Denche-Zamorano Ángel, Salas-Gómez Diana, Parraca Jose A, Tomas-Carus Pablo, Adsuar José Carmelo, Barrios-Fernandez Sabina
Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain.
Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7004-516 Evora, Portugal.
J Pers Med. 2024 Aug 12;14(8):855. doi: 10.3390/jpm14080855.
Depression is a mental disorder that causes great discomfort, is associated with unhealthy lifestyle habits, and affects the quality of life. People with pain show high depressive symptoms and a prevalence of physical inactivity. This study aimed to analyse the associations between depression (self-reported depression, depression status, depressive symptoms, and depression types) and physical activity frequency (PAF) in leisure time in middle-aged and older people with different pain levels (low, medium, and severe) living in Spain. A cross-sectional study based on the European Health Survey data from Spain (2014-2020) was carried out, with a final sample of 13,686 people with pain. Associations between depression-related variables and PAF were studied at the three levels of pain, comparing the prevalence of depression as a function of PAF. Regression models were performed to assess adjusted risk factors for depression (self-reported depression and depression status). It was found that PAF was related to depression at all three pain levels. Inactive people at each pain level had higher depression prevalence (self-reported depression, depression status, depression symptoms, and depressive types). Physical inactivity emerged as a risk factor for depression, both for self-reported depression and for depression status. Thus, increased PAF could help prevent or reduce depression and depressive symptoms in people with pain.
抑郁症是一种导致极大不适的精神障碍，与不健康的生活方式习惯相关，并影响生活质量。有疼痛症状的人表现出较高的抑郁症状，且普遍存在身体活动不足的情况。本研究旨在分析西班牙不同疼痛程度（轻度、中度和重度）的中老年人抑郁（自我报告的抑郁、抑郁状态、抑郁症状和抑郁类型）与休闲时间身体活动频率（PAF）之间的关联。基于西班牙（2014 - 2020年）欧洲健康调查数据开展了一项横断面研究，最终样本为13,686名有疼痛症状的人。在三个疼痛水平上研究了抑郁相关变量与PAF之间的关联，比较了作为PAF函数的抑郁患病率。进行回归模型以评估抑郁（自我报告的抑郁和抑郁状态）的调整后风险因素。结果发现，在所有三个疼痛水平上PAF均与抑郁相关。每个疼痛水平上身体活动不足的人抑郁患病率（自我报告的抑郁、抑郁状态、抑郁症状和抑郁类型）更高。身体活动不足成为自我报告的抑郁和抑郁状态的抑郁风险因素。因此，增加PAF有助于预防或减轻有疼痛症状人群的抑郁及抑郁症状。
