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身体活动水平与抑郁症状相关:对 58445 名成年人的横断面研究。

Physical activity levels are associated with depressive symptoms: A cross-sectional study of 58,445 adults.

机构信息

Inst Israelita Ensino & Pesquisa, Postgrad Program Hlth Sci, São Paulo, SP, Brazil.

Inst Israelita Ensino & Pesquisa, Postgrad Program Hlth Sci, São Paulo, SP, Brazil.

出版信息

J Affect Disord. 2025 Jan 15;369:298-302. doi: 10.1016/j.jad.2024.09.158. Epub 2024 Sep 26.

Abstract

INTRODUCTION

Depression is the leading cause of mental health-related illnesses and disabilities. Physical activity (PA) has been included as part of therapeutic approaches for patients with depression. This study aimed to investigate the associations between depressive symptoms and PA levels in a large representative cohort of Brazilian adults and older individuals.

METHODS

Data from 58,445 Brazilian adults (68.6 % males and 31.4 % females) aged 18 years or older (42.2 ± 10 years) who participated in health screening initiatives between 2008 and 2022 at the Center for Preventive Medicine at a quaternary hospital in Sao Paulo, Brazil were analyzed. Standardized health data (anthropometric, laboratory, clinical, and behavioral) were collected. A hierarchical regression model was used to examine the associations based on the presence and absence of depressive symptoms.

RESULTS

In the final model, age, gender (female), body mass index (BMI) (each kg/m), presence of hypertension, presence of diabetes mellitus, risk of alcohol consumption, smoking status, and perceived stress were associated with higher odds of depressive symptoms. However, PA levels were associated with lower odds of depressive symptoms.

CONCLUSION

The findings revealed that any level of PA was independently and significantly associated reduced risk of depressive symptoms.

摘要

简介

抑郁症是导致心理健康相关疾病和残疾的主要原因。身体活动(PA)已被纳入抑郁症患者治疗方法的一部分。本研究旨在调查巴西成年人和老年人的一个大型代表性队列中抑郁症状与 PA 水平之间的关联。

方法

分析了 2008 年至 2022 年间,巴西圣保罗一家四级医院预防医学中心参加健康筛查计划的 58445 名年龄在 18 岁及以上(42.2±10 岁)的成年人的数据。收集了标准化的健康数据(人体测量、实验室、临床和行为)。基于是否存在抑郁症状,使用分层回归模型来检验关联。

结果

在最终模型中,年龄、性别(女性)、体重指数(BMI)(每公斤/米)、高血压、糖尿病、酒精摄入风险、吸烟状况和感知压力与更高的抑郁症状几率相关。然而,PA 水平与较低的抑郁症状几率相关。

结论

研究结果表明,任何水平的 PA 都与降低抑郁症状的风险独立且显著相关。

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