）在夏季（6-7 月）和秋季（8-12 月）各完成一次家庭访问式问卷调查。青少年的 PA 和久坐行为使用经过验证的 7 天回忆工具进行评估。使用经过验证的流行病学研究中心抑郁量表儿童版评估抑郁症状。线性混合效应模型用于分析 PA 和久坐行为与抑郁症状的关系。结果表明，在全样本和男性青少年中，抑郁症状与报告的久坐时间和屏幕时间随时间的减少呈显著相关。抑郁症状也显著减少了男性青少年报告的活跃和中等到剧烈 PA 分钟数随时间的减少。研究人员可以通过确定驱动抑郁与 PA/久坐行为之间关系的机制来进一步研究。公共卫生计划应有意考虑抑郁症状对 PA 的影响。
